Abstract

EFFICACY OF VIRECHANA KARMA ALONG WITH SHAMANA YOGA IN SHEETAPITTA W.S.R. URTICARIA: A SINGLE CASE STUDY

Dr. Kamal Kishor Joshi*, Dr. Ruchi Gupta, Dr. Sagar Dutt Bhardwaj, Dr. Rahul Sharma, Dr. Nitesh Bhardwaj

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Abstract

Background: Sheetapitta is described in the Ayurvedic classics as one of the Twak vikara. It is considered a Tridoshaja vyadhi, often triggered by factors such as exposure to cold, indigestion, incompatible diet, and psychological disturbances. Predominately, it involves the vitiation of Kapha and Vata Dosha in association with Pitta Dosha. The condition manifests with Varti Damshavat Shotha and Kandu due to aggravated Kapha, Shula due to Vata, and Daha because of Pitta. Clinically, Sheetapitta is correlated with urticaria, a vascular reaction characterized by transient, erythematous, edematous wheals or papules of varying shapes and sizes, typically associated with pruritus. Aim and Objectives: The study aimed to evaluate the efficacy of Ayurvedic mangement – both Shodhana Chikitsa and Shamana Chikitsa in the management of Sheetapitta. Material and Methods: A single case study was conducted on a 28- year old male patient presenting with reddish, irregular, elevated skin lesions accompanied by itching and burning sensation for the past 8 months. The symptoms were aggravated by the intake of hot, sour spicy, oily fermented food items, citrus fruits, dry fruits, and exposure to cold air or dust. The condition worsened at night and subsided by morning. Based on clinical features, the diagnosis of Sheetapitta was established. Results: Implementation of Ayurvedic management through Shodhana and Shamana Chikitsa showed significant improvement in symptoms, effectively controlling Sheetapitta (urticaria) and enhancing the patients quality of life. Conclusion: The case report demonstrates that classical Ayurvedic treatment protocols fot Sheetapitta can provide considerable relief and are effective in managing urticaria.

Keywords: Sheetapitta, Urticaria, Shodhana Chikitsa, Shamana Chikitsa, Ayurveda.