Urticaria, also known as hives, is a common skin condition that affects people of all ages. It is characterized by the sudden appearance of itchy, raised welts or wheals on the skin. Urticaria can be acute or chronic, and its causes can vary from allergic reactions to underlying medical conditions. “Urticaria” is known as “Sheetpitta” In Ayurveda.

Urticaria is a skin disorder that affects millions of individuals worldwide. It can be triggered by various factors, including allergens, medications, infections, and autoimmune reactions. The condition can be distressing due to its symptoms, but with proper management, individuals with urticaria can lead a comfortable life.

What is Urticaria?

Urticaria is a skin condition characterized by the sudden appearance of itchy welts on the skin. These welts, also known as wheals, can vary in size and shape and often have a pale center surrounded by a red halo. They can appear on any part of the body and may come and go within a few hours or persist for several days.

Types of Urticaria

There are different types of urticaria, including:

Acute Urticaria

Acute urticaria is a short-term condition that lasts for less than six weeks. It is commonly caused by allergic reactions to certain foods, medications, insect bites, or infections.

Chronic Urticaria

Chronic urticaria, on the other hand, persists for more than six weeks and can last for several months or even years. It is often idiopathic, meaning its exact cause is unknown, but it may be related to autoimmune reactions or underlying health conditions.

Causes of Urticaria

Urticaria can be triggered by a wide range of factors, including:

  • Allergens such as certain foods, pollen, animal dander, or latex.
  • Medications, such as antibiotics, nonsteroidal anti-inflammatory drugs (NSAIDs), or ACE inhibitors.
  • Infections, including viral, bacterial, or parasitic infections.
  • Physical triggers like pressure, heat, cold, or sunlight.
  • Autoimmune reactions, where the body’s immune system mistakenly targets its own tissues.

Symptoms and Diagnosis

The most common symptom of urticaria is the appearance of raised itchy welts on the skin. However, other symptoms may accompany the condition, including:

Common Symptoms of Urticaria

  • Itchy red or white welts on the skin.
  • Swelling of the lips, face, tongue, or throat.
  • Flushing or a warm sensation.
  • A burning or stinging sensation on the affected area.

Diagnostic Methods

To diagnose urticaria, a healthcare professional will assess the symptoms and medical history of the individual. In some cases, additional tests may be recommended, such as:

  • Allergy testing to identify specific triggers.
  • Blood tests to check for underlying medical conditions.
  • Skin biopsy to rule out other skin disorders.

Ayurveda aspect of Sheetpitta(Urticaria)

According to Ayurveda, Sheetpitta occurs when the cooling element of Pitta dosha becomes aggravated, leading to hypersensitivity reactions and the manifestation of urticaria symptoms upon exposure to cold stimuli.

Causative factors according to Ayurveda

  • Sheeta Vayu Sparsh( Exposure to cold wind)
  • Vamana Ayoga(Improper Emesis panchakarma therapy)
  • Diwaswapana(Day sleep)
  • Lavan Katu Bhojana(Excessive intake of salty, pungent food)
  • Kita Dansh(Insect bite)

Prodromal Symptoms

  • Atitrushna (Excessive Thirst)
  • Aruchi (Anorexia)
  • Hrillasa (Nausea)
  • Inactive body (Dehasada)
  • Gauravata (Heaviness in the body)
  • Raktalochana (Congestion of eyes)

Clinical Features

  • Twaka Sphota (Inflammation on the skin)
  • Kandu (Itching)
  • Toda (Pricking Pain)
  • Chhardi (Vomit)
  • Jwara (Fever)
  • Daha (Burning sensation)

Related: https://ayurvedadvise.com/psoriasis-causes-types-ayurveda-treatment/

Ayurveda Treatment

Ayurveda employs various treatment modalities to address Sheetpitta and restore dosha balance. These modalities can be used individually or in combination based on the individual’s condition and consultation with an Ayurvedic practitioner.

Sanshodhan Chikitsa

  • Panchakarma

Panchakarma, a comprehensive Ayurvedic detoxification and rejuvenation therapy, can be beneficial in managing Sheetpitta. It includes procedures like Virechana (therapeutic purgation) and Swedana (herbal steam therapy) to eliminate toxins, balance Pitta dosha, and strengthen the immune system.

  • Abhyanga and Swedana

Abhyanga, the practice of oil massage, and Swedana, herbal steam therapy, help improve circulation, promote relaxation, and pacify the aggravated cooling aspect of Pitta dosha. These therapies aid in reducing inflammation and supporting overall well-being.

Sansaman Chikitsa

  • Internal Medications

Internal medications may be prescribed to address Pitta dosha imbalance and alleviate Sheetpitta symptoms. These medications can include herbal formulations, powders, tablets, or decoctions, customized according to the individual’s specific needs.

  • Kamadudha Rasa
  • Sutshekhar Rasa
  • Chandrakala Rasa
  • Haridra Khanda
  • Amruta Satva
  • Kaishor Guggulu
  • Arogyavardhini vati
  • Triphala Churnam
  • Trikatu Churnam
  • Manjishthadi Kashayam
  • Panchasakar Churnam
  • Mahatikta Ghrita

Lifestyle Changes

Making certain lifestyle changes can help manage urticaria effectively. These may include:

  • Avoiding known triggers, such as specific foods or environmental factors.
  • Wearing loose-fitting clothes made of natural fibers.
  • Using mild, fragrance-free skincare products.
  • Maintaining a healthy diet and regular exercise routine.

Allergen Avoidance

If a specific allergen is identified as the trigger, allergen avoidance becomes crucial. This may involve dietary modifications, using hypoallergenic products, or minimizing exposure to environmental triggers.


Home Remedies for Urticaria

In addition to medical treatments, several home remedies can provide relief from urticaria symptoms. It’s important to note that these remedies may vary in effectiveness for different individuals. Some common home remedies include:

Cold Compress

Applying a cold compress to the affected area can help reduce itching and swelling. Wrap some ice cubes in a cloth or use a cold pack, and gently apply it to the skin for a few minutes at a time.

Oatmeal Bath

Taking an oatmeal bath can provide soothing relief for urticaria. Add colloidal oatmeal to lukewarm bathwater and soak in it for 15-20 minutes. Pat dry your skin gently afterward.

Aloe Vera

Aloe vera has anti-inflammatory properties that can help alleviate itching and inflammation associated with urticaria. Apply fresh aloe vera gel to the affected areas and leave it on for 15-20 minutes before rinsing off.

Managing Chronic Urticaria

Managing chronic urticaria requires a comprehensive approach to identify triggers and minimize the frequency and severity of outbreaks.

Identifying Triggers

Keeping a detailed journal of activities, diet, and environmental exposures can help identify triggers specific to an individual. This information can assist in avoiding triggers and reducing the likelihood of recurrent episodes.

Stress Management

Stress can exacerbate urticaria symptoms in some individuals. Therefore, stress management techniques like meditation, yoga, or counseling can be beneficial in managing chronic urticaria.

Supportive Therapies

In addition to medical treatments, supportive therapies such as phototherapy, omalizumab injections, or immunosuppressive drugs may be recommended for severe or refractory cases of chronic urticaria.

Prevention Tips

While it may not be possible to prevent all instances of urticaria, certain measures can reduce the risk and severity of outbreaks.

Identifying Allergens

Identifying and avoiding known allergens can play a significant role in preventing urticaria. Allergy testing can help determine specific triggers and guide avoidance strategies.

Maintaining a Healthy Lifestyle

Maintaining a healthy lifestyle, including a balanced diet, regular exercise, and stress management, can enhance overall well-being and potentially reduce the frequency of urticaria outbreaks.


Urticaria is a common skin condition characterized by the sudden appearance of itchy welts. It can be caused by various factors, including allergens, medications, infections, and autoimmune reactions. Proper diagnosis and management of triggers are essential for effective treatment. Lifestyle changes, medications, and home remedies can provide relief and improve the quality of life for individuals with urticaria.


1. Can stress trigger urticaria?

Yes, stress can trigger or exacerbate urticaria symptoms in some individuals. It is important to manage stress through relaxation techniques and seek support when needed.

2. Can Ayurveda cure Sheetpitta completely?

Ayurveda aims to address the root causes of Sheetpitta and provide relief from symptoms. While complete cure depends on various factors, Ayurvedic treatments can significantly reduce the frequency and intensity of outbreaks.

3. Is urticaria contagious?

No, urticaria is not contagious. It is a non-infectious condition that occurs due to various triggers and immune responses.

4. How long does urticaria last?

The duration of urticaria can vary. Acute urticaria typically lasts for a few hours to several weeks, while chronic urticaria can persist for months or even years.

5. Is Ayurvedic treatment safe for pregnant women with Sheetpitta?

Ayurvedic treatments can be modified to suit the specific needs of pregnant women with Sheetpitta. It is important to consult with an experienced Ayurvedic practitioner who can provide safe and appropriate recommendations for pregnancy.

6. Can urticaria be cured completely?

In many cases, urticaria can be effectively managed, but a complete cure may not always be possible. Identifying and avoiding triggers, along with proper medical treatment, can help control the symptoms.

7.  Are there any long-term complications of urticaria?

While urticaria itself does not usually lead to long-term complications, it can significantly impact an individual’s quality of life. Rarely, severe allergic reactions or anaphylaxis can occur, requiring immediate medical attention.

By Dr.Dimpal Baldha

I'm DR. Dimple Baldha, an Ayurvedic doctor and I have treated more than a thousand patients in my couple of years of experience in this field. This has given me a lot of insights and positive areas to work with people from different parts of the world managing arthritis issues, Dietary changes, healthy lifestyles, and metabolic disorders. I have good knowledge of Ayurvedic medicine, Panchkarma treatment, Healthy lifestyle and yoga. I have treated so many diseases like spondylitis, psoriasis, allergies and bronchial asthma. Talks about #health, #ayurveda, #wellness, #healthylifestyle

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