Ayurvedic management of sheetpitta and urticaria: a case report.
Journal name: Ayushdhara
Original article title: A holistic approach to sheetpitta w. s. r to urticaria by ayurvedic management - case report
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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*Chamoli Anjali
M. D scholar, Department of Kayachikitsa, Rishikul Ayurvedic College, Haridwar, India.
Goyal Dinesh Kumar
Reader, Department of Kayachikitsa, Rishikul Ayurvedic College, Haridwar, India.
Singh Om Prakash
Professor and Head, Department of Kayachikitsa, Rishikul Ayurvedic College, Haridwar, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: A holistic approach to sheetpitta w. s. r to urticaria by ayurvedic management - case report
Year: 2015
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Sheetpitta is an Ayurvedic term for a skin disorder characterized by rashes resembling wasp stings and is clinically correlated with urticaria, a dermal vascular reaction resulting in itchy wheals on the skin. The condition is classified as a Tridoshaja disorder, primarily involving Pitta and Vayu doshas, along with Rasa and Rakta dhatus as the main affected substances. This case report discusses a 50-year-old female patient suffering from Sheetpitta, who experienced persistent reddish rashes and severe itching for four months. Conventional allopathic treatments had failed to provide relief, prompting the patient to seek Ayurvedic management.
Importance of Virechana in Treatment
The management of Sheetpitta involved Ayurvedic treatments, including Panchakarma therapies, particularly Virechana, which is a therapeutic purgation process. The initiation of treatment started with Snehana (oleation therapy) using Panchtikta ghrita, followed by Virechana, which utilized a decoction of Haritaki, Katuki, and Nishotha. This approach aims to cleanse the body of accumulated doshas and impurities. The Virechana process resulted in significant purgation and was followed by a careful dietary regimen known as Sansarjan krama to restore digestive fire. The combination of these therapies resulted in the alleviation of the patient's symptoms, demonstrating the critical role of Virechana in managing skin disorders like Sheetpitta.
Role of Sanshamana Therapy
After Virechana, the patient received Sanshamana therapy, which involves the use of supportive Ayurvedic medicines to continue the treatment and maintain balance within the body. The drugs prescribed included Nimbaadi churna, Gandhak rasayana, and Arogyavardhini vati, all recognized for their properties as blood purifiers and immunomodulators. This phase of treatment provided a holistic approach to the patient’s condition, addressing residual dosha imbalances and strengthening the overall health. The outcomes showed a complete resolution of symptoms after the Sanshamana phase, highlighting the importance of ongoing therapeutic support in chronic skin disorders.
Conclusion
The case study emphasizes that Sheetpitta, or urticaria, is a manageable condition through Ayurvedic interventions that restore the balance of doshas and purify the blood. The synergistic effects of Shodhana (cleansing) and Sanshamana (nurturing) therapies provide a comprehensive approach to treating this skin disorder. The successful management of this patient's condition offers hope for others suffering from similar issues, showcasing the efficacy of Ayurvedic practices in treating chronic skin diseases and advocating for their integration into mainstream treatment protocols.
FAQ section (important questions/answers):
What is Sheetpitta and how does it relate to urticaria?
Sheetpitta is an Ayurvedic term for a skin disorder characterized by inflamed rashes and itching. It is considered a Tridoshaja disorder, similar to urticaria, which involves itchy wheals and is caused by an imbalance of the body's doshas.
What Ayurvedic treatments were used in the case study?
The patient received Snehana (oleation therapy) with Panchtikta ghrita, followed by Virechana (therapeutic purgation) using a decoction of Haritaki, Katuki, and Nishotha. Post-treatment, Sanshaman therapy was provided with various Ayurvedic drugs for further relief.
What were the results of the Ayurvedic management?
After two months of treatment, the patient experienced significant improvement, with symptoms such as itching and discoloration reduced to zero. The overall management successfully alleviated the condition, providing complete relief from previous episodes.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Ayurvedic management of sheetpitta and urticaria: a case report.�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Dosha (Dosa):
Dosha refers to the three fundamental bodily humors in Ayurveda: Vata, Pitta, and Kapha. These humors are believed to govern the physiological and psychological processes of the body and mind, respectively. Sheetpitta is described as a Tridoshaja disorder, indicating the involvement of all three doshas.
2) Kandu (Kamdu):
Kandu means itching, a prominent symptom in both Sheetpitta and urticaria. This Ayurvedic term is used to describe the intense urge to scratch, which is a characteristic feature of the skin ailment discussed in the case report.
3) Pulse:
Pulse is an essential measurements in clinical examination, providing insights into circulatory health. In this case, the patient’s pulse rate before and during the treatment sessions, measured in beats per minute, is recorded to monitor her condition.
4) Rakta:
Rakta translates to 'blood' in Ayurveda, and it is a significant Dushya in Sheetpitta. The term is used to discuss the involvement of blood in the disease's pathology and treatment, emphasizing its purification.
5) Ghrita (Ghrta):
Ghrita, or ghee, is used in Ayurvedic treatments such as Snehapana (oleation therapy). Specifically, Panchtikta ghrita (a medicated ghee) was used in this case to initiate the treatment, which has ingredients like Nimba and Guduchi.
6) Katuki:
Katuki (Picrorhiza kurroa) is one of the herbs used in the Virechana (therapeutic purgation) process. This herb is known for its purgative properties and is part of the herbal decoction used to induce purgation in the patient.
7) Pitta:
Pitta is one of the three doshas, representing fire and water elements. It governs metabolism and digestion. Sheetpitta involves a predominance of Pitta, leading to symptoms like redness and burning sensation in the skin.
8) Varna:
Varna refers to discoloration of the skin. In the case of Sheetpitta and urticaria, Varna indicates the different shades of the rashes, which range from pinkish to dark red, reflecting the severity of the condition.
9) Rasa (Rasha):
In Ayurveda, Rasa translates to 'plasma' or 'nutrient fluid.' It is one of the primary Dushyas involved in the pathology of Sheetpitta, which means it is affected during the disease process.
10) Vata:
Vata is another dosha in Ayurveda, associated with air and ether elements. It is responsible for movement and physiological functions. In the context of Sheetpitta, Vata's involvement leads to symptoms such as pricking sensation and dryness.
11) Drug:
[see source text or glossary: Drug]
12) Haritaki:
Haritaki (Terminalia chebula) is an herb used in the Virechana kwath (decoction) for its mild purgative actions. This remedy aids in cleansing the system by purging the aggravated doshas from the body.
13) Anjali (Amjali):
Anjali Chamoli is the first author of the case report. She contributed to the research and treatment of the patient with Sheetpitta using Ayurvedic management approaches, detailing the therapeutic regimen and outcomes in the study.
14) Kapha:
Kapha is the dosha representing earth and water elements, responsible for structure and lubrication. In Sheetpitta, along with Vata and Pitta, Kapha can become imbalanced, contributing to the disease's manifestation.
15) Dhatu:
Dhatus are the fundamental tissues in Ayurvedic physiology. Rakta (blood) and Rasa (plasma) dhatus are particularly involved in the pathogenesis of Sheetpitta, leading to various symptoms like itching, discoloration, and wheal formation.
16) Blood:
[see source text or glossary: Blood]
17) Diet:
Dietary recommendations are an essential part of Ayurvedic treatment. In this case, the patient was advised to consume light, simple foods, such as Krisara (khichdi), especially during and after detoxification procedures like Virechana.
18) Ghi (Ghee):
[see source text or glossary: Ghee]
19) Terminalia chebula:
[see source text or glossary: Terminalia chebula]
20) Raktadhatu (Rakta-dhatu):
Rakta-dhatu denotes the blood tissue in Ayurveda. It is one of the primary tissues affected during the pathology of Sheetpitta, necessitating treatments that purify and balance the blood, such as Virechana and specific herbal formulations.
21) Tridoshaja (Tridosaja):
Tridoshaja denotes the involvement of all three doshas—Vata, Pitta, and Kapha—in a disease condition. Sheetpitta is considered a Tridoshaja disorder, highlighting its complicated etiology and the need for comprehensive treatment approaches.
22) Shodhana (Sodhana):
Shodhana means purification therapy in Ayurveda. It involves procedures like Virechana (purgation) used to detoxify the body. In this case, Shodhana was performed to cleanse the system and manage the symptoms of Sheetpitta effectively.
23) Vomiting:
Vomiting is one of the symptoms the patient experienced during the Snehapana (oleation) therapy with Panchtikta ghrita. This side effect was monitored and managed as part of the treatment regimen.
24) Snehana:
Snehana or oleation is a key Ayurvedic therapy wherein medicated ghrita (ghee) or oils are administered. Panchtikta ghrita was used for internal oleation in this case to prime the doshas for elimination via subsequent purgation.
25) Pradhan:
[see source text or glossary: Pradhan]
26) Dushya (Dusya):
Dushya refers to the bodily tissues and substances that become imbalanced or contaminated by doshic disturbance. In Sheetpitta, the primary Dushyas are Rasa and Rakta, which are targeted in therapeutic interventions.
27) Vamana:
Vamana (therapeutic emesis) is an Ayurvedic purification procedure not chosen in this case study. Instead, Virechana was selected to purify the body. However, improper Vamana can lead to complications like Kotha (lesions).
28) Udarda:
Udarda is a condition described as a stage of untreated Sheetpitta, where Kapha dosha predominates, leading to specific types of skin lesions. It represents a progression in the disorder’s severity in Ayurvedic pathology.
29) Vyadhin (Vyadhi):
Vyadhi means disease in Ayurveda. It refers to any disturbance in the body's normal physiological functions. Sheetpitta is classified as a Tridoshaja vyadhi, involving Vata, Pitta, and Kapha doshas.
30) Nausea:
Nausea was noted as one of the symptoms experienced by the patient during the administration of Snehapana with Panchtikta ghrita. Monitoring these symptoms helped guide subsequent therapeutic decisions.
31) Satva (Shatva):
Satva refers to the pure essence or extract of a medicinal plant. In this case, Satva of Giloy (Tinospora cordifolia) was used due to its immunomodulatory and blood-purifying properties, aiding in the management of Sheetpitta.
32) Sneha:
[see source text or glossary: Sneha]
33) Tikta:
Tikta means bitter. Tikta rasa (bitter taste) is attributed with properties such as antiallergic, antipruritic, and blood-purifying. Ingredients like Neem (Azadirachta indica) in Panchtikta ghrita embody these properties to treat Sheetpitta.
34) Kotha:
Kotha represents a severe stage in the progression of Sheetpitta. It results from improper administration of Vamana and is characterized by specific raised skin lesions. It indicates the critical need for proper therapeutic protocols.
35) India:
India is the country where this case study was conducted, specifically at Rishikul Ayurvedic College, Haridwar. The cultural context and availability of traditional Ayurvedic treatments in India play a crucial role in its application.
36) Vayu:
Vayu or Vata, representing air and ether elements, governs movement and physiological processes in Ayurveda. Its disturbance along with Pitta and Kapha plays a significant role in the pathology of diseases like Sheetpitta.
37) Daha:
Daha translates to 'burning sensation,' which is one of the symptoms experienced by patients suffering from Sheetpitta. It is a direct result of Pitta dosha's predominance and requires specific treatments to alleviate this discomfort.
38) Food:
[see source text or glossary: Food]
39) Azadirachta indica:
[see source text or glossary: Azadirachta indica]
40) Burning sensation:
[see source text or glossary: Burning sensation]
41) Adhatoda vasica:
[see source text or glossary: Adhatoda vasica]
42) Trichosanthes dioica:
[see source text or glossary: Trichosanthes dioica]
43) Mahamanjishthadi (Mahamanjisthadi, Maha-manjishthadi):
[see source text or glossary: Mahamanjisthadi]
44) Kushthaghna (Kusthaghna):
Kushthaghna refers to substances that alleviate skin disorders (Kushtha). Components of Panchtikta ghrita, such as Neem, are Kushthaghna, making it effective in treating skin conditions like Sheetpitta by purifying the blood and skin.
45) Pittadosha (Pittadosa, Pitta-dosha):
[see source text or glossary: Pitta-dosha]
46) Kaphadosha (Kaphadosa, Kapha-dosha):
[see source text or glossary: Kapha-dosha]
47) Discussion:
[see source text or glossary: Discussion]
48) Kantakari (Kamtakari):
[see source text or glossary: Kantakari]
49) Kandughna (Kandu-ghna):
Kandughna are substances that relieve itching. Panchtikta ghrita, used in this case study for oleation therapy, contains herbs with kandughna properties to reduce itching, a primary symptom of Sheetpitta.
50) Vishaghna (Visaghna, Visha-ghna):
Vishaghna refers to substances that neutralize toxins. Tikta rasa (bitter taste) commonly found in herbs like Neem is Vishaghna. This property is crucial in treating Sheetpitta, which involves toxic conditions of the blood and skin.
51) Vitiation (Vitiated):
[see source text or glossary: Vitiation]
52) Tridosha (Tridosa, Tri-dosha):
Tridosha means the three doshas—Vata, Pitta, and Kapha—that govern bodily functions according to Ayurvedic science. In Tridoshaja disorders like Sheetpitta, all three doshas are imbalanced, necessitating comprehensive treatment.
53) Lakshana (Laksana):
[see source text or glossary: Lakshana]
54) Rasayana (Rasa-ayana):
[see source text or glossary: Rasayana]
55) Sukshma (Suksma, Shukshma):
[see source text or glossary: Sukshma]
56) Kshudha (Ksudha):
Kshudha means hunger or appetite. In this case study, questions about the patient's Kshudha (hunger) help assess the digestive capacity and ensure it's balanced throughout the treatment process, especially after therapeutic procedures.
57) Koshtha (Kostha):
Koshtha refers to the body's central or main channels. In the case of Sheetpitta, therapies aim to move doshas from Shakha (peripheral channels) to the Koshtha for easier elimination through purgation procedures like Virechana.
58) Kaphaja:
[see source text or glossary: Kaphaja]
59) Krisara (Krsara, Krishara):
[see source text or glossary: Krisara]
60) Pittaja (Pitta-ja):
[see source text or glossary: Pittaja]
61) Disease:
[see source text or glossary: Disease]
62) Dravya:
[see source text or glossary: Dravya]
63) Patola:
[see source text or glossary: Patola]
64) Shakha (Sakha):
[see source text or glossary: Shakha]
65) Vataja (Vata-ja):
[see source text or glossary: Vataja]
66) Animal:
[see source text or glossary: Animal]
67) Powder:
Powder or churna is a common form of Ayurvedic medicine. In this treatment, herbs like Haritaki, Katuki, and Nishotha are used in yavakut (coarse powder) form for preparing a decoction used in the Virechana procedure.
68) Aruci:
Aruchi refers to a lack of appetite, a symptom of Ama (impaired digestion) in Ayurveda. Assessing for Aruchi helps determine the state of digestion and metabolism, essential for planning the treatment for Sheetpitta.
69) Karma (Karman):
[see source text or glossary: Karma]
70) Matra:
Matra means the measurement or dose of a particular treatment or medication. The dose of Panchtikta ghrita was gradually increased in this case to adapt the body to oleation therapy before proceeding to purgation.
71) Mridu (Mrdu):
[see source text or glossary: Mridu]
72) Sukha:
[see source text or glossary: Sukha]
73) Ayoga (Ayas-ga):
[see source text or glossary: Ayoga]
74) Kumar:
Goyal Dinesh Kumar is one of the authors of the case report. His role includes contributing to the research and application of Ayurvedic management in treating the patient's condition described in the study.
75) Nimba:
Nimba, known as Neem (Azadirachta indica), is a key ingredient in Panchtikta ghrita. Known for its bitter taste (Tikta) and various medicinal properties, Neem acts as an anti-inflammatory, antimicrobial, and blood purifier in the treatment.
[Note: The above list is limited to 75. Total glossary definitions available: 87]
Other Science Concepts:
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