Hives rash urticaria please advise - #26804
Past 2 days I have sudden and severe itching on my palms sometimes leg other parts of body then when I itch it becomes red with bumps then subsides. I have no clue about what triggered. I am 52 years female going through perimenopause. Whtcould be the cause.
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From an Ayurvedic perspective, sudden and severe itching with redness and bumps, especially when triggered by scratching, could be related to an imbalance in the body’s doshas, particularly Pitta and Vata. Here’s a breakdown of what could be happening:
Pitta Imbalance:
Heat and Inflammation: Pitta is associated with fire and water elements, governing metabolism and heat in the body. An excess of Pitta can lead to a buildup of heat, which manifests on the skin as redness, inflammation, and itching.
Toxic Buildup (Ama): If your digestive fire (Agni) is weak, it can lead to the accumulation of toxins or undigested food (Ama) in the body. This Ama can circulate and settle in the skin, causing allergic reactions and itching.
Emotional Stress: Pitta can be aggravated by emotional stress, anger, or frustration, which can in turn affect the skin.
Vata Imbalance:
Dryness and Roughness: Vata is associated with air and space elements. When Vata is out of balance, it can cause dryness, roughness, and a “prickly” sensation on the skin, which can contribute to itching.
Nervous System: Vata governs the nervous system. An imbalance can lead to hypersensitivity and a heightened perception of sensations, including itching.
Perimenopause and Ayurveda:
Pitta and Vata Fluctuation: Perimenopause is a time of significant hormonal changes, which can lead to fluctuations in all three doshas. However, it is often a time when Pitta and Vata can become aggravated.
Pitta Predominance: The hot flashes and irritability associated with perimenopause are classic signs of increased Pitta. This heat can also manifest on the skin.
Vata Predominance: Irregular periods, anxiety, and insomnia during
perimenopause are signs of increased Vata. This can also lead to dryness and itching.
Possible Triggers (Ayurvedic Perspective) : Diet: Consuming foods that are spicy, sour, salty, fried, fermented, or excessively hot can aggravate Pitta.
Lifestyle: Irregular sleep patterns, excessive stress, and a lack of routine can disrupt the balance of all doshas.
Environmental Factors: Exposure to excessive heat or a dry climate can also contribute to the imbalance.
Ayurvedic Recommendations (General): Diet:
Pitta-Pacifying Diet: Focus on cooling, sweet, and bitter foods. Include foods like cucumber, coconut, watermelon, green leafy vegetables, and ghee.
Vata-Pacifying Diet: Focus on warm, moist, and grounding foods. Include foods like cooked vegetables, soups, stews, and healthy fats like ghee.
Avoid: Spicy, sour, and fermented foods. Avoid excessive consumption of processed foods, caffeine, and alcohol.
Lifestyle:
Stress Management: Incorporate calming practices like meditation, deep breathing exercises, or gentle yoga.
Routine: Maintain a regular daily routine (Dinacharya) for meals, sleep, and exercise.
Hydration: Drink plenty of warm water throughout the day.
Herbs and Oils: Cooling Herbs: Herbs like Sandalwood, Neem, and Turmeric are known for their cooling and anti-inflammatory properties.
Moisturizing Oils: Applying a cooling oil like coconut oil or a medicated oil like Chandanadi Thailam to the affected areas can help soothe the skin.
Don’t worry your problem will be solved Rx Haridra khand 1/2 tsf with warm milk Shatavari tab. 1-0-1
Diet Avoid spicy and oily food
HELLO SANDHYA JI,
DON’T WORRY 😊
First of all avoid excessive spicy, sour,salty food,oily and fried food,sesame seeds, curd etc.
And start taking these medications, 1.Sheeta-pitta bhanjana rasa-125 mg twice in a day. 2.Gandhaka rasayana 1-1-1 3.Amritadi Yoga 125 mg twice in a day. 4.Tab Pittantaka yoga-2-0-2 with lukewarm water. 5.Haridrakhanda4 gm with 10ml of Panchtikta ghrita Twice in a day. 6.Sagud Deepyakam Yoga-empty stomach in morning
*visit nearby panchkarma centre too…
Follow up after 1 month.
This will take some time but you’ll definitely get rid of it…
TAKE CARE 😊
HELLO SANDHYA,
In Ayurveda, Urticaria is compared with Sheetapitta which is a condition caused by the vitiation of -vata(air and movement) -kapha(water and mucus) - pitta (fire and metabolism)
When exposed to cold air, allergens, wrong food combinations, indigestion , or seasonal transitions, these doshas become imbalanced and lead to hypersensitivity reactions like hives. -The itching and redness come from aggravated pitta -the wheals/swelling arise due to Kapha - vata carries these toxins(ama) through the blood and skin
This is why Ayurveda focuses not only on symptomatic relief but also on removing toxins, balancing doshas, and strengthening immunity
Urticaria (hives) is a skin condition characterised by red, itchy welts that often appear suddenly and resolve within hours , but in your case, since it’s lasted more than 6 weeks , it is chronic urticaria
Since your blood test are normal and there are no chronic illness, it’s likely idiopathic(no known cause), though triggers like stress, food, allergens , or temperature changes might still be playing a role
TREATMENT GOALS -balance tridosha -removes toxins -enhances immunity(Ojas) -soothe the skin - prevent triggers -achieve complete remission of hives
INTERNAL MEDICATIONS (FOR 6-8 WEEKS CONTINUE)
1) HARIDRAKHANDA= 1 tsp twice daily with warm water/milk =antihistamine- like reduces allergic responses
2) GUDUCHI GHAN VATI= 2 tabs twice daily after meals = immunity booster, anti-allergic , balances all 3 doshas
3) AROGYAVARDHINI VATI= 1 tabs twice daily after meals =liver detox, supports skin purification
4) KHADIRARISHTA= 15 ml with equal water twice daily after meals = blood purifier, support skin healing
5) AVIPAATTIKAR CHURNA= 1/2 tsp with lukewarm water at bedtime =corrects digestion, reduces pitta
6) MANJISTHA CAPSULES= 1 cap twice daily after meals =blood cleanser, reduces skin erupations
If suffering from sleep deprivation Kindly take JATAMANSI CAPSULES-1 cap at night before bed for good sleep
These medicines work synergistically to Clear the root cause, improves liver detoxification, purify blood, reduce inflammatory response , and strengthen immunity
* EXTERNAL THERAPY
1) NEEM DECOCTION BATH -boil 20-30 neem leaves in 2 L of water , let it cool and use for bathing or rinsing affected areas
2) COCONUUT OIL+ CAMPHOR MIX -mix 100 ml coconut oil with 1 pinch powdered camphor. apply gently to affected areas to cool and reduce itch
3) SANDALWOOD PASTE OR ALOE VERA GEL= for burning
DIET AND LIFESTYLE
GRAINS= old rice, wheat light, non glutinous grains
VEGETABLES= pumpkin , ridge gourd, bottle gourd, snake gourd, okra
FRUITS= apple, pomegranate, amla, papaya
SPICES= turmeric , cumin, coriander, fennel
BEVERAGES= warm water, herbal teas-ginger, tulsi
MILK= cows milk boiled with turmeric daily
*FOODS TO AVOID STRICTLY
SOUR FOOD=curd, pickles, tamarind - aggravate pitta
HEAVY FOOD= cheese, panner, fired food- increases toxins
COLD AND REFRIGERATED ITEMS= ice creams, cold water- aggravate vata kapha
NON-VEG= especially seafood- may trigger allergies
BAKERY ITEMS= cakes, biscuits-processed sugar and gluten
FERMENTED FOODS= idli, dosa, vinegar-cause imbalance
YOGA AND PRANAYAM(daily 30 minutes) -anulo-vilom= balances vata pitta -bhramari= relieves mental stress -sheetali/sheetakari= reduces body heat(pitta) - sarvangasana/ viparitakarani= boosts immunity , improves circulation -avoid high heat poses like surya namaskar
PANCHAKARMA ADVISED IF THERE IS NO IMPROVEMENT AFTER TAKING ABOVE TREATMENT (AFTER 2-3 MONTHS) -virechana= to remove pitta and ama from liver/intestine - raktamokshana= for local or systemic urticaria - takradhara= cooling therapy, useful if stress-related
DO FOLLOW CONSISTENTLY
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
YOU CAN BUY ALL THESE MEDICINES ONLINE,
BRAND PREFERRED= BAIDYANATH, ARYA VAIDYA SALA KOTTAKAL, DOOTPAPESHWAR
INVESTIGATIONS ADVISED
-CBC -ESR/CRP -SKIN PRICK TEST - SERUM SPECIFIC IgE
-Liver function test - vitamin b12, D
Doctor what test would you suggest
Where can i buy these mdcns
From an ayurvedic view, your symptoms suggest sheetapitta(hives/urticaria)…which occurs when aggravated pitta and vata circulate in the skin, often along with mild kapha. triggers can include hidden food allergies,weather change,hprmonal changes… In your case premenopause can make skin more reactive due to hormonal fluctuation… for now you apply fresh aloe vera gel or neem paste to affected area for itching relief Take amla juice (10-15 ml) Avoid spicy, sour, fermented foods
Hi Sandhya as per Ayurveda this is due to Vitiation of VATA & PITA DOSA mainly , so we need to focus on that
Start, 1. Guluchyadi kwatham tab 2-0-2 before food 2.Haridrakhanda ½tsp 4-5times daily 4.Vilwadi gulika 1-1-1 After food 5.Histantin tab 2-0-2 after food
This above set of medicines will helps to manage the urticaria related symptoms and also perimenopausal discomforts too.
Weekly once Virechana(Purgation) with Avipathy churnam (1packet/10gm) with ½glass hot water in empty stomach followed by light diet only - this is to cleanse your body and to balance your PITA dosa
*Do’s 3-4litres of water /day More focus on fruits and vegetables Include Sprouted grains Walking - daily 30min to 1hour Practice yoga and meditation regularly
*Don’ts Tea /coffee Oily too salty sour sweet foods Junk foods Carbonated/soft drinks Maida and its products
The HISTANTIN tab is available in online or else you can try in local Ayurveda pharmacy too (brand- Kerala Ayurveda)
Doctor what bood test or screening should I do to understand if I have any issues mostly they say hives are caused due to poor functioning of liver. Can you guide me if histanin tab is safe.
In acute urticaria normally we will find it symptoms rather than blood test, because it is a sudden allergic reaction of body. But if it persists/ repeats we must need to do some blood test (as you mentioned here liver has a specific role here , kind of detoxification, etc.)
So if the symptoms persists you must do blood test of 1.CBC 2.ESR 3.CRP 4.LFT 5.vitamin D
For Urticaria/hives you can use HISTANTIN TAB without any doubt , because it contains ingredients like turmeric, amla, guduchi , etc which act as natural source of anti histamins needed for managing Urticaria
Thank you so much doctor I plan to go to Ketala to do Panchakatma. Will definitely try and visit you.
Doctor will I get these in kottakal pharmacy
Yes except the Histantin tab ,all the 3 medicines you will get from any of kottakkal pharmacy.
Doctor one last question. The above dosage is for how many days?
That’s really a great compliment 😊. Thank you Sandhya ❤️
For now , you plan this medicines for 7-14days, after that you can continue , HARIDRAKHANDA (in morning only) And also the Virechana process I mentioned in weekly once with AVIPATHY CHURNAM also you can continue (only per week) for 2-3months, this will help you to detox your body thus helps yo improve liver functioning.
hello Sandhya .,
I understand this sudden itching must feel alarming and uncomfortable. What you’re experiencing—red bumps appearing after scratching that then subside—is often a sign that your skin is reacting to an internal imbalance, rather than an infection. At your age, during perimenopause, hormonal fluctuations can make the skin drier, more sensitive, and prone to itching. In Ayurvedic terms, this is usually a combination of Vata imbalance (causing dryness and roughness) and Pitta imbalance (causing heat, redness, and irritation).
Sometimes these flare-ups can also be triggered by mild allergies, stress, or even sudden changes in weather or diet, though it may not always be obvious. The good news is that Ayurveda can help calm these reactions naturally and soothe your skin.
Internal remedies:
Manjishtha Churna – ½ tsp twice daily with warm water to help reduce inflammation and redness Guduchi Satva – 1 tsp twice daily with warm water to support immunity and detoxify
External remedies: Apply aloe vera gel or sandalwood paste on itchy areas to cool the skin Use mild herbal soaps, avoid hot water, and gently pat the skin instead of scratching
Lifestyle & diet tips: Drink plenty of water and favor cooling, hydrating foods like cucumber, melons, and coconut water Avoid spicy, oily, or very acidic foods that may aggravate Pitta Gentle walks, meditation, or relaxation exercises can help reduce stress, which may worsen itching
Investigations to consider if itching persists: Allergy panel to check for environmental triggers Liver function tests to rule out internal causes With consistent care, you should notice reduction in itching and redness within 1–2 weeks. Maintaining hydration and following a cooling diet can prevent recurrences.
Warm regards, Dr. Karthika
Hi sandya this is Dr Vinayak as considering your problem…no need worry maa
Just apply NALPAMDRADI TAILA where ever the itching seen before bath and take bath… Atleast for 15 days…
Dear Sandhya, Start with Haridrakhand churan 1tsp twice daily before food with warm milk will work as anti histamine, will reduce itching and hives Mahamanjistadi kadha 10ml twice daily after food with water , will help purify your blood Kamdudharas 1-0-1 after food with water will help balance excess pitta in body Tablet Liv-52 1-0-1 after food with water , will help to detoxify. You can start with Cap. Evanova will help balance hormones caused being in perimenopause. Vidangasav 10 ml twice for 10 days. Will help deworming. Apply coconut oil+ camphor mix on skin that is affected. Avoid eggs, seafood if you are non vegetarian. Avoid chinese food Avoid sour fermented foods.
Doctor I was prescribed Histanin ketala ayurvedha Haridhrakhand guluchyadi kwatham vilvadi gulika avipathy churnam once a week can i still include manjistadhi kwath and tbe liv 52…pleaze guide the best way to go forward treatment days to take mdcns?
If you are taking Histamine, Haridhdhrakhand,guluchyai,vilvadi then continue this Or else Combination i recommended contains manjista & liv-52 So take one of the either combination And follow diet as recommended
1.Gandhak Rasayana 2 tab 1-0-1 2. Haridra khanda 1 tsp with milk 1-0-1 3.Mahamanjisthadi kwatha 20ml with 20 ml water 1-0-1 4.Urtiplex lotion
Hello do not worry your symptoms are suggestive of urticaria, that means you are hypersensitive to some drugs/ foods Keep tracking Wat you took/ new medicines used and after what interval you got rashes Meanwhile avoid dairy products mushroom peanuts sea foods If want medicine let me know
Yes Dr Prasad pls suggest mdcns
Ok You can start on Neemghan vati-1 tab twice daily after food with lukewarm water Haridra khand- 1/2 tsp with warm water twice daily after food Mahamanjistadi aristha-4 tsp with equal quantity of water twice daily after food Apply coconut oil along with desi karpoor at rashes site
The symptoms you’ve described, such as sudden itching and the appearance of red, bumpy welts that subside after a while, are commonly associated with urticaria, or hives. In Ayurveda, this condition can be linked to an imbalance in the Vata and Pitta doshas, particularly during the phase of perimenopause when hormonal fluctuations can influence these doshas further.
The triggers of this imbalance might include stress, certain foods, environmental allergens, or even changes in climate. Since you mention perimenopause, it’s possible that hormonal shifts are playing a significant role in this imbalance.
To help manage and relieve your symptoms, consider these Ayurvedic recommendations:
1. Dietary Adjustments: Focus on a diet that balances Vata and Pitta. This means incorporating warm, nourishing foods that are easy to digest like cooked vegetables, whole grains, and healthy fats from ghee or coconut oil. Avoid hot, spicy, fermented, and too much sour or salty foods as they can aggravate Pitta.
2. Herbal Support: Amla (Indian Gooseberry) and Guduchi (Tinospora cordifolia) are cooling and can help balance Pitta. These can be consumed in powder form mixed with water or honey. Consider taking Ashwagandha to stabilize Vata but consult with an Ayurvedic practitioner for precise dosages.
3. Hydration and Detox: Drink plenty of warm water or herbal teas such as chamomile or fennel to keep your system hydrated, aiding in the elimination of toxins that could be exacerbating your condition.
4. Stress Management: Practice calming techniques like yoga, pranayama (breathing exercises), or meditation to reduce stress levels, which could be worsening your symptoms.
5. Topical Application: For immediate relief, apply a paste of sandalwood powder and rose water to the affected areas. This can help soothe the itching and redness effectively.
6. Consultation: Given that you are in perimenopause, hormonal factors can be complex, and it’d ideal to consult with a healthcare provider or an Ayurvedic practitioner to ensure a tailored approach to your overall wellbeing.
If symptoms persist or worsen, it’s crucial to seek medical attention to rule out any other serious underlying conditions.
Based on your description, it sounds like you might be experiencing a form of urticaria, which is a type of skin reaction characterized by itchy, raised welts. In the Siddha-Ayurvedic tradition, hives can be attributed to an imbalance in the doshas, particularly an excess of pitta or kapha. Perimenopause itself can be a time of transition that may unbalance these doshas due to changes in hormonal activity.
To address this condition, start by assessing recent dietary and lifestyle changes. Foods that are pungent, sour, and salty, as well as excessive heat exposure, can all aggravate pitta. Consider incorporating cooling foods like cucumber, melons, or cilantro, and increasing your intake of kapha-pacifying foods that are light and dry.
For immediate relief, apply a paste of sandalwood powder mixed with rose water on the affected areas to cool the skin. Holy basil (tulsi) infused in warm water can be taken as a tea to help calm the symptoms internally. Evening primrose oil, applied externally, might also provide soothing effects.
On a broader scale, practice stress-management techniques, such as yoga or meditation, which may help to stabilize the emotional flare-ups common around menopause, potentially reducing the skin’s reactivity.
Should the symptoms persist or worsen, seeking medical evaluation is wise to rule out other underlying issues. Chronic hives can sometimes indicate a more serious systemic condition that requires professional attention. Remember, personalized guidance from a qualified practitioner always tailors to your constitution and current life context.
HELLO SANDHYA,
In Ayurveda, urticaria is primarily due to -vata and kapha imbalance -ama(toxins) accumulation -poor agni(digestion/metabolism) -exacerbated by incompatible foods, stress and improper routines
HOME REMEDIE9consistent use for 8-12 weeks)
1) HARIDRA(TURMERIC) + BLACK PEPPER - 1 tsp turmeric + pinch of black pepper in warm water or cow’s milk -twice daily- powerful antihistamines and blood purifier
2) NEEM JUICE -10-15 fresh leaves boiled in water, drink daily on empty. stomach =reduces toxin and skin hypersensitivity
3) GUDUCHI GHANVATI= 1 tab twice edialy after meals =boosts immunity, reduces allergic respnse
4) TRIPHALA CHURNA= 1 tsp with warm water before bed =cleanses gut,balances pitta, and supports skin health
LIFESTYLE AND DIET
AVOID -sour, spicy, fermented foods -curd, seafood, brinjal, peanuts -stress, irregular sleep, daytime sleeping
FAVOUR -light, warm, easily digestible foods- khichdi, boiled veggies -ghee in moderation -warm water throughout day
AYURVEDIC MEDICATIONS
1) AROGYAVARDHINI VATI= 1 tab twice daily after meals =liver detocx, clears skin
2) HARIDRAHANDA= 1 tsp with warm milk atnight =classic remedy for allergy
3) AVIPATTIKAR CHURNA= 1/2 tsp with warm milk before meals =balances pitta, supports digestion
4) MAHAMANJISTHADI KASHAYA= 15 tsp with warm water twice daily before meals =blood purifier
Levocetrizine can be used only during flare-ups, but not as daily reliance
Your current mixed path may be counterproductive. choose only one patthy and follow it consistently for atleadt 12 weeks
THANK YOU
DR. HEMANSHU MEHTA

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