Hives rash urticaria please advise - #26804

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

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

​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.
​

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