Search for a command to run...
Sheetpitta is a common dermatological disorder described in Ayurvedic classics, characterized by the sudden appearance of erythematous, elevated, itchy wheals over the skin associated with burning sensation, pricking pain, and occasional swelling. The condition is primarily caused by the vitiation of Vata and Kapha Dosha along with the involvement of Pitta, leading to the manifestation of symptoms on the skin. Etiological factors such as incompatible diet (Viruddha Ahara), excessive intake of cold, heavy, sour, and fermented foods, exposure to cold wind, seasonal variations, stress, and suppression of natural urges play a significant role in the pathogenesis of Sheetpitta.From a modern medical perspective, Sheetpitta closely resembles urticaria, a hypersensitivity reaction mediated by mast cell degranulation and histamine release, resulting in transient wheals, erythema, and intense pruritus. The episodic nature, rapid onset, and recurrence of symptoms further strengthen the clinical correlation between these two conditions. Ayurveda explains the disease process through Dosha-Dushya Sammurchana, primarily affecting Rasa and Rakta Dhatu, with Twak being the main site of manifestation.Management of Sheetpitta in Ayurveda emphasizes Nidana Parivarjana (avoidance of causative factors), Shodhana therapies such as Vamana and Virechana depending on Dosha predominance, and Shamana therapy using drugs having Tikta, Katu, and Kashaya Rasa with Sheeta or Ushna Virya as required. Rasayana therapy and lifestyle modifications are also advocated to prevent recurrence.This review highlights the classical Ayurvedic description of Sheetpitta, its etiopathogenesis, clinical features, and management, and correlates it with the modern understanding of urticaria. An integrative approach combining Ayurvedic principles with contemporary medical knowledge may offer effective and holistic management of this condition.