1. Case presentation
1. A 34 yr lady visited our clinic with following complaints-:
 Reddish elevated patches over face and neck since
 Itching and burning sensation over the patches 3 months
2. History
 Where else do these patches appear?
They appear most commonly on my face and neck region but
sometimes were also seen on my arms.
 How do they start appearing?
There is an intense sense of itching initially forcing me to scratch
that region following which there is redness and appearance of
these patches
 How long do they remain?
They remain for 1 - 2 hrs and then start disappearing gradually.
 Can you make out at what time of the day they usually
appear?
More commonly in the afternoons
 Did you have any sort of fever or infection in the last few
months and taken treatment for the same?
No

2.  Has anyone else in your family been suffering from the same
complaint?
No
 Are you known to have any drug allergy?
No
 Do you have a pet?
Yes, I have a cat
 Tell me something about your profession?
I am a theatre actor
 Do you have any psychological issues
Not as such, but I am just anxious about getting new projects and
sometimes too nervous about my performance. Besides I get very
annoyed due to these patches as it affects my work.
 Do you have your meals at regular times?
No, I don’t get to eat at any fixed timings as such. Just find the
time in between my work.
 What does your diet includes?
Preferably non veg, fish, prawns, eggs, bread, fruits.
3. Examination
 Local-
10-12 reddish elevated wheals with well defined edges seen
scattered over face and neck. Blanching was present.

3.  General examination
Pulse – 78/ min
B.P. - 130/90 mm of hg
Temp – Afebrile
 Systemic examination
R.S-
Normal
C.V.S. -
C.N.S. -
 Prakruti as examined by questionnaire method
Pitta predominant
4. Diagnosis
Shitapitta (urticaria)
5. Treatment
As shitapitta is a disease occurring due to aggravation of pitta
dosha due to
• improper dietary habits
• mental stress and
• exposure to any allergen
Hence measures should be adopted to avoid these and pacify the
pitta.

4.  Shodhan
• Pre procedure – internal oleation with panchatikta ghtita
• Main procedure – Virechan ( a detox therapy that expels out
pitta dosha)
• Post procedure – dietary, physical and psychological rules.
 Shaman- following drugs were used
• Manjishtha
• Patola
• Guduchi
• Haridra
• Trivrut
 Dietary advice
• Try having the meals at regular time.
• Completely give up sea-food like fish, prawns, shellfish etc. as
these may act as allergens.
• Restrict use of hot spices in the diet which can aggravate your
pitta like pepper, chillies etc.
• Have a glass of warm milk with turmeric daily.
 Lifestyle advice
• Practice Shitali Pranayam daily.
• If possible avoid being with any pet.
• Avoid exposure to cold blowing wind may be from an air
conditioner as this has been mentioned as a triggering factor
of shitapitta.
• Avoid using deodorant sprays, opt for a perfume instead.
• Don’t wear any jewellery preferably around your neck.
• Use loose and light clothing.
• Prefer using cool colours like blue, green etc to balance your
pitta.