Case report: Managing sheetapitta with Khadhiradhiyoga in chronic urticaria.

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Journal name: Ayushdhara
Original article title: A case report on management of sheetapitta with khadhiradhiyoga w.s.r to chronic urticaria
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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Author(s):

Rajimunnisa Begam Shaik*
Assistant professor, Dept. of Kayachikitsa, SJG Ayurveda Medical College, Hospital & Research Centre, Koppal, Karnataka
D.R.Sunilkumar
Assistant Professor, Dept. of Kayachikitsa, SJG Ayurveda Medical College, Hospital & Research Centre, Koppal, Karnataka


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: A case report on management of sheetapitta with khadhiradhiyoga w.s.r to chronic urticaria

Year: 2019

Copyright (license): CC BY-NC-SA 4.0


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Summary of article contents:

Introduction

Chronic urticaria, also known as Sheetapitta in Ayurveda, is a skin condition characterized by prolonged itching, hives, and associated symptoms such as fever, headache, and depression. Affecting a significant portion of the population, this condition can adversely impact daily activities and mental well-being. Traditionally, allopathic treatments like Cetirizine Hydrochloride provide temporary relief, but they do not address underlying issues or prevent recurrences. This case report presents the management of Sheetapitta through an Ayurvedic formulation known as Khadiradhiyoga, consisting of a combination of Khadirarista, Haridrakhanda, and Manasamitravataka.

Efficacy of Khadiradhiyoga in Managing Sheetapitta

The study aimed to evaluate the effectiveness of Khadiradhiyoga in managing chronic urticaria symptoms while gradually withdrawing allopathic medications. A 23-year-old male patient with a three-year history of severe itching was treated with the Ayurvedic combination of Khadiradhiyoga for three months. The primary objective was to alleviate symptoms, such as fever, headache, and itching, as well as reduce elevated laboratory markers including absolute eosinophil count (AEC), erythrocyte sedimentation rate (ESR), and hepatic transaminases. The results revealed a significant reduction in these symptoms and a normalization of laboratory values, highlighting the potential of Ayurvedic medicine in managing chronic skin conditions.

Stress Management and Holistic Treatment

One of the critical aspects of the patient’s condition was the exacerbation of symptoms during periods of mental stress. The study emphasized the importance of addressing psychological factors in treatment. Manasamitravataka, a component of Khadiradhiyoga, was specifically included to assist in managing stress and anxiety, which played a significant role in the patient's condition. The holistic approach taken in the treatment addressed not just the physical symptoms of urticaria but also the underlying psychological aspects, thus promoting overall well-being and better quality of life.

Conclusion

This case report demonstrates that Khadiradhiyoga can significantly alleviate symptoms of chronic urticaria (Sheetapitta), providing a notable improvement in the patient's quality of life. With a 95% relief from symptoms and normalization of relevant lab markers, the Ayurvedic management approach appears effective and sustainable compared to traditional allopathic treatments. The study underscores the importance of incorporating holistic methodologies in treating chronic conditions, particularly addressing both physical and mental health aspects to ensure comprehensive care and improved patient outcomes.

FAQ section (important questions/answers):

What is Sheetapitta and its main symptoms?

Sheetapitta is a Vatapradhana Tridoshajavyadhi characterized by symptoms like severe itching, wheals, fever, and macular erythematous lesions on the skin, often exacerbated by mental stress and lasting more than 6 weeks.

What Ayurvedic treatment was used for the patient?

The treatment included Khadiradhiyoga, a combination of Khadirarista, Haridrakhanda, and Manasamitravataka, administered for three months, aimed at managing Sheetapitta while reducing reliance on allopathic medications.

What were the results of the Ayurvedic treatment?

The treatment resulted in significant symptom relief: fever and depression subsided, itching was eliminated, and the patient's overall health metrics like AEC, ESR, and lipid profile improved significantly.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Case report: Managing sheetapitta with Khadhiradhiyoga in chronic urticaria.”. 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) Disease:
Sheetapitta is a disease mentioned in Ayurvedic texts with characteristics such as wheals, itching, fever, vomiting, burning sensation, and pricking pain. The management of this disease can be significantly impacted by Ayurvedic therapies like Khadhiradhiyoga, offering a natural alternative to conventional medicine.

2) Udarda:
[see source text or glossary: Udarda]

3) Kotha:
[see source text or glossary: Kotha]

4) Kapha:
Kapha is one of the three doshas (biological energies) in Ayurveda that helps regulate various bodily functions. In the management of Sheetapitta, which is a Vatapradhana Tridoshajavyadhi, Kapha plays a crucial role as its imbalance contributes to symptoms of the disease.

5) Drug:
Khadiradhiyoga is a combination drug in Ayurveda used for managing Sheetapitta, containing components like Khadirarista, Haridrakhanda, and Manasamitravataka. These herbal formulations are chosen for their properties to balance the doshas and relieve symptoms.

6) Purvarupa (Purva-rupa):
Purvarupa refers to the preliminary symptoms or early signs of a disease in Ayurveda. For Udarda, which is used synonymously with Sheetapitta, purvarupa includes symptoms like thirst, laziness, and heaviness in the body. Identifying these signs early aids in timely intervention.

7) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine from India that uses natural and holistic approaches to health. It categorizes diseases like Sheetapitta and provides detailed treatment plans, including herbal combinations such as Khadiradhiyoga, for effective management.

8) Khadira:
Khadira is a key herbal component in Ayurvedic treatment, especially noted for its anti-inflammatory and antimicrobial properties. In Khadiradhiyoga, it plays a significant role in combating symptoms of Sheetapitta, helping to manage skin conditions and itching.

9) Nidana:
Nidana refers to the causative factors or etiology of a disease in Ayurveda. For Sheetapitta, nidanas include factors like consuming incompatible foods (viruddhaahara), excessive salt and sour foods, and exposure to cold wind, which can aggravate the doshas.

10) Pitta:
Pitta is another dosha in Ayurveda, often associated with heat and metabolic functions. Its role in the pathogenesis of Sheetapitta includes causing inflammation and redness in the skin. Balancing Pitta is crucial for the effective management of this condition.

11) Fight:
In Ayurveda, herbs like Khadira and Haridra in Khadiradhiyoga 'fight' against diseases by balancing the doshas. Specifically, these herbs have properties that help alleviate symptoms like itching and inflammation, essential for treating Sheetapitta.

12) Vata:
Vata is a dosha associated with movement and air in the body. In the context of Sheetapitta, Vata's aggravation leads to symptoms like itching and pricking pain. Balancing Vata is a primary aspect of managing the condition effectively in Ayurveda.

13) Antibiotic (Antibacterial):
Haridra, a component of Khadiradhiyoga, has anti-bacterial properties. This helps in managing infections that could complicate Sheetapitta. The anti-bacterial action ensures that secondary skin infections are prevented, aiding in faster recovery.

14) Dushivisha (Dusivisa):
Dushivisha refers to chronic intoxication or latent toxins in the body, often due to improper metabolism. Managing dushivisha is crucial in diseases like Sheetapitta, where internal toxins may exacerbate symptoms such as itching and inflammatory responses.

15) Depression:
Chronic urticaria (Sheetapitta) can lead to psychological issues such as depression. The study shows that managing the condition with Ayurvedic medicine not only helps in physical symptoms but also in reducing depression, thereby improving overall quality of life.

16) Samprapti:
Samprapti is the Ayurvedic term for the pathogenesis of a disease. For Sheetapitta, it involves the aggravation of Vata and Kapha doshas mixed with Pitta, spreading internally and externally to cause symptoms. Understanding this process is key for effective treatment.

17) Karnataka:
The study on the Ayurvedic management of Sheetapitta was conducted in Karnataka, India, emphasizing the significance of regional clinical research in traditional medicine. It highlights the role of local healthcare systems in validating ancient medical practices.

18) Lakshana (Laksana):
[see source text or glossary: Lakshana]

19) Medicine:
In the context of Ayurveda, medicine involves using natural formulations like Khadiradhiyoga to manage diseases. The combination of Khadira, Haridrakhanda, and Manasamitravataka provides a holistic approach to treating Sheetapitta by addressing its root causes.

20) Swelling:
Swelling, or shotha, is a key symptom of Sheetapitta and urticaria. It involves central swelling with variable size. Khadiradhiyoga helps in reducing this swelling by balancing the doshas and reducing inflammation, providing symptomatic relief.

21) Haridra:
Haridra, or turmeric, is a component of Khadiradhiyoga. It has anti-inflammatory, anti-bacterial, and varnya (improving complexion) properties. These qualities make it effective in managing Sheetapitta by alleviating itching and inflammation.

22) Samana (Shamana):
[see source text or glossary: Shamana]

23) Vidaha:
[see source text or glossary: Vidaha]

24) Varṇya (Varnya):
Varnya refers to properties that improve skin complexion and health. Haridra, included in Khadiradhiyoga, possesses varnya properties, helping to alleviate skin discoloration and enhance the appearance of the skin affected by Sheetapitta.

25) Rakta:
Rakta, or blood, is one of the dushyas (tissue elements) implicated in Sheetapitta. The involvement of rakta in the disease pathogenesis leads to symptoms such as redness and swelling. Managing rakta is crucial in treating skin conditions in Ayurveda.

26) Kandu (Kamdu):
[see source text or glossary: Kandu]

27) India:
India is the country where the study on the management of Sheetapitta with Khadiradhiyoga was conducted. It also highlights the rich tradition of Ayurveda, an indigenous medical system that has been practiced and refined over millennia in India.

28) Bahis (Bahish, Bahih):
[see source text or glossary: Bahir]

29) Fever:
Fever is one of the symptoms associated with Sheetapitta. In the case report, the Ayurvedic treatment with Khadiradhiyoga alleviated fever along with other symptoms, showcasing its efficacy in managing this condition through holistic means.

30) Blood:
Blood tests such as AEC, ESR, and lipid profiles were used to monitor the condition of the patient with Sheetapitta. These tests showed improvement after Ayurvedic treatment, indicating the efficacy of Khadiradhiyoga in normalizing blood parameters.

31) Food:
Diet, including asatmyaahara (improper food), plays a significant role in the nidana (causation) of Sheetapitta. Avoidance of specific foods and adopting a balanced diet as prescribed in Ayurveda are integral in managing and preventing the recurrence of the condition.

32) Snigdhabhojana (Snigdha-bhojana):
[see source text or glossary: Snigdha-bhojana]

33) Madhavanidana (Madhava-nidana):
Madhava-nidana is an Ayurvedic text that describes the disease conditions and their preliminaries. According to this text, Sheetapitta and Udarda are synonymous, involving Vata and Pitta doshas, and it provides guidance on the causative factors and early signs.

34) Tikshnamadya (Tiksnamadya, Tikshna-madya):
Tikshna-madya indicates sharp, potent alcoholic beverages. Consumption of such beverages is considered a nidana (causative factor) for many diseases, including Sheetapitta, as they can aggravate the imbalance of doshas and lead to the appearance of symptoms.

35) Angagaurava (Anga-gaurava):
Angagaurava refers to a feeling of heaviness in the body, a purvarupa or preliminary symptom of Udarda (related to Sheetapitta). Recognizing such symptoms early can guide effective Ayurvedic interventions to prevent the full development of the disease.

36) Mithyayoga (Mithya-yoga):
[see source text or glossary: Mithya-yoga]

37) Madhavakara:
Madhavakara is an ancient Ayurvedic scholar who described diseases like Sheetapitta and Udarda. He identified Vata dominancy in Sheetapitta and provided insights that are crucial for treatment planning in Ayurveda.

38) Discussion:
The discussion section of the study elucidates the effectiveness of Khadiradhiyoga in treating Sheetapitta. It highlights how Ayurvedic herbs such as Khadira and Haridra work synergistically to balance the doshas and alleviate symptoms, showcasing their holistic benefits.

39) Samtarpana (Santarpana):
[see source text or glossary: Santarpana]

40) Krimighna (Krmighna, Krimi-ghna):
[see source text or glossary: Krimighna]

41) Udvartana:
[see source text or glossary: Udvartana]

42) Dadrughna (Dadru-ghna):
[see source text or glossary: Dadrughna]

43) Adhyashana (Adhyasana):
[see source text or glossary: Adhyasana]

44) Amlapitta (Amla-pitta):
[see source text or glossary: Amlapitta]

45) Tridoshaja (Tridosaja):
Tridosaja refers to the involvement of all three doshas (Vata, Pitta, and Kapha) in a condition. Sheetapitta is a Vatapradhana Tridoshajavyadhi, meaning Vata is predominant while the other two doshas are also involved, making its management complex in Ayurveda.

46) Tridosha (Tridosa, Tri-dosha):
[see source text or glossary: Tridosha]

47) Abhyanga (Abhyamga):
[see source text or glossary: Abhyanga]

48) Shodhana (Sodhana):
[see source text or glossary: Shodhana]

49) Annapana (Anna-pana):
[see source text or glossary: Annapana]

50) Svabhava (Sva-bhava):
[see source text or glossary: Svabhava]

51) Ashukari (Asukari):
[see source text or glossary: Ashukari]

52) Hrillasa (Hrllasa):
[see source text or glossary: Hrillasa]

53) Bhojana:
[see source text or glossary: Bhojana]

54) Kaphaja:
[see source text or glossary: Kaphaja]

55) Madhava:
[see source text or glossary: Madhava]

56) Sparsha (Sparsa):
[see source text or glossary: Sparsha]

57) Snigdha:
[see source text or glossary: Snigdha]

58) Ghataka:
[see source text or glossary: Ghataka]

59) Nigraha:
[see source text or glossary: Nigraha]

60) Vriddhi (Vrddhi):
[see source text or glossary: Vriddhi]

61) Tikshna (Tiksna):
[see source text or glossary: Tikshna]

62) Pittaja (Pitta-ja):
[see source text or glossary: Pittaja]

63) Dravya:
[see source text or glossary: Dravya]

64) Sevana:
[see source text or glossary: Sevana]

65) Shotha (Sotha):
Shotha, or swelling, is a key symptom of Sheetapitta characterized by central wheals on the skin. Ayurvedic formulations like Khadiradhiyoga help manage shotha by balancing the doshas and reducing inflammation and fluid retention in the affected areas.

66) Dushya (Dusya):
[see source text or glossary: Dushya]

67) Damsha (Damsa):
[see source text or glossary: Damsha]

68) Shakha (Sakha):
[see source text or glossary: Shakha]

69) Vamana:
[see source text or glossary: Vamana]

70) Bahula:
[see source text or glossary: Bahula]

71) Vataka:
[see source text or glossary: Vataka]

72) Paniya:
[see source text or glossary: Paniya]

73) Mithya:
[see source text or glossary: Mithya]

74) Vastra:
[see source text or glossary: Vastra]

75) Kushtha (Kustha):
[see source text or glossary: Kustha]

[Note: The above list is limited to 75. Total glossary definitions available: 105]

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Case report: Managing sheetapitta with Khadhiradhiyoga in chronic urticaria.’. Further sources in the context of Science might help you critically compare this page with similair documents:

Rakta, Purvarupa, Kusta, Quality of life, Angioedema, Histamine Release, Sheetapitta, Chronic urticaria, Khadirarista, Haridrakhanda, Physical Urticaria.

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