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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 butsometimes were also seen on my arms. How do they start appearing?There is an intense sense of itching initially forcing me to scratchthat region following which there is redness and appearance ofthese 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
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 issuesNot as such, but I am just anxious about getting new projects andsometimes too nervous about my performance. Besides I get veryannoyed 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 thetime 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 seenscattered over face and neck. Blanching was present.
General examinationPulse – 78/ minB.P. - 130/90 mm of hgTemp – Afebrile Systemic examinationR.S- NormalC.V.S. -C.N.S. - Prakruti as examined by questionnaire methodPitta predominant 4. DiagnosisShitapitta (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 allergenHence measures should be adopted to avoid these and pacify thepitta.
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.