The Efficacy of Haridra Khanda in the Management of Sheetapitta with special reference to Urticaria

Sheetapitta is a significant and common allergic skin disorder described in Ayurveda, primarily involving disturbances in Vata and Kapha doshas. This imbalance, when associated with Pitta, leads to the vitiation of all three doshas (Tridosha), resulting in symptoms such as redness, wheals, and itching on the skin. Key signs of Sheetapitta include Mandala (round patches), Utsedha (wheals), Kandu (itching), and Toda (pricking pain), with associated symptoms like Chardi (vomiting), Jwara (fever), and Daha (burning sensation). In modern medicine, this condition can be correlated with various forms of urticaria. Sheetapitta, along with Udarda and Kotha, is described in the Brihatrayee as indicative of several diseases. It is recognized as a Pitta-dominant Tridosha condition, first discussed in a dedicated chapter by Acharya Madhava. In Ayurvedic treatment, drugs, considered essential tools for the physician, play a critical role in reversing the pathogenesis and alleviating the disease symptoms. The incidence of skin diseases is increasing due to factors like pollution, poor dietary habits, and improper lifestyle. Therefore, a targeted approach, following the principles of nidana parivarjana (removal of causative factors) along with appropriate medications such as Haridra Khanda, can effectively halt the progression of the disease. Haridra Khanda possesses properties such as anti-itch, anti-inflammatory, and skin-healing qualities, making it highly effective in managing Sheetapitta, Udarda, and Kotha. This review aims to explore the mode of action of Haridra Khanda in the treatment of Sheetapitta.