Urticaria is portrayed by irritated weals (hives), with or without encompassing erythematous flares.

A weal (or wheal) is a shallow skin-shaded or fair skin expanding, normally encompassed by erythema that keeps going anything from a couple of moments to 24 hours. Urticaria can exist together with angioedema which is a more profound expanding inside the skin or mucous layers.

In ayurveda Urticaria is also called as Sheetpita. Sheetpita is one among the Twak Vikara that have related Hetu of Kotha and Udarda. Vata and Kapha are two “Doshas”, which are principally disturbed which thusly is related through Pitta bringing about Tridosha Prakopa causing to redness, expanding tingling on the skin and so forth.

Sheetpita as per Ayurvedic science is a Tridoshaja vyadhi. At first after Nidaan sevan (etiological factors) vitiation of Kapha and Vata takes place then they begin to fan out in entire body both remotely and inside by blending in with Pitta. The Tridoshas travelling inside causes Dushti(pathogenesis) of rasa and Rakta dhatus after that Rasavaha and Raktavaha Srotodushti happens these on coming to Viguna twak(sensitized skin) produce side effects like Toda, Daha, Kandu, and so forth

Samprapti of Sheetpita

Prakupita Vata and Kapha

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Due to ‘Sheeta Marutadi Nidana (Sheeta Maruta Samsparshat)

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When being mixed with ‘Pitta’ (Pittena Saha Sambhooya)

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Spreads internally and externally (bahir-antah visarpatah)

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Results in to Sheetapitta

Urticaria happens when the body responds to an allergen and deliveries histamine and different synthetic substances from under the outside of the skin.

The histamine and synthetic substances cause aggravation and liquid to collect under the skin, causing wheals.

Instances of realized triggers include:

• Prescriptions, including a few anti-toxins and non-steroidal calming drugs (NSAIDs, for example, headache medicine and ACE inhibitors, utilized for hypertension
• Food sources, such nuts, shellfish, food added substances, eggs, strawberries, and wheat items
• Contaminations, including flu, the normal chilly, glandular fever, and hepatitis B
• Bacterial diseases, including urinary lot contaminations and strep throat
• Intestinal parasites
• Outrageous temperatures or changes in temperature
• High internal heat level
• Pet dander from canines, felines, ponies, etc
• Dust vermin
• Cockroaches and cockroach squander
• Latex ,dust
• A few plants, including brambles, poison ivy, and toxic substance oak
• Bug nibbles and stings
• A few synthetic substances
• Constant ailment, like thyroid illness or lupus
• Daylight openness
• Water on the skin
• Scratching

Symptoms of Urticaria

Signs and symptoms of persistent hives include:

• Groups of red or skin-hued welts (wheals), which can show up anyplace on the body
• Welts that differ in size, change shape, and show up and blur over and again as the response runs its course
• Tingling, this might be extreme
• Excruciating expanding (angioedema) of the lips, eyelids and inside the throat
• An inclination for signs and manifestations to erupt with triggers like warmth, exercise and stress
• An inclination for signs and indications to persevere for over about a month and a half and to repeat as often as possible and unusually, now and then for quite a long time or years

AYURVEDIC TREATMENT OF URTICARIA

Our treatment plan ought to be with the end goal that-

• Vata pradhan Tridoshamaak.
• That sanitizes Rasa rakta dhatus.
• Helps in boosting safe framework as autoimmunity assumes a significant part in its pathogenesis.

Our Acharyas have referenced millennia prior about different natural details and Panchakarma methodology for Sheetpitta or Urticaria.

Panchakarma methods incorporate

• Vamana-Since it’s a Kaphaj prevailing infection, Vamana place a vital job in adjusting Kapha Dosha. Vitiated Kapaha is taken out from body through purgation technique.
• Virechana-Vata and Kapha are related with vitiated pitta in Blood . Along these lines, Pitta dosha is offset with Virechana treatment.
• Raktmokshana: Since it is the best method to eliminate poisons from the body straightforwardly through blood, it shows wonderful outcomes even after first sitting. Polluted blood is delivered from the body through Sira Vedhan methodology. It’s an easy system and barely takes 10 mins however gives superb outcomes.
• Lepam: Medicated oils like Nalpamradi tailam, jeevantyadi tailam, Urtiplex cream and so forth are applied locally on the skin. Additionally, Herbal glue are applied on the skin like Anantmool Lepam, Sariva Lepam, Chandan Lepam and so forth
• Oral Herbal Medication: Oral Medication assumes a vital part in Ayurvedic treatment of Urticaria. Doorva Churna, Panchatikt ghrit guggulu, haridrakhand, aarogyavardhani and so on are a portion of the referenced medications for Urticaria treatment in Ayurveda.

Do’s and Don’ts:

1. Avoid from acrid, pungent and zesty food, cheap food, garbage food.
2. Curd, pickle
3. Inordinate voyaging
4. Employments of A.C.
5. Wear full sleeves dress.
6. Keep away from Humid climate
7. Late evening dozing propensity.

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In Ayurveda, Head or Shira is considered as the Uttamanga because it is the seat of prana and indriyas. In Ayurveda “Headache” is termed as “Shiroshoola”.

HEADACHE– It is a painful sensation in any part of the head; the pain ranges from sharp to dull and may be present with other symptoms.

COMMON CAUSES-

The most common causes of Shiroshoola or headache are-

• Lack of sleep
• An incorrect eyeglass prescription
• Stress
• Loud noise exposure
• Wearing a tight head wear.
• Poor posture
• Skipping of meals
• Changes in sleep
• Excessive Intake of alcohol particularly red wine.
• Hunger
• Weather Changes etc.

Essential oils for headache-

The following oils have proved to be beneficial for relieving Headache.

1. LAVENDER OIL

• BOTANICAL NAME OF LAVANDER- Lavandula angustifolia
• This oil is mostly used for getting sleep in case of Insomnia, reduces stress, anxiety or depression.
• It is believed that it can help in relieving headaches and migraines associated with stress.
• Inhalation of lavender essential oil that can be a safe and effective treatment to manage migraine headaches.

2. ROSEMARY OIL

BOTANICAL NAME OF ROSEMARY- Rosmarinus officinalis

FAMILY- Lamiaceae

This oil is traditionally used to treat headaches and improves circulation.

This oil has an anti-inflammatory and pain-killing property.

It is found that rosemary oil helped to reduce pain and insomnia in people going through opium withdrawal treatment.

It may reduce the pain associated with a headache.

3. PEPPERMINT OIL

BOTANICAL NAME OF PEPPERMINT- Mentha piperita

FAMILY- LAMIACEAE- “The mint family”

This oil has been used in alternative medicines from ancient period of time. It is one of the most popular essential oils for treating headaches.

Apply peppermint oil to the temporal region and forehead provides relief from tension headaches.

The active ingredient present in peppermint oil is menthol. It may be effective in treating migraines when applied to the head as a gel.

4. CHAMOMILE OIL

BOTANICAL NAME OF CHAMOMILE- Matricaria chamomilla

Family- Asteraceae

The Shiroshoola is often caused by stress and anxiety; the chamomile oil may help to treat headaches.

Drink chamomile tea to relax and unwind. The oil of Chamomile is commonly believed to have a similar effect.

This Oil might improve some of the symptoms of Anxiety, stress and depression.

There are anti-inflammatory properties in chamomile that may reduce a headache.

5. EUCALYPTUS OIL

BOTANICAL NAME OF EUCALYPTUS- EUCALYPTUS GLOBULUS

FAMILY- Myrtaceae (Myrtle Family)

It is used traditionally to clear sinuses and reduces the inflammation. Some headache may be due to blocked sinuses, Inhalation eucalyptus oil may help to reduce these symptoms.

According to some studies, eucalyptus oil was effective for relieving pain and lowering the Blood pressure when it was inhaled.

HOW TO USE THESE ESSENTIAL OILS??

• As per Ayurveda, The oils possesses Vata balancing properties, it pacifies the vata dosha and provide relief against Shiroshoola which is caused mainly by the Vata Dosha.

• Mode of Application- Apply oil to the temples or forehead region. These oils need to be diluted with carrier oil, such as coconut oil, before the application to the skin. After diluting, the oil can be massaged into the temples and across the forehead.
• Inhalation of oil– These oils can be inhaled by adding a few drops to a tissue, holding the tissue under the nose and breathing deeply.
• Using a compress- You can make a compress by soaking the towel in cold water with a few drops of essential oil. Apply this compress to the forehead or neck.
• Add on for Bath- Add a few drops of essential oil to a hot bath make you feel relaxes and it is an amazing way to treat a headache.

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KNEE PAIN

• It is common complaint that affects people of all ages.
• It can originate in any of the bony structures femur, tibia, and fibula, the patella, or the ligaments, tendons, and cartilage of the knee.
• It can be caused by a sudden injury, by an underlying condition, an overuse injury, ruptured ligament or torn cartilage.
• Medical conditions that cause knee pain including arthritis, gout and infections.
• Aggravated by physical activity, obesity, affected by the surrounding muscles and their movements.
• Triggered by foot injury.
• Home remedies or natural ways can helpful unless it becomes severe.

WAYS TO GET RELIEF FROM KNEE PAIN NATURALLY

Hot or cold packs 

• Using hot packs in the form of water bags, hot towels or ice packs help to ease stiffness.
• It is one of the best and simplest anti-inflammatory home treatments.
• Cold therapy can help relieve joint pain, swelling, and inflammation.
• Do not apply ice directly to the knee skin, wrap it in a towel and then place it on the knee applying with gentle, steady pressure.

Massage therapy 

• Entle massaging of the knee with warm oils especially herbal or medicated Ayurvedic oil is trusted method for knee pain for thousands of years.
• Massage therapy highly recommended in Ayurveda for various types of pain.
• Thigh muscles massage provide strengthening effect which reduces pressure on the knees during exercise such as cardio and those doing squats.
• Ayurvedic centers usually give hot steam therapy to the knee after the massage therapy.

Get enough exercise

If people have arthritis issue exercise can help by the following ways:

• Manage weight
• Keep joints flexible
• Strengthen muscles around joints which offers more support
• Low-impact exercises include:
• Walking
• Cycling
• Tai chi
• Water activities
• Swimming

Stay physically active

• Do not rest too much.
• Avoid sitting in one place for long periods.
• If people have a desk job, ensure get up from place after every 45 minutes and move around for at least for a minute.
• Sedentary lifestyle weaken the muscles and put pressure on knees while standing, running and walking.

Perform yoga

• Yoga therapy is an effective way of relieving various types of pain and as a stress buster.
• Study found that 66 people with osteoarthritis showed a decrease in knee pain and improvement in functioning of the knee joint.

Eat healthy and anti-inflammatory diet

• Osteoarthritis involves inflammation of knee joints, people eat a diet that reduces inflammatory markers.
• Eat a variety of fruits and vegetables that are high in phytonutrients including inflammation-fighting antioxidants such as vitamins C, D, and E and selenium.
• Consume diet low in calories that helps them to lose weight.
• Add salmon, tuna, mackerel, and herring cold fishes to the diet. They are high in omega-3 fatty acids and also have anti-inflammatory properties.

Low stress level

• Stress can worsen chronic conditions and knee osteoarthritis.
• Stress can cause muscle tension which increases the perception of pain.
• Knee pain also triggered by frustration and depression.
• Relaxation therapy helps to fits lifestyle, include deep breathing, meditation, progressive relaxation, and yoga helps to ease stress levels and make body easier for stay relaxed.

Knee Elevation

• It can be done to decrease the swelling in the knee.
• The knees can be kept elevated with the help of couple of pillows, or sitting on a recliner chair where legs are elevated.

Ginger extract 

• Ginger helped to reduce arthritis pain when people used it along with a prescription of treatment for arthritis.

Ginger is available in many forms such as:

• Supplements,
• Ginger tea,
• Ground spice or ginger root for adding flavor to dishes.

Add turmeric to dishes 

• It is the yellow common spice in Indian dishes contains a chemical called curcumin.
• It has antioxidant and anti-inflammatory properties.
• Studies show that it may reduce arthritis pain and inflammation.

Posture and support 

things that can help to minimize knee strain include:

• Avoiding low chairs and couches
• Sitting on a pillow to raise seating level
• Sitting in a good sitting posture without slouching or leaning
• Wearing supportive shoes
• Avoiding prolonged sitting, joints may become stiff and painful without movement

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ADHESIVE CAPSULITIS

• Frozen shoulder, also called adhesive capsulitis.
• Shoulder capsule thickens and becomes stiff and tight. Thick bands of tissue called adhesion develop.
• Painful condition in which the movement of the shoulder becomes limited and synovial fluid in the joint become less.
• It is characterized by stiffness and pain in shoulder joint later progressively restricted active and passive joint range of motion with spontaneous complete or nearly complete recovery over a varied period of time.
• Signs of this condition are severe pain and being unable to move shoulder own or with the help of other people.

SIGN AND SYMPTOMS

Stage 1: Freezing

• In this stage slowly or more and more pain.
• Shoulder becomes stiff and is painful to move and pain slowly increases.
• It may worsen at night.
• Pain worsens shoulder loses range of motion.
• It lasts from 6 weeks to 9 months.

Stage 2: Frozen

• Pain may actually improve during this stage but the stiffness remains constant.
• Lasts from 4 to 6 months “frozen” stage,
• Daily activities may be very difficult.

Stage 3: Thawing

• Shoulder motion improves during this “thawing” stage.
• Complete return to normal or close to normal strength of the body
• It lasts for 6 months to 2 years.

CAUSES

The exact causes of adhesive capsulitis are not known.  Few factors may put more at risk for developing this condition.

• Diabetes – it is occurs much more often in people with diabetes. The reason for this is not known. Diabetic people with adhesive capsulitis tend to have a greater degree of stiffness this stiffness continues for a longer period of time before “thawing.”
• Other diseases – Some medical problems associated with adhesive capsulitis include hyperthyroidism, hypothyroidism, Parkinson’s disease, and cardiac disease.
• Immobilization – adhesive capsulitis can occur after a shoulder has been immobilized for long period of time due to fracture, surgery or other injury.

RISK FACTORS

Certain factors may increase risk of developing frozen shoulder.

• Age and sex – People over 40 and older particularly women, are more likely to have frozen shoulder.

• Immobility – People who decreased mobility of the shoulder for a long period are at higher risk of developing adhesive capsulitis. Immobility may be the result of many factors including:

• Rotator cuff injury
• Broken arm
• Stroke
• Recovery from surgery

• Systemic diseases – People who have certain diseases have more likely to develop frozen shoulder. Diseases that might increase risk include:

• Diabetes
• Overactive thyroid (hyperthyroidism)
• Underactive thyroid (hypothyroidism)
• Cardiovascular disease
• Tuberculosis
• Parkinson’s disease

AYURVEDIC TREATMENT

• The Ayurvedic treatment for adhesive capsulitis is aimed to treat stiffness and pain and preserving the mobility of the shoulder joint.
• Aims of the treatment also based upon balancing the vitiated vata.
• Different Herbs and their combinations along with Panchakarma therapies are effective to cure adhesive capsulitis from its root cause.

HERBS USED FOR FROZEN SHOULDER

• Eranda –  analgesic and anti-inflammatory properties
• Bala – anti- oxidant and anti-inflammatory properties
• Rasna – balance vata dosha and acts as analgesic and antispasmodic
• Ashwagandha – decrease pain and give strength to shoulder muscles
• Vidanga – detox the joint as well as decrease it’s inflammation
• Guggulu – Acts as analgesic and anti-inflammatory
• Chakramarda – Decrease the joint pain and swelling
• Haridra – Best anti-inflammatory and antibacterial herb
• Sonth – Acts as vata pacifier, analgesic and anti-inflammatory herb
• Shallaki – it acts as muscle relaxant, analgesic and anti-inflammatory.

AYURVEDIC THERIPIES FOR FROZEN SHOULDER ARE:

• Snehana and Swedana – This process involves application of medicated oil then giving local steam
  it liquefy and remove the toxins
  decrease stiffness and pain.
• Abhyangam – A full body massage done with medicated herbal oils.
  It relieves pains and aches in shoulder joints by lubricating them
  improves blood circulation.
• Nasyam – administration of medicated drugs or oils through nostrils.
  Medicated oils or powders stimulate the vital centers of brain
  reduce pain perception.
  Expelling the imbalance doshas above the neck.
• Pizhichil – medicated oil is squeezed in the body using a cotton cloth.
  This is done along with massage.
  Improving shoulder muscle tone and strengthen them.
• Greeva Basti – In Greeva Basti prepared warm herbal oil
  oil poured over the neck and retained inside a well created black gram paste or whole wheat flour.
  Reduces pain and stiffness in neck and shoulder region.
• Lepam – Lepam of herbal paste or oil
  externally decreases pain and inflammation
• Sneha Basti – Sneha Basti involves enema using medicated oil.
  It reduces vata vitiation and thus reduces pain.

CAC TREATMENT FOR ADHESIVE CAPSULITIS

• Detox Premium Powder – This is a herbo-mineral preparation that contains ingredients such as Giloy satv, parval pishti, gandhak rasayan, shukta pishti, kamdudha rasa, etc. These all ingredients in combination show antioxidant, anti- inflammatory, & analgesic properties. It helps in reducing pain, numbness, stiffness, & inflammation associated with a slipped disc problem. Detox powder is useful in eliminating Ama (toxins) from body.

Recommended Dosage – Take 1 sachet twice daily with normal water after 30 minutes of meal.

• Nerve Up Tablet – It is pure herbo-mineral formulation which helps to balance the vata dosha. It act as nervine stimulator and also reduces Kapha doshas. It mainly acts on central nervous system. It contains natural ingredients like Shudha kuchala, Shudha shilajeet, Abhrak bhasma, Praval pishti, Shankh bhasma etc. These contains natural Vatahar properties and helps in curing vata diseases. It speeds up physical and mental processes. It helps in painful joints, stiffness, inflammation, swelling and general weakness.

Recommended Dosage – Take 1 tablet twice daily with normal

• Vata Balance tablet – Vata balance tablet is a rejuvenating blend of herbs is specially formulated to balance Vata doshas without aggravating Pitta or Kapha doshas. It may be used to support overall health and well-being by Vata constitutions with or without food. For those with a dual constitution that includes Vata or a tridoshic constitution, it is an excellent formula for the Vata season, which in most parts of the world is autumn and early winter. This is the time when Vata gets aggravated. Healthy Vata contains herbs that help the system remain balanced throughout the season.

Recommended Dosage – Take 1 tablet twice daily.

• Pain-o-kill oil – As the name suggests Pain-O-Kill Oil reduces pain, inflammation, stiffness, & weakness in slipped disc patients. Applying this herbal oil gives effective results in lower backache, weakness, relaxes muscles, stiffness, & swelling.

Method of usage – Take little oil in your hands and gently massage over the affected of the body.

• Active Plus Tablet – active plus Tablet is a pure herbo-mineral formulation prepared from best quality of herbs. This tablet is best for person mental and physical health, also helps to boost up the immunity. The herbal ingredients present in these tablets are used to maintain person’s health and refreshes the mind and body. These tablets improves digestion, eliminates constipation, stress, nourishes brain, acts as antioxidant, analgesic, anti-inflammatory, etc.

Recommended dosage – Take 1 tablet twice daily with normal water.

• Pain O kill Tablet – As the name suggests these tablets will kill the pain naturally. The herbs present in the formation of these tablets are Ashwagandha, Hadjod, Punarnava, Nirgundi, Methi, Garlic, etc. These herbs in combination show antioxidant, analgesic, anti-inflammatory, immuno-modulator properties. The regular use of these tablets reduce body pain and acts on its root cause.

Recommended dosage – Take 1 tablet twice daily with normal water.

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