Chronic hives are skin rashes caused by a reaction to a certain food, medicine, chemicals or other irritants. It is also known as urticaria.

• SIGNS AND SYMPTOMS OF CHRONIC HIVES
• CAUSES OF CHRONIC HIVES
• PATHOPHYSIOLOGY OF CHRONIC HIVES
• DIAGNOSIS OF CHRONIC HIVES
• TREATMENTS FOR CHRONIC HIVES
• PROGNOSIS OF CHRONIC HIVES
• COMPLICATIONS OF CHRONIC HIVES
• CHRONIC HIVES  AND AYURVEDA
• NIDANA- AYURVEDIC CAUSES OF CHRONIC HIVES
• PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CHRONIC HIVES
• SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CHRONIC HIVES
• LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CHRONIC HIVES
• AYURVEDIC PROGNOSIS OF CHRONIC HIVES
• CHIKITSA- AYURVEDIC TREATMENT FOR CHRONIC HIVES
• AYURVEDIC SAMANA TREATMENT FOR CHRONIC HIVES
• COMMONLY USED AYURVEDIC MEDICINES FOR CHRONIC HIVES
• HOME REMEDIES FOR CHRONIC HIVES
• DIET AND BEHAVIOUR FOR CHRONIC HIVES
• YOGA FOR CHRONIC HIVES
• RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF CHRONIC HIVES

SIGNS AND SYMPTOMS OF CHRONIC HIVES

• Itching
• Redness
• Swelling (wheals)
• Most commonly occur in extremities and face

CAUSES OF CHRONIC HIVES

• Allergy to certain food items like egg, shellfish, wheat products, peanut
• Certain medications
• Chemicals
• Irritants
• Stress
• Scratching
• Exposure to sunlight
• Pollens
• Insect bite
• Increased body temperature

PATHOPHYSIOLOGY OF CHRONIC HIVES

In chronic hives, high levels of histamine and other chemical messengers are released in the skin when expose to the causative factors. These substances cause the blood vessels in the affected area of skin to open up and become leaky leading to redness and swelling.

DIAGNOSIS OF CHRONIC HIVES

·       Proper history taking

·       Physical examinations

·       ESR count

·       Liver function test

·       Thyroid function test

·       Other blood investigations to find out underlying pathology

TREATMENTS OF CHRONIC HIVES

·       Anti-inflammatory drugs

·       Antihistamines

·       Anti-itch medications

PROGNOSIS OF CHRONIC HIVES

Hives are typically self-limited and resolves with proper avoidance of triggers.

COMPLICATIONS OF CHRONIC HIVES

• Angioedema
• Affects the person’s quality of life

CHRONIC HIVES AND AYURVEDA

• In Ayurveda, the treatment of chronic hives is based on ‘Udarda chikilsa’.

NIDANA- AYURVEDIC CAUSES OF CHRONIC HIVES

• Virudhahara – unwholesome diet
• Excess vitiation of dosha
• Suppression of natural urges 
• Defect in digestion – Agni mandyam

PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CHRONIC HIVES

• Skin rashes

SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CHRONIC HIVES

Due to the causative factors, doshas become vitiated with the predominance of kapha dosha, reside in the skin and finally udarda is manifested.

LAKSHANA – AYURVEDIC SIGNS AND SYMPTOMS OF CHRONIC HIVES

• Skin itching – kandu
• Swelling – sopha
• Redness – raga

AYURVEDIC PROGNOSIS OF CHRONIC HIVES

• Symptoms are manageable with proper ayurvedic management

CHIKITSA- AYURVEDIC TREATMENT FOR CHRONIC HIVES

AYURVEDIC SAMANA TREATMENT FOR CHRONIC HIVES

• Haridrakhanta
• Patolakaturohinyadi kashaya
• Nimbamrita asavam
• Tribhuvana keerthi rasa

COMMONLY USED AYURVEDIC MEDICINES TREATMENT FOR CHRONIC HIVES

Ayurvedic medicines for internal administration for chronic hives

• Haridrakhanta
• Patolakaturohinyadi kashaya
• Nimbamrita asavam
• Tribhuvana keerthi rasa

HOME REMEDIES FOR CHRONIC HIVES

• Cold application
• Bath with anti-itch solutions

DIET AND BEHAVIOUR FOR CHRONIC HIVES

• Avoid food items that produce dosha imbalance like cold and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
• Consume easily digestible food items, gruels.
• Avoid irritants
• Avoid wheat products, shellfish etc

YOGA FOR CHRONIC HIVES

• Nadi Shuddi Pranayam    – calms the mind and is effective in stress-induced chronic hives

The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.                             

• The practices of shatkriya or yogic cleansing techniques purify the body

RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF CHRONIC HIVES

1.     Ayurvedic management of chronic idiopathic urticaria- A case report

https://www.researchgate.net/publication/308509543_Ayurvedic_management_of_chronic_idiopathic_urticaria _-_A_case_report

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