Sheetapitta is one among the skin disease, and it is Vatapradhanavyadhi. Hence the pain is more in Sheetapitta and produces symptoms like rashes as like of insect bite, itching sensation…etc.¹

According to Classical references, Sheetapitta is having sign and symptoms as VaratiDamstraSamsthana (rashes like insect bite),Shopha (papular rashes) ,Kandu (itching), Toda (pricking pain) …etc.^{2 3}

              As mentioned in classics, nidanas are exposure to cold wind, Vega Avrodha and other factors which causes vitiation of Kapha and Vata, which in turn vitiates Pitta ,Rakta and produces rash on the skin which is called as Sheetapitta.⁴

Sheetapitta is the commonest disease which occurs frequently with a life time; globally prevalence of the disease is around 8.8%.Usually prevalence is more in females than males. In terms of age 20-30 year old are more affected by the disease. In India 20 to 30% population are suffering from this disease.⁵

Sheetapitta can be correlated to Urticaria and it is characterized by a sudden general eruption of pale wheals or papules, which are associated with severe itching, and it is caused due to contact with external irritants such as nettle, physical agents, foods, insects bites, serum sickness, pollens, drugs, milk, egg, meat etc.⁶

        In classical texts they have mentioned number of treatments for Sheetapitta like Abhyanga, Swedana,Vamana, Virechana and Raktamokshana, among them Virechana  subsides theVititatedVata ,Pitta, Kapha  by eliminating doshas through anal route and does the Raktashodhana and  KostaShuddi. In Siravyadha it does RaktaShodhna by removing DushitaRakta by vein puncture .^{7 8}