This document discusses Sheetapitta, Udarda, and Kotha, which are skin conditions in Ayurveda. It covers the causes, symptoms, pathogenesis, and treatments. The causes are primarily improper diet, cold exposure, and certain diseases. The symptoms vary between the conditions. The pathogenesis involves vitiation of vata, kapha, and their movement into the skin and blood. Treatments include purification therapies, herbal formulas, oils, and lifestyle modifications.

1. SHEETAPITTA, UDARDA
AND KOTHA
Dr. Bikash Maharjan, MD(Kayachikitsa)

2. INTRODUCTION
◦ Sheetpitta is not described in Brihatrayies, but explanation about Udarda, Koth
are mentioned as Vyadhi or Purvarupa and Lakshana by Acharyas.
◦ Vata and Kapha Doshaja are primarily disturbed.
◦ Charaka – Udarda – Kapha nanatmaja vikara
◦ Kotha – Raktapradoshaja vikara

4. Nidana
1. Aharaja Hetu
◦ Santarpana, Atilavana, atiamla, katu kshara, tikshana, madya, viruddha ahara sevena, Adhyasana,
Guru dravyas sevana, Snigdha bhojana, Dadhi sevena, Visha-yukta annapanasevana
2. Viharaja Hetu
Sheeta maruta sparsha, vishayuktajala snana, abhyanga, udvartana, vastra, abhusana, keeta damsha,
bahya krimi, chardi nigraha, atidiwaswapna, shishir ritu, varshakala.
3. Nidanaarthakara Roga
Sannipatika, Pittaja and Kaphaja Jwara, Unmada, Adhoga Amlapitta
4. Chikitsa Mithya yoga- Vamana Virechana Ayoga.

5. Purvarupa
◦Atitrishna
◦Aruchi
◦Hrillasa
◦Dehasada
◦Gouravata
◦raktalochanata

7. Lakshana
◦ Sheetapitta
– Varati Damsta
samsthana
Sotha,
- Kandu,
- Toda,
- Chardi,
- Jwara,
- Daha
◦ Udarda
-Utsanga yukta sotha
utpatti
- Utpatti in Shishir ritu
- Rakta varna with kandu
and sotha
◦ Kotha
- Rag Yukta mandala
- Kandu

8. Samprapti
◦ NIDANA SEVANA
◦ VAYU(Ruksha Sheeta) AND KAPHA(Snigdha Sheeta) PRAKOPA
◦ COMBINES WITH PITTA(Usma mandata)
◦ PRASARA IN TWACHA AND RAKTADI DHATU
◦ STHANSAMSRAYA IN TWAK STHANSAMSRAYA IN RAKTADI DHATU
◦ SOTHA MANDALOTPATTI
◦ SHEETAPITTA, UDARDA AND KOTHA UTPATTI

9. SAMPRAPTI GHATAKA
◦ Dosha : Tridosha
◦ Agni : Manda
◦ Doshagati : Vriddhi, Tiryak,
Shakha
◦ Vyadhimarga: Bahya
◦ Dushya : Rasa, Rakta
Srotas : Rasavaha, Raktavaha
Srotodushti prakara : Vimarga
Gamana
Udbhava Sthana : Aamashaya
Vyakti Sthana : Tvak
Svabhava : Ashukari

10. Sapeksha Nidana
Sheetapitta Udarda Kotha
Vata pradhana Kapha pradhana Kapha rakta pradhana
Toda Kandu and Vamana Excessive Kandu
Kinchit mandalotpatti Awasthika mandolatpatti Awasthika rakta mandolatpatti
Intake of sheeta and ushna
alongside
Aggravates in Shishir ritu Vamana ayoga, chardi
vegadharana
Asukari Subacute Chronic

11. Chikitsa sutra
◦ Similar Treatment in Sheetapitta, Udarda and kotha
◦ First of all, Krimi and Dadru nashaka chikitsa should be done followed
by Purvakarma and Samsodhana karma
◦ Then, Kusthanasaka chikitsa should be done
◦ Pariseka with warm water and Sarshapa taila abhyanga
◦ Amlapitta, Kustha and udarda treatment should be done for Kotha.

12. Chikitsa
Shodhana Chikitsa
1. Vamana: Emesis should be given with decoction of Patola and Arishtaka.
2. Virechana: Purgation should be given with decoction of Triphala,pippali.
3. Charak - Udarda Prashamana Mahakashaya, Katu Taila, Mustadi Churna.
4. Sushrut- Eladi Gana
5. Chakradutta: Shodhan Chikitsa: Vaman and Virechana Shaman Chikitsa: Amrutadi
Gan Kwath pan, Saguddipkyaprayog, Sthanik Chikitsa: Sidharthak Udavarthanam,
Durvadi Lep, Agnimanth , Nimbapatradi Lep

13. 6. Bhavaprakash has described Shodhana, Shamana and Bahi Parimarjana Chikitsa.
Navakarshika Guggulu, Trikatu + Sharkara, Yavani + Vyosha + Yavakshara, Aardraka Rasa
+Purana Guda ,Yavani + Guda, Guda + Amalaki, Nimba Patra + Ghrita +Amalaki, Ardraka
Khanda
7. Bhaishajya Ratnavali: Yashtyadi Kwatha, Goghrita + Maricha As Vardhamana Prayoga,
HaridraKhanda, BrihatHaridraKhanda, Shleshmapittantaka Rasa, Veereshvaro Rasa,
Shitapittaprabhanjana Rasa, Durva + Nisha-Lepa, Siddhartha + Rajani + Kustha + Prapunnada +
Tila + Katu Taila-Udvartana, Katu Taila- Abhyanga, Kshara + Rocksalt + Oil-Abhyanga
8. Yogaratnakar: Vardhamana Pippali, Vardhamana Lasuna Prayoga, Agnimantha yog,
Nimbapatra Yoga, Amrutadi Yoga, Sidharthak Yoga, Kushtadi Churna

14. Udarda Prashamana Mahakashaya
1. Tinduka
2. Priyala
3. Badara
4. Khadira
5. Kadara
6. Saptaparna
7. Aswakarna
8. Arjuna
9. Asana
10. Arimeda

15. Samsamana Chikitsa
◦ Rasa/Bhasma/Satva –
1. Sarvatobhadra Rasa(VP)
2. Kamdudha (P)
3. Swarnamakshik (KP)
4. SwarnaGairika(P)
5. Sutasekhara (P)
6. Yavakshara(KV)
7. Amrita satva
8. Chandrakala
9. Pravala bhasma
10. Shitapittabhanjana
11. Sleshmapittantaka
12. Pittantaka yoga
◦ Vati/Guggulu
1. Arogyavardhini
2. Navakarshika Guggulu
3. Kaisore
4. Sparshavataghni vati
◦ Kwath
1. Amritadi
2. Yastyadi yoga
◦ Churna
1. Triphala
2. Panchasirisha
3. Trikatu
4. Yavanyadi
◦ Ghrita
1. Mahatiktaka ghrita
◦ Paka/Khanda/Avaleha
1. Haridrakhanda
2. Adraka Khanda
3. Nimbapatradi leha
◦ Asava/Arista
1. Amritarishta
2. Manjistharista
◦ Pralepa/udvartana
1. Durvadi lepa
2. Saindhavadi yoga
3. Siddharthadi yoga

16. Pathyapathya
Ahara Vihara
Pathya Purana shali rice, Jangala mamsha rasa,
munga, karela, sigru, dadima, madhu,
sarshapa taila
Langhana , abhyanga
Apathya Ikshu vikara, Anupa mamsa rasa,
madya, viruddha bhojana, amla rasaa
Chardi, Vegavarodha, Vayusevana,
diwaswapna, snanan, atapasevana
maithuna