Sheetaa-Pitta and Udarda have similar stages of growth. They both are made distinct by the control of dosha.
Earlier Symptoms (Purva-Roopa)
The advanced or prior symptoms of sheeta-pitta are dehydration, vomiting, pain in body, bulky sensation in the body, ruddiness in the eyes and loss of appetite.
The indications are excessive swelling, rigorous burning sensation, nausea, and high fever, piercing pain, Red patches over the body and numerous pimples and inflammation.
The hetu features are inappropriate supervision of medicines used to stimulate vomiting, containment of goaded pitta, kapha (cough & cold conditions), anna (diet), and extreme intake of kanji.
The treatment of sheetaa-pitta includes kneading or massage of the body with a special type of oil called sarshapa oil, fermentation using boiled water, instant stimulation of vomiting must be done with the aid of leaves of patol, nimba twak and arishtaka, purification process must be initiated with the aid of triphala churan (powder), pippali and yograj guggul (all ayurvedic medicines) and artificial blood-letting (Rakta-mokshana) and cure of skin infection is also undertaken under kushtha (skin disease) treatment.
Essence (Decoction or Extract)
Extract of yashtimadhu, madhuk flower, rasna (juice), rakta (blood) chandana and shweta (white) chandana, nirgundi and pippali. Extract of nimba twak (guduchi, haridra or dhamasa) treats sheetaa-pitta. Black pepper (kali mirch) taken along with jaggery (gud) taken two times in a week treats udarda.
Churan (Powder) of black pepper, shunthi, maricha and pippali taken along with milk cures sheetaa-pitta. Nimba patra powder (churan) treats kotha, sheetaa-pitta and rakta-pitta.
Extract or juice of tulsi leaves is also very useful, durva and haridra on restricted application reduces burning sensation and itching.
Churan or powder of shweta sarshapa, haridra, til and chakramarda mixed with katu oil (taila) and is also used for ubatan treats sheetaa-pitta.
There are some of the medicines or drugs that are most commonly used. They are Haridra khanda, Vardhaman pippali, Brihat haridra khanda and Kushthadi (Skin) Churan (powder). As yoga is the most natural form of medication to cure any kind of ailments and is the only prescribed medication without any side-effects. But, specific exercises have been identified to treat specific diseases. To cure sheeta-pitta, the yoga exercises that have been prescribed are Amrutadi yoga, Agnimantha yoga and Nimbapatra yoga.
The things that are required to be undertaken are rice of shalidhan, kullatha, mudga, karavellaka (karela), poi shak, vetagra, warm water, restricted application, vamana (medicine used to stimulate vomiting, purification, rakta mokshana (artificial blood- letting), anar(pomegranate), triphala powder (churan), sarshapa oil taila). All bitter, pungent and astringent products are advisable in this disease.
Following things must be avoided as a measure of precaution such as bathing, sun bath, food with heavy traits, milk (dugdha), and products made up of milk and sugar cane (Ikshu Vikar), fish and fatty food, sleep during day, exposure to wind, food that is contrary to the constitution of an individual’s body must not be undertaken and sugary, vinegary and salty diet must be avoided.