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Changes in Life style with urbanization are very drastic. Polluted environment, junk food habits, work in shift duties, stress etc. are the main trigger factors for vitiation of tridosha and the manifestation of diseases in today’s era. There is lack of knowledge about dincharya and ritucharya in common people. Due to which People mainly gets affected their digestive system first, and then other symptoms come subsequently. Due to improper digestion there is substandard or poorer formation of all dhatu and rasa, rakt dhatu dushti is comparatively more. When their dushti occurs along with Vata dosha, then there is manifestation of disease like shitpitta. Cardinal symptoms of shitpitta are reddish patches, swelling on skin with moderate to severe itching at site. It is compared with urticaria (hives) in modern science and described as primary cutaneous disorder. An episode of it may start with itching. Episodes of urticaria may continue to relapse for days, weeks, months or year if not treated properly. Urticaria is counted as allergic reaction due to some food and have only symptomatic treatment and anti allergic drug. Commonly antihistaminic drugs were used for urticaria. In Ayurveda treatment of shitpitta includes shodhana and shamana chikitsa. A 54 years old female patient with cardinal symptoms of shitpitta was attended at OPD basis with tikta ksheera basti as shodhana and ayurvedic samshamana drugs. Follow up done for two months and she had no episode of rash. Results were found very encouraging.