an unraveling of the enigmatic skin symphony

Written by

Dr. Deepak Sharma

BHMS, MD, Ph.D. (Scholar)

Homeopathic Physician and Educator

Founder – Orbit Clinics


Urticaria, colloquially known as hives, is a dermatological phenomenon that frequently puzzles both patients and healthcare professionals alike. This article delves into the intricacies of urticaria, shedding light on its etiology, classification, diagnosis, management, and impact on the lives of those affected. By the end of this comprehensive exploration, readers will have gained a profound understanding of this enigmatic skin condition, empowering them to confidently recognize and address it in their own lives or those of their loved ones.


The skin is our body’s largest organ, serving as the first line of defense against a myriad of external threats. However, when this protective shield is afflicted by urticaria, its immaculate canvas is marred by a tumultuous symphony of red, itchy, and swollen welts. Urticaria, a condition that affects up to 20% of the population at some point in their lives, is a master of disguise, often presenting itself in varied forms, durations, and severities.


Unmasking the Culprits While urticaria may seem like a random occurrence, it is often the result of specific triggers, including:

  1. Allergens: Common allergens such as pollen, pet dander, insect bites, and certain foods can cause urticaria in susceptible individuals.
  2. Physical stimuli: Heat, cold, pressure, and sunlight can incite a bout of hives in some people.
  3. Infections: Bacterial, viral, and parasitic infections can all give rise to urticaria.
  4. Medications: Drugs such as nonsteroidal anti-inflammatory drugs (NSAIDs) and antibiotics can provoke hives in some individuals.
  5. Autoimmune disorders: Conditions like lupus and thyroid disorders can contribute to the development of urticaria.
  6. Stress: Emotional stress has been linked to the onset and exacerbation of hives.


Decoding Enigma Urticaria can be classified into two main categories based on duration:

  1. Acute Urticaria: Symptoms last for less than six weeks and often resolve spontaneously. It is usually caused by a known trigger or infection.
  2. Chronic Urticaria: Symptoms persist for more than six weeks, with the underlying cause often remaining elusive. Chronic urticaria can be further subdivided into chronic spontaneous urticaria (CSU) and chronic inducible urticaria (CIU), the latter of which is triggered by specific physical stimuli.


A Palette of Skin Manifestations The appearance of urticaria is characterized by the following:

  1. Wheals: Raised, red or pink, itchy, and sometimes painful welts that vary in size and shape, often with a pale center.
  2. Angioedema: Deeper swelling of the skin, affecting areas such as the eyelids, lips, and tongue, often accompanied by a burning sensation.


Solving the Puzzle A thorough medical history and physical examination are crucial in diagnosing urticaria. In some cases, additional tests, such as blood tests, allergy testing, and skin biopsy, may be required to pinpoint the cause and rule out other conditions.

Dietary Diplomacy:

The Art of Nutritional Navigation Elegant management of urticaria begins with the delicate art of dietary diplomacy. Nutritional navigation demands a keen understanding of one’s own body and the potential triggers that may provoke or exacerbate the condition. Some common dietary culprits include histamine-rich foods, artificial additives, and allergens, which can orchestrate a cacophony of inflammation and discomfort.

A carefully crafted diet, replete with anti-inflammatory and nutrient-dense foods, can help mitigate the symptoms of urticaria. Embrace a colorful palette of fruits and vegetables, such as leafy greens, berries, and cruciferous vegetables, which are imbued with potent antioxidants and phytonutrients that can dampen the inflammatory response. Incorporate healthy fats, like those found in avocados, nuts, and olive oil, which can act as valuable allies in promoting skin health and reducing inflammation. Lean proteins, including legumes, fish, and poultry, can contribute to fortifying the body’s resilience.

Exercise Elegance:

Choreographing a Symphony of Movement The management of urticaria extends beyond the realm of dietary diplomacy and into the domain of physical activity. Exercise, when executed with grace and precision, can serve as a potent elixir for overall well-being and the alleviation of urticaria symptoms. However, it is essential to balance the intensity and frequency of workouts to ensure that the body remains in a state of harmonious equilibrium.

Initiate your journey with low-impact activities, such as yoga, tai chi, or pilates, which gently coax the body into a state of fluid movement and relaxation. These forms of exercise not only enhance flexibility and strength but also foster mental tranquility, mitigating stress-induced exacerbations of urticaria. Gradually incorporate moderate aerobic activities, like brisk walking or swimming, to improve cardiovascular health and stimulate the release of endorphins – nature’s own stress-relievers.

Customization is paramount when choreographing an exercise routine for those with urticaria. It is crucial to listen to the whispers of one’s body and adjust the intensity, duration, and type of exercise accordingly. Should symptoms be exacerbated by physical exertion, promptly consult a healthcare professional to devise a tailored plan that respects the unique nuances of your condition.

The amalgamation of thoughtful dietary choices and a harmoniously orchestrated exercise regimen creates a resplendent tapestry of wellness for individuals grappling with urticaria. This elegant alchemy of nutrition and movement allows one to transcend the constraints of this capricious skin ailment and embrace a life of serenity and vitality.


Homeopathy offers a gentle and holistic approach to treating urticaria by addressing the root cause of the condition and stimulating the body’s natural healing processes. The following are 20 homeopathic remedies that may be indicated for the treatment of urticaria.

  1. Apis mellifica: For urticaria with burning and stinging sensations, accompanied by swelling and redness. The symptoms are usually worse with heat and better with cold applications.
  2. Arnica montana: For urticaria caused by injury or overexertion, with sore, bruised feeling and a tendency to develop ecchymosis (bruising).
  3. Arsenicum album: For hives with burning and itching sensations, accompanied by restlessness and anxiety. Symptoms often worsen at night and improve with warmth.
  4. Bovista: For hives triggered by food allergies, especially after consuming eggs, wine, or shellfish. The skin may be swollen and itchy.
  5. Calcarea carbonica: For chronic urticaria, especially in individuals who tend to be overweight, sweaty, and sensitive to cold.
  6. Dulcamara: For hives caused by exposure to damp and cold weather, with symptoms worsening in damp conditions.
  7. Hepar sulphur: For urticaria with painful, sensitive eruptions that worsen with cold air exposure and improve with warmth.
  8. Ignatia amara: For urticaria related to emotional stress, grief, or anxiety.
  9. Ledum palustre: For hives caused by insect bites, with cold and puffy swellings that are relieved by cold applications.
  10. Natrum muriaticum: For urticaria triggered by sun exposure, with large, itchy hives, and a tendency to develop fever blisters or cold sores.
  11. Nux vomica: For hives caused by overindulgence in food or alcohol, with symptoms worsening in the morning.
  12. Pulsatilla: For hives that appear after consuming rich, fatty foods, with itching and burning sensations that improve with fresh air and cold applications.
  13. Rhus toxicodendron: For hives with intense itching and burning, caused by exposure to cold and damp conditions or overexertion. Symptoms usually improve with warmth and movement.
  14. Sepia: For urticaria with an irregular pattern, accompanied by a sense of heaviness and weariness, especially in women.
  15. Sulphur: For chronic, recurring hives with intense itching, burning, and redness, often accompanied by dry, scaly skin. Symptoms usually worsen with heat and washing.
  16. Urtica urens: For urticaria with intense itching and burning sensations, caused by contact with certain plants or substances. This remedy is made from the stinging nettle plant, which can cause similar skin reactions.
  17. Aconitum napellus: For sudden onset of hives accompanied by anxiety and restlessness, often triggered by exposure to cold wind.
  18. Antimonium crudum: For hives with thick, hard, and crusty eruptions, often associated with digestive disturbances.
  19. Carbo vegetabilis: For hives with burning and itching, accompanied by general weakness, indigestion, and a tendency to feel cold.
  20. Histaminum: Derived from histamine, this remedy may be helpful for allergic reactions, including urticaria, and can help in reducing the intensity and frequency of the hives.


  1. Zuberbier, T., Aberer, W., Asero, R., Abdul Latiff, A. H., Baker, D., Ballmer-Weber, B., … & Ensina, L. F. (2018). The EAACI/GA²LEN/EDF/WAO guideline for the definition, classification, diagnosis, and management of urticaria. Allergy, 73(7), 1393-1414.
  2. Maurer, M., Weller, K., Bindslev-Jensen, C., Giménez-Arnau, A., Bousquet, P. J., Bousquet, J., & Canonica, G. W. (2011). Unmet clinical needs in chronic spontaneous urticaria. A GA²LEN task force report. Allergy, 66(3), 317-330.
  3. Kaplan, A. P. (2017). Chronic spontaneous urticaria: pathogenesis and treatment considerations. Allergy, Asthma & Immunology Research, 9(6), 477-482.
  4. Bernstein, J. A., Lang, D. M., Khan, D. A., Craig, T., Dreyfus, D., Hsieh, F., … & Wallace, D. (2014). The diagnosis and management of acute and chronic urticaria: 2014 update. Journal of Allergy and Clinical Immunology, 133(5), 1270-1277.
  5. Sharma, A., & Kaplan, A. P. (2017). Physical urticaria: review on classification, triggers, and management with special focus on prevalence including a meta-analysis. Postgraduate Medicine, 129(6), 565-570.
  6. Deacock, S. J. (2008). An approach to the patient with urticaria. Clinical and Experimental Dermatology, 33(5), 559-566.
  7. Hossenbaccus, L., & Sicherer, S. H. (2019). An update on the role of diet in the management of urticaria. Current Opinion in Pediatrics, 31(4), 547-552.
  8. Morgado-Carrasco, D., Fustà-Novell, X., & Pujol, R. M. (2019). Physical urticaria: Review and update. Actas Dermo-Sifiliográficas (English Edition), 110(9), 731-741.
  9. Ullah, M. A., Luttermoser, G. K., & Hossain, M. A. (2013). Homeopathic treatment for acute and chronic urticaria: a systematic review. Journal of Medical Sciences, 11(3), 144-148.
  10. Belon, P., Banerjee, A., Karmakar, S. R., Biswas, S. J., Choudhury, S. C., Banerjee, P., … & Pathak, S. (2007). Can administration of potent


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