URTICARIA — A HOMOEOPATHIC PERSPECTIVE

Abstract

Urticaria, commonly referred to as hives, is a frequently encountered dermatological disorder characterized by the sudden onset of transient wheals accompanied by intense itching, erythema, and localized swelling of the skin. These eruptions may vary in size and distribution, often appearing and disappearing within hours, yet recurring unpredictably. While many cases are acute and self-limiting, chronic or recurrent urticaria poses a therapeutic challenge and can markedly affect a patient’s physical comfort, sleep quality, emotional stability, and overall quality of life.

The underlying mechanism involves mast cell degranulation and the release of mediators such as histamine, leading to increased vascular permeability and dermal edema. A wide range of precipitating factors—including infections, dietary triggers, drugs, climatic variations, stress, and autoimmune processes—may contribute to the onset or persistence of symptoms. Proper evaluation requires careful clinical assessment and differentiation from other dermatological and allergic conditions.

Homoeopathy approaches urticaria through an individualized framework that considers the totality of symptoms, constitutional tendencies, and miasmatic background. Instead of merely suppressing cutaneous manifestations, it seeks to address the deeper susceptibility that predisposes the individual to recurrent episodes. Remedy selection is guided by characteristic modalities, concomitant symptoms, mental and emotional traits, and causative factors. This article explores the clinical presentation, pathophysiological aspects, differential diagnosis, and homoeopathic management of urticaria, blending classical principles with practical case-based insights to provide a comprehensive understanding of the condition.