Urticaria

It is a skin disease

First class remedies

			Concomittents	Modalities/ Triggered
Top Remedy	Apis	Red inflamed wheals with marked burning, stinging sensation. The wheals may be painful and tender to touch. . Swelling of the face, eyelids, and lips may also appear. Urticaria from insect bite	Accompanied by Fever (Apis ₳ Urt-u), Sweating (Apis ₳ Rhus-t), Chills (Apis ₳ Nat-m), Diarrhea (Bov, Puls) and Vomiting (Cina) He is not thirsty	Itching agg during night Usually appear from heat / Warm weather Eating fish (Ars, Lyc), Oysters (Camph , Lyc , Ox-ac , Ter , Urt-u), Strawberries (Bry, Ox-ac, Urt-u) Insect bites Antibiotics: (Ars, Nit-ac)
Same Season Every Year	Urt-u	Wheals are red with itching and burning He constantly rubs skin to seek relief. Stinging also appears in welts. Swelling of the face may appear along with the above symptoms in some cases.	Accompanied or Alternating with Rheumatism (Rhus-t ₳ Urt-u) Complications of Suppressed urticaria (Apis , Ars) esp Vomiting Accompanied by Fever / Chill /Frequent urination	Eating Shellfish /Oysters , Strawberries, Vegetables Bathing agg (Bov, Lach, Phos) Ascaris / Oxyures (Rhus-t) / Pin worms
Exercise Induced Type	Nat-m	Heat / Cholinergic Type Wheals over whole the body + Excessive itching. The wheals appear like large red blotches. Burning and smarting sensation Stinging sensation		Heat and too much exercise
	Con	Itching agg upon scratching.		Violent bodily exercise
Water Induced Type	Rhus-t	Here the patient gets wheals from skin contact with water. Itching. After one scratches, burning sensation appears. Stitching pain also accompanies.	Accompanied by Rapid pulse, Fever + Chill (Nat-m ₳ Rhus-t), Sweating, Palpitations + Diarrhea + rheumatic weakness (Bov, Dulc)	Water induced Hives. Contact urticaria (Dulc ₳ Rhus-t) Cement (Calc, Petr, Sil) Cold taking from (Ars, Calc, Calc-p, DULC, Rumx, Sep) Cold weather (Caust, Kali-br, Nat-s, Nit-ac, Rumx, Sep) Scratching Oxyures
Cold Induced Type	Dulc	Hives from exposure to the cold air. Wheals on the whole body. Excessive itching. Needle like pricking sensation	Urticaria with Rheumatic lameness, palpitation and diarrhea Catarrh (All-c) With or without fever Rheumatic weakness, palpitation and diarrhea (Bov, Rhus-t)	Cold agg Scratching agg
Dermatographic Type	Chlor	Hives appear if the skin is scratched.   Intense irritation, itching, and stinging feeling.   Large red + Swelling of the face and the eyelid. Itching compels him to scratch until it bleeds.		Hives due to alcohol intake. Appear at night and amel in day
With Liver Complaint	Astac	Over the entire body. They result in itching and stinging pain. Chronic cases
The Whole Body	Sul	Itching, and intense burning sensation Stitching-like prickling sensation on the skin Formication sensation as if an insect is crawling		Itching amel by scratching
Marked Burning Sensation	Ars	Intolerable itching After scratching, pain is felt on the skin. May be small or large in size. Marked restlessness
On Waking In Morning	Bov	Entire body Quite big in size. Gets no relief even on scratching. Bathing triggers such complaints.		Agg on slight warmth in the body Bathing agg
In Children	Cop	Hives among children. Red wheals are and spread all over body Aggressive itching Skin is usually dry with heated sensation.
Rubbing amel	Elat	Extreme itching spread over the entire body. Burning is also felt along with itching. There is smarting and stinging pain on the affected portion.		Rubbing amel
Itching Changes Location Upon Being Scratched	Ap-g	Burning / Stinging sensation Left side of the body is mostly affected
Intense Itching	Antip	Scratch the skin harshly and tear it with nails due to extreme itching. Welts appear and disappear suddenly.
Chronic Cases	Calc	Severe itching, and burning Skin of the body is rough, and dry.		Relief in the cold air
Excessive Itching In Evening	Kreos	Burning sensation is felt after scratching the skin, esp on the arms and legs. Heated sensation in the entire body.
Agg In Winters	Kali-br	Wheals appear as smooth, red, elevated patches on the skin. Itching appears, esp at night in the bed.		Itching agg in high temperature.
Agg In Summers	Puls	Red hives with itching, and burning or pricking.	Asthma caused by hives Chronic urticaria in children Hives + Diarrhea (Apis , Bov) Nodular	Evenings agg
Chronic Recurring Hives	Hep	Violent itching and stinging sensation. Mostly the wheals form on hands and fingers were it is required.		Warmth amel
Itching agg On Undressing	Rumx	Stinging, and pricking sensation is there.		Agg in the open air
Marked Angiodema	Anac	Excessive redness of skin with wheals. Wheals may ooze a yellow liquid. The eruptions itch, and burn. The itching is unbearable Swelling of the face		Agg from scratching Agg in the evening.

13. Elaterium – When

Banerji protocols
First line	Bov C200 one dose every three days for two months Ant-c C6 one dose for every attack In acute case Ant-c C6, one dose every hour Apis C6 + Urtu-u 0 one dose every three hours alternately in case of Drug hypersensivity angioedema.
Second line	NM 6X one dose every three hours during attacks, then repeat it one dose daily for a month In very acute cases NM 6X + Apis C6 one dose every 2 hours alternately

Apis

Modalities

• Weather changes
• Amel in cool air, cool water (Dulc)
• Agg with hot Drink / Air (Chlol)
• Agg with physical activity, esp intense exercise (Calc , Hep, Nat-m , Psor, Sanic, Urt-u)

• Night agg

• Chronic hive esp in children (Urt-u)
• Only in uncovered parts

Quality

• Livid urticaria (Active and moving)
• Nodular urticaria (Calc, Caust, Dulc, Lach, Mez, Rhus-t)
• Hives with edema, swelling of lesions (Urt-u)
• Very intense itching, burning
• Lesions may be red or pale
• Spotty hives on the hands
• Hives in different areas of the body, such as arms, back, face, hands, back of hands, limbs, legs

Complications

• Asthma caused by hives (Puls)
• Asthma alternating with urticaria (Ars , Calad, Graph)
• Complication of urticaria suppression (Ars, Urt-u)

Rhus-t

• Burning / Itchy hives, which amel with heat
• Hives in different parts of the body esp the lower parts

• Hives of a special season (Urt-u) esp in Spring
• Pink nodular hives

Urt-u

Quality

• Periodic
  • Every year
  • Every season (Rhus-t)

• Swelling (Apis)/ Nodular
• Children's urticaria, esp chronic urticaria

Modalities

• Exercise, esp intense exercise and heat

• Amel with lying down

Puls

Modalities

• Night agg
• Exercise agg

Etiology

• Pork (fat), fruits
• Gastric derangement (Ant-c ,Ars, Carb-v, Dulc ,Kali-s , Nux-v)

• During menstruation (Bell, Cimic, Dulc, Kali-c, Mag-c, Sec, Ust)

• Delayed menses
• Caused by scratching (Dulc, Lach, Mez)

• Caused by undressing

Dulc

Etiology

• Cold taking from
• Skin exposure (Rhus-t)
• Upset stomach (Puls)
• Scratching

Modality:

• Cold weather agg (Rhus-t)

• Cold weather amel (Calc)

• Cold water amel
• Menses during agg
• Before menses agg

• Exercise / Warm agg (Nat-m)

Quality

• Chronic urticaria

• Nodular

Second class remedies

• Ars
• Rad-br
• Astacus
• Nat-m

Intercurrent remedy

Sul

Miasms

HBV

Tissue Salt Remedies

• NM
• KM