Ahiputana is classified as Kshudra Roga and is a relatively common dermatological condition in children that shows significant similarity to napkin dermatitis (diaper dermatitis). This condition predominantly affects the Guda region (perianal area). The pathogenesis of Ahiputana is described as a Tridoshaja Vikara, involving the Dushti of Pitta, Kapha, and Rakta Doshas. It is commonly observed in neonates and infants, particularly among those with inadequate hygiene practices and prolonged exposure to moist, soiled diapers, along with other predisposing skin factors. Prolonged contact with faeces and urine leads to moisture accumulation and bacterial breakdown of urea into ammonia, which acts as an irritant and results in erythematous, burning, and blistering lesions in the perianal region. The prevalence of napkin dermatitis ranges from approximately 4% to 35% in infants aged 0 to 2 years. Ayurvedic literature emphasises the role of Stanyadushti (vitiated breast milk), suggesting a systemic maternal contribution to disease development. Accordingly, the treatment protocol includes Nidana Parivarjana, correction of Stanyadosha in the mother, and appropriate local therapies such as cleansing with herbal decoctions, application of medicated powders, and use of soothing topical preparations, selected according to the predominant Dosha involvement and stage of the disease.