Kustha Roga (skin disorders) is a significant disease category in Ayurveda, involving deep-seated imbalance of the Tridoṣas—Vata, Pitta, and Kapha. Among the various types, Pittaja Kuṣṭha is distinguished by the predominant involvement of Pitta Doṣa, characterized by features such as burning sensation (Daha), reddish-yellow discoloration (Pita-Harita-Nila Varṇa), suppuration (Paka), and oozing (Srava). This article explores the classical Ayurvedic understanding of the doṣika involvement in Pittaja Kustha, focusing on its Nidana (etiological factors), Samprapti (pathogenesis), Lakṣaṇa (clinical features), and Chikitsa (management). A critical examination of the role of Pitta Doṣa, its associated Duṣyas (affected tissues), and its influence on skin pathology offers valuable insights into diagnosis and treatment. The article aims to highlight the holistic and individualized approach of Ayurveda in managing Pittaja Kuṣṭha through both Sodhana (purificatory) and Samana (palliative) therapies, and to explore its relevance in the context of modern inflammatory skin disorders.