Introduction - Urticaria is a common dermatological disorder characterized by the sudden appearance of transient, pruritic wheals resulting from localized dermal edema. It affects approximately 15–25% of the population at least once during their lifetime and may present in acute or chronic forms depending on duration and recurrence. Case Summary -This case report describes the homoeopathic management of a 30-year-old male presenting with acute urticarial eruptions, following partial and temporary relief from conventional medication. Individualized homoeopathic treatment resulted in marked clinical improvement. Result- This case illustrates the clinical relevance of individualized homeopathic prescribing in a patient with acute urticaria. The therapeutic outcome was assessed using the Modified Naranjo Criteria for Homoeopathy (MONARCH), which yielded a score of +9, suggesting a probable causal relationship between the intervention and the observed improvement. Conclusion - This case demonstrates the effectiveness of individualized homoeopathic treatment using LM potency in urticaria, highlighting holistic case analysis and MONARCH-supported clinical improvement with sustained symptomatic relief.