www.aamj.in ANVESHANA Review Article AYURVEDA MEDICAL JOURNAL ISSN: 2395-4159 A REVIEW ON AYURVEDIC MEDICINES FOR AMLAPITTA (HYPERACIDITY) Saroch Vikas1, Singh Jajbir2 1 Asst. Prof. of Rasashastra & Bhaishajya Kalpana, 2PG Scholar of Kayachikitsa, PG School of Ayurveda & Research, Desh Bhagat University, Mandi Gobindgarh, Punjab, India Corresponding Author: [email protected] ABSTRACT Amlapitta is a very common disease in present era. It is very troublesome disease and can give rise to many serious problems if not treated in time. Signs and symptoms of Amlapitta are very similar to gastritis or hyperacidity. According to conventional medical science the most common causes of gastritis are H. pylori infections and prolonged use of Non-Steroidal Anti Inflammatory Drugs (NSAIDS). The incidence of gastritis in India is approximately 3 in 869 that is about 12,25,614 people suffering from gastritis out of the total 1,06,50,70,607 population. Hence there is a need to understand the concepts and first line treatments. Key words: Ayurveda, Amlapitta, Hyperacidity INTRODUCTION Vitiation of agni in Amashaya (stomach) region due to various reasons causes Amlapitta. Some of the common pitta vitiating factors are fasting, eating between meals, worry, hurry, spicy foods etc. These factors derange the pachaka pitta (digestive enzymes etc.) and as a result pachaka pitta vitiates. Thus developed condition is called Amlapitta. Hydrochloric acid (HCl) when not utilized well, or when produced in large quantity in the stomach region causes inflammation of stomach (gastric = related to stomach), that is called gastritis. This can derange the digestive procedures. The increased or normal level of HCl can destroy the soft tissue (epithelium) lining of esophagus, stomach, duodenum etc. If not managed on time this can give rise to ulceration (breech in tissue). Usually the esophageal sphincter muscle contracts thus preventing the stomach acid from shooting up into the esophagus, but if this muscle are not functioning properly, the acid can slip past it and this is when heartburn symptoms start, which is called Gastroesophageal reflux. REVIEW Table 1: Classification of Amlapitta Type Direction Symptoms Thirst, Burning Adhoga Downward sensation, fainting, Amlapitta rashes on skin etc Vomiting, Headache, Urdhwaga Upward Burning sensation, Loss Amlapitta of appetite Tremors, Delirium, Vata fainting, darkness predominant before eyes Salivation, sweet Kapha predominant sensation in mouth Weakness, Coldness, Pitta predominant Vomiting Vikas Saroch & Jajbir Singh: A Review on Ayurvedic Medicines for Amlapitta Ayurvedic Treatment for Amlapitta The main key for treating Amlapitta is to improve digestion. As the saying goes “Prevention is better than cure” it is better to avoid all the causative factors of Amlapitta. One should follow the meal times. Avoid eating spicy foods, or foods containing excess amount of garlic, salt, oil, chillies, etc. very often. Include liquids like lemon juice, kokam juice, sweetlime juice, pomogranate juice, amla juice. Shatavari kalpa mixed with water. Medicated water with ushir (wala) or coriander seeds, or laja (puffed rice). Shadangodak (water medicated with musta, parpatak, ushir, chandan, udichya & shunti). Moramla (jam of amla), gulkand (jam of rose petals) can be taken singly or along with milk gives good relief, dadimpak (sweet syrup of pomogranate juice). Vegetables like white pumpkin, bitter gourd, okra, all leafy vegetables can be eaten except methi which should be definitely avoided. Fruits like black grapes, sweet lime, pomogranate, fig, dry fig, black resins. Table 2: Ayurvedic Medicines Prescribed for Amlapitta Marketed Formulation Description Dhootapapeshwar Amlapitta Mishran Suspension Bhunimbadi Kadha Patoladi Kashayam A proven remedy for Amlapitta with prompt relief being an excellent Pittashamak. Effective in Agnimandya and Aruchi by regularizing Pitta secretion & enhancing action of Agni. It reduces nausea, heart burn & epigastria pain. It strengthens Annavaha Srotas by reestablishing metabolic activity Bhunimbadi Kadha is a very famous Ayurvedic medicine in liquid form for fever. This medicine is used more in northern part of India, as compared to South India. Patoladi Kashayam is an Ayurvedic medicine in liquid form. It is an herbal water decoction. It is mainly used for the treatment of skin diseases. This medicine is formulated based on Kerala Ayurveda principles Indications Dose Amlapitta, Hrullasa, Chhardi, Shirahshoola, Udarshoola 1 to 2 tsf. 2-3 times a day preferably before food Balances Pitta Skin diseases 12 – 24 ml, before food, at about 6 am and 6pm or as directed by Vaidya 10 – 20 ml, before food or on empty stomach, once or twice a day, or as directed by Vaidya Maha Dhanwantharam Gulika Ayurvedic medicine used to safeguard pregnancy during pregnancy care. This medicine is formulated based on Kerala Ayurveda practice Anti-inflammatory Ayurvedic medicine, used to relieve arthritis pain 1 – 2 tablets 2 – 3 times a day or as directed by Vaidya Hingwastak Churna Hingwastak Churna mainly contains very safe and easily available herbal spices Balances Vata and Pitta and increases Pitta 1–3g DISCUSSION It is clear that Amlapitta is mainly due to aggravation of pitta. Factors responsible for aggravation of this pitta dosha are excessive intake of pungent and sour food items, alcoholic preparations, salt, hot and sharp stuff which cause burning sensations. Anger, fear, excessive exposure to sun and fire, intake of dry vegetables and alkalis, irregularity in taking food, etc. should be avoided as far as possible. As a rule, all persons with acidity can take a milk diet excellently, although some, at first have trouble in absorbing milk. This is because the large amount of acid in the stomach forms hard AAMJ / Vol. 1 / Issue 2 / Mar – Apr 2015 curds combined with the proteins of the milk. Often these are vomited. Yet milk is excellent in the condition, especially when preceded by a fast, adjusted to your general condition. The milk diet should be adhered to several weeks if possible. Along with this, drink warm water freely. Ayurveda insists on this because, according to it, "hot destroys hot" (ushnam ushnena hanti). Moreover, it has been found by physiological experiments that cold water increases the amount of acid secreted in the stomach. When the stomach seems to be in better condition, the milk may be taken with an evening meal consisting of easily digesti41 Vikas Saroch & Jajbir Singh: A Review on Ayurvedic Medicines for Amlapitta ble and non-irritating foods. For a time, it is better to use foods requiring only moderate mastication, since mastication naturally increases the flow of gastric juice with its acid. Yet insufficient mastication of the food chosen will aggravate by causing gastric irritation. So, mastication should always be moderate in this particular condition. It is important not to overeat, but to take small meals, three times a day. Avoid artificial stimulants, all of which raise pitta. Alcohol, in any form, is like throwing fuel on the pitta fire. The drawback of the caffeine in coffee and tea is that it increases acid production in stomach if consumed excessively. CONCLUSION One has to follow code of dietetics for better health. Appropriate quantity and quality of food consumed helps to prevent and control hyperacidity. One should also take food considering one’s own capacity of digestion. With the complaints of Amlapitta, following the dietary do’s and don’ts helps to produce soothing effect on the inner layer of the stomach, reverses inflammatory changes and controls the digestive secretions by which hyperacidity can be tackled. REFERENCES 1. Antia FP, Philip Abraham. Clinical Dietetics and Nutrition. 4th ed. New Delhi; Oxford university press: 2002, p. 237-8 2. Mohan harsha. Textbook of Pathology. 4 th ed. Newdelhi; Jithendra P, Jaypee Brother medical publisher (P) Ltd: 2000, p. 523. 3. Sharma PV. Dravya Guna Vignana (vegetable drug).14th ed, Varanasi; Chaukhambha Bharathi academic: 1993, p. 654. 4. Sharma PV, Sharma GP. Kaiyya Deva Nighantu (Patya Apatya Vibodaka). Varanasi; Chaukhamba orientalia, 2009; p. 47. 5. Aman, kline M Arthur.. 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