Amlapitta: Acidity, Heartburn, Gastritis

Introduction
The three doshas present in the humansm, namely, vata, pitta and kapha
are situated in the grahani (duodenum) that is the seat of digestive
fire or agni. Fasting, eating during indigestion derange the pachaka
pitta and agni pachak pitta vitiates with its drava, tiksna, ushna
property. This process is known as "amla pitta " and the
symptoms in amla pitta resemble with the symptoms in hyperacidity and
gastritis. Amla pitta is classified in two broad categories, namely:
Hetu (Causative factors)
- Consumption of food incompatible combination (viruddha anna)
- Contaminated food (Dushta anna)
- Sour (Amla) food
- Spicy food such as pickles, papad etc that cause burning
sensation inside vidahi
- Similar food and drinks that cause increase in pitta
Symptoms of Urdhvaga (upward) Amla
pitta
- Vomiting of green, yellow, blue, black, slightly red or of bright
red color having sour material that resemble mutton wash, sticky,
thin, followed by kapha.
- Vomiting occurring during digestion of food or due to empty
stomach with bitter or sour taste occasionally.
- Belching of similar nature.
- Burning sensation in the throat, chest and upper abdomen.
- Headache.
- Burning sensation in the palms and soles.
- Feeling of great heat.
- Loss of appetite.
- Fever of kapha pittaja type.
- Appearance of rasnas.
- Circular itching studded with numerous small vesicles on the
skin.
Symptoms of Adhoga (downward) Amlapitta
- Thirst
- Burning sensation
- Fainting
- Giddiness
- Delusion
- Downward movement of different kinds of diarrhea
- Occasional oppression in the chest
- Rashes on the skin
- Poor digestion
- Perspiration
- Yellowish skin
Symptoms of Amla pitta caused
by Vata, Pitta & Kapha
Following are the symptoms of amla pitta caused by vata:
- Tremors
- Delirium
- Fainting
- Feeling of pins and needles
- Weakness of body parts
- Pain and darkness before the eyes
- Giddiness
- Delusion
Following are the symptoms of amla pitta caused by pitta:
- Expectoration of thick phlegm
- Feeling of heaviness
- Lassitude
- Loss of appetite
- Coldness
- Weakness
- Vomiting
- Coating on the tongue
- Burning sensation
- Loss of strength
- Itching of the skin
- More sleep
Following are the symptoms of amla pitta caused by kapha and
pitta both:
- Eructation having bitter
- Sour and pungent tastes
- Burning sensation in the chest upper abdomen and throat
- Giddiness
- Fainting
- Loss of appetite
- Vomiting lassitude
- HeadacheSalivation
- Sweet taste in the mouth
Treatment
Medication recommended for Amlapitta (upward evacuation):
- Emesis with mild emetic drugs and downward evacuation with
laxatives.
- After evacuation, purification of the body the patient should
take snehapana (oleation therapy) and shaman chikitsa ahara
(pacificatory management) should be administered.
- Anuvasana basti (or enema prepared with unctuous substances and
medicament).
- Samshodhan Chikitsa in which all the three doshas are vitiated in
amla pitta samshodhan (evacuation).
Medication recommended for urdhvaga amlapitta (upward
amlapitta):
- Vamana or emesis · adhog amlapitta (downward amlapitta)
virechana (or evacuation by purgatives and laxatives).
- For patients with dominance of kapha dosha, decoction of parval
leaves, neem-leaves madanphala, honey and saindhav should be given
for emesis or nishottar powder added with kwath should be given to a
patient as a purgative.
- Edibles made of yava (barley) and godhuma (wheat) should be given
to patients without salt, red chilli powder or sour and pungent in
taste.
- Sugar and honey with Laja sattu should be regularly taken in
diet.
Decoctions
- Decoction made up of shringver (ginger) and patol.
- Patol, nagar, dhanyak, kwath
- Decoction made up of patol, snagar, amrita and kutaka should be
given pitta-kapha dominant amlapitta
- Yava (barley), krishna and parval boiled with water should be
taken added with honey should be taken in amlapitta.
- Dashanga Kwath
- Decoction of Amrita, Khadira, Yashtimadhu, Daruharidra should be
taken added with honey
- Patoladi Kwath
- Guduchyadi Kwath
- Kantakaryadi Kwath
- Bhunimbadi Kwath
Commonly used drugs
- Choorna
- Panchanimbadi
- Choorna Avipattikar
- Choorna Trikautkadya Choorna
- Madhu pippali yoga
- Pippali choorna with honey should be given in the morning.
- Eladi Choorna.
- Rasakalpa
- Amlapittatank
- Rasa Leelavilas Rasa
- Panchanan Gutika
- Sita mandur
- Sootshekhar Rasa
- Suvarna sootshekhar rasa
- Ghrita
- Yashtimadhu grhita
- Jitakadya grhita
- Shatavari grhita
- Shatavari grhita
- Avaleha
- Khanda Kushmanda avaleha
- Saubhagya shunthi paleh
- Sundhi khama
- Pippali Khanda
- Haridra khanda yoga
- Brihad haridra khama
- Khanda pippali avaleha
Pathya-apathya (dos and
don'ts)
- Pathya
- Old rice (shali), yava, godhum, mudga, jangal, mamsarasa,
bilwa, kapitha, parval, bitter gourd (kararela), vastukam dhatri
(amalaki), dadima (pomegranate), mustha and all edibles bitter
in taste are recommended in amla pitta.
- Apathya
- Til (sesame) mash (black gram), kultha taila Avidugdha (milk
of goats), Dhanyamla (vinegar), salty, pungent and spicy food,
food item those are heavy (guru) for digestion (digest with
difficulty), dadhi (curds) and alcohol immediately.
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