• Introduction
• Hetu (Causative factors)
• Treatment
• Commonly used drugs
• Pathya-apathya (dos and don'ts)

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:

• Adhoga Amplapitta (downward)
• Urdhwaga Amplapitta (upward)
• Amlapitta caused by Vata, Pitta & Kapha

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.