Abstract

NIDANPANCHAK AND CHIKITSA OF AMLAPITTA VYADHI – A CRITICAL REVIEW

Dr. Wagh Kiran Gavajirao, Dr. Ghanawat Prasad Navanath, Dr. Dukale Sachin Ramesh, Dr. Nibe Pallavi Lahanu, Dr. Suse Sandip Bhausaheb*

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Abstract

Amlapitta is a disease of Annavaha strotasa. Due to variuos hetu sevana like Viruddha, Dushta Aahara, Vihara like Ratri-jagrana & Manasika hetu like Chinta, Bhaya, Krodha Pitta-dosha of body get vitiated with increase in Amla & Drava guna. Again & again hetusevana causes Aamasanchiti & dushti of Annavaha strotasa. Vitiated Pitta dosha, Aama & annavaha dushti leads to disease called as ‘Amlapitta’. As Amlapitta is Drava, Amla Pittajanya, Aamashayagata, Aamajanya vyadhi; treatment described for it, is shodhana as Vamana, Virechana etc & then Shamana Chikitsa. The treatment should be given to alleviate Drava, Amla guna of Pitta & to alleviate Samata. In present era, Acid Peptic Disease is considered as a lifestyle disorder more in urban area & also more in working age group. It is not a single disease, but several different conditions that all cause inflammation of stomach lining. These all leads to Gastritis, Gastro Esophageal Reflux Disease, Peptic Ulcer Disease and Non-ulcerative Dyspepsia. Although modern medicine like Proton pump Inhibitors, H2 blockers are available, they are costly and cannot be taken for long-time due to their side effects. For all these, Ayurveda is the ray of hope with curing & prophylactic action of herbal drugs. Ayurveda describes various drugs & preparations for the treatment of Amlapitta. Ayurvedic drugs are comparatively safe without unwanted reaction, easily available. There are scattered references of Amlapitta in various samhitas, so there is a need to gather all literature at one place. In this article we have objective to review the literature of etiopathology and management, detailed review of chikitsa sutra of Amlapitta explained in various Ayurveda samhitas. Because of the increasing prevalence of Amlapitta, this article will be very useful for Ayurveda Practitioners and also for researchers.

Keywords: Ama, Amlapitta, Urdhvaga Amlapitta, Acid-peptic disorders etc.