Abhyantara kshara prayoga in urdhvaga amlapitta

Abstract

Amlapitta or Acid peptic disease is a common crisis in this present era which impinges on more than 40 % ofthe population. It can be considered as Prajnaparadha janya vyadhi, as it occurs because of undisciplined and imbalanced food habits, where the concept of Hitabhuk, Mitabhuk and Rhutabhuk is totally ignored. Similarly, withimmense degree, hectic routine and psychological stress is also responsible for this condition. In this condition, Vidagdhata of Pitta with dominancy of Amla bhava is seen. Amlapitta presents with the cardinal features like Avipaka, Klama, Utklesha, Tikta-Amla Udgara, Gaurava, Hrit-Kanta Daha and Aruchi. Depending upon Doshotklesha Gati, Amlapitta is of two types viz Urdhvaga Amlapitta and Adhoga Amlapitta. The line of treatment for this condition includes Shodhana and Shamana. A clinical study was conducted with Sadyo Vamana followed by the internal administration of Yavakshara. Sadyo Vamana helps to evacuate the Utklista Dosha from Amashaya. Kshara converts the Amlabhava in to Madhura bhava, as it contains Amlavarjita pancharasa with dominancy of Katu or Lavana rasa. Thiscombined approach gives significant result (P < 0.001) in relieving the symptoms of Amlapitta.