AMLAPITTA (HYPERACIDITY) Hyperacidity is the condition, in which hydrochloric acid is secreted more than the normal amount in the stomach.
Causes of Amlapitta
| Faulty dietIrregular meals excessive spicy | Excessive only bakery products |
| salty and hot diet | Stress |
| use of starch |
Symptoms of Amlapitta
| Amlodgara (Sour belching) | Bhrama (Dizziness) |
| Hrillasa (Nausea) | Shirashula (Headache) |
| Chardi (vomiting) | Shrama (Fatigue) |
| Hrit-daha (Chest Burn) | Vibandha (Constipation) |
| Praseka (Water brash) | Aruchi (anorexia) |
| Ajirna (Indigestion) | Netra-kara-pada daha |
Differential Diagnosis of Amlapitta
Vidagdhajeerna-Amlapitta
| Features | Vidagdhajeerna | Amlapitta |
| Dosha | Pitta pradhana | Pitta and Kapha Pradhana |
| Nature | Acute | Acute and Chronic |
| Udgara | Sadhooma Amla | Tikta-Amla |
| Hritkantha daha | Maybe | Present |
| Utklesha | Maybe | Present |
| Adho Pravritti | No | Yes |
| Upashaya-Anupashaya (Shunthi Churna) | Upashaya | Anupashaya in Pittapradhana type Upashaya in Kapha Pradhana |
Type of Amlapitta
Amlapitta has 2 Type
- Pitta Pradhana Amlapitta
- Kapha Pradhana Amlapitta
| Features | Pitta Pradhana Amlapitta | Kapha Pradhana Amlapitta |
| Nidana | Pitta Prakopaka | Kapha Prakopaka |
| Daha | Tivra daha, Sarvanga Daha, Kara- Pada | Alpa Hrit-Kantha Daha |
| Vipaka Kala | Vidagdhata increases during Vipaka Kala | Long, patients may even not get hungry in the evening |
| Ruchi | The patient may even not get hungry in the evening | Mukhaliptata, Asyamadhurya |
| Kshudha | After Vipaka Kala Tivra | Very less |
| Associated Symptoms | Trit, Daha, Bhrama, Murchha, Sveda | Gaurava, Hrillasa, Chardi, Kaphanishthivana, Jadata, Kandu, Nidra, Alasya |
| Upashaya | By Madhura, Tikta and Sheeta Dravya e.g. Shatavari | By Ushna and Katu. Tikta Dravya, e.g. Shunthi |
Lab Investigations for Amlapitta
- H. Pylori
- Serum Amylase
- Endoscopy
Treatment Principles of Amlapitta
- Since the disease is amashaya samudbhava; Pitta and Kapha are the dominating Dosha, Vamana should be administered first.
- After Vamana, Shamana drugs should be used. At the same time Pachana drugs should be given.
- If Doshas have shifted into pakwashaya, virechana and shamasana drugs should be used to eliminate the doshas.
- When the Samsarga Doshas are elevated and the stomach becomes clear, Deepana drugs should be administered.
Ayurvedic Treatment of Amlapitta
Panchakarma
Pitta Pradhana
Pachana with Patoladi kashaya 20ml TID for 3-5 days.
Snehana with Tiktaka Ghrita.
Svedana Mridu bashpa Sveda.
Vamana-Madanaphala Yoga.
Virechana Avipattikara 30-60gm with milk
Kapha Pradhana
Pachana with Shunti Churna 2gm TID and Chitrakadi Vati 2 TID for3-5 days.
Snehana with Tiktaka Ghrita.Svedana-Bashpa Sveda.
Vamana-Madanaphala Yoga.
Virechana-Icchabhedi 125-250mg with Danti-haritaki-Aragvadha- Katuki kashaya 50-100 ml.
Shamana Drug
Drug of Choice: Sootashekhara Rasa.
Main drugs: Gairika, Giloya, Shatavari, Yashtimadhu, Pravala, Mukta.
Naimittika Rasayana: Guduchi, Amalaki, Shatavari, Godanti,Makshika.
Recommended Classical Formulations for Amlapitta
If direct Shamana is to be given, then do Amapachana first with Patoladi Kashaya, Bhunimbadi Churna, and Sudharshana Churna.
Pittapradhana
- Kamadugha Rasa-1-2 tab with water thrice a day before meal.
- Sutashekhara Rasa-1-2 tab with water thrice a day before meal.
- Suvarna Makshika bhasma-100mg TID.
- Pravala Pishti-100mg TID.
- Muktashukti Pishti-250mg TID.
- Avipattiakara Churna-1-2 gm a with milk thrice a day before meal.
- Narikela Lavana-250mg-500mg with milk thrice a day before meal.
- Kshara parpati-250mg-500mg with milk thrice a day before meal.
- Pravala panchamrita-250mg-500mg with milk thrice a day before meal.
- Guduchyadi Kashaya-20 ml BD before meal.
- Bhunimbadi Kashaya-20 ml BD before meal.
Kaphapradhana
If directly Shamana is to be given, then do Amapachana first with Patoladi Kashaya, Shunthi Churna, and Panchakola Churna.
- Dhanya-Nagar Kashaya.
- Pippali Ghrita-20 ml at Shamana Sneha Kala
- Narikela Lavana-250mg-500mg TID before meal.
- Kalyana Kshara 100mg-200mg with Ghrita
Recommended Proprietary Formulations for Amlapitta
- Cap. Amalapittantaka (AAF)-1-2 TID before mealTab.
- Sooktin (Alarsin)-1-2 TID before a meal.
- Tab. Acinorm (UAP)-1-2 TID before a meal.
- Tab. Alsarex (Charaka)-1-2 TID before meal.
- Syrup Kalm (Prakriti)-2tsf TID before meal.
- Syrup Himcocid (Himalaya)-1-2 tsf with water TID before meal.
- Syrup Amlapitta Mishrana (SDL)-2tsf TID before meal.
- Syrup Pepcer (Ayulabs)-2tsf TID before meal.
- Syrup Normocid (DHC)
Ideal Prescription for Amlapitta
Pitta Pradhana (Ushna Guna Vriddhi)
| Si No | Name of medicine and dose | Kala | Anupana |
| 1 | Kamadugha-250mg 2 | Pragbhakta; 3 times | Ghee |
| 2 | Avipattikara Churna-3gm | Pragbhakta; 3 times | Milk |
| 3 | Shatavari-Yashtimadhu ksheerapaka-40ml or Bhunimbadi kashaya-20ml or Syrup amlapitta mishrana | Pragbhakta; 3 times |
Pitta Pradhana (Amla Guna Vriddhi)
| Si No | Name of medicine and dose | Kala | Anupana |
| 1 | Avipattikara churna-3gm | Samana kala; TID | Milk |
| 2 | Praval panchamrita-500mg | Samana kala; TID | Milk |
| 3 | Sootashekhara Rasa-500mg or Tab Sooktin-1 tab. | Pragbhakta; 3 times | Water |
Pitta Pradhana (Drava Guna Vriddhi)
| Si No | Name of medicine and dose | Kala | Anupana |
| 1 | Avipattikara churna-3gm | Samana kala; TDS | Milk |
| 2 | Shankha Bhasma-250mg | Samana kala; TDS | Milk |
| 3 | Sootashekhara Rasa-500mg 2 | Pragbhakta; 3 times | Water |
| 4 | Bhunimbadi Kashaya-20ml | Adhobhakta; 2 times |
Pitta Pradhana (Ushna Guna and Amla Guna Vriddhi)
| Si No | Name of medicine and dose | Kala | Anupana |
| 1 | Avipattikara churna-3gm Pravala panchamrita-250mg Saptamrita Loha-250mg Giloya Sattva-500mg | Samana kala; TDS | Shatavari-Yashti- madhu Ksheera 40ml |
| 2 | Sootashekhara Rasa-500mg | Pragbhakta; 3 times | Water |
| 3 | Dadima Ghrita-10-20ml | Shamana Sneha Kala; 2 times | Warm Milk |
Kapha Pradhana
| Si No | Name of medicine and dose | Kala | Anupana |
| 1 | Tab. Mahashankha vati-500mg Tab. Amlant (MAP)-1 | Samana kala; TD | Water |
| 2 | Pippali Ghrita or Pippalyadi- Ghrita | Shamana Sneha Kala; 2 times | Warm water |
| 3 | Bhunimbadi Kashaya-20ml | Adhobhakta; 2 times | Water |
Yoga Therapy For Amlapitta
Asana useful in Amlapitta
Vajrasana
Bhujangasana
Sarvangasana
Shashankasana
Paschimottanasana
Ardha matsyendrasana
Padahasthasana
Viparita Karni
Shavasana
Padmasana
Virasana
Makarasana
Pavanamuktasana
Pranayama for Amlapitta
Ujjayi (Ocean Breath)
Kapalbhatti (Forced Air) and Shitali Pranayama (Cool Breath) have the capacity to counter acidity and gastric ulcer.
Yoga Nidra
Om Mantra chanting
Diet and Lifestyle for Amlapitta
Pathya in Amlapitta
Eating smaller meals.
Drink water after meals
Apathya In Amlapitta
Avoid heavy, spicy, sour, hot, and too much oily food.
Excessive or scanty and also taken too early or too late.
Avoid anxiety, worry, anger, etc.
Alcohol and acidic foods should be avoided.
Aspirin and other NSAIDs should be avoided.
Avoid drinking water just before meals, day sleeping after meals; heavy meals at night time.
Don’t take anything in between meals except liquids.
Suppression of the natural urges.
Frequently Asked Questions
Hyperacidity (Amlapitta)
Hyperacidity correlated with Amlapitta in Ayurveda.
You might experience the following when your body has an excessive amount of pitta: excessive heat production within the body. indigestion, gas, and acid reflux arthritis in the joints
Avipattikar Churna with other medicine.
Eat slowly and in moderation.
Don’t eat certain things.
Avoid consuming carbonated drinks.
Keep awake after eating.
Do not move too quickly.
Sleep with your angle.
If advised, consider losing weight.
Quit smoking if you do.