Amlapitta: An ayurvedic perspective on hyperacidity: A case study

Amlapitta is one of the most commonly encountered disorders in present-day society, affecting individuals across all age groups, social classes, and communities. It is correlated with hyperacidity in modern medicine. While gastric acid is essential for digestion, its excessive secretion leads to the condition commonly referred to as hyperacidity. In Ayurveda, Amlapitta is classified as a disorder of the Annavaha Srotas (gastrointestinal tract). According to Ayurvedic principles, Pachaka Pitta becomes Vaikrita (pathological) due to an aggravation of its inherent Amla (sour) quality. From a clinical standpoint, hyperacidity can be understood in relation to several Ayurvedic conditions such as Urdhwaga Amlapitta, Vidagdhajeerna, Samapitta Lakshana, and Pittaja Grahani. Two medicines, Laghu Sutshekhar Rasa and Kamdudha Rasa, were selected to treat a patient of Amlapitta. A 24-year-old female presented with signs and symptoms of Amlapitta including Avipaka (indigestion), Tikta-Amla Udgara (bitter-sour belching), Utklesha (nausea), Uro-Kantha Daha (burning sensation in chest and throat), Gaurava (heaviness), Aruchi (anorexia), and Klama (fatigue). Management involved Ayurvedic formulations along with dietary and lifestyle modifications. The interventions were effective in alleviating the symptoms of Amlapitta, showing potential as a safe and holistic approach in comparison to conventional therapies.