Introduction

Ayurveda is known to be oldest form of health care in the world. The basic principles of provide ways for management of diseases related to disturbed pattern of lifestyle with the help of various Shodhana, Shamana treatment along with Pathya. Due to altered life style activities, faulty dietary habits, craze of fast food and stress there is tremendous increase in disorder related to Mahasrotas, Amlapitta is one of major disease which occur in Mahasrotas. In pathogenesis of Amlapitta includes three important factor like Agnimandya, Ama, and Annvahasrotodusti along with vitiation of Pitta & Kapha which leads to qualitative and quantitative changes in Pachaka Pitta gives rise to Amlapitta. Increase in Amla and Drava Guna of Pachaka Pitta leads to Amlapitta. "Vidaahyamla Gunodriktam Pittam"^[1] when Pitta gets Vidagdha there is sour taste leading to Amlapitta. According to Vagbhata Agnimandya is the root cause of all the disease.^[2] Acharya Kashyapa has first mentioned the diseases Amlapitta in a separate chapter and also give suggestion to change the place for the peace of mind in case where the medicine does not work out, has also been narrated.^[³^] Excess intake of salty food, suppression of natural urges and fluently use of NSAID and antibiotics, steroids, aspirin like medicine are huge role in developing disease Amlapitta. Ayurveda medicine has the potential of Kostha Shudhi so that newly formed acid would be normal in both quality and quantity. Prevalence rate of peptic ulcer which is around 5%-10%. Gastric and duodenal ulcers coexist in 10% of patients and more than one peptic ulcer is found in 10%-15% of patients. The drug Vasadi-Dashanga Vati selected for present thesis work are purely ayurvedic in origin, easily available, and economic.

Case Report

A 27year old man Adhil patient came to OPD with complaints of intermittent bouts of Avipaka, Klama, Utkelesh, Tikt-Amla-Udagara, Gaurav, Hrit-Kantha-Daha, Aruchi^[4] since 3 years. Patient was also having complaints of generalised weakness with mood irritability in doing day to day work. There were no associated complaints like constipation or diarrhoea.

Past history: No major illness

Severe aggravation of Pitta along with Vata and Kapha
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Agnimandya
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Vidagdha Ajeerna leads to Shuktatva of Anna
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Turning more sour due to increasing Amla and Drava Guna of Pitta in Amashaya
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Suktatam Yaati Samsrajyamanena Pittena Janayati Amlapittam (Amlapitta)^[5]

Table 1: Treatment given

Table 2: Assessment of symptoms before and after treatment

Along with taking medicine, the patient was also told to follow a special diet and make some lifestyle changes. They were told to eat meals on time and choose light, easy-to-digest foods. These include coconut water, cooling foods, vegetables like white pumpkin, bitter gourd, and cucumber, and fruits like gooseberry, black grapes, figs, and dry grapes. They should also drink plenty of fluids like amla juice, pomegranate juice, and warm water, and get enough sleep and rest.

The patient was also told not to eat certain things like amla, salty, very spicy, or sour foods, as well as foods that are oily, hard to digest, or junk food. They should also avoid eating foods that don’t go well together.

In this study, observations were made before and after the treatment based on the symptoms. The results, shown in Table 2, show that all symptoms improved, and some were completely cured.

The patient had follow-up checkups starting on the 10th day and continuing up to 30 days.

4. Nimba (Azadirachta indica)

Properties of Nimba, Rasa - Tikta, Kashaya , Guna - Laghu Ruksha, Virya- Sheetha, Vipaka - Katu , Doshaghna - Kapha-Pittahara, Karma - Deepana, Grahi, Krimighna, Netrya, Madhumehaghna.^[9]

5. Bhunimba (Andrographis paniculata)

The findings indicated that whereas andrographolide was only effective against Bacillus subtilis (B. subtilis), Escherichia coli (E. coli), and Pseudomonas aeruginosa, the aqueous extract and arabinogalactan proteins both possess antibacterial activity. Additionally, it was noted that each of the three had anti-candida albicans fungus action.^[10]

6. Markava (Eclipta alba)

It significantly works on Pitta Dosha (Fire and water component of the body) and Vatta Dosha (air and space components of the body). It acts as a Rasayana. The extract obtained from the leaves is used as liver tonic. The extract obtained from the leaves is used as liver tonic, rejuvenative and beneficial for hair, eyes, edema, and phlegm.^[11]

7. Haritaki (Terminalia chebula)

Pharmacological action^[12]

• Gallic acid in its fruits is found Antispasmodic activity
• Flaonol aglycones in its fruits are found Antiulcer activity and improving Gastrointestinal motility
• Chebulagic acid bioactive compound shown Anti-inflammatory activity

8. Bibhitaki (Terminalia bellerica)

Pharmacological action - Antioxidant activity, Anti-spasmodic, Immunological, Antimicrobial, Wound healing activity.

9. Amalaki (Emblica officinalis)

Amalaki fruit is a rich source of vitamin C and low molecular weight hydrolysable tannins. Because of these content Amalaki becomes a good source of antioxidant.^[13]

10. Kulaka (Tricosanthes dioica)

Pharmacological action - Antiulcer, Laxative, Gastroprotective, Antioxidant. The aqueous extract of leaves shown anti-ulcer activity.^[14]