case report | DOI: https://doi.org/10.31579/2690-8816/076
*Corresponding Author: Chaudhari Krishna Balvantbhai, Final Year Pg Scholar, Department of Pg studies in Swasthavritta, Government Ayurveda Medical College, Mysuru
Citation: Chaudhari K B, Dr. Rekha B.V 2 and Dr. Venkatakrishna K.V. (2022). Ayurvedic Management of Amlapitta through Vamana Dhauti and Shivapalapindi – A case study. J. Clinical Research Notes. 3(5); DOI: 10.31579/2690-8816/076
Copyright: © 2022 Chaudhari Krishna Balvantbhai, this is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 12 July 2022 | Accepted: 22 July 2022 | Published: 30 July 2022
Keywords: amlapitta; vamana dhauti; shivapalapindi; gastritis
Amlapitta is very common disease of digestive system (Annavahavaha Srotas) caused by vidahi, Atimatra, Dusta Ahara. Digestive system disturbance is one of the most important and challenging area of general practice. After taking throw history and examination the patient was diagnosed as a case of Amlapitta. As the patient had mandagni, Sodhana along with Shamana Line of Treatment was adopted. Assessment was done by Subjective grading criteria for before and after treatment. Here, Vamana Dhauti and Shivapalapindi were selected as an intervention which subside the Pitta Dosha along with Vata and Kapha because of their Rasa, Guna, Prabhava and Karma. Hence this could be a better line of treatment in Amlapitta.
Case Presentation: A 32-year-old female patient, Attended Swasthavritta OPD in 19 – 10- 2021 with c/o Amlodgara (Soul balching), Hrud daha (burning in Chest region), Kantha Daha (burring in throat region), Avipaka (Indigestion), Gaurava (heaviness in all over body) and Utklesha (Nausea) since 1 year and 4 month. Patient was taking Allopathic medicine since 9 month but has not got complete relief. The natures of treatment were on and off because the patient was not able to maintain long term follow up.
Medication History: Not specific
On examination:
Nidana Panchaka: (Five diagnostic tools)
Samprapti:
Flow Chart 1: Schematic presentation of samprathi
Samprapti Ghataka
Dosha: Pitta pradhana Tridosha | Strotas: Annavaha, Purishvaha, Rasavaha |
Dushya: Rasa dushti | Sadhyasadhyatva: Sadhya |
Strotodushti: sanga, vimarga gamana | Vyadhi marga: Abhyantara |
Table 1: Samprapti Ghataka of Amlapitta
Chikitsa (Treatment):
After taking throw history and examination the patient was diagnosed as a case of Amlapitta. As the patient had mandagni
3 days - Dipana Pachana with Chitrakadi Vati and AgniTundi Vati 2 – 0- 2 Bf
On 4th day - Sodhana i.e Vamanadhauti for 1 day early in the Morning and on Empty Stomach [4].
From 5th Day Shivapalappindi (Shamana Chikitsa) 6gm – 0- 6gm5 Bf for 30 days
Samhita also agree with the fact that sodhana therapy followed by Shamanaaushadi renders good result. Hence in present study also Vamanadhauthi as a sodhana followed by Shivapalapindi is administered.
Assessment was done before and after treatment.
Assessment Chart [6]:
Symptoms | Grading | Before Treatment | After Treatment |
Amloudagara | 0 - No belching | - | - |
1 - Feeling of belching with no sound | - | + | |
2 - Feeling of belching with mild sound | - | - | |
3 - Feeling of belching with severe sound | + | - | |
Hrit-Kanta Daha | 0 -No burning sensation | - | + |
1 - Sensation of warmth on throat occasionally | - | - | |
2 - Burning sensation on throat and chest after mild oily/spicy food | + | - | |
3 - Feeling of burning sensation always | - | - | |
Gaurava | 0 – Normal | - | + |
1 - Feeling of heaviness in morning | - | - | |
2 - Feeling of heaviness in morning and evening after food | - | - | |
3 - Feeling of heaviness always | + | - | |
Utklesha | 0- No nausea | - | - |
1- Mild nausea | - | + | |
2 - Severe nausea | + | - | |
3 - Severe nausea with vomiting | - | - | |
Avipaka | 0 - No indigestion | - | + |
1 - Unable to digest mild fatty food | - | - | |
2 - Unable to digest 3- course meal | - | - | |
3 - Unable to digest any kind of food | + | - |
Table 2: Shows the Assessment Criteria and result before and after treatment
 |  |  |
Luke warm water and Saindhava Lavana | Vamana Dhauti | Vomitus |
Table 3: Shows Photograph of Vamana Dhauti
Sarve Roga api Mandagni ” Mandaagni is the root cause for all disease and Amlapitta is a Lifestyle disease which is caused by Mandagni itself. So, Pachana and Dipana helps to Digest Ama, Makes the Dosha Niramana and Increased Digestive Fire. Madhava Samhita suggests that the main aim of treatment of Amlapitta is to balance the aggravated Kapha and Pitta, this can better achieve through Vamandhauti.
The drug selected is Shivapalapindi which is explained in BhavaprakasaSamhita. The Fundamental Constitutes are enriched with Ahara Upayogi Dravya that helps to stimulate digestion and metabolism which are Patha, Patola, Yava, Sweta Chandana, Dhanyaka, Amalaki, Vasa, Lavanga, Tvaka, Gajapipali, Haritaki, Sita, Madhu, and Grita. Shivapalapindi is herbal mix that soothes the stomach tissues and promotes normal, comfortable levels of digestive secretion during the digestive process. This cooling blend may help balance the digestive fire and eliminate toxins from the system. It may help control the formation of gas and the discomfort associated with it. Which helps reducing the inflammation and rebuilding mucus lined barrier.
The adopted treatment that is vamanadhauthi cleanses the stomach, thereby successfully subside the Pitta Dosha along with Vata and Kapha. Then administered shivapalapindi because of its Rasa, Guna, Prabhava and Karma rendering the patient long term benefits. Hence it can be concluded that vamana dhauti along with shivapalapindi is better line of treatment in managing Amlapitta.
The authors will extend heartfelt thanks to the editorial team, technical team for their rapid response in publishing the article. Authors will also extend cordial gratitude to principal and all teaching staff of Department of Swasthavritta, Mysuru
Nil
There are no Conflicts of Interest
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