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AyuCafe - Live chat
Topic of discussion is
Amlapitta(Acidity)
Atri Ghosh: Sankha vati lilabhilas maha sankha bati which
is useful for amla pitta and in which condition
Ayulink: Basically I would go for Guduchi and Shatavari
for the treatment, instead of using ras-bhasma
Dr. Chirag
Dobariya: In which form?
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Ayulink: Guduchi satva and shatavari kshir pak
Dr. Sandeep
Sharma: Amlapitta,hyper acidity is one of the
cause of Vertigo...I saw number of patients having vertigo due to Amlapitta..
Dr. Jigar Joshi: M also, But in my experience sutshekhar also
good effective
Dr. Madhura
Phadtare: If stress is root cause for amlapitta
then what should be choice of drug ?
Neelamben
Chudasma: Apple cider vinegar ( mother) that’s work for acidity.
Atri Ghosh: bt which is the drug of choice
Dr. Sandeep
Sharma: Satavari
Dr Pankaj Joshi: Amalki rasayan + Sutshekhar ras
Vd.Rahul Doke: We usually start with Kamdudha moutik on
empty stomach & then follow it with Suvarna Sutshekhar Ras with honey....
Atri Ghosh: and in which sutasekar ras sanka vati and
lila vilas shold be given
Croatia Branko
Markovic: Renewing mucosal lining as we’ll
sever acidity: amalaki+yashtimadhu.
Dr Anzil
Eramangalath: Nitya vivechanam will be Good for Urdhanwanga Amlapitta
Dr. Sachin Bali: Laghu sutshekhar
Neelamben
Chudasma: If is root is stress than can we use
ashvgandha and for acidity Shatavari
Dr Sandeep
Madaan: Vidagdhajirna and amlapitta need to
be differentiated. Again urdhva, adho amlapitta. Then discuss the treatment
Dr Anzil
Eramangalath: Virechanam
Vd. Ekta D.
Patel: Avipatikar churna & kamdudha
before meal with ghrit also giving good result.
Ayulink: basic cause of amlapitta must be discussed
and then one can decide the line of treatment...this is fundamental rule, but
most of the time, we are substituting allopath - modern anta-acids for the fast
response. And for that matter I have known many ayu doctors use kamdudha ras
and avippatikar churna
Atri Ghosh: how to differentiate
Vd. Sachin
Kadlag: Urdhwaga amlapitta choice of drug =
praval panchamruta
Adhoga amlapitta = kamdudha
Tiryaka amlapitta = Sutshekara
Dr. Chirag
Dobariya: Amlapit and stress is leading cause
of BPPV ...I prefare suvarn sootshekhar
and prawal panchamrut
Dr. Sachin Bali: 8pm?
Ayulink: V. Good point doctor. Please elaborate more.
Dr Anzil
Eramangalath: Decreased Agni
Vd. Shrinidhi: amlapitta as per meaning in vachaspathya
अम्लपित्त =अम्लाय पित्तम् . रोगभेदे यत्र भुक्तं सर्व्वं ;
वस्तुमात्रं पित्तदोषेणाम्लरसतां नीयते तस्मिन् रोगभेदे .
Here derangement in pitta dosha in turn it
will lead to sourness
So my approach would be to prevent
further derangement of pitta by
preventing the factors which is causing it and to expell the deranged
product out of body
Here to Begin with in literature we
find urdwaga and ado amla pitta where in different treatment has to be planned
Usna jala pana is always preferred
Ayulink: we are more familiar with urdhvag amlapitta, what about adhog
amlapitta?
Vd. Sachin
Kadlag: In acute or acute over chronic and
severe condition for fast control .....after that proper shamana and shodhana
according to condition of patient and disease
Atri Ghosh: what is adho gata amla pitta
Dr Jayesh Patel: Satavari ghrut is for urdhvag amlpitt with
guduchi satv
Vd. Sachin
Kadlag: Guduchi ananata shatavari kshirapaka
in krusha patient , with good agni , and niraama pitta
Croatia Branko
Markovic: Urdhva Amla Pitta (fire) (Acidity in
upper abdomen). Kapha (water) associated with ama (undigested food) is the main
cause in this type. One may have vomiting of greenish yellow color and acidic
in taste, belching of the taste of food taken, heart burning, burning sensation
in soles and feet, anorexia, fever, skin rashes and itching may occur. Adhog
Amla Pitta (fire) (Acidity or burning in lower abdomen). Pitta (fire)
associated with ama (undigested food) is the main dosha (humor) in this case.
One may have burning sensation during defecation, thirst, vertigo, passing slur
(unformed stool) of greenish or blackish color, nausea, urticaria, indigestion,
sweating and yellowish color of the body.
Vd. Sachin
Kadlag: Adhoga amlapitta is mostly kshaar
dominant
Dr. Vivek D.
Shah: Udumbar fal rasa is very good for
hyperclorhaldia...
Dr.Krishna: here due to ajeerana nd adhyashana mainly in
amla pitta the sneha usha nd drava guna of pitta increaes ..in case of urdhvaga
samana udana vayu afects nd same condition if samna appana gets afects it may
cause adoghata..its my opinion
Vd. Shrinidhi: Yasti madhu churna (2 gm) with honey gives
good result in amlapitta
Vd. Sachin
Kadlag: In tiryaka amlapitta , shirashula is
always associated
Dr. Sandeep
Sharma: Sir,is there any relations between
Amlapitta and sheet pitta..
Ayulink: This is very rare condition. Please let us
know more about this
Atri Ghosh: tiryak amlapitta means
Dr Anzil
Eramangalath: I think, Virudha
ahara is also a cause of amlapitta....., what is others opnion
Dr Jayesh Patel: Sometime we missed diagnosis whether it is
amlpitt ot not.....
Vd. Sachin
Kadlag: Yashtimadhu churna is always
necessary and useful for burning anywhere in whole GI tract
Ayulink: Both are having pitta disturbance. May be
amlapitta can increase the condition of Shitpitta.
Dr. Sandeep
Sharma: Is Amlapitta one cause of
shitapitaa..??
Croatia Branko
Markovic: Quite often can be associated with
emotion or mind set as inpatients, anger, nervousness..this is my observation
with such people..
Vd. Sachin
Kadlag: Tiryaka amlapitta is nothing but
Koshta --shakha gati of amlapitta..... due to more apathya sevan
Dr Anzil
Eramangalath: If we take Ushna
aharam along with Sheetha aharam(juice or anything) it will reduce the Agni....
It may result in Amlapitta
Atri Ghosh: what is the clinical feature
Dr. Arvind
Shahane: I have used tab locid of Dr vashishth
for udar dah
Croatia Branko
Markovic: Best and quickest acting food in this
case?
Vd. Sachin
Kadlag: amlapitta when goes into shakha but
shita rutu , and less heat than along with vata is seen more in shotapitta
Ayulink: Milk and rice
Vd. Kalpesh
Makvana: For Sam pitta Laghusut shekhar pr
sutshekhar ras, Bhunimbadi kadha And Niram
pitta Kamdudha ras, Udumbar avleh
Ayulink: or ghee
Dr. Sandeep
Sharma: I think we have available shatrokta
medicine rather then other drugs
Croatia Branko
Markovic: Fresh dates are also good choice
Dr.Krishna: in my experience in use to give avipatti
churna with butter milk nd sariva churna with water
Dr Anzil
Eramangalath: Dried Ginger and
suger candy just before food is effective in amlapitta
Atri Ghosh: it is tell in agni mandya
Vd. Sachin
Kadlag: This happens in chronic amlapitta patient who doesn't
follow pathya or hetusevan is continued... then there are other symptoms than
regular mainly Shirashula , manyashula , netradaha , hastapadatala aushnya
Ayulink: water with Ushir (Vertiverra zizanioides) is
the best remedy for pitta aggravation
Dr. Nehal Shah: Gulkand is also useful
Vd. Sachin
Kadlag: Pitta only ushna guna increased than
ushir , ananta are useful
Dr.Krishna: in some pts have nidra vega dharana and ends
in amlapitta there shirodhara along kamadugha mukta i use to give..
Ayulink: Is it common to have amlapitta in people
having night duty jobs?
Vd. Sachin
Kadlag: Dadimaavaleha is useful in children
and in patients who have taste problem
Dr Anzil
Eramangalath: I also have
same experience, Nidra Vega Dharana
Ayulink: I think the food habit - particularly dessert
- having sweet food in the last of meal - is the cause of amlapitta.
Vd. Shrinidhi: I use jeerakadyarista in condition's
associated with admana and atopa with shoola 20 ml t.i.d with equal quantity of
water after meals within 30 min we get appreciation
Dr. Jigar Joshi: Yes.. this is seen practically
Vd. Sachin
Kadlag: yes , in night duty and even more in
shift duty pattern job patients as food timings , sleeping time , bowel habits
are also altered /disturbed on rotation
Croatia Branko
Markovic: In eu it is more do to red meat and
alcohol..if not that the like Prerak Ji says a lot of sweets in any form..
Vd. Ahmed Savani: *Vidagdha Ajeerna* : There will be acidity,
burning sensation in chest, sour belching only due to taking vidagdha meal.
(What pt complaints that acidity occur only if consume more punget and sour
foods.) While in *Amlapitta*, Amla Guna of Pachak Pitta has got increased due
to *Samata* (Clinically patient will complain that acidity remains also when he
takes normal light meal or no meal!!) Agreed what are the practical & the
most common clinical cause for Amlapitta you experience clinically or in your
opinion prevalent more!
Vd. Hardik bhatt: Yes sir, night shift is injerious to health
and it disturbs body clock
Vd. Sachin
Kadlag: Amlapitta is also shows different
presentations in chronic alcoholic patients
Dr. Nehal Shah: I have seen a patient who has started acidity
after having milk, or banana,
Vd. Hardik bhatt: That are the symptoms of vidagdhajirna
Ayulink: food habits and irregular life style is the
main thing to correct. Black grapes or raisins are also good to eat for instant
result
Dr. Nehal Shah: Avipattikar tab or churna and shankhvati
gives good results also
Vd. Hardik bhatt:
There is a difference that after eating banana acidity dexreases and
vidagdhajirna increases
Ayulink: cloves are also best
Vd. Hardik bhatt:
Avipatikarchurn .. main content is
cloves.
Vd Ashish Kumar: साम अम्लपित्त की चिकित्सा अलग है और निराम की अलग।
Dr. Jigar Joshi: Which is an imp ingredient of Avipattikar
Dr. Misbah
suhana: Raisins can be given as as virechena
Vd. Sachin
Kadlag: Virechan is useful in recurrent adhoga amlapitta
Vd. Kalpesh
Makvana: Sarkara
Ayulink: any ghee as shamana sneha is good option
Vd. Hardik bhatt: Black raisins are very useful than others
Ayulink: Does milk really works in acidity?
Dr. Misbah suhana: Followed by kamadugdha, and avuoattukara and
laghu suta shekara
Dr. Misbah
suhana: Milk with gulkgand bot at room
temperature
Ayulink: for me brahmi + ashwagandha + shatavari +
Guduchi combination to control stress
Dr. Misbah
suhana: Cows milk
Vd. Hardik bhatt: Kushmand is very useful for pitta .. and
aaragvadh for pitta virechana
Nimish Oza: સ્વાદિષ્ટ વિરેચન ચૂર્ણ પણ સારું કામ કરે છેં
Dr. jagveer singh
: Amlapitta ke lia yog
Ayulink: kushmand avaleh is known for it. finally
mukta pishti, praval pishti are good but they are costly.
Vd. Hardik bhatt: Gulkand is very good formula for sensitive
peoole
Ayulink: Mukta bhasma
oor pishti are good but I always doubt for the quality
Nimish Oza: Shankh
bhasma + amalaki mix
Dr. jagveer singh: 1.soothsekhar ras125mg, Praval
pisti125mg, Avipttikr churna 1gm mukta pisti 100mg. 1×3dose with
honey
Ayulink: one more very common ingredient is soda
bicarb or sodium bicarbonate or sarjika kshar
Neelamben
Chudasma: For acidity we can use rose water too
, it’s work
Dr. jagveer singh: Bhoonimbadi khada 20.ml.bd with 20ml.water
Dr. Arvind
Shahane: Shatpatryadi churna
Ayulink: Is there any role of bitter taste to control
acidity?
Nimish Oza: Triphala
powder
Vd. Ahmed Savani: What is the differential diagnosis you follow
for these types of Amlapitta, How to differentiate first? Agreed, bcoz the
viruddha ahara leads to the formation of *Aama* which is associated with the
Amlapitta!!
Vd. Sachin
Kadlag: I got mixed results
Vd. Ahmed Savani: True it occurs, bcoz it is hard to digest,
classical milk is considered as complete meal in itself. Above of all, want to
share that consuming milk with bananas (which is more prevalent this days as
pre or post workout diet and in some community) is *Viruddha Ahara* and lead to
*Ama formation* (which I strongly believe have strong association with
Allergies, Auto-immune disorders & infections). I was able to pinpoint this
combination more prevalent while taking history in several patients suffering
from Allergy!!
Dr. Arvind
Shahane: ASFA Pharma Kalyan vatak have good
result
Vd. Ahmed Savani: Personal experience & on recommending
several patient. Taking cold milk + Isabgol (evening or at bed time) also give
a good results!!
Dr. Nehal Shah: Stressful life is also a reason for acidity
nowadays.
Neelamben
Chudasma: Takhmaria and Sarkara and dry black
grape
Ayulink: kalyan vatak is mainly produced with black
grapes and haritaki. I am still looking for some more details on adog
amlapitta....and tiryak amlapitta. Any clinical relations and informaiton is
welcome
Vd. Hardik bhatt: Isabgul is only for stool bulke I think
Vd. Ahmed Savani: Yes this also give instant relief Khavano
Soda!
Dr. Arvind
Shahane: Yes sir Reference for kalyan vatak Shushrut sanhita Vidagdhajirn chikitsa have mentioned
Ayulink: chest burning and sour burps are the main
symptoms to call someone is having acidity....are there any more symptoms for
us to check in practice?
let me put in other way, is there any
other symptoms to diagnose amlapitta?
Does anybody uses Neem svaras to
control acidity?
Dr. Nehal Shah: Headache, bitter Vomiting
Vd. Sachin
Kadlag: Classical symptom is feeling better
after vomiting. but not possible to vomit easily
23046: Today's lifestyle stress anxiety suppression of desires , all lead to poor digestion. Results in amlpitt.
Sutsekhar ras , satptradi churn
arogyavardhini give good results
Vd. Hardik bhatt: Due to bitter taste need leaves swaras passifies pitta...
Dr Anzil
Eramangalath: In urdhwanga
Amlapitta, Cough will be there...., And Constipation also...., Gas problems to
Neelamben
Chudasma: I had one patient, when he close his
eyes for meditation than he start continue Khata Odkar so it’s acidity right?
Vd. Hardik bhatt: I says that ajirna or vidagdhajirn
Vd. Sachin
Kadlag: Moravala is the best choice in stress
induced amlapitta in young patient
Ayulink: to differentiate between amlapitta acidity
and ajirna is not easy.
Vd Ashish Kumar: क्या सिर्फ दवाओं से ठीक हो जाएगा अम्लपित्त?? या पहले रोग का कारण अवस्था देखना होगी?
Dr Anzil
Eramangalath: Vamana and
virechana can be done...
Ayulink: thats true...we have discussed a lot today
earlier......first thing is first..to find out the cause
Vd Ashish Kumar: हर दवा अच्छी है पर कब कौन सी औषधि उपयोग करना है इस पर चर्चा करने से लाभ होगा
Dr.Krishna: usually in my practices if pt burning sensation while passing ,watry foul
smell sticky ness of stools usualy i
diagnoses as adogha amlapitta
Vd. Sachin
Kadlag: ajerrna should be labeled usually in
acute conditions , amlapitta is always
chronic or acute over chronic.
Dr. Jigar Joshi: I also have seen symptoms exaggerated by
trifala.
23846: Do Gall bladder polyp can cause frequent
acidity?
Ayulink: do you mean triphala increases acidity ?
Dr.Chattwani: Do milk help to relieve symptoms of Amal pitta
?
Dr.Krishna: in samatva milk wont help...
Vd Ashish Kumar: त्रिफ़ला किस फॉर्म में दिया,अगर लिक्विड दिया होगा या अनुपान सही नही होगा तब बढ़ सकता है।
Vd. Hardik bhatt: Foul smell, heaviness in abdomen, pain, .. I
use sunthi churn with warm water and it helps..
23846: When I use Avipattikar churna, I have burning
sensation at my fissure and piles causes bleeding
Vd Ashish Kumar: सिर्फ अविपत्तिकर नही होगा,अन्य दवा भी ली होंगी सर
Ayulink: Many vyapad and other pathology can cause
acidity- symptom. But when we are discussing for amlapitta, we have to be
careful for it
Dr.Krishna: but in yeshti kshera sadyo vamana wil help
23846: Only Avipattikar churna I have used and
stopped and again started to confirm
Vd Ashish Kumar: आम अवस्था मे शुंठी गुणकारी है
Vd. Sachin
Kadlag: Avipattikar does induce burning in
some patients , specially in ruksha patients
Dr.Krishna: avipaktichurna with butter milk wil work
good
Vd. Sachin
Kadlag: Solution is to use avipattikar with yashtimadhu or with ghee
Ayulink: actually buttermilk should not work on
acidity...as curd or yogurt is not good for acidity...
Croatia Branko
Markovic: While laying in the bed in the
evening on the back, acidity is coming to mouth.
Vd Ashish Kumar: दही से और बढ़ेगा अम्लपित्त,छाछ मिश्री के साथ उपयोग कर सकते है अगर द्रव गुण से अम्लपित्त न हुआ हो।
Vd. Sachin
Kadlag: yes ,
only butter (नवनीत ) can be used with
avipattikar
Vd Ashish Kumar: अति अम्बु पान से भी अम्लपित्त होगा।
23846: I get instant relief if I take Rantac or Eno
but not with any of the ayurvedic medicine
Dr. Chirag C.
Chauhan: Is there any ras aushadhi cause
Acidity Any specific
75500: As per my clinical experience. Classical
Vaman is best . Then sadyovaman and lastly luke sallty water inake in kapha
kala and then forcely vomit. I think no need of medicine also
Dr. Pulkit Baxi: " KASHAY TIKT MADHURAH PITT MANYE TU
KURVATE" Use aahar of KASHAY tikt madhur rashatmak
Dr. Sushant
Patil: Lifestyle and regime play important
role
Dr.Krishna: rantac is wont give relef ..it just inhibits
the proton pump of intestine cells
Dr. Pulkit Baxi: ALL IS ABOUT TO CONTROL OVER SECRATION ND
EFFECT OF ---HCL
"Mukta" is also one which
control pittj dushti
-------------------------------.
Compiled by - Dr. Dhruti Kagrana
