PATHOGENESIS OF AMLAPITTA IN AYURVEDIC PERSPECTIVE: A DIAGNOSTIC AND THERAPEUTIC APPROACH

Abstract

Background-Amlapitta is a common gastrointestinal disorder described in Ayurveda, characterized by acid reflux, heartburn, and indigestion, often resembling hyperacidity or gastroesophageal reflux disease (GERD) in modern medicine. Ayurveda attributes the condition to the vitiation of Pitta dosha combined with Kapha and other etiological factors like improper diet, stress, and lifestyle irregularities. Understanding the pathogenesis of Amlapitta through the Ayurvedic perspective provides insights into personalized diagnostic and therapeutic approaches. Objective-To explore the Ayurvedic pathogenesis (Samprapti) of Amlapitta and its relevance in formulating effective diagnostic and therapeutic strategies. Methods-An Ayurvedic classical texts and contemporary research was conducted to analyze the pathogenesis and management of Amlapitta. Diagnostic methods, including Prakriti analysis and Nidana Panchaka (etiological factors), were discussed. Therapeutic approaches, such as dietary recommendations, herbal formulations, and Panchakarma therapies, were evaluated for efficacy. Results-The pathogenesis of Amlapitta involves the vitiation of Pitta dosha due to dietary irregularities (Ahara), lifestyle factors (Vihara), and psychological stress. Ayurvedic management emphasizes restoring Pitta balance through dietary modifications, herbal remedies such as Guduchi (Tinospora cordifolia) and Amalaki (Emblica officinalis), and Panchakarma therapies like Virechana (therapeutic purgation). The integrated approach effectively alleviates symptoms, prevents recurrence, and promotes gastrointestinal health. Conclusion-The Ayurvedic perspective on Amlapitta provides a comprehensive framework for understanding its pathogenesis and developing effective treatment protocols. This integrative approach aligns with personalized medicine principles, offering sustainable relief and addressing root causes rather than symptomatic management.