ROLE OF SHAMANA AND SHODHANA THERAPIES IN TREATING AMLAPITTA: A CASE-BASED AYURVEDIC APPROACH

Abstract

Background: Amlapitta, a commonly encountered gastrointestinal disorder in Ayurveda, is caused by the vitiation of Pitta dosha, often aggravated by improper dietary habits and lifestyle factors. It presents with symptoms such as amla udgara (sour belching), hridkantha daha (burning sensation in the chest and throat), nausea, and indigestion. The treatment of Amlapitta can be approached through Shamana Chikitsa (palliative therapy) and Shodhana Chikitsa (purification therapy), depending on the severity and chronicity of the condition. Case Presentation: A 32-year-old male patient presented with complaints of recurrent acidity, heartburn, nausea, and postprandial discomfort persisting for eight months. Based on the assessment of Dosha involvement and disease severity, a combined approach of Shamana and Shodhana Chikitsa was planned. Initially, Deepana-Pachana therapy was administered using Chitrakadi Vati to enhance digestion. This was followed by Vamana Karma (therapeutic emesis) with Madanaphala Churna and Yashtimadhu Kwatha, aiming to eliminate aggravated Pitta dosha. Post-Vamana, Shamana Chikitsa was initiated with Narikelakhanda Avaleha and Kamdudha Rasa to pacify residual Pitta and strengthen digestion. Results: Significant symptomatic relief was observed within two weeks post-treatment, with a marked reduction in acidity, regurgitation, and burning sensation. By the end of four weeks, complete remission of symptoms was noted, and no recurrence was reported during the follow-up period. The integrative approach of Shodhana followed by Shamana therapy proved effective in addressing the root cause and preventing relapse. Conclusion: The case highlights the importance of a combined Shodhana and Shamana Chikitsa approach in managing chronic Amlapitta. Vamana Karma effectively expelled the aggravated Pitta, while Shamana Chikitsa ensured digestive stability and long-term relief. This case-based evidence suggests that individualized Ayurvedic management can provide sustainable and holistic healing in acid-peptic disorders. Further clinical trials are recommended to validate these findings on a larger scale.