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Amlapitta – Which means, Signs, Sorts, Prognosis

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By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S

The pitta which is bitter or has developed bitter style on account of it being burnt known as as amlapitta. The phrase amlapitta may be break up into 2 parts – Amla = bitter; Pitta = pitta

Forms of Pitta

Pitta is of two varieties.
Prakrita / Avikrta Pitta – means regular pitta, pitta which is in a state of qualitative and quantitative stability.
Vidagdha / Vikrta Pitta – means burnt or contaminated pitta.

Based on Grasp Sushruta – the style of prakrta pitta is pungent / bitter. The style of vidagdha pitta is bitter. This implies to inform that if pitta will get burnt on account of sure etiological components its style will get transferred from pungent to bitter. This pitta which has developed an irregular style i.e. bitter style known as as ‘amla pitta’ i.e. bitter pitta.
Learn – Fruitful Ayurvedic Treatments For Gastritis

Etiological components, Pathogenesis of amlapitta

Backdrop for pitta aggravation – Monsoon season is the season for accumulation of pitta and within the following season i.e in Autumn season pitta will get aggravated. If pitta is just not taken care of within the monsoon season, it beneficial properties irregular improve and tends to provide ailments within the autumn season. The character will anyhow have its affect on pitta naturally. Together with this if the particular person consumes etiological components which have a tendency to extend pitta, inclusive of meals and life-style practices, pitta aggravation will happen in extreme kind.
Learn – 19 Ayurveda Well being Ideas For Wet Season

Etiology of amlapitta

  • Viruddha pana anna – meals and drinks of mutually reverse / antagonistic nature (qualities)
  • Dushta pana anna – contaminated meals and drinks
  • Amla pana anna – bitter meals and drinks
  • Vidahi pana anna – meals and drinks that are corrosive in nature
  • Pitta prakopi pana anna – meals and drinks which have a tendency to extend pitta to irregular proportions
    Learn – Way of life, Meals And Elements That Trigger Pitta Dosha Improve

Pathogenesis of amlapitta

Accumulation of pitta in monsoon season – The pitta will get collected as a result of impact of monsoon / wet season and different etiological components of its personal (causative components which have a tendency to extend pitta).

Aggravation of pitta within the autumn season – This pitta which has already collected will additional get aggravated within the autumn season.

Pitta creating vidagdhata / sourness – This aggravated pitta will get vidagdha i.e. attains extra sourness in individuals who’re influenced by the above talked about etiological components and trigger a illness known as as amlapitta.
Learn – Pitta Improve Signs – Pitta Vriddhi Lakshana

Indicators and Signs of Amlapitta

The indicators and signs of amlapitta could also be categorized and categorised below 3 teams for higher understanding of the illness –

  1. Samanya Lakshanas – frequent signs of amlapitta
  2. Bhedanusara Lakshanas – signs in accordance with the kinds of amlapitta
  3. Doshanubandhanusara Lakshanas – signs in accordance with affiliation of doshas in amlapitta

1. Frequent (basic) signs of amlapitta

  • Avipaka – indigestion
  • Klama – exhaustion with out train or bodily exercises
  • Utklesha – extreme salivation / nausea
  • Tikta udgara – bitter belching
  • Amla udgara – bitter belching
  • Gaurava – heaviness of the physique
  • Hrt daha – burning sensation within the chest
  • Kanta daha – burning sensation within the throat
  • Aruchi – tastelessness
    Learn – How To Steadiness Pitta Dosha? Line Of Therapy

2. Signs in accordance with the kinds of amlapitta

Relying on the path / pathway wherein the signs of the illness are manifested, amlapitta is classed into two varieties, i.e.

  • Adhoga Amlapitta – amlapitta wherein the signs are manifested within the downward path
  • Urdhwaga Amlapitta – amlapitta wherein the signs are manifested within the upward path

a. Signs of Adhoga Amlapitta

  • Trt – thirst
  • Daha – burning sensation
  • Murcha – fainting
  • Bhrama – giddiness
  • Moha – confusion
  • Vividha prakara – related to completely different colours like yellow, inexperienced, black and crimson and likewise completely different sorts of foul odor

Amlapitta related to above talked about signs generally strikes and manifests within the downward path and known as as adhoga amlapitta. It manifests with the beneath talked about signs –

  • Hrllasa – nausea
  • Kotha – urticaria
  • Anala sada – weak spot of digestive fireplace
  • Harsha – goosebumps
  • Sweda – extreme sweating
  • Anga pitatva – yellowish discoloration of physique elements

b. Signs of Urdhwaga Amlapitta

When amlapitta is related to kapha manifests within the upward path and the vomitus is –

  • Harit pitaka nila krshnam araktam raktabham – inexperienced, yellow, blue, black and light-weight or darkish crimson in colour
  • Ativa cha amlam – excessively bitter
  • Mamsodakabham – seems just like the meat wash
  • Ati pichchilam – excessively sticky
  • Accha shleshmanugatam – combined with clear mucus
  • Vividham rasena – has salty, pungent or bitter style
  • Bhukte vidagdhe tu athava api abhukte karoti tikta amla vamim kadachit – bitter or bitter vomiting happens when the meals will get improperly digested and even when the affected person doesn’t take meals
  • Udgaram evam vidhameva – the particular person will get belching of the identical tastes
  • Kantha hrt kukshi daham – burning sensation within the throat, chest and stomach
  • Shiraso rujam – headache
  • Kara charana daham aushnyam – burning sensation and elevated warmth within the fingers and toes
  • Mahatim aruchim – extreme anorexia
  • Jwaram cha kaphapittam – fever of kapha-pitta origin
  • Kandu mandala pidaka shata nichita gatra roga chayam – itching and manifestation of rounded elevated pores and skin eruptions and a whole bunch of boils unfold over via the physique and causes illness signs like indigestion, nausea and so on (defined already)
    Learn – Vomiting: Causes, Issues, Pathophysiology, Therapy

3. Signs in accordance with affiliation of doshas in amlapitta

By trying on the signs produced by related vata and kapha, amlapitta shall be thought-about to be of three varieties –

  • Vatadhika – brought about on account of improve in vata
  • Kaphadhika – brought about on account of improve in kapha
  • Vata-kaphadhika – brought about on account of improve of each vata and kapha

a. Signs of Vatadhika amlapitta

  • Kampa – tremors
  • Pralapa – delirium
  • Murcha – fainting
  • Chimichimi – tingling sensation in physique elements
  • Gatravasada – looseness in physique elements
  • Shula – ache
  • Tamaso darshanam – feeling of darkness in entrance of the eyes
  • Vibhrama – giddiness
  • Vimoha – confusion
  • Harsha – goosebumps
    Learn – Signs Of Vata Dosha Improve And Imbalance – Vata Vruddhi Lakshana

b. Signs of Kaphadhika amlapitta

  • Kapha nishtivana – expectoration of mucus
  • Gaurava – heaviness of the physique
  • Jadata – stiffness
  • Aruchi – tastelessness
  • Shita – coldness
  • Sada – looseness of physique elements / slowness
  • Vami / chardi – vomiting
  • Lepa – coating
  • Dahana bala sada – deterioration of digestive fireplace / energy
  • Kandu – itching
  • Nidra – extreme sleeping
  • Tikta amla katuka udgara – belching which tastes bitter, bitter and pungent
  • Hrt kukshi kantha daha – burning sensation within the chest area, stomach and throat
  • Bhrama – giddiness
  • Murcha – lack of consciousness
  • Alasyam – laziness
  • Shiroruja – headache
  • Praseka – extreme salivation
  • Mukha madhurya – sweetness within the mouth

c. Signs of Vata-Kaphadhika amlapitta

On this situation the signs of vata predominance and kapha predominance are current in combined proportions.
Learn – Way of life, Meals And Elements That Trigger Improve Of Kapha Dosha

Sanskrit Verses

Prognosis of amlapitta

The newly manifested (acute) type of amlapitta is curable with greatest efforts at therapy.

When the illness turns into continual it turns into manageable however can’t be cured completely. Typically the continual situations turn into incurable.

Therapy Rules of Amlapitta

Vamana – therapeutic emesis and Virechana – therapeutic purgation kind the important thing therapies to fight amlapitta in an efficient method.

Emesis is most well-liked within the amlapitta having upward course and purgation is the therapy of selection in amlapitta having downward course. The intention is to eradicate the illness inflicting dosha(s) within the path of their manifestation.

Therapy of Amlapitta

Patoladi Kwatha for emesis – Emesis shall be given first whereas treating amlapitta. It ought to be administered with the decoction of the beneath talked about herbs –

  • Patola – Trichosanthes dioica
  • Neem
  • Vasa – Adhatoda vasica
  • Madana – Randia dumetorum
  • Honey
  • Rock salt

Trivrt Yoga for purgation – Purgation ought to be given with the beneath talked about formulation –

  • Trivrt churna – Operculina turpethum (powder)
  • Honey
  • Amla fruit juice

Anuvasana Vasti – unctuous enemas with medicated oil / ghee ought to be administered after correct cleaning has been achieved by the administration of emesis and purgation.

Asthapana Vasti – decoction enemas ought to be administered in continual amlapitta after having analyzed the predominance of doshas and standing of digestive fireplace.

Bheshaja Ahara Kalpana – after cleaning the affected person by administration of emesis and purgation correct medicinal administration and dietetic routine ought to be deliberate and applied.

In what situations of Amlapitta shall emesis and purgation be given?

  • The urdhwaga amlapitta i.e. amlapitta having upward course / manifesting upwards ought to be handled by administering emesis.
  • The adhoga amlapitta i.e. amlapitta having downward course / manifesting downwards ought to be handled by administering purgation.

This rule is to push and flush off the doshas inflicting amlapitta in their very own path of manifestation.

Helpful formulations and dietetic inclusions

Yava Godhuma Vikrti – Soups and different edibles ready with barley and wheat which isn’t added or processed with sturdy spices like pepper and so on ought to be served.

Laja Sattu – Alternatively flour of parched / puffed grains ought to be administered combined with sugar and honey in accordance to predominant doshas.

Yavadi Kwatha – Decoction ready with de-husked barley, Vrsha – Adhatoda vasica and amla added with Cinnamon, patra – Cinnamomum tamala, cardamom and honey ought to be administered. This successfully cures vomiting brought on by amlapitta.

Yavadi Kwatha 2 – Decoction ready with barley, Krishna – Piper longum and Patola – Trichosanthes dioica ought to be given in amlapitta brought on by kapha-pitta predominance.

Sringavera-Patola Kwatha – Decoction of ginger and leaves of pointed gourd ought to be given.

Patoladi Kwatha – Decoction of Patola Patra – leaves of Trichosanthes dioica, ginger and coriander is helpful.

Patoladi Kwatha 2 – Decoction of Patola – Trichosanthes dioica, coriander, ginger and Musta – Cyperus rotundus is helpful.

Guduchyadi Kwatha – Decoction of Guduchi – Tinospora cordifolia, Khadira – bark of Acacia catechu, Licorice and Devadaru – Cedrus deodara ought to be served combined with honey.

Guduchyadi Kalka – Paste of Guduchi – Tinospora cordifolia, leaves of neem and Patola patra – leaves of Trichosanthes dioica ought to be given combined in honey to drink.

Chinnodbhavadi Kwatha – Decoction of the beneath talked about herbs taken in equal portions ought to be given combined with honey –

  • Guduchi – Tinospora cordifolia
  • Leaves of neem
  • Patola patra – leaves of Trichosanthes dioica
  • Triphala – Terminalia chebula, Terminalia bellirica and Emblica officinalis

Simhasyadi Kashayam – Decoction of Simhasya / Vasa – Adhatoda vasica, Guduchi – Tinospora cordifolia and Brhati – Solanum indicum ought to be given combined with honey.

Phalatrikadi Kwatha – Decoction of Triphala (Terminalia chebula, Terminalia bellirica and Emblica officinalis), Patola Patra – leaves of Trichosanthes dioica and Katuki – Picrorhiza kurroa ought to be served combined with sugar, powder of licorice and honey is helpful.

Dashanga Kwatha / Vasadi Kwatha – Decoction ready with the beneath talked about herbs ought to be given combined with honey –

  • Vasa – Adhatoda vasica
  • Guduchi
  • Parpata – Fumaria parviflora
  • Neema
  • Markava – Eclipta alba
  • Haritaki – Terminalia chebula
  • Bibhitaki – Terminalia bellirica
  • Amalaki – Emblica officinalis
  • Kulaka – selection / synonym of pointed gourd (bitter selection)

Pathyadi Churna – Powder of Haritaki – Terminalia chebula and Bhringaraja – Eclipta alba ought to be given combined with jaggery.

Drakshadi Churna – Powder of raisins and Haritaki – Terminalia chebula ought to be given combined with outdated jaggery.

Katuki Churna – powder of Picrorhiza kurroa ought to be given with sugar powder is helpful in pitta predominant amlapitta.

Pippali Churna – Powder of Piper longum combined with honey is sweet for amlapitta.

Patoladi Churna – Powder of Patola – Trichosanthes dioica and Shunti – Zingiber officinale is helpful in pitta predominant amlapitta.

Panchanimbadi Sattu – Powder of beneath talked about ought to be given combined with honey –

  • Nimba Panchanga i.e. 5 elements of neem (leaves, flowers, fruits, bark and roots) – 1 half
  • Vruddhadaruka Churna – powder of Argyreia speciosa – 2 elements
  • Shaktu / sattu – flour of Chickpea / Bengal gram

Triphala Kalka – Paste of Triphala (Terminalia chebula, Terminalia bellirica and Emblica officinalis) stored in a single day in an iron vessel ought to be given combined with honey and sugar.

Shivapala Pindi / Pathadi Leha –

Confection ready with the beneath talked about elements is helpful in treating amlapitta –

  • Patha – Cissampelos pariera
  • Patola Patra – leaves of Tricosanthes dioica / pointed gourd
  • Indrayava – seeds of Holarrhena antidysenterica
  • Coriander seeds
  • Amalaki – Emblica officinalis
  • Cinnamon
  • Tejapatra – Cinnamomum tamala
  • Nagakeshara – Mesua ferrea
  • Kana – Piper longum
  • Honey
  • Abhaya – Terminalia chebula
  • Sugar
  • Ghee

Gudadi Modaka – balls made up of jaggery, Pippali churna – powder of Piper longum and Haritaki churna – powder of Terminalia chebula shall be given.

Use of Amalaki Rasa – The one that repeatedly consumes juice of Indian gooseberry together with meals is claimed to eliminate amlapitta, emesis, tastelessness, burning sensation, diabetes, and results of chilly, ulcers and all ailments of semen.

Khanda Kushmanda Avaleha

Elements

  • Kushmanda Swarasa – contemporary expressed juice of fine high quality Benincasa Hispida – 400 tola amount (4,800 grams roughly)
  • Cow milk – similar amount because the above stated juice
  • Amalaki Churna – powder of Emblica officinalis – 32 tola amount (384 grams roughly)
  • Sugar sweet – similar amount as that of Emblica officinalis powder
  • Ghee extracted from cow milk – 8 tola amount (96 grams roughly)

Technique of preparation – The above stated elements ought to be cooked collectively till they attain semi-solid / granular kind.

Dose – 2-4 tola (24-48 grams day by day)

Narikela Khanda

Elements

Narikela – pulp of coconut – 1 kudava amount (192 grams roughly) ought to be cooked on delicate fireplace within the coconut water. If coconut water is just not obtainable, milk of cow shall be used. It ought to be cooked till the contents are thickened.

To this, the powder of the beneath talked about elements ought to be added in 1 tanka amount (3 grams roughly) and combined nicely –

  • Coriander
  • Pippali – Piper longum
  • Musta – Cyperus rotundus
  • Twak – Cinnamomum zeylanicum
  • Patra – Cinnamomum tamala
  • Cardamomum
  • Nagakesara – Messua ferrea

Dose – 24-48 grams day by day

Brihat Narikela Khanda

Elements

  • Narikela – finely floor pulp of coconut – 64 tola amount (768 grams roughly)
  • Kushmanda – Benincasa hispida pulp – 128 tola amount (1536 grams roughly)
  • Go Ghrta – ghee extracted from cow’s milk – 16 tola amount (192 grams roughly)
  • Go Dugdha – cow milk – 256 tola amount (3072 grams roughly)
  • Sita – sugar sweet – 128 tola amount (1536 grams roughly)

Coconut pulp and Benincasa hispida are fried in ghee and cooked with milk and sugar on delicate fireplace.

When the contents are correctly cooked and ready it ought to be made chilly. To this, powders of the beneath talked about in a amount of two tola – 24 grams roughly ought to be added and combined correctly –

  • Cardamomum
  • Coriander
  • Amalaki – Emblica officinalis
  • Parpata – Fumaria indica
  • Musta – Cyperus rotundus
  • Sugandhabala – Valeriana wallichii
  • Ushira – Vetiveria zizanioides
  • Sandalwood
  • Raisins
  • Sringataka – Trapa bispinosa
  • Kasherukam – Scirpus grossus
  • Twak – Cinnamomum zeylanicum
  • Patra – Cinnamomum tamala
  • Camphor

This formulation ought to be stored in new earthen pot.

Dose – 4 tola – 48 grams or in accordance with one’s digestive capability.

Different helpful Formulations

  • Vasa Ghrta
  • Tiktaka Ghrta
  • Pippali Ghrta
  • Patoladi Ghta
  • Shunti Ghrta
  • Pippali Ghrta
  • Drakshadi Ghrta
  • Shatavari Ghrta
  • Guda Kushmanda
  • Khandamalaki
  • Abhraka Bhasma
  • Loha Bhasma
  • Mandura Bhasma
  • Shuddha Gandhaka

Medicines for Amlapitta from Sahasra yoga Textual content e-book
1. Punarnavasaava
2. Chinchadi Lehyam
3. Dasamoola Hareetaki Lehyam
4. Gaganeshwara Rasa
5. Kuajadyavaleha
6. Lavangadyam Modakam
7. Aragwdhamrutadi Kashayam

Dietetic routine

Meals ready with bitter tasting herbs, devoid of sturdy elements i.e. bitter, pungent and salty meals and inclusive of barley and wheat ought to be included within the food regimen. Laja Sattu – flour of parched grains ought to be given to drink after mixing with honey and sugar after contemplating the energy of doshas.

Pathya apathya – Yogaratnakara

Healthful herbs, food regimen and habits

Barley, wheat, inexperienced gram, outdated crimson rice, boiled and cooled water, sugar, honey, fried flour, spiny gourd, bittr gourd, banana flower , brinjal, outdated pumpkin, pointed gourd, pomegranate, meals & drinks that alleviate Kapha & Pitta dosha and so on.

Unwholesome herbs, food regimen and habits

Sppression of urge of vomiting, sesame, black gram, horse gram, dishes ready out of sesame, sheep milk, fermented gruel, salt, bitter & pungent substances, heavy to digest meals, curd, alcohol and so on.

Click on to Seek the advice of Dr Raghuram Y.S. MD (Ayu)

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