Introduction

Hyperacidity is the condition in which the hydrochloric acid is secreted more than the normal amount in the stomach.

Causes

• Faulty diet
• Irregular meals
• Excessive spicy, salty and hot diet Excessive oily
• Use of starch
• Bakery products
• Stress

Symptoms

• Amlodgara (Sour belching)
• Chardi (vomiting)
• Praseka (Water brash)
• Ajirna (Indigestion)
• Hrillasa (Nausea)
• Hrit-daha (Chest Burn)
• Netra-kara-pada daha
•  Vibandha (Constipation)
• Shirashula (Headache)
• Aruchi (anorexia)
• Bhrama (Dizziness)

Lab Investigations: H. Pylori, Serum Amylase, Endoscopy

Principles of Treatment

Since the disease is amashaya samudbhava; Pitta and Kapha are the dominating Dosha, Vamana should be administered first.

•  After Vamana, Shamana drugs should be used. At the same time Pachana drugs should be given.
•  If Doshas have shifted into pakwashaya, virechana and shamasana drugs should be used to eliminate the dhoshas.
• When the Samsarga Doshas are elevated and the stomach becomes clear, Deepana drugs should be administered.

Treatment Panchakarma

1. Pitta Pradhana : 

• Pachana with Patoladi kashaya 20ml TID for 3-5 days.
• Snehana with Tiktaka Ghrita.
• Svedana Mridu bashpa Sveda.
• Vamana-Madanaphala Yoga.
• Virechana-Avipattikara 30-60gm with milk.

 

Kapha Pradhana: 

• Pachana with Shunti Churna 2gm TID and Chitrakadi Vati 2 TID for 3-5 days.
• Snehana with Tiktaka Ghrita.
• Svedana-Bashpa Sveda.
• Vamana-Madanaphala Yoga.
• Virechana-Icchabhedi 125-250mg with Danti-haritaki-Aragvadha-Katuki kashaya 50-100 ml.

 

Shamana

Drug of Choice: Sootashekhara Rasa.

• Main drugs: Gairika, Giloya, Shatavari, Yashtimadhu, Pravala, Mukta. Naimittika Rasayana: Guduchi, Amalaki, Shatavari, Godanti, Makshika.OHO)
• Recommended Classical Formulations: If directly Shamana is to be given, then do Amapachana first with Patoladi Kashaya, Bhunimbadi Churna, Sudharshana Churna.

 

Yoga Therapy 

• Asana

• Vajrasana
• Bhujangasana
• Sarvangasana
• Shashankasana
• Padmasana
• Virasana
• Pavanamuktasana
• Paschimottanasana
• Ardha matsyendrasana
• Padahasthasana
• Viparita Karni
• Shavasana
• Makarasana

• Pranayama 

Ujjayi (Ocean Breath), Kapalbhatti (Forced Air) Shitali Pranayama (Cool Breath) have the capacity to counter acidity-and gastric ulcer.

• Yoga Nidra : Om Mantra chanting 

Diet and Lifestyle

• Pathya: Eating smaller meals Drink water after meals

• Apathya : 

1. Avoid heavy, spicy, sour, hot, too much oily food. Excessive or scanty and also taken too early or too late.
2. Avoid anxiety, worry, anger, etc.
3. Avoid alcohol and acidic foods.
4. Avoid aspirin and other NSAIDs.
5. Avoid drinking water just before meal, day sleeping after meal; heavy meals at night time.
6. Don’t take anything in between meals except liquids.
7. Suppression of the natural urges.

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