Jiva Ayurveda
Ayurveda
Faridabad, Haryana, India
26 years exp

Total years in practice: 26

Publish Date
February 02, 2019
Patient
48 Years, Male, Asian
Medical Condition
Acidity, Gastroesophageal Reflux Disease (GERD), Indigestion
Therapies
Ayurveda,Diet Therapy
Medical History

The patient called to consult agonizing and chronic extreme acidity problem. On top of that, the patient had been experiencing very severe headaches very often. He also complained of poor concentration and a burning sensation during defecation. He had been taking allopathic-ayurvedic medicines also but that was not enough to yield any long-term or satisfactory relief. This problem was affecting him very badly and he complained of feeling a sense of choking while swallowing something. He also complained of a constant dryness in his throat, a repeated urge to drink water to soothe the irritated food tract, he also felt a burning sensation in his chest. Defecating was a very painful experience for the patient. Repeated acid refluxes had also become a serious problem for Mr. Prakash.

To overcome the symptoms and in an attempt to control the discomfort, Mr Prakash habitually took raisins, Triphala powder, and Digene liquid. The patient often had a bloated and tense stomach with mild anal pain due to hardened stool if the problem was left unattended for several days.


Specific History (H/0 Present Illness)

The patient had been suffering for 6-7 years.

Physical/ Systemic Findings

BM - Twice daily, regular, hard consistency, Appetite - Normal Urine - Normal if acidity not high, Gas/Acidity - Present, Urine - Normal if acidity not present, Sleep - Disturbed if reflux is present, Mind - Normal, Digestion - Weak

H/0 Past illness /Family History

No specific health issues at the personal and family level were shared.

Medical History

The patient had been taking Allopathic and Ayurvedic medicines.





Case Management

Ayurveda treatment plan for GERD


Samprapti Ghataka- Dosha: Pitta-Vata Dushya: Ras dhatu

Srotas: Anna vaha srotas, Rasa vaha srotas Adhishthan: Amashaya

Nidana: Excessive consumption of dosha aggravating dietary things like sour, pungent, salty things, tea, coffee, lack of water consumption, heavy to digest food, pickle, fried, oily, spicy food intake, fast foods, being short tempered and angry like factors.


Chikitsa Sutra


·   Nidana parivarjan - Avoidance of etiological factors in diet and routine that caused disease

·   Shaman Chikitsa - Pitta-vata shaman, pachan, anuloman, rechan, rasayan

·  Shodhan Chikitsa - Some effective and easy to implement methods were discussed to de done at home

·   Sattvavjay Chikitsa - Patient education, expectation management and approach of treatment was shared

 

Specific Advice on Ayurvedic Remedy for Acidity:

Pathya: Chewing saunf after meals, drinking water, apple, papaya, guava, drinking saunf soaked water were advised to follow.

Apathya: Fried, oily, spicy and heavy foods, things with hot potency, drinking tea-coffee, white flour products, pulses, rajma, urad, brinjal, garlic etc must be avoided.

 Modifications/Changes made in prescription during the course, below changed Ayurvedic medicine for Acidity and Indigestion  were given as per patient's feedback:

 

Outcome

After one month of medication, the patient shared little improvement in some digestive complaints as well as in a headache, chest burning, and throat dryness. But there was no change in the burning sensation after defecation. All these symptoms were recurring if diet restrictions were not followed properly. Gradually, the patient reported a noticeable difference in the burning sensation. In between, garlic intake caused acidity and digestive discomfort.

In May 2018, the patient shared significant recovery in all primary symptoms. The patient reported that once in a while a few of these symptoms recurred due to his negligence in a diet otherwise everything was normal.

 

Parameters before, during & after Ayurvedic Remedy for Acidity


 

Symptoms                I

Chest burning

Nov, 2017

++++

Dec, 2017

+++

j                       Jan, 2018

++

Feb, 2018

++

April, 2018

+

May, 2018

Normal

June, 2018

Anus burning

++++

++++

++

++

+

Normal

Normal

Bloating

++++

+++

++

++

+

Normal

+/-

Constipation

+++

+++

Normal

Normal

Normal

Normal

Normal

Headache

++++

+++

++

+

Normal

Normal

Normal

 

 Discussion on Ayurvedic Remedy for Acidity:

Hyperacidity simply means an increased level of acid in the stomach. The stomach secretes Hydrochloric Acid, a digestive juice that breaks down food particles into their smallest form to aid digestion. The main cause of hyperacidity is the aggravation of Pitta Dosha in the body. Pitta is Ayurvedic humor that symbolizes heat or fire. There are many causes for the aggravation of Pitta, main among them are: Eating foods that do not suit the constitution or foods that should not be taken together (milk and fish, milk and salt), excessively sour or spicy foods and liquids, white flour products and white sugar products, smoking and excessive consumption of tea, coffee and alcohol, eating in a state of indigestion etc. Hyperacidity is known as Amlapitta in Ayurveda (Amla means sour and Pitta means heat). Hyperacidity, therefore, is a condition characterized by an increase of sourness and heat in the body. The aggravated Pitta impairs the digestive fire, leading to improper digestion of food and production of ama (toxins). This ama gets accumulated in the digestive channels and causes Hyperacidity.

According to the condition of disease and patient, Doctor planned personalized combinations to provide symptomatic and root-level relief.


Ayurvedic Medicine for Acidity and Indigestion:

Amlapittantak rasayan - Pitta-vata shaman, pachan, anuloman

Bhudhatri rasayan - Pltta-kapha shaman, pachan, anuloman

Pitta shamak rasayan - Pitt shaman, pachan, rasayan Yashtimadhu compound - Pitta shaman, rasayan Shivakshar pachan churna - Vata-kapha shaman,

pachan, anuloman Soot shekhar rasa - Pitta shaman, pachan, anuloman Kamdudha vishesh rasa - Pitta shaman, pachan, rasayan

Acidity tablets - Pitta-vata shaman, pachan, anuloman Digestall churna - Pitta-vata shaman, pachan, anuloman

Mukti supplement pack - Tridosha shaman, rechan, pachan


Ayurvedic Medicine for Indigestion

An abnormality in digesting food or lack of proper digestion is known as Indigestion(dyspepsia). Indigestion refers to several gastrointestinal complaints, which can include gas (belching or flatulence) and upset stomach.  According to Ayurveda, if you don't follow dietary guidelines, or there is an uncontrolled way of food consumption—one is vulnerable to food Ajirna (Indigestion). 


What are the common ayurvedic medicines for indigestion?

  1. Amlapittantak Rasayan(APR)


In one of the scientific research done for evaluating the analgesic and anti-inflammatory potential of “Amlapittantak ras”, the results indicated that APR might be the correct choice of drug for the treatment of Analgesia. The studies involved validating the effect of APR  over animal models of pain including Hot plate test method, where they divided the animals into four groups— group-I, group-II, group-III and group-IV. Each group consisted of six mice for control, positive control (standard) and 2 test samples group, respectively. (1).  The samples in each group were evaluated using the acetic acid-induced writhing method in mice. They relied on the pain sensation to evaluate. 

The result includes APR being effective for as hyperacidity on ulcer dyspepsia. This shows Ayurvedic medicine is the best shot.


Recommended Dosages

With having three kinds of formulations, the medicinal properties of each type help to lessen hyperacidity and act as a digestive stimulation. The overall dosage might vary from 1gm to 3 grams. The solution can be taken with warm water, cow ghee or pure honey.


  1. Dhatri Rasayan

Dhatri Rasayan is for rejuvenation and to improve strength and immunity. Also known as Dhatri Rasayana. Amla, which is the main ingredient of this product. The main action of Dhatri is that it helps the absorption of iron for better digestion and cure of susceptibility of anemia. This medicine works reflexively consoling the heartburn, which is a  symptom of gastroesophageal reflux. The main goal is to pacify “Pitta Dosha”.


Dosage and safety 

Dhatri Rasayan is considered safe with no side effects detected yet. The dosage differs from person to person, but the maximum possible dosage is 30ml per day in divided dosage.


Summary and Outcome

After all the research conducted, we found that ayurvedic medicines like amlapittantak rasayan,dhatri rasayan are best suited for lessening the effects of various Indigestion, related issues like bloating, acid reflux, diarrhea, or constipation.


References:  

EVALUATION OF ANALGESIC AND ANTI-INFLAMMATORY POTENTIAL OF “AMLAPITTANTAK RAS”, AN ANTIULCERANT AYURVEDIC MEDICINE 



 






 


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