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|title=Acid peptic diseases  

|title=Acid peptic diseases  

|titlemode=append

|titlemode=append

|keywords= Principles, diagnosis, management, acid peptic diseases,amlapitta, peptic ulcer, gastritis,parinama shoola, Inflammatory Bowel Diseases, Irritable Bowel Syndrome, Ayurveda, treatment interventions, medical system healthcare, symbiohealth, charak samhita, caraka samhita, Indian system of medicine, pathogenesis of disease  

|keywords= Principles, diagnosis, management, acid peptic diseases, gut health, amlapitta, peptic ulcer, gastritis, parinama shoola, Inflammatory Bowel Diseases, Irritable Bowel Syndrome, Ayurveda, treatment interventions, medical system healthcare, symbiohealth, charak samhita, caraka samhita, Indian system of medicine, pathogenesis of disease  

|description= Principles of diagnosis and management of acid peptic diseases in Ayurveda are described.   

|description= Principles of diagnosis and management of acid peptic diseases in Ayurveda are described.   

|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg

|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg

|label5 = Affiliations

|label5 = Affiliations

|data5 = ¹Former Dean I.P.G.T& R.A, Jamnagar & Director-Principal, C.B.P.A.C.S., Delhi, India  

|data5 = ¹Former Dean I.P.G.T. & R.A, Jamnagar & Director-Principal, C.B.P.A.C.S., Delhi, India  

²[[Charak Samhita Research, Training and Development Centre]], I.T.& R.A., Jamnagar, Gujarat, India   

²[[Charak Samhita Research, Training and Development Centre]], I.T.& R.A., Jamnagar, Gujarat, India   

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This article is based on the lecture delivered by Prof. H.M. Chandola, as part of Prof. M.S. Baghel Memorial Lecture Series on 09^th April 2021.  

This article is based on the lecture delivered by Prof. H.M. Chandola, as part of Prof. M.S. Baghel Memorial Lecture Series on 09^th April 2021.The video lecture can be accessed on the link of [https://fb.watch/8l8TUYT2eZ/ facebook page.]

==Introduction==

==Introduction==

E.g: mental disturbances or negative emotions can disturb the proper function of digestive power and vice versa. If a person is worried, sad, angry, or emotionally upset, even the wholesome food consumed in proper quantity will not get digested properly.[Cha. Sa.[[Vimana Sthana]] 2/9]

E.g: mental disturbances or negative emotions can disturb the proper function of digestive power and vice versa. If a person is worried, sad, angry, or emotionally upset, even the wholesome food consumed in proper quantity will not get digested properly.[Cha. Sa.[[Vimana Sthana]] 2/9]

== Good health begins in the gut==

== Three categories of [[agni]] ==

 

Good health begins in the gut. While explaining the concept of [[agni]], the main form of [[agni]] is called as the “jatharagni” (pachakagni) which refers to the digestive enzymes. There are five elemental enzymes (bhutagni) which are the micro-elemental converters, and also the seven corresponding tissue building enzymes (dhatwagni). The digestive enzymes (pachakagni) control the other two kinds of [[agni]] that are acting at the level of absorption and metabolism. The term “koshthagni” is used when it deals with the digestive process in the gastrointestinal tract (GIT).

==Agni and patterns of digestion ==

==Agni and patterns of digestion ==

When the [[agni]] is in the balanced state, it is known as “samagni”. But when it is affected by three [[dosha]], it shows three pathological variations. If there is an excess of [[kapha]] [[dosha]], it lowers the power of [[agni]] and the condition is known as “mandagni” (slow digestion). When [[pitta]] is in excess form, the [[agni]] becomes “teekshnagni” (fast/quick digestion). It can digest anything and everything and when the food is not available, it starts digesting the tissue elements ([[dhatu]]). For example, in thyrotoxicosis the hyperactivity of the thyroid gland causes high basic metabolic rate (BMR) and cachexia develops.  

When the [[agni]] is in the balanced state, it is known as “samagni”. But when it is affected by three [[dosha]], it shows three pathological variations. If there is an excess of [[kapha]] [[dosha]], it lowers the power of [[agni]] and the condition is known as “mandagni” (slow digestion). When [[pitta]] is in excess form, the [[agni]] becomes “teekshnagni” (fast/quick digestion). It can digest anything and everything and when the food is not available, it starts digesting the tissue elements ([[dhatu]]). For example, in thyrotoxicosis the hyperactivity of the thyroid gland causes high basic metabolic rate (BMR) and cachexia develops.  

It is better to take advantage of recent technologies for finding out the exact cause of the condition. If the conventional Ayurvedic treatment is not giving the desired result, we should explore the other possibilities like H.pylori infection and treat accordingly.

It is better to take advantage of recent technologies for finding out the exact cause of the condition. If the conventional Ayurvedic treatment is not giving the desired result, we should explore the other possibilities like H.pylori infection and treat accordingly.

Principles of treatment in acute gastritis  

====Principles of treatment in acute gastritis====

*The related organ, stomach (amashaya) should be given due importance. ( amashaya vishesha chikitsa)

*The related organ, stomach (amashaya) should be given due importance. ( amashaya vishesha chikitsa)

In its advanced stage, there is progression from chronic superficial gastritis to chronic atrophic gastritis characterized by mucosal atrophy and metaplasia of intestinal or pseudopyrloric type.

In its advanced stage, there is progression from chronic superficial gastritis to chronic atrophic gastritis characterized by mucosal atrophy and metaplasia of intestinal or pseudopyrloric type.

=== Principle of treatment of chronic gastritis ===

==== Principle of treatment of chronic gastritis ====

For treating the chronic gastritis, the principle of treatment of “[[vata]]-[[pitta]] dominant gulma” is recommended. It includes protecting the [[kapha]], which is the defensive factor. Here, the measures to reduce the penetrating power (tikshnatva) of [[pitta]] should be administered, followed by healing or soothing type of medicines (ropana chikitsa). The combination of Glycyrrhiza Glabra (yashtimadhu), Asparagus racemosus (shatavari), Phyllanthus emblica (amalaki) with ghee and honey is best for healing action. Drugs with bitter (tikta) or sweet (madhura) tastes (rasa) are preferable here. Ghee or milk preparation processed with these kind of drugs are also advisable.  

For treating the chronic gastritis, the principle of treatment of “[[vata]]-[[pitta]] dominant gulma” is recommended. It includes protecting the [[kapha]], which is the defensive factor. Here, the measures to reduce the penetrating power (tikshnatva) of [[pitta]] should be administered, followed by healing or soothing type of medicines (ropana chikitsa). The combination of Glycyrrhiza Glabra (yashtimadhu), Asparagus racemosus (shatavari), Phyllanthus emblica (amalaki) with ghee and honey is best for healing action. Drugs with bitter (tikta) or sweet (madhura) tastes (rasa) are preferable here. Ghee or milk preparation processed with these kind of drugs are also advisable.  

'''A.''' There are a lot of differences in preparation of asava -arishta in traditional method of fermentation and the one which is followed in the current era. The readymade preparations available nowadays can cause undesirable effects especially in the condition of acid peptic disorders. But if they are prepared in the traditional method, and used judiciously, it can give good results.

'''A.''' There are a lot of differences in preparation of asava -arishta in traditional method of fermentation and the one which is followed in the current era. The readymade preparations available nowadays can cause undesirable effects especially in the condition of acid peptic disorders. But if they are prepared in the traditional method, and used judiciously, it can give good results.