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<big>'''Principles of Diagnosis and Management of acid peptic diseases in Ayurveda'''</big>  

 

== <big>'''Principles of Diagnosis and Management of acid peptic diseases in Ayurveda'''</big> ==

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<div style="text-align:justify;">  

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.  

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 (madhuyashti), 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 (madhuyashti), 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.  

In case of peptic ulcer, rice, bean, salt, sour food articles, and condiments should be avoided. Milk, banana, and coconut water are advisable.

In case of peptic ulcer, rice, bean, salt, sour food articles, and condiments should be avoided. Milk, banana, and coconut water are advisable.

=== '''Principles of treatment of peptic ulcer''' ===

==='''Principles of treatment of peptic ulcer'''===

As the first line of treatment, drugs having predominantly bitter taste (tikta rasa) and inducing dryness(ruksha) are used.

As the first line of treatment, drugs having predominantly bitter taste (tikta rasa) and inducing dryness(ruksha) are used.

Symptoms like the elimination of faecal matter mixed with blood and mucous, having offensive smell are observed with weight loss in patients.These conditions  are mentioned in the contexts of raktatisara, tridoshaja atisara and shokaja atisara. These symptoms are similar to IBD.  

Symptoms like the elimination of faecal matter mixed with blood and mucous, having offensive smell are observed with weight loss in patients.These conditions  are mentioned in the contexts of raktatisara, tridoshaja atisara and shokaja atisara. These symptoms are similar to IBD.  

=== '''Principle of treatment for ulcerative colitis''' ===

==='''Principle of treatment for ulcerative colitis'''===

The treatment protocols of “pittatisara” or “raktatisara”, “[[pitta]]-[[kapha]] grahani chikitsa”, “jirna pravahika chikitsa”, “adhoga raktapitta chikitsa” are adopted here. Anti-inflammatory (pakahara and shophahara) and anthelminthic (krimighna) treatments are preferred in cases of ulcerative colitis. Drugs having bitter (tikta) or sweet (madhura) taste, with healing (ropana) property, in the form of medicated milk are recommended here.  

The treatment protocols of “pittatisara” or “raktatisara”, “[[pitta]]-[[kapha]] grahani chikitsa”, “jirna pravahika chikitsa”, “adhoga raktapitta chikitsa” are adopted here. Anti-inflammatory (pakahara and shophahara) and anthelminthic (krimighna) treatments are preferred in cases of ulcerative colitis. Drugs having bitter (tikta) or sweet (madhura) taste, with healing (ropana) property, in the form of medicated milk are recommended here.  

Dietary modifications including more dietary fibers, psycho-social therapies, drugs like anticholinergics, antidepressants, antidiarrheals, anxiolytics and those acting on serotonin receptors are being used in the management of IBS. Probiotics have a greater role to enhance or support the bacterial flora in the gut.  

Dietary modifications including more dietary fibers, psycho-social therapies, drugs like anticholinergics, antidepressants, antidiarrheals, anxiolytics and those acting on serotonin receptors are being used in the management of IBS. Probiotics have a greater role to enhance or support the bacterial flora in the gut.  

=== '''Principles of treatment of IBS''' ===

==='''Principles of treatment of IBS'''===

The treatment principles of vataja grahani, atisara and pakwashayagata [[vata]] are used in the management of IBS. The psychological health component is taken care of by therapies like the pouring of liquid medicines like oil, medicated butter milk etc on the forehead (shirodhara/ takradhara) and anointment of medicated paste on scalp(shirolepa).  

The treatment principles of vataja grahani, atisara and pakwashayagata [[vata]] are used in the management of IBS. The psychological health component is taken care of by therapies like the pouring of liquid medicines like oil, medicated butter milk etc on the forehead (shirodhara/ takradhara) and anointment of medicated paste on scalp(shirolepa).  

*Ayurvedic management depends on the assessment of dominant symptoms, assessment of involved [[dosha]] (dysregulation of kledaka [[kapha]], pachaka [[pitta]] and samana [[vayu]]) and its dominant properties (amshansha Kalpana), status of [[agni]] and [[ama]].

*Ayurvedic management depends on the assessment of dominant symptoms, assessment of involved [[dosha]] (dysregulation of kledaka [[kapha]], pachaka [[pitta]] and samana [[vayu]]) and its dominant properties (amshansha Kalpana), status of [[agni]] and [[ama]].

*Drugs that correct [[ama]], optimize [[agni]], regulate samana [[vayu]], pacify aggravated pachaka [[pitta]], protect kledaka [[kapha]], aid digestion, promote smooth transit of food in the gut, integrate intestinal motility are most suitable to treat acid peptic disorders in [[Ayurveda]].  

*Drugs that correct [[ama]], optimize [[agni]], regulate samana [[vayu]], pacify aggravated pachaka [[pitta]], protect kledaka [[kapha]], aid digestion, promote smooth transit of food in the gut, integrate intestinal motility are most suitable to treat acid peptic disorders in [[Ayurveda]].

*The principle of treatment includes that of Amlapitta, Annadrava shula, Parinama shula, Atisara & Grahani.

*The principle of treatment includes that of Amlapitta, Annadrava shula, Parinama shula, Atisara & Grahani.

*Modifications of diet, life style and stress management have greater role in their management.

*Modifications of diet, life style and stress management have greater role in their management.

*Integration of tradition and technology is the need of hour.  

*Integration of tradition and technology is the need of hour.

In present scenario, ancient knowledge shall be enriched with recent updated diagnostic tools to achieve the goal of a healthy and happy life.

In present scenario, ancient knowledge shall be enriched with recent updated diagnostic tools to achieve the goal of a healthy and happy life.