Abstract

*Prachi Mishra, Pramod Kumar Mishra, Indumati Sharma

ABSTRACT

Ajeerna (Dyspepsia), Amlapitta (GERD) and Shoola (Peptic ulcer disease) are chronic, relapsing and non-fatal GIT conditions that constitute 25% of the patient’s visits to clinics and hospitals in India. Above 4 million cases, encounter these problems every year and the percentage is fast increasing. This is a matter of great concern. Samprapti of Shoola Shoola starts with intake of Viruddhahara like hot and spicy rich fatty diet, junk foods and addictions like tobacco chewing, smoking, alcohol and physical inactivity leading to Agnimandya and formation of Ama, which trigger a progressing chain of events i.e. Ajeerna followed by Amlapitta(hyperacidity) and finally culminating into Shoola (both Parinama and Annadrava). Burning epigastric pain exacerbated by fasting and relieved by meals is a symptom complex associated with Shoola According to Ayurveda Pitta, the chief culprit factor (along with vata and kapha). Many efficacious, potent pharmacological (herbal and herbo- mineral formulations) and non- pharmacological measures described in the disease management of Amlapitta and Shoola have undergone extensive research trials as set by the standard, renowned research institutes and pharmaceutical companies of Modern science.