Amlapitta (Hyperacidity): An Evidence-Based Review of Ayurvedic Etiopathogenesis and Holistic Management

Abstract

Background: Amlapitta is a frequently encountered gastrointestinal disorder described in Ayurvedic literature and is clinically comparable to hyperacidity and gastroesophageal reflux disease. Rapid lifestyle changes, faulty dietary practices, psychological stress, and sedentary habits have contributed to its increasing prevalence.

Objective: To review classical Ayurvedic literature on Amlapitta with reference to its etiological factors, pathogenesis, clinical features, classification, complications, prognosis, and principles of holistic management.

Materials and Methods: A narrative review of classical Ayurvedic texts, including Kashyapa Samhita, Madhava Nidana, Bhavaprakasha, Yoga Ratnakara, and Chakradatta, was undertaken. Relevant references were systematically compiled and analysed using the Ayurvedic framework of Nidana Panchaka and Chikitsa Siddhanta.

Results: Amlapitta originates primarily from Agnimandya and Pitta Dosha vitiation due to improper diet, lifestyle errors, mental stress, and seasonal influences. Classical symptoms include Avipaka, Amlodgara, Hrid?Kantha Daha, Aruchi, Klama, and Chhardi. Management emphasises Nidana Parivarjana, Shamana therapy using Pitta?pacifying drugs, Shodhana procedures such as Vamana and Virechana, and strict adherence to Pathya?Apathya.

Conclusion: Amlapitta is a preventable and manageable disorder when diagnosed early and treated according to Ayurvedic principles. Lifestyle modification, dietary regulation, and individualised therapy play a pivotal role in preventing chronicity and recurrence.