A Clinical Study Of Efficacy Of Vaman Dhauti (Kunjal Kriya) On Urdhwaga Amlapitta W.S.R. To Hyperacidity

INTRODUCTION:** A**yurveda is a unique boon to the community since  ancient years. The science with a history of several thousand years has very strong principles on which it has developed. Ayurveda has mainly two principle objectives .First maintenance  and promotion of health and Secondly pevention and cure from disease. Swasthavritta is the branch of ayurveda that deals with  the  pevention of any disease with the holistic approach by healthy lifestyle, diet,hygiene, daily regimen and yoga.

The period of 21st century is regarded as the era of fast technology and tough competition. The man of this era is becoming prey to series of life style disorder which are much more bothering than the infective diseases. The altered life style activities like fried food, night shift duties, mental stress, addictions etc. are the major risk factors for the lifestyle disorders*.UrdhwaaAmlapitta i*.e .Hyperacidity is one of them.

UrdhwagaAmlapitta, also known as Hyperacidity is generally a result of incorrect and irregular eating habits and it is one of the common ailments seen in many people.Hurry,Worry and Curry are the three main reasons for the amlapitta disease. In India reveals that 25% of the people are suffering from this disorder. Stomach contains acids that help in the process of digestion of food, When the level of these digestive acids increases, it starts to erosion of the mucus lining faster, and the stomach muscles become exposed leading to burning sensation and this condition is known as hyperacidity.

According to Ayurveda, excess consumption of Pitta Prakopakara Ahara, Vihara leads to Amlata, Dravata, and Vriddhi of Pitta causing Shuktata of Pitta.The all above mentioned causes leads to imbalance of the Shareerika Doshas Vata, Pitta & Kapha in turn create Agnimandya & due to improperly metabolized and get convert into Shuktata (vitiated liquid acid) and this gets situated in Amashaya which is called asAmlapitta. The disease mainly caused by improper dietetic pattern, mental stress and strain which is related to our digestion.

Vamana Dhauti one of theyogic Shatkarmas  cleans the entire digestive tract and removes  excess acid, bile, mucus, toxins and restores the natural balance of the stomach chemical composition. By considering the above factors Management of Amlapitta aims at minimizing the symptoms, correcting the Agni, Optimize the quality of life and reduces the risk of developing co-morbidities. Hence Ayurveda and Yogic procedures offers respectively as treatment modalities for resisting this types of disorders.This technique is also known as Gajkarni.

RATIONAL OF STUDY : The digestive system plays an important role for the absorption of nutrients and the nourishment of overall body. the factors such as stress, lack of sleep, use of antibiotics, NSAIDs, improper water intake and poor dietary habits impaired digestive systems and cause the gastrointestinal disorders[GIDS] the severity of GID ’s varies as per disease types some like indigestion are mild while Acid peptic diseases such as hyperacidity, gastro esophageal Reflux disease [GERD], gastric and duodenal ulcer are life threatening conditions. It may cause malignant conditions like adenocarcinoma and other stomach cancer.About 7 lakh people died in 2002 due to stomach cancer. Amlapitta can be correlated with Acid Peptic Disorders which comprises of Hyperacidity,Gastro-Oesophageal Reflux Disease, Gastritis, Functional Dyspepsia described in modern science.                                                                                                                                                                                                                                                                                                                                                                                                 In Gherand samhita and hathyog pradipika there is one wander ‘Vaman Dhauti suddhi kriya’ given and advised it’s Vaman Dhauti in amashaygatroga. Although there are treatments available in medical sciences for Amlapitta, no drug ensures relief. So there is need for safe, effective and easily perfrom Vaman Dhauti (Kunjal Kriya).

Hence the study titled as "A Clinical Study Of Efficacy Of Vaman Dhauti (Kunjal Kriya) In The Management Of Amlapitta W.S.R. To Hyperacidity.”

OBJECTIVES:

Primary Objective-

To study the efficacy of Vaman Dhauti (Kunjal Kriya)  on Urdhwaga Amlapitta.

Secondary Objectives-

Ø To study the Amlapitta disease as per Ayurveda Literature .

Ø To study the Hyperacidity as per Modern Literature.

To study the Vaman Dhauti (Kunjal Kriya) procedure.

ASSESMENT CRITERIA:

Subjective parameters

Based on sign & Symptoms of Urdhwag**Amlapitta – AmlapittaSymptoms Rating Scale****(ASRS)

1. Avipaka(Indigestion)

2. Utklesha(Nausea)

3. Chhardi(Vomiting)

4. Tiktaamla Udgar(Bitter & Sour Belching)

5. Aruchi(Anorexia)

6. Hrud*-*Kanthdah(Burning sensation in heart and throat)

7. Gaurav(Heaviness)

8.    Udarshool (Stomachache)

Overall Effect of Therapy (Overall Assessment Criteria) :-

Overall assessment will be done by following  -

1. Not cured - No improvement in subjective Criteria

2. Improved - Improvement in Subjective criteria

3. Cured - Improvement in Subjective criteria

Excellent

0

100% Relief in sign & symptoms

|Very mild

1-7

75-99% Relief in sign & symptoms

|Mild

8-14

50- 75% Relief in sign & symptoms

|Moderate

15-21

25-50% Relief in sign & symptoms

|Severe (Infective)

22-28

0-25% Relief in sign & symptoms.

Amlapitta Symptoms Rating Scale (ASRS)

Minimum Score – 0

Maximum Score – 28