Hi… For your current condition it is more over nirama pitta because you said non sticky stool…but increase hunger means that your pitta is aggrevated with kapha anubandh that will cause sticky stool as ama formation and reducing agni… So basically you need to remove kapha from pittashya and then work on pitta… For this You can take Shunthi churna -1tsp-BD With warm water only…when you feel that your stool is non sticky and hunger is normal but your acne outburst then will go for pittaj chikitsa So for this start taking Triphala churna+ avipattkar churna at night 1 tsp only
Sama Pitta vs. Nirama Pitta Sama Pitta (pitta mixed with ama/toxins) Stool: sticky, foul-smelling, sometimes mucus-laden. Appetite: reduced or irregular. Acne/skin issues: often aggravated. Response to bitter/astringent medicines: stool improves, acne reduces, but appetite drops → this matches your experience. Nirama Pitta (pure aggravated pitta, without ama) Stool: loose, non-sticky, burning sensation possible. Appetite: strong, frequent hunger. Acne: reddish, inflamed. Response to pungent medicines: bloating reduces, but pitta symptoms (acne, hunger, loose stool) worsen → again, this matches your description. Stabilize digestion (Agni) Use mild deepana-pachana herbs: Trikatu churna (very small dose, 1–2 pinches with warm water before meals). Avoid overuse of pungent medicines, since they aggravate pitta in your case. Clear Ama gently Guduchi (Tinospora cordifolia): 500 mg capsule or 1–2 tsp decoction daily with warm water. Bilva churna: 1–2 g with warm water after meals if stool is loose. Balance Pitta Avipattikar churna: 1–2 g with warm water at bedtime if acidity/burning is present. Saraswatarishta or Kamadudha rasa (under supervision) for acne and pitta calming. Dietary Do’s Eat at regular times; avoid skipping meals. Favor cooling, light foods: rice, moong dal, bottle gourd, pomegranate, coriander water. Avoid excess pungent, sour, salty foods. Don’ts No irregular eating, late-night meals, or heavy fried/oily foods. Limit chili, pickles, alcohol, and fermented foods.
HELLO, In Ayurveda, the difference between Sama pitta (pitta with Ama) and Nirama pitta (pitta without ama) depends mainly on the presence of ama (toxins due to weak digestion) BASED ON YOUR SYMPTOMS When taking pungent medicines -loose, non-sticky stools -increased acne (reddish) -severe hunger -bloating reduces This shows strong Agni(digestion) but aggravated pitta, without clear ama signs WHEN TAKING BITTER/ASTRINGENT MEDICINES -stool becomes formed but sticky -acne reduces -appetite descreases Stickiness suggests mild Ama formation due to agni suppression Your pattern suggests mainly Nirama pitta (aggravated pitta without significant ama), but when you over-cool/suppress digestion with too much bitter/astringent medicine, secondary ama formation happens So this is primarily nirama pitta with variable agni, not classical Sama pitta AYURVEDIC MANAGEMENT MAIN GOAL -pacify pitta -maintain balanced agni -do NOT over-reduce digestion DIET -take regular meals on time -old rice, wheat -moong dal -bottle gourd, ridge gourd -pomegranate -small amount of ghee AVOID -excess spicy, sour, fermented foods -fried items -excess chilli -skipping meals SIMPLE REMEDIES -GUDUCHI GHAN VATI= 2 tabs twice dialy after meals =immunomodulator -SHATAVARI= 1 tsp with warm milk at night = mild pitta pacifier without suppressing digestion -AVIPATTIKAR CHURNA= 1/2 tsp with warm water before meals -BUTTERMILK diluted, non sour with roasted jeera at lunch LIFESTYLE -sleep before 10:30 pm -avoid anger/stress (pitta trigger) -moderate cooling pranayam - sheetali If symptoms persist>6 months as in your case, a mild virechana may give long term relief- but under ayurvedic physician DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU
