••Pranam. I understand how exhausting and distressing it must be to deal with chronic gastritis and persistent acid reflux for three years, especially when your CT scan comes back normal and standard treatments aren’t giving you lasting relief. ••Here is a holistic, classical Ayurvedic protocol tailored for chronic Amlapitta: 1. Classical Herbo-Mineral Formulations (Chikitsa) ••Sutshekhar Ras (Gold or Plain): This is the premier formulation for severe, chronic acid reflux. It acts directly on the stomach lining, neutralizes hyperacidity, and alters the upward movement of Pitta. Dosage: 1 tablet (125 mg) twice a day, empty stomach in the morning and evening, taken with honey or a spoonful of cow’s ghee. ••Kamdudha Ras (Moti Yukta): An incredible cooling (Sheeta) formulation rich in natural calcium compounds (Praval, Mukta, Shankha). It immediately soothes the burning sensation in the stomach and esophagus and heals chronic mucosal irritation. Dosage: 1 tablet (250 mg) twice a day, 30 minutes after meals with warm water. ••Avipattikar Churna: A classical formulation designed specifically for Urdhvaga Amlapitta. It helps in mild purgation, effectively clearing the accumulated, stagnant sour Pitta from the gastrointestinal tract and directing it downward. Dosage: 3 to 5 grams at bedtime with lukewarm water. 2. Single Herb Therapies (Ekaushadhi) ••Yashtimadhu (Licorice - Glycyrrhiza glabra): It acts as a natural demulcent, creating a protective coating over the inflamed gastric mucosa and promoting tissue healing. How to use: 1/2 teaspoon of Yashtimadhu Churna mixed with 1 teaspoon of Shatavari Churna, taken with lukewarm milk or water twice a day. ••Amala (Indian Gooseberry): The best rasayana for Pitta. Unlike other sour fruits, Amala is highly alkaline post-digestion (Madhur Vipaka) and reduces gastric secretions. 3. Vital Dietary Modifications (Ahara) When dealing with a three-year-old Pitta imbalance, diet isn’t just support—it is the medicine. ••What to favor: •Old rice (Shashtika Shali), barley, and wheat. Mung dal water or well-cooked, light mung khichdi. •Vegetables like ash gourd (Petha), bottle gourd (Lauki), pointed gourd (Parwal), and ridge gourd (Turai). Ash gourd juice in the morning on an empty stomach is highly beneficial. ••Cow’s Ghee: Pure cow’s ghee is Pitta-Shamana and stimulates a healthy Agni without increasing acidity. Mix 1 teaspoon of ghee into your warm meals. ••What to strictly avoid: Katu (pungent), Amla (sour), and Lavana (salty) tastes. Green chilies, red chili powder, garlic, onions, garam masala, and heavy pickles. Fermented foods (Idli, Dosa, curd/yogurt) as they directly aggravate Amlapitta. Tea, coffee, citrus fruits, and carbonated beverages. 4. Lifestyle & Stress Management (Vihara) The stomach lining is deeply connected to the nervous system. Chronic stress secretes excess acid. ••Avoid Bhaya (fear/anxiety) and Krodha (anger): These emotions instantly elevate Pitta. ••Sheetali and Sitkari Pranayama: These are cooling breathing exercises that help calm the nervous system and lower internal body heat. ••Never skip meals: Leaving the stomach empty for long periods allows the aggravated Pitta to irritate the gastric walls. Eat small, frequent, and easily digestible meals.
Hello, 3 year chronic case with daily symptoms, abdominal pain, acid reflux, spicy food trigger Root cause Pitta dosha imbalance + disturbed digestive fire, chronic stress + spicy food-> excess pachaka pita-> mucosal erosion-> amlapitta Internal medications Morning empty stomach= Avipaatikar churna= 3gm + warm water After breakfast= 1) Amlant tablet= 2 tabs= before breakfast, 2) Sutsekhar ras= 125m + shatavari 500mg with warm water Before lunch= Amlant tablet= 2 tabs After lunch= Gasex tablet= 2 tabs + Praval pishti =250 mg with warm water Evening= Yashtimadhu 3gm + warm milk After dinner= Kamdudha ras= 125mg with water , Gasex tablet= 2 tabs At bedtime= Amla churna= 3gm + honey Diet -old rice, moon dal, buttermilk, coconut water -ash gourd, bottle gourd, pomegranate -cow’s ghee= 1 tsp daily -fennel seeds after meals Strictly Avoid -spicy, sour, fermented, fried foods -tea,coffee on empty stomach -maida products, processed food -late night eating, skipping meals Lifestyle -eat at fixed times= never skip meals -small frequent meals every 3 hours -left lateral sleeping position reduces reflux significantly -15 min walk after meals -avoid tight clothing around abdomen -sheetali pranayam= 10 min daily-> directly pacifies pitta Emergency aciidity relief= Mic 1/2 tsp avipattikar churna + 1/2 tsp yashtimadhu churna in cold milk-> take immediately during acute episodes Do follow Hope this might be helpful Thank you
