Literary Review of GERD in Ayurveda: A Comprehensive Overview

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Journal name: Ayushdhara
Original article title: A Comprehensive Literary Review of Gastroesophageal Reflux Disease (GERD) in Ayurvedic Perspective
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Author(s):

Neha Yadav
MD Scholar, Dept. of Rog Nidan evumVikriti Vigyan, G.A.C.H, Patna, Bihar, India.
Amarendra Kumar Singh
Associate Professor, Dept. of Rog Nidan evumVikriti Vigyan, G.A.C.H, Patna, Bihar, India


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: A Comprehensive Literary Review of Gastroesophageal Reflux Disease (GERD) in Ayurvedic Perspective

Year: 2023 | Doi: 10.47070/ayushdhara.v10iSuppl4.1323

Copyright (license): CC BY-NC-SA 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

Gastroesophageal reflux disease (GERD) has become a prevalent issue, affecting various populations globally due to modern lifestyles characterized by irregular food habits, stress, and neglect of traditional Ayurvedic practices such as Dincharya and Ritucharya. GERD, which involves the backflow of stomach contents into the esophagus, often follows disturbances in the body’s dosha balance, particularly vitiated Pitta dosha. As lifestyle choices and environmental factors lead to gastrointestinal disorders, understanding GERD through Ayurveda offers valuable insights into its prevention and management.

The Role of Pitta Dosha

The imbalance of Pitta dosha plays a pivotal role in the development of GERD, where an increase in Pitta can lead to ailments such as Amlapitta, Ajirna, and related digestive disorders. Amlapitta, a condition recognized in Ayurvedic texts as related to increased acidity and indigestion, arises when the Pitta becomes aggravated due to improper dietary habits and stress. According to Acharya Kashyapa, the consumption of incompatible foods and factors resulting in Pitta prakopa leads to reduced digestive capacity and fermentation of food, worsening the condition. The increased acidity in Amlapitta significantly correlates with the symptoms of GERD, emphasizing the need to address Pitta imbalances to alleviate the disease.

Lifestyle and Digestive Health

Ayurveda places significant emphasis on maintaining a balanced lifestyle, which includes following guidelines for diet (Ahara) and behavior (Vihara). The lack of adherence to practices like Dincharya and Ritucharya contributes to digestive disruptions, making individuals more susceptible to GERD. Additionally, factors such as stress, sedentary living, and poor sleep patterns exacerbate digestive disorders, prompting the formation of conditions like Ajirna—characterized by indigestion and malabsorption. This highlights the importance of a holistic approach to health, where lifestyle modifications alongside Ayurvedic dietary rules can prevent the onset of GERD.

Conclusion

In conclusion, GERD is intricately linked to lifestyle choices and dosha imbalances, particularly the aggravation of Pitta due to contemporary practices. By recognizing the significance of Ayurvedic principles in maintaining digestive health, individuals can mitigate the risks associated with GERD. Implementing preventive measures, including dietary adjustments and adherence to Ayurvedic regimens, is crucial in achieving long-term relief and improving overall quality of life. With increasing awareness and understanding of GERD, there is potential for better management of symptoms and a reduction in the prevalence of related gastrointestinal disorders.

FAQ section (important questions/answers):

What lifestyle factors contribute to the rise of GERD?

Busy schedules, altered food habits, insufficient sleep, and lack of Ayurvedic practices like Dincharya and Ritucharya disturb the balance of Tridosha, which can lead to digestive disorders such as GERD.

How does Ayurveda view Gastroesophageal Reflux Disease (GERD)?

Ayurveda correlates GERD with conditions like Amlapitta, Ajirna, and Parinamashoola, primarily attributing it to vitiated Pitta dosha due to improper diet and lifestyle choices, affecting the digestive system.

What lifestyle changes can help prevent GERD according to Ayurveda?

Adhering to Ayurvedic principles like following Dincharya, Ritucharya, Sadvritta, and proper dietary habits can help maintain digestive health, preventing conditions like GERD and ensuring overall well-being.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Literary Review of GERD in Ayurveda: A Comprehensive Overview”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Disease:
Disease refers to an abnormal condition affecting the body. Gastroesophageal reflux disease (GERD) is characterized by backflow of stomach contents into the esophagus, causing complications like heartburn, regurgitation, and esophagitis, impacting the patient's quality of life significantly.

2) Pitta:
Pitta is one of the three doshas in Ayurveda, representing the elements of fire and water. It is primarily responsible for digestion and metabolism. Vitiation of Pitta dosha leads to conditions like Amlapitta, characterized by hyperacidity and burning sensations.

3) Amlapitta (Amla-pitta):
[see source text or glossary: Amla-pitta]

4) Food:
Food plays a critical role in health and disease in Ayurveda. Improper food habits such as consumption of incompatible, unhygienic, or excessively sour foods can lead to the vitiation of doshas, resulting in conditions like Amlapitta and Ajirna.

5) Dosha (Dosa):
Doshas are the three fundamental bio-elements in Ayurveda: Vata, Pitta, and Kapha. They govern physiological activities and their imbalance leads to diseases. Conditions like Ajirna and Amlapitta are due to the vitiation of these doshas.

6) Ajirna:
Ajirna denotes indigestion and results when the digestive fire (Agni) is weak. Factors like irregular meals, stress, and poor quality food lead to this condition. Ajirna can further evolve into more severe gastrointestinal issues if untreated.

7) Nidana:
Nidana refers to the causative factors of a disease in Ayurveda. For Amlapitta, Nidanas include incompatible foods and lifestyle habits leading to the vitiation of Pitta dosha. Identifying Nidana helps in the effective treatment and management of diseases.

8) Kapha:
Kapha is one of the three doshas in Ayurveda, embodying the principles of earth and water. It is responsible for stability, lubrication, and growth. Excessive Kapha can lead to digestive issues and can play a role in diseases like Amlapitta when imbalanced.

9) Amasaya (Amashaya, Ama-ashaya):
Amashaya refers to the stomach or the primary site of digestion in Ayurvedic terms. It is where initial food digestion and Pitta dosha activity predominantly occur. Disorders like Amlapitta manifest primarily in the Amashaya due to vitiated Pitta.

10) Samprapti:
Samprapti in Ayurveda refers to the pathogenesis or the sequence of events involved in the manifestation of a disease. For conditions like Amlapitta, it involves the imbalance and subsequent vitiation of doshas, particularly Pitta.

11) Vayu:
Vayu, or Vata dosha, is one of the three doshas, representing the air and ether elements. It controls movement and communication within the body. Imbalance in Vayu can lead to conditions such as Parinamashoola, involving digestive tract issues.

12) Pittadosha (Pittadosa, Pitta-dosha):
[see source text or glossary: Pittadosha]

13) Vitiation (Vitiated):
Vitiation refers to the disturbance or imbalance of the doshas leading to disease. In conditions like Amlapitta, the vitiation of Pitta dosha occurs due to factors such as improper food habits and lifestyle, resulting in gastrointestinal issues.

14) Ayurveda (Ayus-veda):
Ayurveda is an ancient holistic science emphasizing the balance of body, mind, and spirit for health. It involves preventive and curative aspects, focusing on correct food habits, lifestyle (Dincharya, Ratricharya), and the management of doshas to prevent diseases like Amlapitta.

15) Parinama:
Parinama refers to the result or outcome. In the context of diseases like Parinamashoola, it indicates pain occurring during the digestive process, often due to the imbalance of Vata, Pitta, and Kapha doshas.

16) Madhava:
Madhava refers to Acharya Madhava, who has described diseases like Amlapitta, their causes, symptoms, and treatment approaches in texts like Madhava Nidana. His work is crucial for understanding the Ayurvedic perspective on gastrointestinal disorders.

17) Kledakakapha (Kledaka-kapha):
Kledaka Kapha is a subtype of Kapha dosha located in the stomach, providing mucus to protect the stomach lining from the digestive acids (Pachaka Pitta). Imbalance can lead to conditions like Amlapitta, causing hyperacidity and indigestion.

18) Vidagdha:
Vidagdha refers to improperly digested food. In the context of Amlapitta, Vidagdha Ahara undergoes fermentation, leading to sourness and the vitiation of Pitta dosha in the stomach, resulting in symptoms like acidity and heartburn.

19) Kashyapa (Kasyapa, Kashya-pa, Kashyapanamdana):
Kashyapa refers to Acharya Kashyapa, an ancient sage and author of Kashyapa Samhita, an important text in Ayurveda. He described conditions like Amlapitta, detailing its causes, symptoms, and treatments.

20) Kledaka:
Kledaka is a subtype of Kapha dosha, responsible for moistening and lubricating the food in the stomach. Its imbalance can cause disorders like Amlapitta, where excessive mucus production disrupts normal digestion and leads to acidity.

21) Sevana:
Sevana pertains to the consumption or indulgence in certain actions or substances. Nidana Sevana refers to the consumption of causative factors leading to disease. For Amlapitta, it involves the intake of incompatible, sour, and Pitta-provoking foods.

22) Srotas (Shrotas):
Srotas refers to the channels or pathways in the body through which various substances circulate. Diseases like Amlapitta affect the Annavaha Srotas, the channels responsible for food transport and digestion.

23) Vyadhin (Vyadhi):
Vyadhi refers to disease in Ayurvedic terminology. Conditions like Amlapitta, Ajirna, and Parinamashoola are classified as Vyadhis affecting the gastrointestinal system, caused by dosha imbalances and poor lifestyle habits.

24) Ahara:
Ahara refers to food or diet, which plays a vital role in maintaining health and preventing disease in Ayurveda. Proper Ahara following guidelines like Dincharya and Ritucharya can prevent conditions like Amlapitta and Ajirna.

25) Kumar:
Kumar refers to Dr. Amarendra Kumar Singh, an associate professor cited in the study. His work contributes to the research on GERD and its Ayurvedic perspective, aiding in understanding and managing such gastrointestinal diseases.

26) Vata:
Vata is one of the three doshas, representing the elements of air and ether. It's responsible for movement and nerve function. An imbalance in Vata can lead to conditions like Ajirna and Parinamashoola, characterized by pain and indigestion.

27) Pain:
Pain is a common symptom in many gastrointestinal disorders like Parinamashoola. It can occur before, during, or after digestion, often due to dosha imbalances (Vata, Pitta, Kapha). Proper Ayurvedic treatment aims to alleviate pain by restoring balance.

28) Sadvritta (Sadvrtta, Sat-vritta):
Sadvritta refers to ethical and moral conduct in Ayurveda, including dietary and lifestyle guidelines aimed at maintaining health. Adherence to Sadvritta can prevent conditions like Amlapitta by promoting balanced doshas and proper digestion.

29) Kaphaja:
Kaphaja diseases are those caused by the imbalance or excess of Kapha dosha. In the context of Amlapitta, Kaphaja Amlapitta results from factors that increase Kapha, leading to symptoms like heaviness, nausea, and sluggish digestion.

30) Pittaja (Pitta-ja):
Pittaja diseases are those caused by the imbalance or excess of Pitta dosha. Pittaja Amlapitta is characterized by hyperacidity, burning sensations, and sour eructations due to the excessive and vitiated Pitta in the digestive system.

31) Amlata:
Amlata refers to sourness, often related to the condition of Amlapitta where the Vidagdha (fermented) food in the stomach leads to the sourness of gastric contents, vitiating the Pitta dosha and causing symptoms like acidity and heartburn.

32) Bheda:
Bheda refers to the classification or types of a disease. In the case of Amlapitta, it is classified based on dosha involvement and location of dosha vitiation, such as Vataja, Pittaja, Kaphaja, Urdhvaga, and Adhoga Amlapitta.

33) Anna:
Anna means food, which is transported through the Annavaha Srotas (digestive channels). Improper consumption of Anna, such as incompatible or excessively sour food, can lead to the vitiation of doshas and result in conditions like Amlapitta and Ajirna.

34) Rasa (Rasha):
Rasa in Ayurveda refers to taste or the initial stage of digestion. The quality of Rasa is crucial for proper digestion. Imbalanced Rasa, particularly sour (Amla) Rasa, can lead to digestive disorders like Amlapitta by vitiating Pitta dosha.

35) Amla:
Amla refers to the sour taste. Excessive consumption of Amla Rasa disrupts the balance of Pitta dosha, leading to conditions like Amlapitta, characterized by sour eructations, heartburn, and indigestion.

36) Diet:
Diet—referred to as Ahara in Ayurveda—is essential for maintaining health and preventing diseases. An improper diet, such as one rich in sour or incompatible foods, can lead to the development of conditions like Amlapitta and Ajirna.

37) Sour:
Sour taste, or Amla Rasa, when consumed excessively or improperly, can aggravate Pitta dosha, leading to hyperacidity, indigestion, and diseases like Amlapitta. Proper dietary guidelines in Ayurveda aim to balance tastes to maintain health.

38) Madhavanidana (Madhava-nidana):
Madhava Nidana is a classical Ayurvedic text authored by Acharya Madhava. It details the causes, symptoms, and treatments of various diseases, including Amlapitta and Ajirna, and provides foundational knowledge in Ayurvedic diagnostics and pathology.

39) Vidagdhajirna (Vidagdha-jirna):
Vidagdhajirna is a type of indigestion characterized by the vitiation of Pitta dosha. It involves symptoms like hyperacidity, sour eructations, and heartburn, similar to the modern concept of GERD.

40) Samanavayu (Samana-vayu):
Samana Vayu is a subtype of Vata dosha located in the digestive system, responsible for stimulating digestion and balancing Pitta and Kapha doshas. Imbalance in Samana Vayu can lead to digestive disorders like Amlapitta.

41) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya signifies diminished digestive fire (Agni), an essential concept in Ayurveda. It leads to incomplete digestion and results in digestive disorders like Ajirna and Amlapitta, characterized by symptoms like indigestion and hyperacidity.

42) Katurasa (Katu-rasa):
Katu Rasa refers to the pungent taste associated with Pitta dosha. In Amlapitta, Pitta's normal Katu Rasa becomes Vidagdha (fermented) and transforms into Shuktibhava, manifesting as sourness and hyperacidity in the stomach.

43) Mandagni (Manda-agni, Mamdagni):
Mandagni refers to weak or impaired digestive fire, which results in improper digestion leading to the accumulation of Ama (toxins). It is a primary cause of disorders like Amlapitta and Ajirna, where digestion is significantly hampered.

44) Samhita:
Samhita refers to classical Ayurvedic texts compiled by ancient sages, which form the foundation of Ayurvedic knowledge. Texts like Kashyapa Samhita detail conditions like Amlapitta and their treatments.

45) Prakopa:
Prakopa refers to the aggravation or vitiation of doshas. When Pitta dosha undergoes Prakopa due to improper food or lifestyle, it leads to digestive disorders like Amlapitta, characterized by hyperacidity and sour eructations.

46) Samana (Shamana):
Samana refers to equalizing or balancing. In Ayurveda, Samana Vayu balances Pitta and Kapha in the digestive process, ensuring proper digestion. Imbalance in Samana Vayu can disrupt digestion, leading to conditions like Amlapitta.

47) Sthana:
Sthana refers to location or site. In diseases like Amlapitta, Sthana Dushti indicates the site of dosha vitiation, particularly affecting regions like Amashaya (stomach) and causing symptoms like hyperacidity and indigestion.

48) Vataja (Vata-ja):
Vataja disorders are caused by the imbalance of Vata dosha. Vataja Amlapitta, for example, involves symptoms such as dryness and spasms in addition to typical hyperacidity, due to the dominance of Vata characteristics.

49) Agni:
Agni refers to the digestive fire responsible for the transformation and assimilation of food in the body. Disturbance in Agni, such as Mandagni, leads to incomplete digestion and conditions like Amlapitta and Ajirna.

50) Katu:
[see source text or glossary: Katu]

51) Rupa:
Rupa refers to the symptoms or clinical features of a disease. In Amlapitta, Rupa includes sour eructation, heartburn, nausea, and burning sensations in the stomach and chest, indicating vitiation of Pitta dosha.

52) Fire:
Fire in Ayurveda refers to Agni, the essential digestive force that transforms food into energy and nutrients. Weak Agni (Mandagni) results in incomplete digestion, leading to conditions like Amlapitta and Ajirna with symptoms like hyperacidity.

53) Burning sensation:
Burning sensation is a common symptom in conditions like Amlapitta and GERD, where the vitiation of Pitta dosha leads to hyperacidity, causing a burning feeling in the stomach, chest, and throat.

54) Kashyapasamhita (Kasyapasamhita, Kashyapa-samhita):
Kashyapa Samhita is an important Ayurvedic text attributed to Acharya Kashyapa, which first described Amlapitta as a distinct condition, detailing its causes, symptoms, and treatments, providing significant insight into Ayurvedic gastroenterology.

55) Vishtabdhajirna (Vistabdhajirna, Vishtabdha-jirna):
[see source text or glossary: Vishtabdhajirna]

56) Rasasheshajirna (Rasasesajirna, Rasashesha-jirna):
[see source text or glossary: Rasasheshajirna]

57) Inflammation:
Inflammation in the context of GERD and Ayurvedic disorders like Amlapitta, refers to irritation and swelling of the esophagus due to backflow of gastric contents, leading to symptoms like burning sensation and pain.

58) Tirunelveli:
[see source text or glossary: Tirunelveli]

59) Madhavakara:
Madhavakara refers to the ancient Ayurvedic scholar who authored Madhava Nidana, a key text that describes diseases like Amlapitta and their management, providing foundational knowledge for diagnosing and treating various conditions.

60) Vishamashana (Visamasana, Vishamasana):
Vishamasana refers to irregular or improper eating habits, such as eating at irregular intervals or consuming incompatible foods, which can disturb Agni (digestive fire) and lead to conditions like Ajirna and Amlapitta.

61) Upastambha (Upashtambha):
[see source text or glossary: Upastambha]

62) Jatharagni (Jathara-agni):
Jatharagni refers to the main digestive fire located in the stomach and intestines. It is responsible for digesting food. Impaired Jatharagni leads to digestive disorders like Ajirna and Amlapitta, characterized by indigestion and hyperacidity.

63) Vatadosha (Vatadosa, Vata-dosha):
[see source text or glossary: Vata-dosha]

64) Kaphadosha (Kaphadosa, Kapha-dosha):
[see source text or glossary: Kaphadosha]

65) Vishtambhin (Vistambhin, Vishtambhi, Vistambhi):
[see source text or glossary: Vishtambhi]

66) Discussion:
[see source text or glossary: Discussion]

67) Irritation:
[see source text or glossary: Irritation]

68) Salivation:
[see source text or glossary: Salivation]

69) Depression:
[see source text or glossary: Depression]

70) Kaphakara:
[see source text or glossary: Kaphakara]

71) Samnipata (Sannipata):
[see source text or glossary: Sannipata]

72) Tridosha (Tridosa, Tri-dosha):
[see source text or glossary: Tridosha]

73) Lakshana (Laksana):
[see source text or glossary: Lakshana]

74) Vibhrama:
[see source text or glossary: Vibhrama]

75) Atimatra:
[see source text or glossary: Atimatra]

[Note: The above list is limited to 75. Total glossary definitions available: 108]

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Literary Review of GERD in Ayurveda: A Comprehensive Overview’. Further sources in the context of Science might help you critically compare this page with similair documents:

Agnimandya, Samprapti, Ajirna, Amlapitta, Ritucharya, Pittadosha, Dincharya, Dyspepsia, Quality of life, Etiological factor, Vitiated dosha, Lifestyle change, Annadravashoola, Parinamashoola, Gastroesophageal reflux disease (GERD), Annavaha Srota.

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