Background: Amlapitta is a Pitta-dominant disorder of Annavaha Srotas characterized by amlodgara, hridkantha daha, klama, utklesha, avipaka and chardi. Classical descriptions of Amlapitta are available in Kashyapa Samhita and Madhava Nidana, and the condition can be clinically correlated with acid-peptic disorders including hyperacidity, gastritis and gastroesophageal reflux disease.1,2 Aim: To comparatively evaluate the conceptual basis, clinical applicability and therapeutic relevance of Saddyo Virechana and Classical Virechana using Aragwadhadi Avaleha in the management of Amlapitta. Materials and Methods: A narrative review was carried out using classical Ayurvedic texts, published review literature and contemporary biomedical sources related to Amlapitta, Virechana Karma, Saddyo Shodhana, Aragwadhadi Avaleha, hyperacidity, gastritis and GERD. The collected material was analysed for disease pathogenesis, probable mode of action and comparative clinical utility. Results: Classical Virechana provides systematic Shodhana through Purva Karma, Pradhana Karma and Paschat Karma, making it more suitable for chronic and recurrent Pittaja presentations. Saddyo Virechana offers prompt elimination of Utklista Pitta with better practicality in selected patients who cannot tolerate prolonged preparation. Aragwadhadi Avaleha acts as a Mridu Virechaka and Pittashamaka formulation, supporting controlled purgation.3,4,5 Conclusion: Both Classical Virechana and Saddyo Virechana have a rational place in Amlapitta management. Classical Virechana may be preferred where deep Shodhana is needed, while Saddyo Virechana may be considered in mild-to-moderate presentations requiring immediate Dosha elimination. Selection should be based on Rogi Bala, Roga Bala, Agni, Dosha Avastha and clinical feasibility.
Mansi Kukreti*1, Arvind Kumar Gupta2, Akshay Verma3 (Sat,) studied this question.