Ajirnam (Dyspepsia)

Dyspepsia is a discomfort, mostly associated with burning pain, commonly seen in Peptic Ulcer. There will be poor appetite, nausea, constipation, belching and sounds in abdomen.

Causes of Dyspepsia–

1. H -Pylori
2. Gall Stones
3. NSAIDS and aspirin abuse
4. Stomach cancer
5. In some cases anxiety, functional dyspepsia is seen.

Investigations —

1. Hb
2. Bilirubin
3. SGPT (ALT), SGOT (AST)
4. S.Amylase, lipase
5. USG — Abdomen, pelvis
6. Endoscopy — Upper GI
7. Urine Routine

A. Ulcer dyspepsia

Here Vidagda ajirna chikitsa and Jwara chikitsa should be done. Tikta, Madhura, Kashaya rasa drugs are selected.

Kashayam —

1. Guduchyadi Kashayam
2. Mrdvikadi Kashayam
3. Chandanadi Kashayam
4. Saribadi Kashayam
5. Shadangam Kashayam
6. Kalyanakam Kashayam

Ghrita — (Anupana warm water or milk)

1. Indukantha Ghrita
2. Kalyanaka Ghrita
3. Tiktaka Ghrita
4. Shatavari Ghrita

Lehyam —

1. Parushakadi Lehyam
2. Kalyanaka Gudam

Gulika —

1. Sudarshana Vati
2. Dhanvantara Gulika
3. Shankha Vati

B. Non Ulcer Dyspepsia

Gulma Chikitsa should be done, that is Kapha Vata shamanam and Agni deepana drugs are selected.

Kashayam —

1. Ardhavilvam kashayam
2. Chiravilvadi Kashayam
3. Gandharvahastadi Kashayam
4. Indukantha Kashayam
5. Varanadi Kashayam

Churnam —

1. Vaishvanara Churna
2. Panchakola Churna
3. Agnimukha Churna
4. Lavana Bhaskara Churna
5. Hinguvachadi Churna
6. Avipathi Churna
7. Ashta Churna

Gulika —

1. Hinguvachadi Gulika
2. Dhanvantara Gulika
3. Chitrakadi Gulika

Lehyam —

1. Kalyanaka Gudam
2. Trivrt Lehyam

Ghritam —

1. Indukantha Ghrita

Aasavam / Arishtam —

1. Abhayarishtam
2. Pippalyasavam
3. Jirakarishtam
4. Dashamularishtam
5. Panchakolaasavam
6. Madhukasavam

Reference —

Principles & Practice of Ayurvedic medicine