A clinical study to evaluate the role of Doshik predominance in the management of Amlapitta

BACKGROUND: Amlapitta is a lifestyle disorder caused due to vitiation of Pitta and Kapha by Ama. OBJECTIVE: The objective was to assess the role of Doshik predominance in the management of Amlapitta. MATERIALS AND METHODS: Patients who had fulfilled the inclusion criteria were registered primarily for this study. Out of them, those who were selected only by the presence of cardinal features of Amlapitta were allotted randomly in Group C-1 and Group C-2 and rest of them were allotted in Group A and B after diagnosed by typical feaCharaka Samhita of Agnivesha, Chikitsa Sthana.tures of Kapha and Pitta Dosha predominant Amlapitta and had been treated with Shunthikhanda and Vasakhanda Kushmandaka granules, respectively. RESULTS: Regarding overall effect of therapy, marked positive improvement in Group A was 35.29%, in Group B, 26.47%, in Group C-1, 23.08%, and Group C-2, 16.67%. No improvement was observed only in Group C-1 (4.76%) and C-2 (5.56%). Complete remission (2.56%) was observed only in Group C-2 (5.56%) DISCUSSION: Out of 112 registered patients with a mean age of 42 years, 107 had completed their treatment. Maximum patients were male (66.96%), Hindu (83.93%), married (94.64%), middle class (43.75%), and educated (93.75%) from Jangala Desha (96.43%) and used to take Viruddha Ahara (83.04%). Patients of Group A and Group B, who were diagnosed and treated according to the Doshik predominance, showed better improvement than of Group C-1 and Group C-2 where patients were diagnosed and treated as per the cardinal features of Amlapitta only. CONCLUSION: Treatment of disease according to Doshik predominance is more effective than of only cardinal features.