INDIGESTION / DYSPEPSIA

Md. Jakir HossainBAMS Final Year (GUAMC)

Roll no.: 12Session: 2007-08

Govt. U& A Medical College

Head of The

Ayurvedic Section

Dr. Swap

an Kumar Datta

Directed By-

m~Pbv(Introduction)t

Gastrointestinal j¶YMy‡jv mvaviY RbM‡Yi g‡a¨ GKUv AwZ mvaviY Ges eo ai‡Yi ¯^v¯’¨ SzwKi Awf‡hvM| hvi weKí bvg nj ARxY© (Dyspepsia)| ARxY© cy‡ivcywifv‡e Upper abdominal e¨v_v ev A¯^w¯’ Ac©b K‡i Avm‡Z‡Q| ZvQvovI h_vmg‡qi c~‡e© c~Y© cwiZ…wß †fvR‡bvËi D`i ¯úxwZ ev dzjv (Postprandial abdominal bloating or distension) ewg ewg fve Ges ewgi j¶Y †`Lv w`‡”Q| Bnv n‡Z cv‡i Kvwnbxg~jK ev bv‡Qvoev›`vi g‡Zv A‡Uvj (Persistent) Ges Lvev‡ii gva¨‡g Av‡iv Lviv‡ci w`‡K wb‡q hv‡”Q| mvaviY Lvev‡ii ci Upper abdominal or chest-Gi e¨_v ev A¯^w¯’ eySv‡bvi Rb¨ ARxY© (Indigestion) kãwU e¨envi Kiv n‡”Q|

Avqy‡e©w`K wPwKrmv e¨e¯’v cÖavbZ ARxY© †_‡K MÖš’evZ Gi (Indigestion to arthritis) d‡j Af¨š—‡i D`rcv`bkxj (Indogenous disorder) wek„•Ljv¸‡jv ms‡kvab Kivi Rb¨ cvKvwš¿K weK…wZ (Gastrointestinal Pathology) Dci cÖvavb¨ w`‡”Q| G wel‡q Avqy‡e©w`K MÖš’ cwicvK Zš— I kixi iPbv Ges kixi wµqvi (Anatomy & Physiology) Dci eo ai‡Yi eY©bv K‡i‡Q| ZvQvov I GLv‡b cwicvK Ges ARxY©i (Digestion & Indigestion) we¯—vwiZ Aš—Ávb Zy‡j a‡i‡Q|

Avqy‡©ew`K aviYv (Ayurvedic Concept)t

1. cvK¯’wj

Ges cwicvK

(The stomach & Digestion):

cvK¯’wj kix‡i GK eo ai‡Yi ¸iZ¡c~Y© A½|

cvš’wj‡Z Lvevi cÖ‡ek Kivi mv‡_ mv‡_ Stomach wall Lvevi¸‡jv‡K Gastric Juice Gi mv‡_ wg‡k‡q

†d‡j| d‡j G¸‡jv Absorbable n‡q hvq| GB nRgK…Z Lvevi cvK¯’wj †_‡K A‡š— (Intestine ) cÖ‡ek K‡i| Zvici G¸‡jv

Bile, Pancreatic I Intestinal juice Øviv

Abve„Z Kiv nq| Lvevi ¸‡jv A¯— (Intestine ) †_‡K wb®‹vwlZ n‡j

nRg m¤ú~Y© nq Ges ‡kvlY cÖwµqv (The

process of absorption) ïi“ nq|

2. AwMœ Ges †ivM (Agni & Disease) t

Avqy‡©ew`K wPwKrmv weÁv‡b 13 cÖKvi AwMœ‡K (Enzymes) ¯^xK…wZ w`‡q‡Q | Zvig‡a¨ RVivwMœB (Digestive Enzyme) n‡”Q cÖavb, hv nRg wµqvi (Digestion) cÖ_g avc| GQvov Ab¨vb¨ 7wU avZz AwMœ (Intracellular Enzyme) Ges 5wU f~Z AwMœ (Organic Catalysts) kix‡ii me ai‡Y©i GbRvB‡gi Drm n‡”Q Gastric juice hv Digestive Enzyme enb K‡i|

Gfv‡e GbRvBg¸‡jv Homeostasis ˆZix K‡i d‡j ¯^v¯’¨e¯’vi ˆZix nq| Avi GB Ae¯’vi GKUz cwieZ©b n‡j wewfbœ †iv‡Mi m„wó nq|

GB GbRvBg PviwU Ae¯’vq NUvq - mgvwMœ (Balanced), welgvwMœ (Abnormal), Zx¶vwMœ (Increased) Ges g›`vwMœ (Decreased) ïaygvÎ mgvwMœ Qvov evKx me¸‡jv weK…Z Ae¯’v| GbRvB‡gi GB weK…Z Ae¯’v¸‡jv w·`v‡li (evqy, wcË, Kd) Drcbœ K‡i|

ARxY© (Indigestion)t

ARxY©, Dc‡ivwjøw

LZ †h †Kvb

mgm¨vi d‡j

cvK¯’wj Lvivc nq,

e`nRg (Dyspesia) ev Gastric Indigestion

hv Dci D`‡i (Upper

abdomen) Am¦w¯’ ev R¡vjv‡cvo

vi Abyf~wZ ˆZix K‡i|

†mB m‡½ Nausea,

Abdominal bloating, Belching

Ges gv‡S gv‡S

Vomiting ‡`Lv †`q| Dyspepsia, hvi gv‡b

Lvivc (Dys) cwicvK (pepsia)|

Upper part of the GI

tract Gi †h †Kvb As‡k G j¶Y †`Lv

w`‡j wPwKrmKMY Bnv‡K Dyspepsia a‡i †bb|

msÁv (Definition)t

Avqy‡e©‡`i g‡Z, ARxY© kãwU ms¯‹…Z hvi A_© nj Lvivc (a) cwicvK (jirna), GwU GKwU weK…wZ Ae¯’v hv mn‡R Lvevi cwicvK Ki‡Z cv‡i bv hvi d‡j

A‡bK ai‡Yi cwicvK m¤^Üxq †ivM †`Lv hvq|cÖPwjZ wPwKrmv weÁvbx‡`i g‡Z, Dyspepsia

kãwU wMÖK kã Dys (bad) Ges pepsia (Digestion) †_‡K G‡m‡Q hv Upper GI tract G j¶vY cÖKvk K‡i _v‡K|

†ivMZvwZ¡K eY©bv (Clinical Description)tARx

‡Y©i mvaviY j¶Y ¸‡jv nj t

• Indigestion

• Lassitude (K¬vš—fve)

• Heaviness in the body

• The retention of flatus &

• Constipation or loose motion.

cÖPwjZ wPwKrmv weÁvbx‡`i g‡Z,

Dyspepsia -i cÖavb ‰ewkó nj Upper abdominal

pain or discomfort

GQvovI Ab¨vb¨ j¶Y ¸‡jv nj-

• Earle satiety (c~Y©cwiZ…wß),• Postprandial

abdominal bloating or distension

• Nausea & Vomiting.

BwZnvm Ges gnvgvix (History & Epidemiology):

cvðvZ¨ mgv‡R Ae‡jvKb K‡i 23-

24% Z_¨ D`NvUb Kiv nq| wKQz

msL¨K fy³‡fvMx (About 25% of the

population) wPwKrmK‡`i Kv‡Q

cwic~Y© fv‡e mvnvh¨ †bq bv| Aí

wKQz msL¨K fy³‡fvMx (About 5%

of the population) wPwKrmK‡`i Kv‡Q

Dc‡`k †bq|

ARxY© M‡o 26% n‡”Q US Ges 41% n‡”Q s-†Z| Zb¥‡a¨ 20-25% †ivMx wPwKrmv wbZ Avi G mgm¨v m¤^‡Ü `vwqZ¡kxj wQ‡jb 2- 5% wPwKrmK|

KviY (Etiology) t

Avqy‡e©` g‡Z,

cwicv‡Ki Dci cÖfve †d‡j GiKg

cÖavb KviY ¸‡jv

nj-

1. A‡bK †ewk cvYxq cvb|2. AwbqwgZ Lv`¨vfv¨vm|3. GjvwR© RvZxq Lvevi|4. Abyc‡hvMx cÂK‡g©i

(Detoxification procedures) d‡j AcwicvK|

5. ¯^vfvweK †Kv‡li wbtmi‡Yi d‡j (Suppression of nature’s cell) †hgb-

Hunger, Defecation BZ¨vw`|6. Ny‡gi wek„•Ljv |7. Av‡e‡Mi wek„•Ljv †hgb Envy,

Phobia, Fury, Depression, Vengeance.

8. FZy cwieZ©b|9. `xN©w`‡bi `~e©jZv|mvaviYZ, Lvevi wbe©vPb, Lvev‡ii

Avmw¯—, FZyMZ cwieZ©b Ges Av‡eM RwbZ wek„•Ljv cwicv‡Ki Dci cÖfve †d‡j|

AvaywbK g‡Z KviY¸‡jv nj (Causes of Indigestion)t

Upper Gestrointest

inal Disorders-

1. Peptic ulcer

diseases 2. Acute Gastritis

3. Gallstones 4. Motility

disorders e.g. Esophageal

spasm 5. Functional

(Non-ulcer dyspepsia &

irritable bowel

syndrome)

Other Gestrointest

inal Disorders-1. Pancreatic

diseases (Cancer, Ch. pancreatitis)2. Hepatic diseases

(Hepatitis, Metastases)3. Colonic carcinoma

Systemic Diseases-

1. Renal failure

2. Hypercalcaem

ia

Drugs-1. NSAIDs2. Iron &

potassium supplements

3. Corticosteroid

s4. Digoxin

Others-

1. Alcohol2.

Psychological e.g.

Anxiety, Depression.

States of Internal Conflicts…

†ivMZË¡ I weK„wZ (Pathogenesis & Pathology) t

Avqy‡e©w`K Z‡Ë¡i g‡Z, Digestive enzyme K‡g †M‡j †ivMx Lvevi cwicvK Ki‡Z A¶g n‡q c‡o| ZLb mvZœ (Wholesome) Ges mn‡RB cwicvKK…Z Lvevi ¸‡jvI `xN© mgq wb‡Z _v‡K| GB Ae¯’vUvB nj ARxY©|

KviYMZ w`K †_‡K †`v‡li Homoeostasis Gi wek„•Ljv †`Lv w`‡j GwU Digestive enzyme ‡K cÖfvweZ K‡i Ges Gi djvdj w·`v‡li Dci wbf©i K‡i|

1. evqy wbf©i n‡j welgvwMœ (Abnormal State)2. wcË wbf©i n‡j Zx²vwMœ (Increased State), Ges3. Kd wbf©i n‡j g›`vwMœ (Decreased State)|

Enzyme Gi GB wZb ai‡Yi weK„wZ Ae¯’v †`v‡li gva¨‡g ARxY© ˆZix K‡i| G¸‡jv nj 1. weó× ARxY© (Static Indigestion )

2. we`» ARxY© (Acid Indigestion) Ges3. Avg ARxY© (Endotoxic Indigestion )

†h¸‡jvi KviY nj evqy, wcË Ges Kd †`vl|

e¨envwiK †ivM wbY©q (Clinical Diagnosis) twb‡gœv³ j¶Y ¸‡jvi gva¨‡g Avqy‡e©` Lye mn‡R Enzyme wZbwU weK…wZ Aeš’v wbY©q K‡i t

1. Abnormal State of Enzyme (welgvwMœ) -evqy `~wlZ n‡j G Ae¯’vq ˆZix nq| gv‡S gv‡S fvj cwicvK nq Avevi gv‡S gv‡S fvj Lvevi Aí cwigv‡b cwicvK nq|

2. Increased State of Enzyme (Zx²vwMœ) -GB Ae¯’vq ¶zav A‡bK fvj _v‡K wKš‘ Lvev‡ii ci kixi Lv`¨ `ªe¨ †kvlY K‡i wb‡Z cv‡i bv| Gi GKwU my›`i ˆewkó n‡”Q hLb Lvevi LvIqv †kl ZLb g‡b nq A‡š— AwZwi³ gvÎvq Rgv n‡q Av‡Q|

3. Decreased State of Enzyme (gv›`vwMœ) -GB Ae¯’vq mvaviY Lvevi ¸‡jvI nRg Ki‡Z KwVb nq Ges ARxY© Abyfe K‡i| Ab¨vb¨ j¶Y¸‡jv nj Malaise Ges Vomiting.

cªKvi‡f` (Classification of Indigestion)t

Avqy‡e©`ÁMY m‡e©vcwi Qq cÖKvi ARxY©‡K eY©bv K‡i‡Qb| Zvi g‡a¨ wZbwU n‡”Q weK…wZ RwbZ bgybv (Pathological type)| G¸‡jv nj-

1. weó× ARxY© (Static Indigestion),2. we`» ARxY© (Acid Indigestion) Ges3. Avg ARxY© (Endotoxic Indigestion) |

Ab¨vb¨ wZbwU nj-1. im‡mkv ARxY© (Transient Indigestion),2. w`bvcwK ARxY© (Diurnal Indigestion) Ges3. cÖwZfmi ARxY© (Successive Indigestion)|

G¸‡jv Pathological type bq|

wZb cÖKvi Pathological type wb‡gœ eY©bv Kiv nj-(K) Endotoxic Indigestion (Avg ARxY©) t Gi

j¶Y¸‡jv †hgb -1. Abdominal heaviness.2. Hypersalivation. 3. Puffiness of face (gyL w`‡q †auvqv

Z¨vM) 4. Belching out Indigested food particles.

G¸‡jv Øviv Lye mn‡RB GB cÖKv‡ii ARxY©‡K wbY©q Kiv hvq|

(L) Acid indigestion (we`» ARxY©) tGB Ae¯’vi j¶Y¸‡jv nj -

1. Giddiness (gv_v wSg wSg Kiv)2. Intense thirst3. Daze (¯—w¤¢Z Kiv) 4. Acid reflux5. Increased sweating Ges6. Burning sensation all over the body.

 (M) Static indigestion (weó× ARxY©) t

wbgœwjwLZ j¶Y ¸‡jv cÖKvk K‡i _v‡K -1. Pain in the abdomen2. Abdominal distension3. Obstruction to bowel4. Flatus movements5. Bewilderment and6. Myalgia.

cÖPwjZ wPwKrmv Abymv‡i j¶Y¸‡jv n‡”Q -

1. Upper abdominal discomfort.

2. Retrosternal pain.3. Anorexia.4. Nausea. 5. Vomiting.

6. Bloating (ùxZ nIqv)7. Fullness.

8. Early satiety &9. Heart burn.

A‡bK †iv‡Mi Kvi‡Y I ARxY© n‡q _v‡K †hgb-

1. Peptic ulcers2. Esophagitis

3. Cancer of the stomach or pancreas &

4. Gallstones

Alarm Features of Indigestion / Dyspepsia:

Weight lossAnemiaVomiting

Haematemesis or Melaena

DysphagiaPalpable abdominal mass

40% ARx‡Y©i †ivMx‡`i †`nhš¿ msµvš— (An

Organic cause) j¶Y j¶¨ Kiv hvq| GiKg gvÎ mvaviY j¶Y¸‡jvi g‡a¨ †hgb -

1. Gastro duodenal ulcer

2. Gastroesophageal reflux

disease &3. Gastric cancer

50% †ivMx‡`i Rb¨ Gi KviY ARvbv| BwZnvm Ges kvixwiK cix¶v Øviv

Nuclear dyspepsia †_‡K Organic dyspepsia Avjv`v

Kiv hvq bv|

AbymÜvbx cix¶v (Indigestion)t

cÖPwjZ wPwKrmv

e¨e¯’vi A‡bK

wPwKrmKMb Gi Rb¨

A‡bK AbymÜvbx

cix¶vi Dc‡`k w`‡q

_v‡Kb| †hgb -

Investigation ChartDyspepsia

Are there “Alarm” feature?

Yes No

NoNoNo

Endoscopy ˂55yrs

˃55 yrs

Endoscopy

Test for H. Pylori

– (ve)

+ (ve)

Treat Symptomatically or Consider other diagnoses

H. Pylori Eradication

Symptom Resolve

Symptoms Persist

Endoscopy

No Follow Up

RwUjZv (Complications) t

Weight lose (IRb K‡g hv‡e)

Insomnia (Awb›`ªv)

Qsteoporosis (nv‡o e¨_v)

Fainting (Weakness)

Delirium

Hypersalivation.

Severe myalgia.

Vomiting

Giddiness &

Death

Kviv †ewk SzwKc~Y©(Who is at greater risk for having Indigestion) t

me ai‡Yi eq‡mi Dfq wj‡½i †jv‡KivB G

†iv‡M Avµvš— n‡q‡Q| c„_fv‡e hviv †ewk Gj‡Kvnj †bq, Ggb ai‡Yi wKQz Jla

†meb K‡i hv cvK¯’jx‡K KzwcZ K‡i|

ZvQvov Ab¨vb¨ †hgb-

Gastroesophageal Reflux Disease

(GERD).Emitional problem

(Av‡eMRwbZ mgm¨v)-

‡hgb - ivM, `ytwPš—v BZ¨vw`|

G ai‡Yi †iv‡M Avµvš— e¨w³ivB †ewk

SzwKc~Y©|

Compound Formulations for Indigestion, Poor Digestion & Dyspepsia-

Name of Formulation Activity Dose Adjuvant

Bhaskar Laban

Curna

Digestive,

Appetizer

1-3gm twice/ day

before meals

Warm water &

lemon juice.

Hingbhastaka Curna Carminative,

Antiflatulent

1-2gm twice/ day

before or with meals

Warm water,

battermilk

Ghee.

Agnitundi Bati Carminative,

Antispasmodic

240-480mg twice/

day before meals

Warm water.

Panchakola Curna Digestive,

Carminative

1-2gm twice/day

before or with meals

Warm water.

Rasonadi Bati Digestive,

Antiflatulent

240-480mg twice/

day before meals

Warm water.

Sanka Bati Digestive,

Antiflatulent

240-480mg twice/

day before meals

Lime water.

Clinical Experiences (e¨envwiK AwfÁZv mg~n) t

K). Kzw¶MZ e¨_vi †¶‡Î ( Abdominal pain) –Tab. Sankha Bati 350 -500mg

Dò Mig cvwb mn w`‡b `yÔevi w`‡Z n‡e|

L). Borborygmi cÖwZ‡iva Ges Dckg Ki‡Z -Hingbhastaka Curna 1-3 gmwN ½ PvgyP Ges ivbœvK…Z fv‡Zi `vbvmn w`‡b `yevi †me¨|

M). hw` Constipation Ges Indigestion _v‡K Z‡e -Bhaskar Labar Curna 1-3 gm

Dò Mig cvwbmn cÖwZw`b 2 evi |

Avqy‡e©w`K wPwKrmvi ch©v‡jvPbv (Review of Ayurvedic Therapies)t(K) cwicvK GbRvB‡gi A¯^vfvweK Ae¯’v (Imbalanced states of

Digestive Enzymes)1. GbRvBg‡K D‡ËwRZ Ges ARxY©‡K cÖkwgZ Ki‡Z ïKbv Av`v (Zingiber officinale) 2 gm cwigvb cvDWvi Dò Mig cvwb mn cÖ‡Zn `yÕevi †me¨|2. UvUKv Av`v 5 gm jeY mn Lvev‡ii c~‡e© cÖ‡Z¨n `yÕevi †me¨|3. nixZKx cvDWvi 3 gm jeY mn ‰`wbK 2 evi Lvev‡ii c~‡e© †me¨|4. †jeyi im 7-14 ml ˆ`wbK wZbevi Lvev‡ii ci †me¨|5. wccyj (Piper Longum) cvDWvi jeY, †jeyi im, mn Lvev‡ii mv‡_ ˆ`wbK `yÕevi †me¨|6. mgcwigvb nixZKx P~Y©, ïKbv Av`v, LwbR jeY, Ge‡Î cvDWvi K‡i Dò Mig cvwb mn cÖwZw`b |7. GKevi K‡i cÖ_g Lvev‡ii c~‡e© †me¨|8. Aí GbRvBg Ae¯’vi Rb¨ LyeB Kvh©Kix|9. †kvab Kiv wccy‡ji cvZv ewgi Dckg K‡i| GbRvB‡gi wbtmiY evovq Ges i“wP I ¶zav evovq|

(L) ARxY© (Indigestion) t 1. ïKbv Av`vi Pv ˆ`wbK

GKevi LvIqv DwPZ|2. Kv‡jv nixZKxi LÛ

cvDWvi 1-3 MÖvg Ges mgcwigvb wPwb mn ‰`wbK `yÕevi Lvev‡ii

c~‡e© †me¨|3. mgcwigvY nixZKx

cvDWvi, wPwb, wKPwgP Ges gay wb‡q †c÷ ˆZix K‡i, 3-6 MÖvg K‡i

ˆ`wbK `yÕevi Lvev‡ii c~‡e© †me¨|

4. mgcwigvY LwbR jeY, nixZKx P~Y©, wccyjP~Y© Ges

Plumbago zeylanica-i g~j GK‡Î cvDWvi ˆZix 1 MÖvg K‡i Dò Mig cvwb mn w`‡b `yÕevi Lvevi ci

†me¨|5. a‡b cvZv (Coriandrum

sativum) Ges ïKbv Av`v Ge‡Î wg‡k‡q 14-18 Gg.Gj ‰`wbK `yÕevi Lvev‡ii c~‡e© †me¨|

6. Turmeric rhizome Gi 3 MÖvg cvDWvi †L‡j Ai“wP Ges ARx‡Y©

DcKvix|

(M) evwn¨K e¨envi (External Aplications) t

1. mgcwigvb Feula foetida, LwbR jej Ges Mig cvwb Ge‡Î K‡I

Kvco jvwM‡q Kzw¶‡Z jvvMv‡j Kw¶z‡Z A¯^w¯’ †eva `~i nq|

2. mgcwigvb Ferdula foerida-i cvBWvi , Kv‡jv wccyj,

LwbR jeb Ges Mig cvwb GK‡Î Dò Kvc‡o wb‡q Kzw¶‡Z jvMv‡j

Kzw¶‡ZI A¯^w¯’ †eva Dckg nq|

AvaywbK wPwKrmv (Modern Treatment) t

wbgœwjwLZ Ae¯’v¸‡jvi Dci wPwKrmv wbf©i K‡i| Zvi g‡a¨ cÖ_gZ Rxeb avi‡Yi cwieZ©b Ki‡Z n‡e| †hgb -

hw` GB c×wZ¸‡jv fvjKvR bv K‡i Zvn‡j wPwKrm‡Ki civgk© wb‡Z n‡e| †mLv‡b †h welq¸‡jv _vK‡e-gyL eÜ K‡i ax‡i †L‡Z

n‡e Ges cwic~Y©fv‡e wPev‡Z n‡e|Avnvi †k‡l Zij wKQz †¶‡Z n‡e|iv‡Z †`ix K‡i Avnvi Kiv eÜ Ki‡Z n‡e|Svj, ˆZjv³, aygcvb Ges Gj‡Kvnj ev` w`‡Z n‡e|Avnvi †k‡l ZvovZvwo Nygv‡bv hv‡e bv|fiv †c‡U e¨vqg Kiv hv‡e bv|

A¤ø Kgv‡bvi Rb¨ Antacids.

RxevYy gy³ Kivi Rb¨ Antibiotics.

cvK¯’jx duvKv Ki‡Z Prokineties BZ¨vw` wb‡Z n‡e|

g‡bvwPwKrmv (Psychological Treatments) t

g‡bvwPwKrmv ¸‡jvi g‡a¨ †hgb-1. Mfxi wb`ªvi g‡Zv Ae¯’v (Hypmosis).2. gvby‡li e¨envwiK Ges D‡Ïk¨g~jK Ae¯’vi

cÖ‡Yv`b yy(Psuchodynamic).3. wkw_jZv (Relaxation) .4. Pvcgy³ Kiv (Stress monagement) .

Rxeb avi‡Yi cwieZ©b (Lifestyle changes) t

A¯^vfvweK GbRvBg Ges ARx‡b© Avµvš— e¨w³‡`i wb‡gœv³ welq¸‡jv †_‡K weiZ _vK‡Z n‡e| †hgb- ïKbv ev evwm, VvÛv Ges †Zjhy³ Lvevi, VvÛv cvbxq Ges VvÛv cvwb, †cuqvR, Avjy wgwó Avjyyy, `ya, Kjv, gvL‡b evRv fZ©v, Mig Ges Svjhy³ Lvevi, Me¨kvjvq ˆZixK…Z Lvevi, g` Ges wgwó RvZxq Lvevi mg~n Aek¨B eRbx©q|

Avnv‡ii mv‡_ Av`v, imyb, Kzwgb, a‡b, a‡bcvZv Ges †jey †L‡Z n‡e| wewfbœ kvK mewR †hgb - g~jv, MvQ Avjy, gyiwM ev cvwLi cv ivbœvK…Z, Kzgov BZ¨vw` †LZ n‡e| M‡gi i“wU, K…wÎg Dcv`vb gy³ Lv`¨km¨ Ges cyivZb Pv‡ji fvZ BZ¨vw` LyeB DcKvix|

cÖwZ‡iva e¨e¯’v (Prevention) t1. Aí Avnvi K‡i `xN©¶Y †Kvb KwVb KvR Kiv

hv‡ebv|2. ax‡i Lvevi †L‡Z n‡e|3. ‡h Lvevi ¸‡jv‡Z D”P A¤ø _v‡K †hgb - mvBUªvm dzW

Ges U‡g‡Uv BZ¨vw` evwZj Ki‡Z n‡e|4. K¨vwdb gy³ Lvevi †L‡Z n‡e| KviY K¨vwdb cvK¯’jx‡Z A¤ø evovq|5. welbœZv `~i Ki‡Z n‡e| cÖ‡qvR‡b bZzb c×wZ‡Z welbœZv `~i Ki‡Z n‡e| †hgb - Avivg Av‡qm|

6. Lvevi c~‡e© aygcvb Kiv hv‡e bv|7. Gj‡Kvnj evwZj Ki‡Z n‡e|8. mi“ †Kvb †cvlvK cov hv‡e bv hv cvKš’jx‡K †P‡c

ai‡e d‡j B‡mv‡dMv‡m Lvevi Ae‡kl _vK‡e|9. fiv †c‡U e¨vqg wb‡la|

10. LvIqv †k‡l Nygv‡bv hv‡e bv|11. LvIqvi Aš—Z 3 N›Uv ci Nygv‡Z n‡e|

ARx‡Y© Rb¨ fvj Lvevi

mg~n (Foods good for

Indigestion)t

(K) Lean, Tender Meats t

K…k, nvjKv Pwe©hy³, big

gvsm †hgb - eªqjvi gvsm ev gvQ, ﮋ

cjwUª gvsm ev gvQ †h¸‡jv †L‡j

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References:1. Scientific Basis For Ayurvedic Theraputics.2. Anon, Indigestion, National Institute of Diabetes & Digestive & Kidney

diseases of NIH (USA).3. Drossman, D.A te al, US Householder survey of founctional GI Disorders.4. Dwarakanath, C. Introduction to Kayachikitsa.5. Anon, Yogaratnakara, Part-1.6. Sallet, R. et al. Dyspeptic pain & Phytotherapy.7. Anon, Dyspepsia Management Guideline, British Society of

Gastroenterology, London.8. Anon, Hand Book of Domestic Medicine & Common Ayurvedic Remedies.9. Bhavasmisha, Bhavaprakasha, Vol-2.10. Das, G. Bhaishajayaratnavali.11. National Digestive Information Clearing House.12. Amrican Family Physician, “Evaluation of Nonuclcer Dyspepsia.13. Jackson-Siegelbaum Gastroenterology.14. Drug for ucer & Gastritis Care Guide.15. Yamahara, J. et al., Gastrointestinal motility enhancing effect of ginger

and its active constituents.16. Qian, D.S. and Liu, Z.S., Pharmacologic studies of anti motion sickness

actions of ginger.17. Peirce, A., The American Pharmaceutical Association Practical Guide to

Natural Medicines.18. Robbers, J.E. and Tyler, V.E., Tyler's Herbs of Choice: The Therapeutic Use

of Phytomedicinals.19. Enteric-coated pH-dependent, peppermint oil capsules for the treatment

of irritable bowel syndrome in children.20. Rafatullah, S. et al., Evaluation of turmeric (Curcuma longa) for gastric

and duodenal antiulcer yactivity in rats.21. Toxicity studies on Alpinia galanga and Curcuma, longa, Planta Medica.22. Evaluation of turmeric (Curcuma longa) for gastric and duodenal

antiulcer, activity in rats, J. Ethnopharmacol.23. An Ayurvedic formulation “trikatu” and its constituents, J.

Ethnopharmacol.

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