Understanding the difference between Amlapitta & Vidagdhajeerna

UNDERSTANDING  THE DIFFERENCE  BETWEEN AMLAPITTA  AND  VIDAGDHAJIRNA

                 *Dr.(Miss) Kailash Dabhi                
 **Prof. Surendra A. Soni 

S. No.	Bhedakatva (Differential point)	Amlapitta	Vidagdhajirna
1	Vyadhitva	Mentioned by Madhav, Bhavprakash, Yoga- ratnakar, Kashyap & Chakradatta in seprate chapter. Brihatrayi didn’t described Amlapitta separately.	Mentioned by Sushrut, Vagbhatta, Madhav, Bhavprakash, Yoga-ratnakar, Chakradatta. Charak didn’t mention as disease. This  may lead to various  Diseases.
2	Symptom	Avipak, koshta guruta, Adhman, Antrakujan, Vidbheda, kukshi-hriday-kantha Daha, Aruchi, Utklesh, Tikta-amlodgar, Hridshul, Klama, Sarvang-gaurav, Angasad, Shiroruja, Romharsh.(Ma.Ni.+Ka.S.Khi 16)	Bhrama, Trusha, Moha, Murcha, Daha, Amla-tikta-dhumo udagar,  Sveda, Osha-Chosha. (Ma.Ni)
3	Dosha	Pitta	Pitta
	Doshanubandha	Urdhvaga- kapha Adhoga   - Vayu	Pitta
	Pitta-guna-sthiti	Amla, Ushna, Drava, Sara Guna-vriddhi Karmatah- Hani Dravyarah- Vriddhi	Amla, Ushna Guna-vriddhi Karmatah- Asamarthya Dravyatah- Prakrit/vriddhi
	Pitta Samaatva	Saama Pitta	Initial-Niram, later Saama
	Shat Kriya Kala	Visible	Not visible
	Pitta Nanatmaja	Yes (Amlak)	No
	Swadham-Vriddhi	Yes	initially not, later starts
	Roga-Karakatva	Swatantra(Ka.S.Khi)	Swatantra/Partantra
	Dhatu-dushyatvam	Not initially, Latter Possible	Not possible, later possible when pathology progresses or persists for longer duration without proper Rx.
	Pitta-sthiti	Koshtha mainly, Later Shakha	Koshtha
4.	Dushya	Rasa-Rakta onward.	Initially Anna rasa, later other dhatu/mala.
5.	Srotas	Rasa, Rakta, Udaka, Annavah	Initially Annavaha later other srotas
6.	Roga-marga	Koshtha mainly	Koshtha only but as pradhanika-hetu may involve Shakha, Marmas etc.
7.	Adhisthan	Amashaya	Amashaya
8.	Agni	Manda	Ati-Manda/manda
9.	Dhatu-gatatva	Seen in chronic condition.	Not seen because it acts as pre-cursor of various diseases if not treated properly.
10.	Aashaya	Aamashaya Samuttha	Amashaya Samustha
11.	Sroto Dusthi	Atipravriti/ Vimargagaman	Sanga
12.	Vyadhi-prakar	Chirakari/Ashukari	Ashukari
13.	Sadhya-Asadhyata	Navin- Sadhya Chirotthit- Kruchha/Yapya	Sadhya
14.	Poorvaroop	Not described	Not described
15	Upadrava	Not described	Murcha, Pralapa, Vamthu, Prasheka, Sadan, Bhrama, Maran. (Ma.Ni.-6/13)
16.	Nidan	Viruddha, Dushta, Vidahi, Pitta prakopi anna, Rutu prabhavit Sanchita pitta (Ma. Ni. )	Atyambupan, Vishamashan, Sandhaaran, Svapna Viparyay(Su. Su. 46) Chinta, shoka, Bhaya, krodha, Dukhashayyaa, Prajagran(Cha.Vi.2)
17.	Chikitsa Siddhanta	Urdhvag- Vaman Adhoga- Virechan	Vaman (A.S. ) Langhan (B.P.)
18.	Desha-sambandha	Yes (Anupa desh)	No
19.	Summery	*A condition of Saam-pitta mentioned by Charak, well expanded by other Acharyas & tried to eastablish as 'Vyadhi' but all 5 'nidan-panchak' are not available.	*A condition of indigestion, mentioned by Charak in Grahani, cause for almost all types of disease, well expanded by following Acharyas & tried to eastablish as 'Vyadhi' but all 5 'Nidan-panchak' are not available.

Presented by

*Dr.(Miss) Kailash Dabhi

  B.A.M.S., M.D.(Scholar)

  P.G. Dept. of Kaya-chikitsa

  Govt. Akhandanand Ayurveda College,

  Bhadra, Ahmedabad, Gujarat, India.

**Dr. Surendra A. Soni

    Professor & Head

    P.G. Dept. of Kayachikitsa

    Govt. Akhandanand Ayurveda College,

    Bhadra, Ahmedabad, Gujarat, India.