Establishing the Role of Samaan Vaata as Antral Pump in the Manifestation of Amlapitta vis-à-vis Acid Peptic Diseases: An Observational Study with Amalaki Intervention

Background: Amlapitta, characterized by hyperacidity and digestive disturbances in Ayurveda, correlates with modern acid peptic diseases. Saman Vata, a Vata subtype governing digestive motility, functions analogously to the gastric antral pump mechanism in contemporary gastroenterology. Objective: To establish the role of Samaan Vaata as an antral pump in Amlapitta manifestation and evaluate the therapeutic efficacy of Amalaki Choorna intervention. Methods: This observational study included 40 patients (ages 18-65) diagnosed with Amlapitta at DGM Ayurvedic Medical College, Gadag. Pre and post-intervention assessments were conducted using standardized questionnaires, clinical evaluation, and Ayurvedic diagnostic parameters. Patients received Amalaki Choorna intervention for 4-6 weeks. Results: Demographics showed 62.5% males, 57.5% in 30-50 age group, with 100% exhibiting Manda Agni (weak digestion). Primary symptoms included Amlodhgara (77.5%), Urodaha (67.5%), and Aruchi (85%). Post-intervention showed significant improvement: Amlodhgara (67.5% resolution), Urodaha (70% resolution), and Trishna (70% resolution). Dietary incompatibilities (100%) and Pitta aggravating foods (92.5%) were predominant causative factors. Conclusion: Samaan Vaata dysfunction significantly correlates with Amlapitta manifestation through impaired antral pump mechanism. Amalaki Choorna effectively restores digestive balance, validating integrative management approaches.