Management Of Amlapitta Research Articles

Clinical Study of Godhuma Yusha (Triticum Aestivum Linn.) in Amlapitta (Gastritis)

Gastritis is a condition that results from inflammation of the gastric mucosal layer characterized by swelling, pain and mucosal membrane irritation of the stomach. Gastritis in Ayurveda can be compared to Amlapitta and consumption of Godhuma in Ayurvedic classics is shown to be very effective. Objectives: To evaluate the study on Godhuma yusha in Amlapitta (gastritis) and assess its effects on Amlapitta (gastritis) Study Design: This was a randomized controlled study with 30 patients divided into two groups. Group A and Group B. Intervention: Group A included 15 patients and was administered 15ml of Godhuma yusha twice daily for a period of 3months. Group B also had 15 patients and was administered placebo 5gm twice daily. All the patients were followed at an interval of 15 days up to 3 months. Results: All the parameters such as Amlodgara, Hritkantadaha, Gourava, Utklesha, Avipaka and Agnimandya showed significant results in both the groups; Group A and Group B after the treatment compared to before treatment with p<0.0001 with more significant results in Group A compared to Group B with statistically significant results (p<0.001). Conclusion: Godhuma Yusha consumption was more effective compared to placebo in the management of Amlapitta.

A comparative clinical study to assess the effect of Amlapitta Vinashaka Yoga and Pantoprazole with Sheetali Pranayama in the management of Amlapitta

A comparative clinical study to assess the effect of Amlapitta Vinashaka Yoga and Pantoprazole with Sheetali Pranayama in the management of Amlapitta

Evaluation of efficacy of Avipattikar churna versus Chitrakadi kwath in the management of Amlapitta (Hyperacidity) - A pilot study

Evaluation of efficacy of Avipattikar churna versus Chitrakadi kwath in the management of Amlapitta (Hyperacidity) - A pilot study

Understanding Ayurvedic Pharmacodynamics of Bhunimba (Andrographis paniculata Nees.) and Sariva (Hemidesmus indicus R.Br.) in Amlapitta vyadhi with reference to Ekal dravya chikitsa

Ayurveda (science of life) deals with proper-improper ways of living happy and healthy life at its fullest. The stable combination of five basic elements is nothing but Panchabhautikatva of dravya. Chikitsya Purusha (person as the object of treatment), is also a combination of Panchamahabhutas. Since panchabhautika dravya is the most probable entity for the treatment, it would be interesting to form a framework based on panchabhautikatva in case of the ekal dravya chikitsa format, which is the aim of this study. In this era, Amlapitta (Hyperacidity) is very common disease which manifests due to poor lifestyle habits. To understand the framework of ekal dravya chikitsa, the Ayurvedic Pharmacodynamics of Bhunimba and Sariva through their panchabhautikatva have been studied hereafter individually, in the management of Amlapitta (Hyperacidity).In the present study two ways of manifestations of Amlapitta (Hyperacidity) are observed, first with ushna (hot) gunadhikya in Pitta dosha which is due to the involvement of Agni mahabhuta and second with drava (fluidity) gunadhikya in Pitta dosha which is due to the involvement of Jala mahabhuta. Bhunimba being Vayu-Akash mahabhutapradhana dravya, is effective in Amlapitta (Hyperacidity) due to drava (fluidity) gunadhikya in Pitta and Sariva being Prithvi-Aapa mahabhutapradhana dravya, is effective in Amlapitta (Hyperacidity) due to ushna (hot) gunadhikya in pitta. As per the protocol of Dravyaguna Vijnana (pharmacognosy and pharmacology), the Rasapanchaka (five attributes of dravya beginning with rasa) decides the pharmacodynamics of the aushadhi dravya. This study observes that Rasapanchaka, being Gunas (property/ quality/ attribute), is decided by the panchabhautika combination of the dravyas. Hence Ayurvedic Pharmacodynamics, that is action of dravya on the body can be best explained on the basis of Panchabhautikatva of dravya. So the present paper tries to establish the framework of Ekal dravya chikitsa on the basis of Panchabhautikatva of ekal aushadhi chikitsa dravya.

A Comparative Clinical Study on Effect of Samsaptak Choorna and Avipattikar Choorna in Management of Amlapitta

Introduction: In this modern era, we all are undergoing different lifestyle modification related to food and lifestyle. Irregular meal pattern, work in shift duties, irregular sleep timing, craze for fast food, anxiety, and stress-induced hectic unhealthy schedules cause various disorders due to which there has been an extraordinary increase in the disorders related to Annavahasrotas or the gastrointestinal (G.I) system. Burning sensation in chest, sour belching, abdominal discomfort, nausea, vomiting, headache, and constipation are the most common complaints faced in day-to-day life. All these symptoms point toward Amlapitta in Ayurveda. If left untreated, it may lead to complications such as ulcerations in the gastrointestinal tract and forward the known medications such as Avipattikar Choorna andSamsaptak Choorna are taken for the study to evaluate their effect and compare their effect.Materials and Methods: 20 patients of Group A were treated with Samsaptak Choorna for 30 days. 20 patients of Group B were treated with Avipattikar Choorna for 30 days’ 20 patients in each group and both groups subjected to Amlapitta treatment: In the first group, doses of Samsaptak Choorna 3 g BID per day in divided doses for period of 30 days and in the second group, doses of AvipattikarChoorna 3 g BID per day in divided doses for period of 30 days.Results: The result of both groups was analyzed statistically and compared and results were interpreted in the term of increase or decrease in the parameter. The statistical analysis reveals that both the groups are showing good result but Group B is slightly more effective result then Group A in Amlapitta.

Management of Amlapitta: A literature review

Management of Amlapitta: A literature review

Management of Amlapitta: A literature review

Ayurveda is one among the oldest health science. Nowadays due to faulty life style, dietpattern mental stress and strain healthy status of human being is in declining. Due tochanging life style, there is tremendous increase in disorder related to mahasrotas(gastrointestinal tract). Amlapitta is a major disease of mahasrotas. Amlapitta is pittapredominance disease which is realated to Annavaha srotas &Purishvaha Srotas occurs dueto mandagni and ama. When Amla guna of pitta is increased is called Amlapitta. Variousacharyas has explained amlapitta as separate disorders but Samprapti of Amlapitta is clearlymentioned in Grahani chikitsadhyay while describing samprapti of Grahani Dosha. The basicprincipleoftreatment are mainly nidanaparivarjana, shodhana, and shamanachikitsa. Vamana and Virechana are mentioned for urdhva gati and adho gati of doshas. In modern science it can b ecorrelated with Gastritis.

IMPORTANCEOF NIDANPARIVARJANIN AMLAPITTAW.S.RTO HYPERACIDITY: A REVIEW

All the disease can be prevented and managed through Nidanparivarjan along with proper sevan of PathyaApathya regimens mentioned in Ayurvedic Samhitas.Nidanparivarjan means avoidance of etiological factors of Amlapitta. which helps in prevention of Amlapitta in normal individual and management of Amlapitta taking medicationsin a diseased person.In Ayurveda it is believed that Agnimandya(Indigestion) is the root cause of all the disease Amlapittais one of the commonly occurring disease the major reason behind Amlapitta is faulty dietary habits and lifestyle. Amlapitta disease possess highly prevalence rate in India is 38.1% in our society, due to improper Ahara(dietary habits) and Vihara (lifestyle).Incidences of disease are increasing in day-to-day life. If proper dietary pattern is not followed by the patients nobody can cure this disease. 80% of the top ten killing disease of the world are due to wrong food habits. In the era of 21st century the modernization has changed lifestyle including working timing, sleeping habits, dietary habits, environmental and mental stress and this all are believed to be most important causative for actors for AmlapittaVyadhi.In AyurvedicSamhitas all the Acharyas focused on the Nidanparivarjan of the disease first and give equal importance as that of treatment of disease. Nidanparivarjan is the most important principal of Ayurveda.Nidanparivarjan is vital and emphasized part of whole treatment. According to the treatment point of view it should be implemented at first as Acharya Sushrut states that Sankshepatahkriyayoganidanparivarjanam i.e., it is conclusive factor to aentire treatment.

ROLE OF PATOLADICHURNA WITH PATHYAAND WITHOUT PATHYA IN THE MANAGEMENT OF AMLAPITTA

Amalpittais an irritating disease, which occurs due to faulty lifestyle, dietetic indiscrimination, increased mental stress and due to complications of certain disease and medication. It is a common disease of Annavahasrotas with cardinal symptoms like Avipaka (indigestion), Hritkanthadaha(heart and throat burn) and tikta – amlodgara (bitter or sour eructation). In modern terminology it is equated with Hyperacidity syndrome or Acid Peptic Disorders. In the present study 40 subjects were selected with Amlapitta among which 20 subjects were given Patoladichurna3 gms thrice daily with luke warm water or honey without any implementation of diet (Group A) whereas remaining 20 subjects were given Patoladichurna3 gms thrice daily with luke warm water or honey by following proper diet (Group B). The duration of the study was 30 days. Even though both groups showed better results, on comparing both groups Group B is better than Group A. This substantiates the role of diet in the management of Amlapitta.

Management of AdhogAmlapitta with Ayurveda

Introduction: Amlapitta mentioned in Ayurveda is one of the common clinical condition of the gastrointestinal system in which Pitta get Vidhagdhm or “Amlam Paka. Causes of Amlapitta especially compromise Ahara Janya Hetu, such as excessive intake of Abhishyandi and Pishtanna, Acidic, Hot substances, Alcohol, Adhyashan, Viruddhashan, Vidahiannapana and intake of food in Ajirna condition. In modern science, Amlapita can be correlated with Gastroesophageal reflux disease (GERD), in which hyperacidity occurs due to excess acid production in the stomach. Aim and objectives: The prime aim of this paper is to study the efficacy of Shamana and Shodhana Chikitsa in Ayurveda in the management of Adhog Amlapitta. Material and method: It is a single case study of 64 years-old male patients who had complaints, e.g., constant Pain in the Epigastric region, Abdominal distension, burning sensation in the throat, chest, and abdomen restlessness. Observations and Results: All clinical features in this patient had reduced significantly by using Shodhana and Shaman Aushadhi recommended by ancient Acharyas in the management of Amlapitta.

Experimental evaluation of preventive action of baladimandura in gastric ulcer based on histopathological reports

Background: Peptic ulcer diseases constitute a major disease that affects the Gastro Intestinal tract. Gastric ulcers are one among the types of Peptic ulcers in which the ulcers are manifested in the lining of gastric mucosa. Annadrava shoola can be correlated with gastric ulcer due to its similarity in symptomatology. Baladimandura is a drug of choice in the management of Amlapitta and Parinamashoola mentioned in Rasakamadhenu. Aims & Objectives: To evaluate the gastric ulcer preventive action of Baladimandura in pyloric ligated albino rats through the histopathology examination of stomach tissue. Methodology: 24 wistar strain albino rats were grouped into 4; all the rats were free access to food and water ad libitum along with standard and test drug to the respective groups for 8 days. On 9th day all the rats were kept for fasting and 10th day pyloric ligation performed followed by sacrificing the rats for taking the stomach tissue for histopathology examination. Results: By comparing the histopathology report of all the rats the test group showed no ulcer formation. However slight inflammation was observed in the test drug group. Discussion & Conclusion: Gastric ulcers are manifested when the gastric mucosal barrier fails to prevent the entry of excess HCL into the cells. Baladimandura acts as Amlapitta hara, Parinama shoola hara and as a powerful ulcer preventive drug due to its gastro protective action.

EFFECT OF NISTHUSHAYADIKWATHA AND PHALATRIKADI KWATHA IN AMLAPITHA– A RANDOMISED COMPARATIVE CLINICAL STUDY

Amlapitta may be a clinical entity manifesting within the Annavaha Srotas. Kashyapa and Madhava have described this disease thoroughly. Amlapitta has become quite common because of the change within the food and life styles, sophistication and a stressful life. It is characterized by Avipaka, Klama, Tiktodhgara, Amlodhgara, Gaurava, Hritkanthadaha and Aruchi indicating the Vikruthi of Pachakapitta, Kledakakapha and Samanavata. The etiological factors and therefore the symptomatology manifested relate Amlapitta to diseases mentioned under Acid Peptic Disorders. Nistushayadi Kwatha and Phalatrikadi kwatha were selected. The main objectives of the study are to study and compare the effect of Nistushayadi Kwatha and effect of Phalatrikadi kwatha in the management of Amlapitta.
 A total of 40 patients who fulfilled the inclusion criteria were selected, and randomly assigned into two groups i.e., Group A and Group B, comprising of 20 patients each. Group A and Group B were administered Nistushayadi kwatha and Phalatrikadi Kwatha respectively for 30 days. Both the groups were advised Pathya Ahara. They were followed up after every 10th days. After the intervention the Samanya Lakshana of Amlapitta were observed, recorded and assessed. The overall assessment of both the groups, where group A receives Nistushyadi kwatha and group B Phalatrikadi kwatha shows promising improvement in the subjective parameters. Assessment was done using unpaired ‘t’ test between these two groups, the result was not quite statistically significant which means there is no much difference in the efficacy of these two formulation in the management of Amlapitta. Both the formulations shown nearly same outcome in the improvement of disease parameter. The reduction in the symptoms were started to be noticed by 7th day where the patients had reduction in Hrutkantha Daha, Aruchi, Kanthadaha and Angagourav. These symptoms resolved by 30th day.

A CLINICAL STUDY TO EVALUATE THE EFFICACY OF AN AYURVEDIC FORMULATION IN THE MANAGEMENT OF AMLAPITTA WITH SPECIAL REFERENCE TO NON–ULCER DYSPEPSIA

The dietary habits of present day, changing lifestyle, stress and strain related to job or domestic worries adversely impact the normal functioning of agni (digestive fire). Such individuals are prone to suffer from Amlapitta (Non-ulcer dyspepsia). The present study was conducted to explore the therapeutic potential of an Ayurvedic formulation containing shankha bhasma, madhuyashti and khadira in the management of Amlapitta with special reference to non-ulcer dyspepsia. The study was conducted on 30 patients selected from O.P.D. and I.P.D. of R.G.G.P.G.A.C., Paprola. Investigations were done to rule out any pathology. The subjective criteria included the symptom complex comprising hrita kantha daha (retro-sternal burning), amlodgara (sour eructations), utklesha (nausea), avipaka (indigestion) chhardi (vomiting), aruchi (loss of appetite), kukshi daha (epigastric burning), udaradhamana (flatulence) and klama (mental fatigue). Most of the patients showed moderate to marked improvement (~86%) in their symptoms as analyzed on visual analogue scale and grade score. The results obtained in the study revealed that the trial drug was quite effective and safe in treating Amlapitta.

A COMPARATIVE CLINICAL STUDY ON THE EFFECTIVENESS OF VASADI DASHANGA KWATHA AND PATOLADI KWATHA IN AMLAPITTA (NON ULCER DYSPEPSIA)

The ignorance about food and present life styles has made people at large to indulge in unwholesome food habits and regimens. Due to this lifestyle and improper diet pattern, there will be metabolic impairment leading to Amlata and Vidhagdhata of the consumed food. This is recognized as Amlapitta in Ayurveda. The Lakshanas of Amlapitta can be correlated with signs and symptoms of Non-ulcer Dyspepsia. The line of treatment as per allied science is life style changes, use of H2 receptor blocking agents and Proton Pump Inhibitors (PPI). Long term use of these antacids has shown various side effects. The patients with non ulcer Dyspepsia will have regurgitation despite of adequate acid suppression by treatment. It causes significant economic impact due to the long-term management of the disease and costs of possible complications. There is a need for a better medicine which can counter such changes and can reduce Amlata and Vidagdhata of consumed food. Medicines explained in Ayurveda have the ability to do the same. For this purpose, Vasadidashanga kwatha which is explained in Bhaishajya Ratnavali in comparison with Patoladikwatha as per mentioned in Chakradatta in the management of Amlapitta is been undertaken. Methods: In Clinical study, 60 patients fulfilling the diagnostic inclusion criteria were selected from OPD and IPD of Hospitals of South Canara and special camps conducted for the same. Patients were divided into 2 groups Group A and Group B and compared with Vasadidashangakwatha and Patoladikwatha with the standard dosage of Kwatha for a period of 30 days. Results: Assessment of the total effect of therapy was made by analyzing the data with suitable statistical tests of significance. Overall the test has shown significant result in Group A compared to Group B. Conclusion: Both Vasadidashanga kwatha and Patoladi kwatha showed good results in reduction of signs and symptoms of Amlapitta. Vasadidashanga kwatha gave better results in comparison with Patoladikwatha clinically. The statistical analysis also supported this by concluding that the improvement after treatment is highly significant in Group A (Vasadidashanga kwatha) when compared to Group B (Patoladikwatha).

Comparative Clinical Efficacy of Guduchyadi Syrup and Guduchyadi Ghanvati in Management of Amlapitta

Introduction: Amalpitta is most common problem nowadays. Guduchyadi yoga kwatha was indicated in classics in the management of Amlapitta. Kwatha is very effective but it is unpleasant to some patients. So the kwatha was converted into preferable dosage form as requirement of present era. Material and Method: A Clinical trial was carried out on 60 Patients of Amlapitta aged 20 to 60 years with complaints of Aruchi, Avipaka, Tiktodgar, Amlodgar, Urodaha, Kanthadaha etc., who were registered from OPD of Government Ayurved Hospital, Vadodara. They were equally divided into two groups i.e. Group A- Guduchyadi Syrup given in 20ml BD dose and Group B- Guduchyadi Ghanavati given at 500mg2 BD ). Each group was treated for 28 days administered empty stomach. The clinical assessment was carried out on the 28th day and 2 weeks after the 28 days of treatment (after follow up period) for the objective & subjective parameters and it was seen that both the dosage form Guduchyadi Syrup and Guduchyadi Ghanavati were very effective and cured or markedly relieved the symptoms of Amlapitta. Results: The study shows the effect of Guduchyadi Syrup and Guduchyadi Ghanavati, which led to cure in 16 patients (53.33%) and 22(73.33%) patients respectively, and markedly improvement in 12(40%) and 8(26.67%) patients affected with Amlapitta disease respectively. Conclusion: Both trial dosage forms of Guduchyadi Yoga, (Group A- Syrup & Group B- Ghanavati ) relieved the symptoms of Amlapitta and both the formulation have comparatively similar efficacy in the management of Amlapitta.

Pharmacognostic and Phytochemical Analysis of Asystasia Variabilis Trim. - An Extrapharmacopoeal Ayurvedic Medicinal Plant

Background - Asystasia Variabilis Trim. also known as Maithaala Kaddi by traditional practitioners of Udupi. Belonging to the family Acanthaceae. Is a semi-scandent herb, and effectively used by the Folklore practitioners for the management of Amlapitta (acid peptic disorder), worm infestations and rheumatism. Aim - To explore the pharmacognostical and preliminary phytochemical parameters of plant to standardize the drug. Materials and Methods - whole mature plant of A.variabilis was collected from Udupi district. Macroscopic, microscopic physico-chemical standards, HPTLC and secondary metabolites screening were scientifically recorded. Results - The pharmacognostical leaf study has shown single layered epidermis throughout midrib and lamina. Anatomical features of stem exhibit single layer of epidermis covered with trichomes. Inner to this, densely arranged collenchyma cells are present. In transverse section of root showed epidermal layer is surrounded by root hairs which are abundant. Powder microscopy characteristics showed the presence of starch in parenchyma region, mesophyll cells with stomata and sclerides were present. The standard out print of the drug is represented by physicochemical standards and HPTLC. Preliminary Phytochemical study shows that it contains Alkaloids, Carbohydrates, Steroids, Tannins and Phenol. Conclusion - Pharmacognostical study carried out on A.variabilis showed quality standards of the drug, with respect to its macroscopy, microscopy, physico-chemical standards and HPTLC.

Clinical Study on the Effectiveness of Pippali Khanda in the Management of Amlapitta

Background: Amlapitta (Acid peptic disorder) is disease of the Annavaha Srotas (gastrointestinal tract) which results primarily because of indulgence in Ahita Ahara Vihara Sevana (irregular dietary habit and day to day activity). Khanda (sugar granules) is widely acceptable dosage forms in the present scenario due its palatability, shelf life and easy administration. The selected drug Pippali Khanda possesses Deepana (enhances digestion), Pachana (digestive) and Vatanulomana (regulates Vata). Study has been undertaken to evaluate the effectiveness of Pippali Khanda in the management of Urdhvaga Amlapitta having dominance of Kapha and Pitta Dosha. Methods: Among the 32 registered patients 30 of them completed the course of treatment. Pippali Khanda was administered in a dose of three gram twice daily, fifteen minutes after food, for fifteen days. Patients were assessed before, end of first of week and 15th day of treatment. For statistical analysis, ordinal data were assessed by Friedman’s test and Wilcoxon signed rank as Post Hoc after applying Bonferroni correction. Results: There were statistically highly significant improvements in the signs and symptoms of Amlapitta. (p<0. 05) observed. Conclusion: Pippali Khanda is effective and useful in the management of signs and symptoms of Amlapitta besides improved the parameters of Agni and digestion. Â

Clinical efficacy of Baladi Manduram in the management of Amlapitta.

Background:Amlapitta is a commonly encountered disease of Annavaha Srotasa (gastrointestinal system) described in various classical Ayurvedic texts. The cardinal features of Amlapitta are Avipaka (indigestion), Hritkantha Daha (heart and throat burn) and Tikta-Amlodgara (sour and bitter belching). This disease can be correlated with gastroesophageal reflux disease based on the clinical features. Baladi Manduram is one of the unique formulations mentioned in Rasa Kamadhenu indicated for the management of Amlapitta.Aims:This study is aimed to evaluate the efficacy of Baladi Manduram in the management of Amlapitta.Materials and Methods:A non-randomized, single-armed, open-labeled clinical trial was conducted in thirty patients having classical symptoms of Amlapitta, administered with 500 mg of Baladi Manduram twice a day after meals for 30 days. The assessment was done based on subjective parameters, i.e., Amlodgara (sour belching), Daha (heart burn), Gaurava (heaviness), Utklesha (nausea), Avipaka (indigestion) and Kshudha Alpata (loss of appetite). The results were statistically analyzed using the paired t-test.Results:Statistically highly significant relief (P < 0.001) was noted in Amlodgara, Hritkantha Daha, Utklesha and Agnimandya and statistically highly significant relief (P < 0.01) was seen in Gaurava and Avipaka.Conclusion:Baladi Manduram can be considered as an effective formulation in the management of Amlapitta.

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.

A comparative clinical study of Shatapatrayadi churna tablet and Patoladi yoga in the management of Amlapitta

Amlapitta is a very common disease caused by Vidagdha Pitta with features such as Amlodgara, Hrid Kantha Daha, and Avipaka. This is a burning problem of the society. Irregular and improper food habits, and busy stressful lifestyle is one of the main culprit. Amlapitta is the GI disorder described in Ayurvedic texts that closely resembles with Gastritis in modern science. In chronic stage, it may lead to ulcerative conditions. In this study, total 41 patients were registered and were randomly divided into two groups. In group A, Shatapatrayadi churna tablet and in group B Patoladi Yoga tablet were given for 1 month. The Nidana, signs, and symptoms were observed carefully to get idea about the Samprapti of the disease. The effect of Patoladi Yoga on Roga Bala is 65.79%, 62.11% on Agni Bala, and 63.35% on Deha and Chetasa bala. The overall relief was 63.75%. The effect of Shatapatrayadi tablet on Roga Bala was 71.94%, 73.15% on Agni Bala, and 77.68% on Deha and Chetas Bala. The overall relief was 74.25%.