The term 'peptic ulcer' refers to an ulcer in the lower oesophagus, stomach or duodenum, in the jejunum after surgical anastomosis to the stomach or, rarely, in the ileum. A peptic ulcer of the stomach is called a gastric ulcer; of the duodenum, a duodenal ulcer; and of the esophagus, an esophageal ulcer. An ulcer occurs when the lining of these organs is corroded by the acidic digestive juices which are secreted by the stomach cells. In Ayurveda, ANNADRAB SHOOL and PARINAM SHOOL have been described which can closely correlated with Gastric and Duodenal Ulcer respectively.
The male to female ratio for duodenal ulcer varies from 5:1 to 2:1, whilst that for gastric ulcer is 2:1 or less.
Causes of Peptic Ulcer
Helicobacter pylori infection
H. pylori is a helix-shaped gram negative bacterium. It produces oxidase, catalase and urease. Urease breaks down urea (which is normally secreted into the stomach) to carbon dioxide and ammonia (which neutralizes gastric acid). The survival of H. pylori in the acidic stomach is dependent on urease, and it would eventually die without the enzyme. The ammonia that is produced is toxic to the epithelial cells
nonsteroidal anti-inflammatory drugs (NSAIDs)
These drugs such as aspirin, ibuprofen, and naproxen sodium etc make the stomach vulnerable to the harmful effects of acid and pepsin. it Inhibits the synthesis of gastroprotective PGs that results in reduction of the mucus and HCO3- secretion, tends to enhance acid secretion. Local action inducing back diffusion of H+ ions in gastric mucosa plays a role.
other diseases like ZOLLINGER-ELLISON SYNDROME, CUSHING’S SYNDROME etc.
Irregular dietary habits
Fried and spicy foods
Stress & Anxiety
Insomnia or sleeplessness Etc
Signs and Symptoms
1 Recurrent abdominal pain
Burning or agonizing pain in upper abdomin
comes and goes for a few days or weeks
starts 2 to 3 hours after a meal or in empty stomach
comes in the middle of the night
These pain symptoms are often promptly relieved by food or antacids
frequent burping or hiccuping
loss of weight
blood in vomiting
jethimadhu, Amala, Drakshya, Shatawari/Kurilo, Tribit/ Nisoth, Patol / Parval, Haritaki / Harro, Kusmanda / Kubindo, Jatamansi, Brhingaraj can be used in peptic ulcer as a single herb.
You can take almost all foods in moderation except chilies, spices and sour food. Avoid chilies, meat soups and extractives, tamarind and unripe citrus fruits such as orange, sweet- lime etc. Restrict the use of garlic, ginger, coriander (dhania), and cumin seeds (jeera). Avoid papad, chutney or pickles. You can use ghee in cooking as pacifies pitta. However, restrict the fried food and recycled cooking oil, as they are difficult to digest. Restrict the intake of salt as it irritates the stomach lining. Bland diet such as khichdi, that contains cooked rice and dal, is perhaps the best diet in gastritis. Always prefer the old rice that has been preserved for one year. A snack of small meal every three hours does the trick in most of the cases.
Milk has always been known to relieve pain in the peptic ulcer. Always choose milk instead of coffee or tea.
Caffeine found in coffee and tea, some soft drinks, chocolate and many medications increase stomach acid. Avoiding these substances can therefore, aid in the healing of gastritis.
In some individuals, food allergies of intolerance may cause gastritis. If you are suspecting food sensitivity of allergy, you should consider discussing an allergy elimination programme with your physician.
When helicobacter causes gastritis, free radical levels rise in the stomach lining. These unstable molecules contribute to inflammation of gastric damage.
Vitamin C, an antioxidant that helps squelch free radical molecules, is low in the stomach juice of people with chronic gastritis. This is the reason, some of the vitamin C rich fruits, such as Amla are found to be helpful in gastritis. There is some evidence that the antioxidant beta-carotene may also reduce free radical damage in the stomach, and eating foods such as carrots, that are high in carotene, has been linked to a decreased risk of developing chronic atrophic gastritis.
Moreover, people with active gastritis have been reported to have low levels of beta-carotene in their stomach. Combining vitamin C rich foods and carotene food lead to improvement in most people with chronic atrophic gastritis.
Avoid tobacco. Smoking damages the mucous membrane and may even increase acid secretion. Smoking also causes pyloric incompetence and reflux of duodenal juice into the stomach. Tobacco chewing causes shedding of the stomach lining and may have a role in the production of gastritis.
Avoid alcohol. Alcohol inhibits the secretion of the protective prostaglandin, thereby causing gastritis.
Many medications, such as aspirin and related drugs, can induce or aggravate stomach irritation. People with a history of gastritis should never take asprin or aspirin kike drugs without first discussing the matter with their doctor.
Mental tension is usually associtated with gastritis. Frustrations and inner resentment regarding matters connected with the family or palace of work not only predisposes you to gastritis, but also contributes to the perpetuation of symptoms and subsequent recurrences.
1. Licorice root (Yesthimadhu in Nepali) has been traditionally used to soothe inflammation and injury in the stomach. It also stalls the growth of Helicobacter pylori. Take one teaspoonful of this powder and mix with half a teaspoonful of pure ghee and one teaspoonful of pure honey. Take this medicine twice daily on an empty stomach, once in the morning before breakfast and once in the afternoon before tea when the stomach is nearly empty.
3. Asparagus racemosus (shataavari or kurilo) is a refrigerant and antispasmodic. It allays internal heat. Several studies have demonstrated that the root of this plant is an effective drug in hyperacidity. Mineral contents, which are biochemically important for the human system, were found in significant concentration in different parts of the herb. This powder should be taken three to six grams, twice daily.
4- Emblica officanalis (amla) is found useful in dyspepsia, burning sensation, anorexia, vomiting and heaemorrhage. You can take this in powder form, two teaspoonfuls four times a day.
5. Similarly single herbs like Tribit/ Nisoth, Patol / Parval, Haritaki / Harro, Kusmanda / Kubindo, Jatamansi, Brhingaraj can be used.
Ayurveda Drugs for Peptic Ulcer:
1 . Avipattikara Churna
2. Madhuyastyadi Churna
3. Kamadugha Ras
4. Prawal Panchamrit
5. Shankha Bhasma
6. Prawal Bhasma
7. Makshik and Avrak Bhasma
8. Amalapittantak Lauha
9. Dhatri Lauha
10. Sutashekhar ras etc
11.Sukumaara ghrita, etc.
Patent ayurvedic drug for peptic ulcer
AMLARIN TABLET (Gorkha Ayurved Company)
Doses & administration : Adult: Two tablets 4 times a day or whenever symptoms appear.
AVIPATTIKAR CHURNA (Gorkha Ayurved Company)
Doses & administration : Adult : 2 teaspoonful three times a day. Children: Half of the adult dose or as directed by the physician. To be taken orally in an empty stomach preferably with milk.