DR. H. V. SARDESAI – Alarsin Ayurvedic Products

SOOKTYN (Alarsin)

An Ayurvedic Drug in Hyper Acidity Syndrome
(A Clinical Study of 50 Cases)
by

H. V. SARDESAI, MD. (Bom) MRCP. (Ed).

Honorary Physician : Sassoon General Hospitals,

B. J. Medical College and K.E.M. Hospital, Poona

And
Miss MANIK B. DESAI, M.B.B.S.
Medical Registrar, Sassoon General Hospitals, Poona

INTRODUCTION:

Hyper acidity syndrome is very common and its incidence is increasing at an alarming rate Wrong food habits, liberal use of fried food, excessive use of spices and use of strong and spiced tea and coffee; tobacco in smoking, snuffing or chewing, alcoholic and other drinks aggravate hyper acidity.

In hyper acidity syndrome patients complain of heart-burnpain after food, nausea ptyalism (excessive salivation). Patients come to the physician at a rather late stage when these complaints have become severe and rather chronic and at a stage when ulceration- gastric or duodenal-has set in.

HYPER ACIDITY AND PEPTIC ULCERS

"No acid : No ulcer" has now become a dictum because of the main role hyper acidity of the gastric juice is supposed to play in peptic ulcer cases and particularly of duodenal ulcer which has higher incidence.

Peptic ulcer has no definite aetiology, no specific causative organism has been found for its recurrence and there is no chemotherapeutic agent available for its cure.

Mental strain, worry and anxiety may be responsible, acting by way of hypothalamus and the autonomic nervous system giving rise to hypersecretion and hyperemia.

Thus management of hyper acidity at an early stage is the most important clinical problem.

TREATMENT:

The treatment available today is only symptomatic. The aim is to reduce acidity. This is done by drugs, diet and other ancillary measures like rest and relaxed way of life. Diet should be bland, simple and easily assimilable-the feeds to be arranged at short intervals.

DRUGS:

According to their mode of action the drugs used can be divided into two classes One is that of acid neutralizers. They are either buffer antacids like aluminium hydroxide, magnesium trisilicate, milk and milk proteins. While others arc non - buffer antacids like sodium bicarbonate, calcium carbonate, magnesium oxide and carbonates.

The second group consists of drugs which are either parasympathetic blocking agents e.g. belladona alkaloids or banthine and probanthine which have a more selective action on the gastro - intestinal tract.

The object of this study was to observe the clinical usefulness of an Ayurvedic drug tablet SOOKTYN (Alarsin) in hyper acidity syndrome

MATERIAL AND METHODS

This study consists of 50 cases from indoor patients and patients attending the medical out-patients department if Sassoon General Hospital, Poona with complaints and symptoms suggestive of hyper acidity and duodenal ulcerations. All of them had high acidity. Cases with pyloric stenosis or any other gastro-intestinal complications were excluded. Patients were examined clinically. Gastric analysis and Barium meal studies were carried out to confirm the diagnosis. The common signs and symptoms were :- heart burn, acid eructation, dyspepsia and pain after food. Hyper acidity was present in all these cases and in half of them Barium meal studies showed duodenal ulcerations at various stages.

Drug "Sooktyn"
"Sooktyn" is a synergistic combination of Ayurvedic drugs reputed for their usefulness in gastritis, hyper acidity syndrome and peptic ulcers. The peculiar advantage of this drug is its detoxicating effect on the gastrointestinal tract. These drugs appear to exert beneficial effects on the central regulatory mechanism of gastric Functions besides having simultaneous local antacid action.
PHARMACOLOGY & THERAPEUTICS

Each tablet of sooktyn contains:
Ostrea gryphoides (shooktiBhasma) 163 mg
Musa sapientum (KelRaakh) 32 mg

Hedychium Spicatum (Gandharika) 97 mg

Piper longum (Pipplimool) 32 mg

Actions and Uses of Ingredients

ShooktiBhasma : A standard drug for hyper acidity and dyspepsia with vomiting, nausea, acid eructation.

Gandharika : Aromatic and Stomachic. Used in liver complaints and vomiting.

(KAPOOR KACHALI)

PippliMool : Digestive and soothing. Gandharikaand PippliMool detoxicate the entire digestive tract.

KelRaakh : Antiseptic and stomachic. Used in acidity colic, flatulence and heart burn. Also helpful in preventing haemorrhages.

Dosage : 2 tablets t.d.sSooktyn for 2 to 4 weeks
Diet : Bland diet, plenty of milk

Criteria of improvement:

This was based on symptomatic improvement, clinical observations and gastric analysis and Barium meal studies.

RESULTS
Total No of Cases	50	50
Symptomatology percent	Before Treatment Percent	After R_xSooktyn percent
Heart Burn	90%	50%
Acid Eructation	80%	Nil
Dyspepsia	80%	10%
Pain after food	40%	10%
High Acidity	100%	10%
Ulcer seem in Barium Meal	50%	5%

As seen in the above chart, the symptoms of hyper acidity syndrome were remarkably relieved by Sooktyn. Such symptoms like heart burn and acid eructation practically disappeared and dyspepsia and pain after food were relieved in the majority of cases.

Such objective criteria like acidity in the Gastric juice and detection of ulcer in the Barium meal examination also showed considerable improvement.

REMARKS:

In hyper acidity syndrome, SOOKTYN when used with proper diet remarkable symptomatic relief and comparatively it is more lasting.

Close co-relation is observed in theimprovement of clinical relief and Gastric analysis and Barium meal studies. Besides it seems to have beneficial effect on the gastro - intestinal tract and functions.

ACKNOWLEDGEMENT:

We are thankful to Dr. F. J. Mendonca, M S., F.C.P.S., F.C.C.P., Dean, Sassoon G'Cneral Hospital for allowing us to carry out this trial, and to M/s. ALARSTN Pharmaceuticals, Bombay - I for the supply of SOOKTYN

REFERENCES:

1. Chopra R. N. Indigenous Drugs of India, 2nd Edition 1958.

2. Nadkarni K. M. Indian Materia Medica, Vul. 1 and 2 3rd Edition, 1949