An Ayurvedic Perspective on Hiatus Hernia and its Management: A Case Report

Abstract

Hiatus hernia is a structural disorder in which the stomach protrudes into the thoracic cavity through the diaphragmatic hiatus. It is commonly associated with gastroesophageal reflux disease (GERD), heartburn, nausea, and abdominal discomfort. Conventional management includes lifestyle modifications, acid suppression, and surgical procedures. Ayurveda, however, offers a holistic approach that addresses Dosha (humoral) imbalance and impaired Agni (digestive fire). This report presents the case of a 65-year-old female with symptoms of heartburn, chest pain, constipation, indigestion, and nausea. Based on clinical and Ayurvedic evaluation, the condition was correlated with Amlapitta (hyperacidity) and Vidagdha Ajirna (acidic indigestion due to Vata-Pitta imbalance). Ayurvedic formulations with Deepana-Pachana (carminative-digestive), Vata Anulomana (regulation of Vata), and Pitta Shamana (pacifying Pitta) actions—such as Sutshekhar Ras, Praval Pishti, Kamdudha Ras, Shankh Bhasma, Amlapittantak Kadha, and Shool Vajrini Vati—were administered with dietary and lifestyle modifications. After treatment, the patient experienced significant symptomatic relief. This case highlights the potential role of Ayurveda in managing hiatus hernia and supports the need for further systematic studies.