Background: Gastroesophageal Reflux Disease (GERD) involves abnormal reflux of gastric contents into the oesophagus. It occurs due to dysfunction of the lower esophageal sphincter (LES), delayed gastric emptying, or increased intra-abdominal pressure. Urdhwaga amlapitta, linked to Pitta dosha imbalance, manifests as symptoms like Chardi (vomiting), Hrit daha (burning sensation in the precordial/cardiac region), Kantha daha (burning sensation in throat), Amlasyata (sour taste), Aruchi (tastelessness) and Avipaka (Indigestion). Methodology: A 21-year-old female with epigastric pain, chest pain, vomiting, nausea, and indigestion for a year, unrelieved by allopathic treatment, was diagnosed with Urdhwaga amlapitta after presenting to the Ayurveda hospital in June 2024. Endoscopy revealed severe hemorrhagic gastritis and lower reflux oesophagitis. Intervention: Pitta Shamaka Chikitsa such as Avipattikara Churna and Guduchyadi Kashaya were used in treatment, as well as herbomineral drugs and dietary/lifestyle changes aimed at Pitta pacification. Result: Over three weeks, the patient experienced marked symptom relief, including reduced vomiting, heartburn, and sour taste, with no side effects. Conclusion: This case highlights the potential of Ayurveda’s holistic approach in effectively managing GERD by addressing both physical and mental health
