ataḥ kaī bāra amla kī kama vṛddhi aura uṣṇa kīadhika vṛddhi ho to bhī amla pitta nidāna hogā parantu aisī daśā meṃ ḥyperaciḍiṭynahīṃ bhī mila sakatī hai ataḥ ḥyperaciḍiṭy yā ḥyperchlorhyḍria amlapitta kāparyāya na banakara eka avasthā banatī hai  
