Amlapitta, first described in Madhava Nidana and further elaborated in Kashyapa Samhita and Bhava Prakasha, is caused by vitiated Pitta dosha, particularly in the Annavaha Srotas. The disease manifests due to excessive intake of Amla (sour), Katu (pungent), and Ushna (hot) Ahara, irregular food habits, stress, and poor lifestyle. In modern parlance, Amlapitta correlates with acid peptic disorders, hyperacidity, and functional dyspepsia. Unlike symptomatic allopathic treatment, Ayurveda focuses on Dosha-Samyata (balance of doshas) and Agni-Sandharana (digestive restoration). This study evaluates a classical protocol starting with Sadyo Virechana (instant Pitta expulsion) and continued with Pitta-pacifying herbs for sustainable relief.