• It is the pain of the cardiac end of the stomach.
• It is mainly caused by Insibāb -i Safrā’ (Pouring of bile) at cardiac end of the stomach and Sū’-i Mizāj Hār (Hot morbid temperament) of cardiac end of stomach. Sometimes it occurs due to pouring of Balgham ‘Afin (Putrefied phlegm) or Ijtimā‘-i Rīh Bārid wa Ghalīz (Collection of cold and thick gases) at the cardiac end of the stomach.
• It is characterized by severe pain at the cardiac end of the stomach (increasing on empty stomach) which may lead to syncope and cold extremities, thirst, dryness of mouth, belching (when the cause isHarārat). When the cause is Insibāb -i Safrā’ there will be yellowing of tongue and bitter taste along with other features of Harārat. In case of Ijtimā‘-i Rīh, pain is episodic in nature and gets relieved with belching and passing of wind. In case of Balgham ‘Afin, there will be puffiness of eyes and face and vomiting with phlegm in vomitus.

• Oral administration of Sikanjabīn with lukewarm water to induce vomiting.
• Oral administration of Lu‘āb-i Aspghol (Mucilage of seed of Plantago ovata Frosk.) prepared with rose water  in case of Harārat.
• Oral administration of Shīra-i Zarishk (Berberis vulgaris DC.) prepared in rose water and ‘Arq-i Gāozabān and mixed with Sikanajbīn  and Sharbat-i Lemūn in case of Harārat.
• Oral administration of Ghārīqūn (Agaricus alba Linn.) 3 gm. with Murabba-i Āmla 01 piece in case of Balgham.
• Oral administration of Hiltīt (Asafoetida) dissolved in water in case of Balgham and Rīh.
• Local application of paste prepared with Barg-i Angūr (Leaf of Vitis vinifera Linn.) and Roghan-i  Ās on the epigastric region in case of Harārat.
• Local application of paste prepared with Sandal (Santalum album Linn.), Gulāb (Rosa damascena Mill.), Tabāshīr (Bambusa bambus Druce.), Sumāq (Rhus coriaria Linn.), Rose water and Lu‘āb-i Aspghol (Mucilage of seed of Plantago ovata Frosk.) on epigastric region in case of Insibāb -i Safrā’.
• Local application of lukewarm paste prepared with Dārchīnī (Cinnamomum zeylanicum Blume.), ‘Ūd (Aquilaria agallocha Roxb.), Waj (Acorus calamus Linn.), Zarambād (Curcuma zedoaria Rosc.), Mastagī (Pistacia lentiscus Linn.), Rose water on epigastric region in case of Balgham.
• Local application of ‘Itr-i Gulāb on the epigastric region in case of Balgham.
• Huqna (Enema) prepared with Mā’ al-Sha‘īr, Roghan-i Gul and Āb-i Bāqla Humqa (Juice of fresh Portulaca oleracea Linn.) in case of Insibāb -i Safrā’.

Compound drugs:

• Aghziya Hārra - The foods of hot temperament having ability to produce the humours which induce heat in the body e.g. onion, garlic, etc.
• Aghziya Mubakhkhira - The foods liable to produce flatus and vapours e.g. cabbage, pea, brinjal, cauliflower, beans, turnip, etc.

• Endoscopy

• Qay’ (Emesis)
• Ishāl (Purgation) in case of Balgham ‘Afin. 
• Fasd-i Bāslīq (Bloodletting through basilic vein) in case of Insibāb -i Safrā’.
• Hijāma bi’l-Shart (Wet cupping) at calf muscles and between the shoulders in case of Balgham ‘Afin.
• Huqna  (Enema)

• Chilled buttermilk.
• Aghziya Hāmiza - Sour foods e.g. lemon, sour pomegranate, sour apple, orange, vinegar, curd, etc. They change the thick waste products of stomach into smaller particles.

• Avoid mental stress.
• Avoid hunger.
• Avoid NSAIDs, tobacco chewing, smoking and alcohol.