The term peptic ulcer is a general term applied to all the ulcers in the stomach, near the acid bearing regions of the gastrointestinal tract. This ulceration usually occurs in the stomach or proximal duodenum. The duodenum is the link between stomach and the jejunum. Pancreatic juice and bile are poured in the duodenum to mix with food.
Duodenum plays major role in food digestion.
According to Ayurved 'parinam shoola' which show resemblance to duodenal ulcer is produced by aggravated vata. Vata vitiates, by vata aggravating factors, associates with kapha and pitta to raise the pain or shoola, which mainly occurs during the time of digestion of the food. Annadrava shoola is the pain in stomach that persists after food digestion, during the period of digestion, or immediately after ingestion of food, which shows resemblance with the symptoms of gastric ulcer. Incidence of peptic ulcer is high with smokers. Incidence of duodenal ulcer is higher in anxiety prone personalities and people with high responsibility jobs.