Akik Pishti is an Ayurvedic medicine in tablet or powder form, used in the treatment of heart diseases, cough, heart burn, etc. It is same as Akik Bhasma.
It is coolant in nature.
Effect on Tridosha: Balances  Pitta.
Akika Pishti / Bhasma Dosage:
125 – 250 mg, once or twice a day before or after food or as directed by Ayurvedic doctor.
In case of Pitta disorder, it is given along with honey.
In case of Vata imbalance it is given along with Ashwagandha
In cough and heart disorders, it is fresh ginger juice.
Akik Pishti Ingredients:
Akika Churna – Agate powder
It is ground with aloe vera juice, juice extract of Ketaki ( Pandanus odoratissimus), Jalapippali and or banana stem juice for  2 – 3 times. It is then subjected to 300 degree celsius heat for 1 – 2hours, allowed to self cooling.
Reference: Rasoddhara Tantra