Journal of Ayurveda and Integrated Medical Sciences

2025 Volume 10 Number 1 JANUARY
Publisherwww.maharshicharaka.in

Effect of Ayurvedic medicine in the management of Mukhpaka: A Case Study

Kapadia T1*, Sharma I2
DOI:10.21760/jaims.10.1.45

1* Tulsi Kapadia, Post Graduate Scholar, Department of Kayachikitsa, Madan Mohan Malviya Govt. Ayurved College, Udaipur, Rajasthan, India.

2 Indumati Sharma, Associate Professor, Department of Kayachikitsa, Madan Mohan Malviya Govt. Ayurved College, Udaipur, Rajasthan, India.

Introduction: Stomatitis is common problem faced by all persons. The illness that spreads across the mouth is called Mukhapaka, or stomatitis. It is an irritation of the mucous membranes on the tongue, cheeks, lips, throat. It may seem like a small issue, but it interferes with day-to-day tasks. Foods that are hot, spicy, and oily; smoking; chewing tobacco; some medicines; infections; low vitamin B12 levels; and more can all cause stomatitis.

Main symptoms, Important clinical finding: The four varieties of Mukhapaka mentioned by Ayurveda those are Vataja, Pittaja, Kaphaja, and Raktaja. As Acharya Charak says in Chikitsa 15th, Combining Aam and Pitta results in Pittajvikar such as burning sensation, excessive thirst, fever, oral cavity disease, and hyperacidity.

The main diagnoses, therapeutic interventions and outcome: Here, we are receiving Sama Pittaj Lakshan. for this pathogenesis Deepan, Pachan, Ropan, Anuloman, and other remedies like Gandoosh, Kaval are given. Here, even Ayurvedic medicine didn't relieve the problems and made them worse because the Dosh Dushya Gunas weren't properly examined. One of the most crucial aspects of treatment is Amshansh Kalpana of Dosha; by approaching the situation in this manner, quick results can be achieved. Although Stomatitis can be treated with painkillers, mouthwashes, lotions, corticosteroids, and vitamin B12 in allopathy.

Conclusion: Today, the world looks to Ayurveda for its invaluable help in treating any illness. With little adverse effects, one can apply Ayurveda medicine to relieve both main and secondary disease symptoms.

Keywords: Mukhpak, stomatitis, Pachan, Ropan, Anuloman, Aam

Corresponding Author How to Cite this Article To Browse
Tulsi Kapadia, Post Graduate Scholar, Department of Kayachikitsa, Madan Mohan Malviya Govt. Ayurved College, Udaipur, Rajasthan, India.
Email:
Kapadia T, Sharma I, Effect of Ayurvedic medicine in the management of Mukhpaka: A Case Study. J Ayu Int Med Sci. 2025;10(1):289-292.
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https://jaims.in/jaims/article/view/3970

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2024-12-17 2024-12-27 2025-01-07 2025-01-17 2025-01-26
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
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© 2025by Kapadia T, Sharma Iand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

Download PDFBack To ArticleIntroductionAim and ObjectivesMaterials and MethodsDiscussionConclusionReferences

Introduction

Acharya Sushruta states that there are 65 Mukhroga, which can be found in seven different places, including lips, teeth, tongue, palate, throat, and oral cavity. Of these, eight occur in lips, fifteen in gums, eight in teeth, three in tongue, nine in palate, seventeen in Kanth, and three across entire mouth, as stated in Nidansthan.[1] Pitta Doshahar, Rakata Prasadak, Vranashodhak, Vranropak, and Shothahar Chikitsa are necessary to shatter this Samprapti. Out of that 65 Mukhrogas theirs, Sarvasara Mukharogas (Mukhapaka) is of four types; Vataja, Pittaja, Kaphaja and Raktaja; whereas, Acharya Vagbhatta has mentioned eight types of Mukhapaka i.e., Vataja, Pittaja, Kaphaja, Raktaja, Sannipataja, Urdhavaguda, Pootyasyata & Arbuda.[2] the Following factors must be considered in order to comprehend Samprapti of Mukhpak.

संसृज्यमानं पित्तेन दाहं तृष्णां मुखामयान्।
जनयत्यम्लपित्तं च पित्तजांश्चापरान् गदान्।[3]

When Aam and Pitta are combined, burning feeling, excessive thirst, fever, oral cavity disease, hyperacidity, and other Pittajvikar are generated. In Mukhapaka, Pitta Dosha Prakopa and Rakta, Mamsa Dhatu Dushti occurs in oral cavity. In modern science, recurrent aphthosis stomatitis (RAS) has an unclear pathophysiology. Most likely, T-cells and production of TNF-α (tumour necrosis factor-alpha) are involved in a mostly cell-mediated inflammation. Most likely, no testing is necessary for patients with acute stomatitis who do not exhibit any symptoms, indicators, or risk factors for a systemic disease. If stomatitis recurs, Serum iron, ferritin, vitamin B12, folate, zinc, endomysial antibody (for celiac disease), viral and bacterial cultures, complete blood counts, and other tests are performed. Biopsies can be performed on chronic lesions without a clear cause at boundaries of normal and pathological tissue.

Aim and Objectives

To find out the effect of Ayurvedic drugs in the management of Mukhpaka (stomatitis)

Materials and Methods

Case Report

Kayachikitsa A 78 years old male patient reported to OPD of Govt.

Ayurvedic Hospital, Research Centre, Gulab Bagh, Udaipur on 06/05/2024 with the chief complaint of

  • Ulceration over tongue and throat in the last 6 months
  • Unable to digest food in the last 6 months
  • Burning sensation in mouth in the last 6 months

Associate symptoms

Patient complained of

  • Difficulty in swallowing in the last 6 months
  • Constipation

History of present illness

Patient was diagnosed with hypertension Before 10 years. He has addiction to take alcohol regularly from long period. Because of this habit he gradually developed indigestion and constipation. Due to this he has been also suffering from mouth and throat ulcer.

For these complaints he has been taken Ayurvedic medicines but recurrency was there. Before 6 month he again developed. So he came to Govt. Ayurvedic Hospital, Research Centre, Gulab Bagh, Udaipur for better management.

Past history

Surgical - No history of any major surgery
Medical - k/c/o/ hypertension (before 10 years) and Sarpagandha Vati 2 HS

Socio-Economic History

He works as a truck driver and belongs to a lower middle-class family.

Personal History

Appetite - decrease
Sleep - Disturb
Bowel habits - constipation
Bladder habits - properly clear (5-6 times per day)
Dietary habits - Vegetarian
Addiction - Alcohol intake

Vitals

Blood Pressure - 140/70 mm of Hg
Pulse Rate - 86/min.
Respiratory Rate - 24/min.
Temperature - Afebrile
Weight - 71 Kg.
Height - 173 cm.


Table 1: Astavidha Pareeksha

MalaSama
MutraPale yellow
JihwaCoated, ulceration
ShabdaSamanya
SparshaRuksha
DrikaSwetabh
AkritiSamanya

Table 2: Dashavidha Pareeksha

PrakritiVata-Pittaj
VikritiMukh Rog
SaraMamsa Sara
SamhananaMadhyam
PramanMadhyam
SatmyaSarva Rasa
SatvaPravara
AharshaktiAvar
VyayamshaktiAvar
VayaVrudhha

Local examination

Mukhvran

Colour - reddish patch with white border
Number - multiple
Site - left sided margin of tongue, dorsal surface
Size - 1-2 cm

Table 3: Treatment

SNNameDoseKalaFrequency & Anupana
1.Yasthimadhu Churna
Amalaki Churna
2gm
2gm
Before foodBD with water
2.Khadiradi Gutika2tab.After foodBD with water
3.Oro.T for gargling2 drops3-4 times
4.Tarunikusumakara Churna5gmAt nightOD

jaims_3970_01.JPG
Before Treatment

jaims_3970_02.JPG
After Treatment (20 days)

Discussion

Mouth ulcers are one of the commonest occurring diseases of oral cavity. Apathyakar Ahar & Vihar (improper food habits & life style) are the most important causative factors. According to Madavnidan, the Kapha Dosha is the cause of all Mukhrog production.[4]

In this case, the patient received early treatment with medications such as Avipattikar Churna, Sutshekhar Ras, Kamdudha Ras, and Sanjivani Vati. One of the most crucial aspects of treatment is Amshansh Kalpana of Dosha; by approaching the situation in this manner, quick results can be achieved. However, in this case, the patient did not receive relief from this medication since the Tikshan Guna of Pitta increased. Yastimadhu Churna, accompanied by Snigdha and Saumya, and Madhura Ras has acted well here.[5]

Additionally, the patient came in Grishma Ritu; hence, for Sheeta Chikitsa Amlaki and Yashtimadhu were given. Khadiradi Vati is mainly given in Kushth[6], which is Raktavah Strotas Vyadhi, and Jiwha Uttapati are forms of Rakta,[7] that is why it was provided here. Oro-T gargle contains Triphala and Madhu a, which means that it also has Sandhan and Ropan properties. Because Kashay Ras has the quality of Ropan, Shaman, Sandhankar, Shleshm Rakta Pitta Prashaman[8], all prescribed drugs contain Kashay Ras. And Tarunikusumakar Ras was used to treat constipation in order to achieve intestinal clearance.


Modern research indicates that a vitamin B12 shortage causes stomatitis, which is absorbed by the colon and aids in intestinal clearance. The sufferer has experienced alleviation.

Conclusion

It is possible to cure oral conditions like stomatitis using these natural products, which are excellent treatments. One of the most crucial aspects of treatment is Amshansh Kalpana of Dosha, Kala (Ritu), and body of patient; by approaching the situation in this manner, quick results can be achieved. These solutions are readily available, affordable, and have been used since ancient times. As antimicrobial agents, the naturally occurring disinfectants listed above are likewise quite effective when administered in the recommended dosages, yielding amazing results.

References

1. Sharma AP. Sushruta Samhita. 1st ed. Varanasi: Chaukhambha Surbharti Prakashan; Nidansthan -16/3. p. 573 [Crossref][PubMed][Google Scholar]

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3. Sharma AP. Charak Samhita. 1st ed. Delhi: Chaukhamba Sanskrit Pratishthan; Chikitsasthan – 15/47. p. 368 [Crossref][PubMed][Google Scholar]

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