Management of Garbhini Mukhpaka with Kavala Dharana

Abstract

It is well known that in pregnancy various physiological and pathological changes occurs. Most of which are reversible after delivery. Due to hormonal changes during pregnancy the changes in oral mucosa are also seen. The reasons for these changes are not well known established. Of all the changes the one most well-known is stomatitis. In Pregnancy hormone fluctuation causes changes in saliva making mouth more susceptible to ulcer. Physical and emotional stress of pregnancy aggravates the factor for mouth ulcer. In Ayurveda this condition is known as Mukhpaka, Acharya Sushruta has described under Mukhroga. Among 65 Mukhroga it comes in Sarvasara Roga and these are of three types. In modern science it is treated by maintaining oral hygiene and by using tropical anaesthetics, antibacterial and anti-inflammatory drugs. Many of these drugs are of unknown adverse effect that cannot be frequently used in pregnant women. In Ayurveda it is treated by various methods like Kwatha, Gandusha, etc. In Kashyapa Samhita this Garbhini Vikara is treated with the administration of Kavala of Haridra and Daruharidra. Then Kavala of Sneha/Sugar added water and of Lodhra Kwath Kawal and at the end dusting of Lodhra Choorna is done, and with intake of powder of Manjistha, Ghrashi, Sariva, Mochras, with honey.