Ayurvedic Management of Pittaja Mukhapaka: A Case Study

Introduction: Mukhapaka is increasingly prevalent due to stress, lifestyle factors, and poor oral hygiene. Pittaja Mukhapaka, a subtype of Mukharoga described in Ayurveda, is characterised by Ruja, Daha, Tiktavaktrata, Khasrokshitkshatsama Vrana and Asyavairasyata. Conventional therapy generally relies on topical and systemic steroids, which may lead to adverse effects on prolonged use. Ayurveda advocates for Dinacharya, wherein Gandusha plays a significant role in Mukhapaka Chikitsa. This case study evaluates the therapeutic potential of Mukhapakahara Arka, an Ayurvedic formulation attributed with Kaphapitta Pradhana Tridoshahara, Dahahara, Shothahara, and Vranahara properties. Methods: A 55-year-old female patient diagnosed with Pittaja Mukhapaka presented with symptoms of pricking pain, burning sensation, loss of taste, and difficulty swallowing. As described in Ravana Arka Prakasha, Gandusha with Mukhapakahara Arka was administered daily for five consecutive days. The clinical assessment included the parameters Ruja, Daha, Tiktavaktrata, Asyavairasyata, Raga, and Vrana. Observations were recorded before and after the intervention. Results: Following five days of treatment, a marked improvement was observed across all clinical parameters. There was a significant reduction in Ruja and Daha, as well as an improvement in Tiktavaktrata and Asyavairasyata. Additionally, Raga and Vrana decreased. The patient also reported easier swallowing. No adverse effects were observed during or after the intervention. Discussion: The positive therapeutic response suggests that Mukhapakahara Arka may offer a beneficial adjunct in managing Pittaja Mukhapaka. Its Shothahara, Shoolahara, and Vrana Ropana actions likely contributed to the observed improvements. Although the results are promising, the findings are based on a single case.