An Ayurveda Management of Pittaja Mukhapaka-Case Series

Introduction: Mukhapaka (oral ulcers) is a common condition characterised by ulceration of the oral mucosa, accompanied by pain, burning and difficulty with mastication and speech. Pittaja Mukhapaka arises due to an imbalance of Pitta Dosha and presents with Ruja(pain), Daha (burning sensation), Toda (pricking pain), Rakta Varnata(erythema) and tenderness. Conventional therapy generally involves topical anti-inflammatory measures, but relapse is common, and prolonged steroid use may produce adverse effects. Ayurveda advocates local therapies such as Kashaya Gandusha for mucosal healing and Pitta pacification. Materials and Methods: A total of fifteen patients aged 20–40 years with symptoms of Pittaja Mukhapaka within the last three weeks were selected. The therapeutic protocol included Kashaya Gandusha, prepared from Triphala, Vasa, Draksha, Jati, and Guduchi drugs, which are described as Tridoshahara and Ropana in Ayurveda literature. Treatment was administered for seven days. Assessment parameters included reduction in pain, ulcer size, mucosal inflammation, and healing time. A follow-up was undertaken to assess for recurrence. Results: All patients exhibited notable clinical improvement within seven days. Pain, inflammation, and ulcer size were significantly reduced, and healing time was shorter compared to the baseline. No adverse reactions or recurrences were reported during the follow-up period. Discussion: The Kashaya Gandusha appears effective in Pittaja Mukhapaka due to its anti-inflammatory, wound-healing, and Pitta-pacifying actions. The Gandusha might have provided localised soothing and mucosal protection, contributed to local detoxification, and helped control inflammation. The study highlights Ayurveda therapies as a safe and holistic modality for managing oral ulcers with minimal recurrence.