Study triphala effects on mukhapaka and stomatitis treatment.

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Journal name: World Journal of Pharmaceutical Research
Original article title: To study the effect of triphala kwatha kavala & gandusha with madhu in the management of mukhapaka with special reference to stomatitis
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Author:

Anand S. Dangi and Sathish G. I.


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: To study the effect of triphala kwatha kavala & gandusha with madhu in the management of mukhapaka with special reference to stomatitis

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

Mukhapaka, characterized as recurrent mouth ulcers akin to aphthous ulcers, affects a significant portion of the population, notably with a higher incidence in females and those consuming spicy and non-vegetarian diets. Stomatitis, presenting as a common complaint, impacts about 60% of individuals. Ayurveda attributes these mouth ulcers primarily to an imbalance in Pitta prakruti, often exacerbated by dietary choices, oral hygiene, and other health conditions. With existing modern medical treatments having limitations, this study explores Ayurveda-based practices like Kavala and Gandusha, aiming to provide preventive and therapeutic benefits concerning oral health.

The Role of Kavala and Gandusha in Oral Hygiene

Kavala and Gandusha are traditional Ayurvedic practices that focus on maintaining oral hygiene and preventing multiple oral health issues, including mouth ulcers and infections. The study emphasizes these methods as key components of Dinacharya, which are daily routines essential for health maintenance. Kavala involves holding and swishing medicated liquids in the mouth, while Gandusha involves filling the mouth with such liquids. This study evaluated the efficacy of these procedures using Triphala kwatha and Madhu, demonstrating their relevance in managing Mukhapaka and enhancing overall oral health.

Methodology and Sample Evaluations

The research was conducted at JSS Ayurveda Hospital, Mysuru, involving a sample of 20 subjects aged 16 to 60, diagnosed with Mukhapaka. The participants were treated with Triphala kwatha and Madhu over a period of 15 days, with daily assessments of symptom severity before and after treatment. Parameters measured included the number and severity of ulcers, pain levels, salivation, and other related symptoms. An observational design was adopted, aiming to analyze the immediate and follow-up effects of the treatment on the patients' conditions.

Results and Effectiveness

Results indicated that the majority of subjects experienced significant relief from their symptoms. Of the 20 cases monitored, 15 patients showed faster recovery, while 5 had slower progress due to the chronicity of their conditions. The patients were assessed at various points during their treatment, confirming notable improvements in symptom severity. This effectiveness highlights the potential of Kavala and Gandusha as meaningful therapeutic practices for oral health, showcasing their efficacy within the framework of Ayurvedic medicine.

Conclusion

The study concludes that Mukhapaka, primarily influenced by dietary habits and lifestyle factors, poses challenges for treatment. However, Gandusha and Kavala procedures using Triphala kwatha and Madhu demonstrate a viable solution for managing this painful oral condition. This observational study illustrates the benefits of these Ayurvedic practices in promoting oral hygiene and treating oral diseases without adverse effects. The findings suggest that these traditional methods can be safely integrated into daily routines for individuals of all ages, supporting both preventive care and management of oral health issues.

FAQ section (important questions/answers):

What is Mukhapak and its relation to oral health?

Mukhapak refers to recurrent mouth ulcers and is compared to aphthous ulcers. It's a common complaint affecting many, especially those who consume spicy foods. Stomatitis, which includes Mukhapak, is prevalent in up to 60% of the population, particularly among women.

What are the primary causes of Mukhapak according to Ayurveda?

According to Ayurveda, Mukhapak is primarily caused by Pitta prakruti individuals, excessive spicy food intake, poor oral hygiene, and can be exacerbated by factors like insomnia, vitamin deficiencies, and serious conditions such as malignancy or digestive issues.

What treatment methods were evaluated in the study for Mukhapak?

The study evaluated the effectiveness of Kavala and Gandusha using Triphala kwatha and Madhu for managing Mukhapak. These are traditional Ayurvedic procedures aimed at maintaining oral hygiene and preventing oral diseases.

What was the sample size and duration of the treatment in the study?

The study included 20 subjects suffering from Mukhapak. Each subject underwent treatment with Kavala and Gandusha for a duration of 15 days, with follow-up assessments conducted on the 7th and 14th days.

How was the effectiveness of the treatment assessed in the study?

Effectiveness was assessed based on symptom severity before and after the treatment. Parameters included the number of ulcers, redness around ulcers, salivation, pain, and burning sensation during food intake, scored on a specified scale.

What conclusion was drawn from the study regarding the treatments?

The study concluded that Kavala and Gandusha using Triphala kwatha with Madhu provided quicker relief and was deemed a safe Dinacharya procedure for maintaining oral hygiene and managing oral cavity diseases like Mukhapak.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Study triphala effects on mukhapaka and stomatitis treatment.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Study (Studying):
The 'Study' refers to the systematic investigation aimed at evaluating the effectiveness of specific Ayurvedic treatments, namely Kavala and Gandusha using Triphala kwatha with Madhu, for managing Mukhapaka (oral ulcers). It establishes a framework for understanding treatment outcomes, patient responses, and the significance of traditional practices in modern healthcare.

2) Ulcer:
'Ulcers' are painful sores that can occur in various parts of the body, particularly the mouth in this context. Understanding the mechanics and treatment of ulcers is critical in both Ayurveda and conventional medicine, as they impact quality of life and can indicate underlying health issues.

3) Madhyama:
The term 'Madhyama' refers to a moderate or balanced state regarding physical constitution or symptoms. It categorizes individuals who neither exhibit extremes of health nor extreme illness. Recognizing this state aids in creating tailored treatment plans that address the unique constitution and needs of each patient in Ayurvedic practices.

4) Sama (Shama):
'Sama' denotes a state of equilibrium or balance, often related to health and bodily functions. In Ayurvedic terms, it illustrates a balanced condition where doshas (bodily energies) are harmonized. This concept is essential for determining treatment approaches that restore or maintain balance in individuals suffering from Mukhapaka.

5) Gandusa (Gamdusa, Gamdusha, Gandusha):
'Gandusha' refers to a traditional Ayurvedic practice involving holding liquid (usually medicinal) in the mouth for therapeutic benefits. This method promotes oral health, helps in detoxification, and addresses conditions like Mukhapaka. Its inclusion in the study signifies its importance in Ayurvedic oral care regimens.

6) Kavala:
'Kavala' is another Ayurvedic technique similar to Gandusha, involving swishing or gargling with medicated liquids. It plays a crucial role in maintaining oral hygiene and treating oral disorders. This study emphasizes the effectiveness of Kavala in conjunction with Triphala and Madhu in alleviating symptoms of oral ulcers.

7) Mukhapaka (Mukha-paka):
'Mukha-paka' is synonymous with Mukhapaka, indicating mouth ulcers or oral inflammation. The term encompasses the condition's symptoms, treatment approaches, and its prevalence in various populations. Exploring this term allows for a deeper comprehension of oral health issues and their management within Ayurvedic medicine.

8) Ayurveda (Ayus-veda):
'Ayurveda' is a traditional system of medicine originating from India, emphasizing holistic health, natural healing, and the balance of body energies (doshas). This study applies Ayurvedic principles to address Mukhapaka, showcasing how traditional knowledge can complement modern treatment approaches for oral health issues.

9) Vatapitta (Vata-pitta):
'Vatapitta' describes a specific dosha combination in Ayurveda indicating a predominance of Vata (air) and Pitta (fire) energies. This classification helps practitioners assess individual health imbalances, particularly relevant in this study, where individuals with different prakritis are treated for Mukhapaka, influencing treatment outcomes.

10) Triphala (Tri-phala):
'Triphala' is a renowned Ayurvedic formulation made from three fruits: Amalaki, Bibhitaki, and Haritaki, known for its detoxifying, rejuvenating, and health-promoting qualities. In this study, Triphala kwatha is used in Gandusha and Kavala, highlighting its effectiveness against oral ulcers and its role in enhancing overall oral hygiene.

11) Madhu:
'Madhu' refers to honey in Sanskrit, recognized for its therapeutic properties in Ayurveda. Used in this study to enhance the effectiveness of Triphala kwatha, Madhu aids in healing and soothing oral ulcers, demonstrating the significance of natural ingredients in dietary and treatment regimens.

12) Pain:
'Pain' is the discomfort experienced due to tissue damage or irritation, a crucial symptom in diagnosing and treating Mukhapaka. In this study, assessing pain levels before and after intervention is vital to evaluating the success of the treatments provided, as pain relief is a primary treatment goal.

13) Kaphapitta (Kapha-pitta):
'Kaphapitta' denotes a dual dosha condition in Ayurveda, indicating both Kapha (water) and Pitta (fire) imbalances. This classification aids in understanding the patient's condition and tailoring treatment plans, especially for mucosal conditions like Mukhapaka, where dosha imbalances play a significant role.

14) Disease:
'Disease' refers to any abnormal condition affecting the body or mind, typically characterized by specific symptoms or impairment. In this study, Mukhapaka is analyzed as a disease condition, with a focus on the Ayurvedic understanding of its etiology, treatment, and prevention methods.

15) Food:
'Food', or 'Ahara' in Ayurveda, plays a critical role in health and disease management. This study emphasizes the impact of dietary choices, particularly the ingestion of spicy and unhealthy foods, on the development of Mukhapaka, promoting dietary awareness as part of holistic treatment strategies.

16) Sign:
'Sign' in a medical context refers to observable indicators of disease, such as symptoms or changes in body function. Recognizing signs of Mukhapaka is crucial for diagnosis and effectiveness assessment of treatments in the study, ultimately guiding practitioners toward successful therapeutic interventions.

17) Vishama (Visama):
'Vishama' denotes irregularities or abnormalities, particularly regarding bodily functions. In Ayurveda, understanding vishama states helps assess individual health imbalances. This concept is important in evaluating patient conditions in the study and tailoring treatments to restore balance and improve health outcomes.

18) Hygiene (Hygienic):
'Hygiene' refers to practices promoting health and preventing disease, especially concerning cleanliness. This study underscores the importance of oral hygiene practices, such as Gandusha and Kavala, in preventing conditions like Mukhapaka, highlighting the intersection of hygiene and Ayurvedic health principles.

19) Burning sensation:
'Burning sensation' is a common symptom experienced by individuals with oral ulcers, causing discomfort and distress. Evaluating this symptom in the study allows for better understanding of patient experiences and the effectiveness of the treatments provided in alleviating this discomfort.

20) Observation:
'Observations' are key aspects of clinical research, allowing researchers to monitor and analyze patient responses. This study focuses on the observations made during the treatment for Mukhapaka, stressing their role in evaluating the therapeutic effectiveness of the Ayurvedic interventions employed.

21) Salivation:
'Salivation' refers to the production of saliva, playing an essential role in oral health and digestion. In the context of this study, changes in salivation were monitored to assess treatment efficacy, as alterations in salivation patterns can indicate responses to Ayurvedic interventions for Mukhapaka.

22) Bhojana:
'Bhojana' translates to 'food' or 'eating' in Ayurveda, integral to health and wellness. This study examines dietary habits impacting Mukhapaka, emphasizing the profound influence of bhojana on oral health and disease management, underscoring the need for balanced dietary practices.

23) Burning (Burn, Burned, Burnt):
'Burning' describes a sensation often associated with inflammation or irritation. In the study of Mukhapaka, burning sensations during eating are evaluated as a distressing symptom, which aids in determining treatment success and the overall impact of Ayurvedic remedies on patient wellbeing.

24) Mukha:
'Mukha' means 'mouth' in Sanskrit, the focal area of this study, which investigates Mukhapaka (oral ulcers). Understanding the anatomical context of Mukha aids practitioners in addressing oral conditions effectively, integrating Ayurvedic principles with practical treatments to promote oral health.

25) Krura:
'Krura' refers to a harsh or severe condition, often signifying strong or intense symptoms. In the context of this study, it highlights the variations in disease presentation. Assessing krura cases of Mukhapaka allows researchers to adapt treatment strategies according to individual patient needs.

26) Water:
'Water' is essential in Ayurveda for various therapeutic preparations. In this study, water is used in the preparation of Triphala kwatha, illustrating its significance in creating effective remedies. Understanding water's role in treatment formulation is critical for enhancing efficacy and patient outcomes.

27) Discussion:
'Discussion' refers to the analytical examination of study findings and their implications. In this context, the discussion provides insights on the treatment effects of Kavala and Gandusha, connecting results with existing literature to enhance understanding and application of Ayurvedic principles in modern health practices.

28) Medicine:
'Medicines' encompass various substances utilized for treatment in both Ayurveda and modern medicine. This study highlights the dual approach, using Ayurvedic medicines such as Triphala alongside conventional treatments, to provide a comprehensive strategy for managing oral conditions like Mukhapaka.

29) Paka:
'Paka' refers to a cooking or preparation process in Ayurveda. In the context of this study, it relates to the preparation techniques for Triphala kwatha, emphasizing the importance of proper formulation methods in maximizing therapeutic benefits for the treatment of oral conditions.

30) Diet:
'Diet' pertains to the types of food consumed regularly and their impacts on health. This study emphasizes its role in Mukhapaka development, signifying how specific dietary choices can affect oral health, reinforcing the importance of mindful eating in preventive healthcare.

31) Drug:
'Drugs' encompass any substances used in the treatment of disease. In this study, the term signifies both Ayurvedic preparations and any conventional medications considered for managing Mukhapaka, emphasizes the integration of traditional and modern approaches to patient care.

32) Dantadhavana (Danta-dhavana, Damtadhavana):
'Dantadhavana' is a term for the Ayurvedic practice of brushing teeth, integral to maintaining oral hygiene. This study recognizes its importance alongside Kavala and Gandusha, indicating that a comprehensive approach to oral care can effectively help manage conditions like Mukhapaka.

33) Rasashastra (Rasa-shastra, Rasasastra):
'Rasashastra' is a branch of Ayurveda focusing on alchemical processes and the preparation of medicinal compounds. In this study, knowledge from Rasashastra is applied to ensure the proper formulation and efficacy of the treatments being tested for Mukhapaka.

34) Dravyaguna (Dravya-guna):
'Dravyaguna' is the Ayurvedic science of herbal substances and their properties, influencing treatment choices. This study integrates Dravyaguna principles while selecting and preparing Triphala, emphasizing the need for proper knowledge of herbal characteristics to optimize therapeutic effects in managing oral diseases.

35) Nidranasha (Nidranasa, Nidra-nasha):
'Nidranasha' translates to 'lack of sleep' or insomnia, associated with various health issues. The study considers nidranasha as a potential contributing factor to Mukhapaka, underlining the holistic perspective of Ayurveda that links mental health with physical conditions.

36) Amlapitta (Amla-pitta):
'Amlapitta' refers to a condition characterized by acidity or heartburn in Ayurveda. It is often correlated with digestive imbalance, contributing to oral ulcer development. This study recognizes amlapitta as a potential aggravator of Mukhapaka, reflecting the interconnectedness of bodily systems in Ayurvedic health.

37) Dinacarya (Dina-carya):
'Dinacarya' involves daily routines prescribed in Ayurveda for maintaining health. The relevance of Dinacarya is highlighted in the study, as it promotes practices like Kavala and Gandusha as preventive measures against oral diseases, illustrating the importance of routines in holistic health.

38) Apathya:
'Apathya' means unwholesome or contraindicated foods in Ayurveda, highlighting the importance of dietary choices. The study addresses apathya in relation to Mukhapaka, indicating that avoiding detrimental foods can significantly impact oral health and assist in disease management.

39) Pungent:
'Pungent' describes strong flavors often associated with spices that can irritate the digestive tract and mucous membranes. In the context of Mukhapaka, consuming pungent foods is identified as a risk factor for ulcer development, emphasizing the relevance of dietary choices in oral health.

40) Science (Scientific):
'Science' refers to the systematic study of the nature and behavior of the physical and natural world through observation and experimentation. In this study, the incorporation of scientific methods validates Ayurvedic claims and treatments, connecting traditional practices to modern scientific principles.

41) Karana:
'Karana' means 'cause' in Sanskrit and refers to factors that contribute to health conditions. In this study, identifying karanas allows for a better understanding of Mukhapaka's causation, guiding targeted treatment strategies in Ayurvedic practice.

42) Sevana:
'Sevana' refers to the act of consuming or taking. In the context of this study, it highlights the significance of dietary intake and adherence to prescribed treatments for effective management of Mukhapaka and overall health.

43) Koshtha (Kostha):
'Kostha' refers to the type of digestive system or metabolism an individual possesses. It is considered in Ayurveda to inform dietary and treatment choices. The study evaluates how an individual's kostha influences their susceptibility to Mukhapaka and the effectiveness of interventions.

44) Chinta:
'Chinta' translates to 'worry' or 'anxiety', often recognized as a contributing factor in health deterioration. The study evaluates the impact of mental stressors like chinta on the onset of Mukhapaka, illustrating the connections between emotional well-being and physical health.

45) Farmer:
'Farmer' is a term representing individuals engaged in agriculture. In the study's participant demographic, farmers may experience varying health issues related to lifestyle and dietary practices, which could significantly influence the prevalence of conditions like Mukhapaka.

46) Bhaya:
'Bhaya' means 'fear' in Sanskrit and can act as a mental stressor affecting physical health. The study considers bhaya as a potential contributing factor to Mukhapaka, emphasizing the interconnected nature of mental states and physical disease in Ayurveda.

47) Pitta:
'Pitta' denotes one of the three doshas in Ayurveda, characterized by qualities of heat and transformation. Understanding Pitta is crucial in analyzing Mukhapaka since imbalances in this dosha can precipitate inflammatory conditions like oral ulcers. This highlights the importance of dosha balance in treatment.

48) Kapha:
'Kapha' is another dosha in Ayurveda, representing stability and structure but can also lead to stagnation when out of balance. This study assesses how kapha imbalances might contribute to Mukhapaka, showcasing the need for a comprehensive approach to maintain doshic equilibrium in health.

49) Ahara:
'Ahara' refers to nutrition or dietary intake in Ayurveda, essential for health. The study emphasizes the role of ahara in the development and management of Mukhapaka, underscoring the importance of healthy eating habits in preventing oral health issues.

50) Manda (Mamda):
'Manda' in Ayurveda is used to describe sluggishness or slow metabolism. Assessing manda individuals allows for tailored dietary and treatment recommendations in this study, recognizing the impact of metabolism on susceptibility to Mukhapaka and overall oral health.

51) Labour (Labor):
'Labor' refers to physical work, often associated with stress and its subsequent health impacts. Participants with labor-intensive jobs may display varying health conditions, including Mukhapaka, illustrating how occupational stressors influence oral health in diverse populations.

52) Tanki (Tamki):
'Dangi' denotes the name of the corresponding author, Anand S. Dangi, who plays a pivotal role in conducting the study and providing insights into the research processes. Recognizing contributors highlights the collaborative effort in advancing knowledge in Ayurveda and its practical applications.

53) Guru:
'Guru' means 'teacher' or 'mentor' in Sanskrit and signifies the importance of knowledgeable practitioners in guiding treatment plans. The study highlights the role of experienced Ayurvedic practitioners in effectively managing conditions like Mukhapaka through traditional wisdom and practice.

54) Roga:
'Roga' means 'disease' in Sanskrit, highlighting the focus of this study on Mukhapaka as a significant oral health concern. Understanding the intricacies of roga in Ayurveda assists practitioners in diagnosing, treating, and preventing oral ailments effectively.

55) Agni:
'Agni' represents digestive fire or metabolic processes in Ayurveda, essential for health and well-being. This study evaluates how imbalances in agni can contribute to conditions such as Mukhapaka, emphasizing the significance of maintaining a robust digestive system for optimal health.

56) Pur:
'Poor' refers to suboptimal conditions, which in this context relates to overall health quality or lifestyle choices. Recognizing poor health or dietary practices in study participants helps practitioners develop targeted interventions to improve their conditions, particularly concerning Mukhapaka.

57) Male:
'Male' denotes the gender of some study participants, indicating the research's diverse demographic. Understanding gender differences in health presentations or susceptibilities, like Mukhapaka, supports more personalized treatment approaches in Ayurveda and broader medical practices.

58) Life:
'Life' encompasses the holistic experience of individuals, influencing and being influenced by health conditions. In this study, examining how aspects of life such as stress, diet, and lifestyle contribute to Mukhapaka helps inform comprehensive treatment strategies for improved oral health.

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Discover the significance of concepts within the article: ‘Study triphala effects on mukhapaka and stomatitis treatment.’. Further sources in the context of Science might help you critically compare this page with similair documents:

Oral hygiene, Informed consent, Sample size, Assessment criteria, Madhyama agni, Observational study, Case study, Subjective parameter, Retrospective study, Triphala kwatha, Follow-Up Assessment, Aphthous ulcer, Gandusha and Kavala, Vitamin deficiency, Mukhapaka roga, Cost of treatment, Ayurveda Classic, Chemical agent, Gender Diversity.

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