Journal of Ayurveda (Jan 2022)
An open-label randomized comparative clinical study of Triphaladi vati and Jatyadi gandusha on Tobacco Chewing-Induced Mukhapaka w.s.r. to stomatitis
Abstract
Introduction: According to Ayurveda, tobacco plant (Sthavara Patra Visha) has properties such as Tikta and Katu rasa, Laghu, Tikshna, Vyavayi, Sara, Vikashi, and Ushna guna; all the properties match with Dushi visha (slow poison) induces chronic toxicity to the gastrointestinal tract on chronic use. Tobacco chewing causes Mukhapaka (Sarvasara roga) which is the clinical condition identified with Paka, Lalima (redness), Daha (burning sensation), Sphota (mouth ulcers/blisters), Ksharokshit kshatsam (erosion of buccal mucosa), Vedna (pain), Tikta vaktrata (bitter taste), difficulty in chewing, and enlargement of lymph nodes. Mukhapaka is a Pitta Pradhana Sansargaja vyadhi. Gandusha and Virechaka drugs are found effective to treat Mukhapaka. Triphaladi vati and Jatyadi gandusha are defined as Mukha roga treatment as the both Yogas have Rasayana (immunity booster), Deepana (appetizer), Vishaghna (detoxifier), Vranaropana (wound healing), Pittasamsrana (anti-inflammatory), and Sandhanakara (healing) properties useful in Mukhapaka (stomatitis). This study aims to access and compare the efficacy of Triphaladi vati and Jatyadi gandusha in Mukhapaka treatment. Methods: (i) Design: Open-labeled randomized comparative clinical trial of 30 patients of either sex. (ii) Intervention: 30 clinically diagnosed and Rajasthan Ayurved University (Jodhpur) outpatient department-registered patients of Mukhapaka (stomatitis) who were randomly divided into two groups (Group A and Group B) of 15 patients each. (iii) Duration: 45 days. Results: Both the selected preparations were found very effective in the treatment of Mukhapaka, but the most efficacy was seen in Group B which was given Jatyadi gandusha. Conclusion: The present study supports the use of both Yogas in treating Mukhapaka with the good acceptance by all treated patients.
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