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Next topic of discussion:
Management of Stomatitis (Mukhpaka)
+91 XXXXX 671 201:
Guluchyadi
Kashayam with Avipatti Churna, Stoma tab, Yashtimadhu Churna with honey give
good results.
Dr. Tarun Vaidya:
Management:
Tab.
Samsamni
Tab.
Arogyavardhini
Tab. Yashtimadhu
Tab.
Shatavari
(All tablets three times daily for 7 days)
Local
application:
Cow ghee or
any pure ghee is best.
Aahar
& Vihar:
Increase
water intake
Milk
Soft food
Avoid hard
food (papad, puri, bajra rotlo)
Avoid spicy
food
+91 XXXXX 91290:
Repeated
the same tablet protocol and asked:
Anything for local application??
Dr. Dinesh Pandya:
What if
Mukhpaka does not respond to standard treatments?
Wants to
understand etiology and Ayurvedic samprapti in treatment failure.
Asked: “Any
new samprapti?”
“What is
lacking in discussion?”
Suggested
considering Vishada (stress/depression) when ulcers do not respond.
+91 XXXXX 70737:
Recurrent
stomatitis may be due to Vitamin B complex deficiency.
Correcting
nutrition can be highly beneficial.
Diet correction
and nutritional assessment are important.
Ayu Stu. K:
Stomatitis
involves Pitta & Rakta dhatu with weak Jatharagni.
Avoid:
Spicy food
Ushna and
Amla rasa foods
Line of
treatment:
Pittashamak
herbs: Manjistha, Sariva
Shodhana /
Vrana Ropana
Kavala
& Gandusha
Tankana
Bhasma gargle
Kadira
churna with ghee (local application)
Dr. Hasan:
Common causes:
Constipation
Pan masala
/ gutkha
Spicy food
Vitamin
deficiency
Nidan
Parivarjanam is first-line treatment
If
constipation:
Swadisht
Virechan Churna / Panchsakar Churna
If Vata
predominant: Erand Bhrasht Haritaki
Local
application:
Powder of
badam + ghee + honey
If
nutritional deficiency:
Improve
Agni & digestion
Avipattikar
Churna
Laghu
Sutshekhar Rasa (4–5 days) → then Shatavari Ghrita
Dr. Jenil Nayak:
Supported
and appreciated the above protocol.
Vd. Dhruti Kagrana:
Common
triggers:
Heat-producing
food
Gastritis /
hyperacidity
Constipation
Stress
& sleep disturbance
Long-term
medications / antibiotics
Vitamin B12
or iron deficiency
Local
Treatment:
Yashtimadhu
+ honey application
Gargling
with raw milk
Khadi
sakhar + ghee application
Dietary
Advice
Avoid:
Spicy,
fried, fermented food
Excess
tea/coffee
Very hot
food
Pickles
& junk food
Recommend:
Ghee, milk,
coconut water
Soft
cooling foods
Moong dal,
rice, vegetables
Adequate
hydration
Lifestyle
Advice:
Proper
sleep
Stress
management
Regular
bowel movement
Avoid
tobacco & alcohol
Case
Study:
Female, 32 yrs, recurrent ulcers every 15–20 days for 2 years with acidity
& constipation.
Treatment:
Avipattikar + Kamdudha + Yashtimadhu + milk gargle
Result:
Pain reduced in 3 days; ulcers healed in 5–6 days.
Recurrence stopped after digestive correction over 6 weeks.
+91 XXXXX 19188:
Khadiradi
Vati effective in stomatitis.
Applying Trikatu
churna on ulcer and spitting saliva gives good results.
Saindhavadi
tail Matra Basti is effective.
Vd. Dhruti Kagrana:
Asked: Any
logic to use Saindhavadi in ulcer?
+91 XXXXX 19188:
Saindhavadi
helps relieve constipation, as most stomatitis patients have gut issues.
AYULINK CME SUMMARY
Management of Stomatitis (Mukhpaka)
🔎 Clinical Understanding
Stomatitis
(Mukhpaka) is commonly associated with Pitta–Rakta dushti, impaired Jatharagni,
and involvement of gastrointestinal and lifestyle factors. Recurrence is often
linked with digestive disturbance, nutritional deficiency, and stress.
⚠️ Common Etiological Factors (Nidana)
- Excess
spicy, fried, fermented, and heat-producing foods
- Hyperacidity
/ gastritis
- Constipation
& gut dysfunction
- Vitamin
B12 / iron deficiency
- Pan
masala, gutkha, tobacco
- Long-term
medications / antibiotics
- Stress,
sleep disturbance
- Weak
digestion (Mandagni)
🔬 Pathogenic Considerations
- Pitta
& Rakta aggravation
- Agnimandya
and Ama formation
- Kapha
& gut involvement in recurrent cases
- Vishada
(stress factor) in non-responsive cases
- Nutritional
deficiencies contributing to recurrence
🌿 Treatment Principles
✔ Nidana
Parivarjanam (remove causative factors)
✔ Agni deepana
& digestive correction
✔ Pittashamana
& Raktaprasadana
✔ Mridu
virechana where indicated
✔ Vrana ropana
& local soothing therapy
✔ Address stress
& nutrition
💊 Commonly Suggested Internal Medicines
- Avipattikar
Churna
- Kamdudha
Rasa
- Arogyavardhini
Vati
- Samsamni
Vati
- Yashtimadhu
preparations
- Shatavari
/ Shatavari Ghrita
- Laghu
Sutshekhar Rasa
- Erand
Bhrasht Haritaki (Vata-predominant constipation)
- Panchsakar
/ Swadisht Virechan Churna
- Manjistha
& Sariva (Pitta-Rakta pacifying)
🪥 Local Applications & Procedures
- Yashtimadhu
+ honey application
- Khadi
sakhar + ghee
- Pure ghee
application
- Kadira
churna + ghee
- Tankana
bhasma gargle
- Raw milk
gargling
- Badam
paste + ghee + honey
- Khadiradi
Vati sucking
- Kavala
& Gandusha therapies
🥗 Diet & Lifestyle Guidelines
Avoid
- Spicy,
fried, fermented foods
- Very hot
food & beverages
- Pickles,
junk food
- Excess
tea/coffee
- Tobacco
& gutkha
Recommended
- Soft,
cooling foods
- Ghee,
milk, coconut water
- Moong dal,
rice, vegetables
- Adequate
hydration
Lifestyle
- Maintain
proper sleep
- Manage
stress
- Ensure
regular bowel movement
🧠 Special Clinical Insights
✔ Correct
digestion to prevent recurrence
✔ Consider
Vitamin B deficiency in recurrent cases
✔ Stress-related
ulcers require mental health support
✔ Gut correction
often improves resistant cases
📌 Clinical Outcome Insight
Digestive correction with Pitta-pacifying treatment and local soothing therapy can relieve pain within days and prevent recurrence when gut health is restored.
