Management of Stomatitis (Mukhpaka)

Views shared by several Ayurveda professionals and non-Ayurveda people in discussion group:

 

Disclaimer:

All views shared here are only for knowledge. This information doesn’t have any scientific validation. Various doctors and non-medicos have shared their views and experiences in this discussion. Please do not try any of the suggestions described here, without prior consult from your regular, qualified doctor. Dr. Prerak Shah and no other person is responsible for any unwanted effects, side effects or contra-indications in your health. Thank you.

(Any ayurveda or medical doctor, If you like this activity, and wants to be a part of this chat discussion on whatsapp, please send in your request by email to admin@ayulink.com Thank you.)

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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. 

Management of Common Cold

Views shared by several Ayurveda professionals and non-Ayurveda people in discussion group:

 

Disclaimer:

All views shared here are only for knowledge. This information doesn’t have any scientific validation. Various doctors and non-medicos have shared their views and experiences in this discussion. Please do not try any of the suggestions described here, without prior consult from your regular, qualified doctor. Dr. Prerak Shah and no other person is responsible for any unwanted effects, side effects or contra-indications in your health. Thank you.

(Any ayurveda or medical doctor, If you like this activity, and wants to be a part of this chat discussion on whatsapp, please send in your request by email to admin@ayulink.com Thank you.)

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Next topic of discussion: Management of Common Cold

(Sneezing, runny nose, blocked nose, nasal allergy, burning/irritation in nose, sinusitis, DNS, etc.)

17882: Common Cold (Pratiśyāya)

 Concept:

Nidāna like cold exposure, dust, cold/heavy food → Kapha vitiation with Vāta anubandha → Kapha sthāna sañcaya in Nāsa & Śira (Urdhvajatrugata region) → obstruction of Prāṇavaha srotas → Pratiśyāya.

Key Symptoms:

• Frequent sneezing

• Nasal discharge or blockage

• Heaviness of head

• Mild headache

• Cough, throat irritation

• Reduced appetite (Mandāgni)

Effective Panchakarma Management:

• Dīpana–Pācana to correct Agni

• Mild Abhyanga + Swedana to liquefy Kapha

• Nasya (Anu taila / Shadbindu taila) – treatment of choice

• Dhoomapāna & warm Kavala/Gandūṣa for residual Kapha

• Vamana only in chronic, recurrent Kapha-pradhāna cases (seasonal & selective)

 Result :

✔ Clears Kapha from root

✔ Relieves nasal & head symptoms

✔ Prevents recurrence

✔ Improves respiratory immunity

19188: Trtmnt part

Tab vyoshadi vati 2 tds

Trikatu +sitopladi +talishadi churn +tankan bhasm

3gm with honey or luke warm water

Syrp kankasav 20ml  after meal 3 times

AyuGuru: One of my patient (F/32) is having only blocked nose, can't breath properly. No runny nose, no sneezing, no discharge, no irritation. How can she mange her condition?

34014: Vayu marg avarodh by kaf??? Or pit

mer 7: Yes... 👍 नासा अर्श / nasal polyp को भी ध्यान में रखें

Ayulink Ayurveda: Sir, No nasal polyp. X-ray is normal

12453: Duration?

AyuGuru: since last 15 days

Dr Tarun vaidya: She has sinusitis.

Tab. Haridrakhand

Tab. Sudarshan ghanvati

Tab. Sitopaladi

 All are one tab three times after meal.

 Intake warm water.

Avoid -- curd butter milk and sweet.

 All medicine three times for 5 days. After two times for 5 days.

Vd. Dhruti Kagrana: According to the Samhitas, common cold (Pratishyaya) is classified into Vataja, Pittaja, Kaphaja, and Sannipataja types.

In our general OPD practice, can we actually observe these types in patients presenting with common cold? How can we differentiate and understand them clinically?

Dr. Hasan: Tila taila pratimash nasya as per my knowledge

12453: In samhita mostly treatment for pratishyay is nasya. Is anyone practising on this line of treatment?

27098: Pratishyaya (common cold/ Rhinitis)

Symptoms: Running nose, sneezing, sore throat, headache and fever (may or may not present)

Ayurveda medicine:

1. Tribhuvan kirti ras - 2 tablets at stat followed by 1 tablet every 6 hours.

2. Vyoshadi bati: 2 tablets to be chewed until dissolved

3. Cephagraine tab: 1 tablets BD

Advice:

- Drink lukewarm water

- vegetable soups

- steam inhalation

- Rest and Sleep

Vd. Dhruti Kagrana: Constipation (Vibandha / Malabaddhata) can contribute to Pratishyaya (common cold or recurrent rhinitis).
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Compiled by - Dr. Dhruti Kagrana

 

"Rainy Season Woes: Protecting Your Eyes from Monsoon Infections"

 

Views shared by several Ayurveda professionals and non-Ayurveda people in discussion group:

Disclaimer:

All views shared here are only for knowledge. This information doesn’t have any scientific validation. Various doctors and non-medicos have shared their views and experiences in this discussion. Please do not try any of the suggestions described here, without prior consult from your regular, qualified doctor. Dr. Prerak Shah and no other person is responsible for any unwanted effects, side effects or contra-indications in your health. Thank you.

(Any ayurveda or medical doctor, If you like this activity, and wants to be a part of this chat discussion on whatsapp, please send in your request by email to admin@ayulink.com Thank you.)

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Next topic of discussion : Eye infection in monsoon

 

Vd. Ketan bhimani: Any infections are occurs due to snigdha, pichhil gun and kled karma of kapha dosha. Due to much stickyness in prakruti, it will be agravates in every 'kha marg' that are openings of body.

Dr. Prerak Shah: Can someone talk about Netradhara? not Netratarpan....I wish I can know more about Netradhara - practically  how it is done and with which ingredients? Thnx

Vd Bhargaviben: શુધ્ધ ટંકણ થી નેત્રપ્રક્ષાલન

Dr. Prerak Shah: Netra tarpan and netra dhara - are different processes ? Netra prakshalan is also a part of Netra dhara, I think. Prakshalan means to clean ?

Vd. Ketan bhimani: અભ્યંગ, સેક, પિચુ, Basti; 4 category

Vd Garima Shukla: Yes, tarpan and dhars are different processes.

Vd Khamar: अक्षि कुक्षी भवा रोगा, पंच रात्रि लंघनात   , સૂત્ર ના ઉપયોગ થી ઝડપી અને વધુ સારું પરિણામ મળે છે.બાહય  પ્રયોગ ની સાથે દવા જરૂરી છે.

Dr. Vinayak B More: For eyes trouble due to conjunctivitis HOMOEOPATHIC medicine EUPRASIA 30 gives excellent results.

Dr Bhanuprasad B Patel: સૂત્ર સત્ય છે.હુ અનેક  દર્દીઓ ઉપર અજમાવી સફલ પરિણામ મેળવી ચૂક્યો છુ.

Vd. Mehulbhai Sanghani: Axi kuxi bhava rogah pratishyay vran jwarah .. aa 5 rogah nashyanti panch ratren langhnat

Dr. Pulkit Baxi: વ્યક્તિ વ્યક્તિ એ, પ્રકૃતિ મુજબ સમય અવધિ અલગ અલગ ન હોય શકે??? જેમ blood pressure 120/80 એક standard normal healthy person mate chche. Pan 110 to 140 systolic nd 70 to 90 diastolic aapne normal kahiye chchiye. Bdhane panch ratri j required hoi evu jaruri hase??? Have to lifestyle pan ghni alag chche. Badhani. સમય મુજબ નિતી નિયમો માં ફેરફાર નહીં કરવાના?? પંચકર્મ પહેલા પણ - લંઘન પાચન  કહ્યું છે એમાં પણ ત્રણ થી પાંચ દિવસ પ્રકૃતિ મુજબ કહ્યા જ છે ને!! એમાં પણ હવે સમય મુજબ પરિવર્તન ન માગે???

Dr. Vinayak B More: Panch karm na name have 70 % jagya a only naturopathy jevi treatment thati hoy chhe.

Dr. Sanjay Chajed: In certain pan ophthalmic infection Netra dugdhadhara  is performed with excellent output. Netradhara needed to be done with caution. I prefer netradhara on closed eyes for 10-12 minutes. Eye wash ( Netra prakshalan) is very different from netradharaÿ.

Vd. Rajal shukla: CP Shukla Dada sadhya Vaman karavta ... Samay ane dhosho anusar .. me joya chhe ... Emna letters me sachavi rakhya chhe kyarek scan Kari ne badha group ma mukish. Janva malshe.

Dr. Pulkit Baxi: હું એમ માનું છું કે  નિરામ અવસ્થા સુધી પહોંચે દર્દી, શરીર હળવું લાગે, કડકડતી ભૂખ તરસ લાગે, મળ શુદ્ધિ થાય ત્યાં સુધી લંઘન પાચન કરાવું જોઈએ. શાસ્ત્રોમાં લખ્યું છે એ ફક્ત દિશા નિર્દેશ છે, એ, જેતે સમયનું એક standard time period છે.

 Vd. Rajal shukla: Take a glass of water and add ½ tsf of Tankankashra in it. Put a small ladies handkerchief in it. Boiled this water. When water boiled, turn off the gas stove and cover the water with lid. Then after 30min (when the water temp. come at our body temp.) open the lid. With your clean hand, take a handkerchief from the water. Clean your eyes with this handkerchief, 3 times a day. One handkerchief is for one eyes, Don’t use this on your another eyes. This will effect very much in this infected eye and itching too.

Dr. manish Mukati: Netra dhara is one kind of dhara karma for Netra, in which हिम फांट क्वाथ of flowers like sadabahar,gudhal, rose etc only watery preparation is used.  Only sukhoshn drav ( liquid at body temperature) or ishat shita (slightly cold than 36'c ) should be use. (No any fatty substance are use in Netra or akshi dhara). A funnel of Jack tree leaf or kanchnar tree leaf is used to make dhara in akshi. Procedure is done in open eye. For 2 to 5 min. Both eye.In our area , we use to make hima or fant in earthen pot so we assume this isotonic in nature. If you use steel vessel add sendhav to make is isotonic to tear. Netra dhara is considered here as purvakarma if Netratarpana. In netrabhishyand slightly hypertonic solution can be use, but for short time. Tankan/ sphatic can be added for same purpose As per therapeutic need. Netradhara  is more in practice in Kerala & Karnataka.

Dr.Pratibha Knere: Itone eye drops for irritating n dry eyes..... personally i got good relief from these drops compared to other drops available in the market like Himalayas...khojati.......eyemantra etc Himalaya eye drops are good for dry eyes....it doesn't causes irritation after putting in eyes..... very natural like water

Dr Poornima: Application  of pure coconut oil over eyelids and eyelashes works very well in both preventive and curative aspects.

Dr Anshul Bahl: Eye infection can be due to vata kopa/vata-kapha kopa here and also there could be aam/saama awastha with it .So we should be aware of this before applying any snigdha,picchila guna yoga or taila .Saama dosha pachana should be done first and if its in kevala awastha (niraama ) then we can apply kriyakalpas that is suitable to the state and stage of roga. Pathya should be taken such as moonga dal,godhuma,raktshali,wheat daliya etc. Eating shimbi dhanya daily and also in night time can cause eye problems.

Dr. Saprsh: Triphala kashaya pariseka over the eyelids reduces any inflammation, redness and pain

Dr. Nimish Oza : રાતે તાંબાના પાણી ભરેલા લોટામાં ત્રિફળા ચૂર્ણ mix કરીને આખી રાત રાખી સવારે તેનું પાણી આંખમાં છાંટવાથી અને પછી ત્રિફળા ચૂર્ણનો રગડો ખાલી પેટે ખાવાથી conjutivtis માં ફાયદો થાય? (Mixing Triphala Churna in a copper glass filled with water at night and keeping it overnight and sprinkling its water in the eyes in the morning and then eating triphala Churna on an empty stomach is beneficial in conjutivtis? )

Dr Kamalben: Yes, Dodi eye drops is more better.

Dr. Dipakbhai Kotadia: Rasaanjan churn is useful in netrabhishyand.

Dr. Malathi Arjun: Everyday I get cases of people  who have allergy symptoms such as sneezing, sneezing, and nasal congestion. These are treated using haridrakhand DKT kasayam , laxmi vilas ras , Agatha hargitay and so on.  But allergies  affect the eyes, too. They can make your eyes red and itchy, triggering burning. They might be watery and swollen, too. Eye rinses with triphala water is ok But any soothing ayurvedic eye drop for irritated eye

Dr. Nimish Oza: ITONE eye drops.

Dr. Malathi Arjun: Tried it sir , but it hasn't provided much relief for itchy eyes

Dr. Nimish Oza: I think patients may be using gadgets like computer , mobile , laptop and much more watching TV.

Dr. Malathi Arjun: Classic symptoms of prathishyaya Allergic rhinitis

Dr Sejal Gamit: Fine Eye eye drops by Nagarjuna Kerala With ingredients of Chandana, Laksha, Karpura, etc That Gives Cooling and Soothing Effect

Dr. Jignesh Talati: Which company? Pls send the image of dodi drops

Dr. Jyoti Yagnik: Netradhara/parishek/prakshalan-trifala/bidalak-jethimadh, haridra,bilva,manjistha

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Compiled by - Dr. Dhruti Kagrana