ROLE OF GANDUSHA IN PITTAJA MUKHAPAKA (APHTHOUS ULCER) - A RANDOMIZED CONTROLLED TRIAL

Roopa L; Shamsha Fiaz; Dingari Laksmana Chary; Bali Yogitha M.R

Roopa L Professor and HOD, Dept of Shalakya Tantra, Sushrutha Ayurvedic Medical College, Bangalore, Karnataka
Shamsha Fiaz Professor and HOD, P.G. Dept. of Shalakya Tantra, National Institute of Ayurveda, Jaipur
Dingari Laksmana Chary Principal, Sri Adi Siva Sadguru Alli Saheb Sivaaryula Ayurvedic Medical College, Guntakal, Andhra Pradesh
Bali Yogitha M.R Associate Professor, Dept. of Shalya Tantra, Sushrutha Ayurvedic Medical College, Bangalore, Karnataka

Keywords: Pittaja Mukhapaka, Gandusha, Patoladi kashaya, Aphthous ulcer.

Abstract

Background: Pittaja Mukhapaka or the Aphthous ulcer is a painful and often recurrent inflammatory process of the oral mucosa that can appear secondary to various well-defined disease processes. Idiopathic recurrent aphthous stomatitis is referred to as recurrent aphthous stomatitis.

Objectives: To evaluate the effect of Patoladi kashaya gandusha in Toda, Daha, Asyavairasyata and the pH of Pittaja mukhapaka (Aphthous ulcer) and to standardize the frequency of Gandusha (An Ayurvedic intervention).

Design: This was a randomized controlled study with thirty patients divided into two groups, 15 in each. In Group A, Patoladi kashaya gandusha (gargling) was given once a day for 7 days and in Group B, Patoladi kashaya gandusha (gargling) was carried out twice a day for 7 days. After the completion of treatment, follow up was done once in fifteen days for a period of 2 months.

Results: Statistically significant results were seen in reduction of Toda with p<0.001, Group A (61.53%) compared to Group B (81.81%), Daha with p<0.001 Group A (73.07%) compared to Group B (81.81%), Asyavairasyata with p<0.001 Group A (73.91%) compared to Group B (100%) and also in relieving the pH of saliva with p<0.001 and Group A (100%) compared to Group B (100%).

Conclusions: Group B (Patoladi kashaya gandusha given twice a day) showed statistically significant results compared to Group A (Patoladi kashaya gandusha given once a day) in reduction of Toda, Daha, Asya vairasyata and the pH of Pittaja Mukhapaka (Aphthous ulcer).