Open Journal Systems

Cover Image

A commentary on ayurvedic management of lichen planus with aphthous ulcer – Pittaja Mukhapaka

Manjusha Rajagopala, Poonam Dhruv, Narayan Bavalatti

Abstract


Aim: Lichen planus is a chronic inflammatory mucocutaneous disease, more commonly found in females with a prevalence rate of 1–2%. Recurrent aphthous ulcer is also an inflammatory disease with ulceration in mouth, pain, and burning sensation. In Ayurveda, these can be correlated with Mukhapaka which occurs when the oral cavity undergoes suppuration and ulceration along with vitiation of Pitta dosha. The aim of this commentary is to present a case of oral lichen planus (OLP) with a recurrent aphthous ulcer in an 18-year-old female patient treated with ayurvedic management. Conclusion: In modern medicine, for the management of OLP and recurrent aphthous ulcer, mouth gargles, steroids, B-complex group of drugs, and injection placentrex (submucosal) are prescribed, but the modern management has its own limitations along with side effects. According to Ayurveda, Pitta dosha and Raktavaha srota are the main Dushya in Mukhpaka; therefore, management includes Pitta shamaka, Vedanasthapana (pain relieving), Vranashodhana (wound cleaning), Vranaropana (wound healing), and Rakta prasadaka (blood soothers) treatment. Due to tobacco chewing, spicy food, alcohol, betel nut, gastric disturbance, and other various reasons commonly found OLP and recurrent aphthous ulcer has been presented here with its management. Clinical Significance: This review aims at clinical approach to treat lichen planus and non-healing recurrent aphthous ulcer in ayurvedic lines of the treatment having achieved substantial recovery.

Keywords


Ayurveda; Mukhapaka; oral lichen planus; recurrent aphthous ulcer

Full Text:

ABSTRACT PDF

References


Scully C, Beyli M, Ferreiro MC, Ficarra G, Gill Y, Griffiths M, et al. Update on oral lichen planus: Etiopathogenesis and management. Crit Rev Oral Biol Med 1998;9:86-122.

McCreary CE, McCartan BE. Clinical management of oral lichen planus. Br J Oral Maxillofac Surg 1999;37:338-43.

Lavanya N, Jayanthi P, Rao UK, Ranganathan K. Oral lichen planus: An update on pathogenesis and treatment. J Oral Maxillofac Pathol 2011;15:127-32.

Gupta S, Jawanda MK. Oral lichen planus: An update on etiology, pathogenesis, clinical presentation, diagnosis and management. Indian J Dermatol 2015;60:222-9.

Koybasi S, Parlak AH, Serin E, Yilmaz F, Serin D. Recurrent aphthous stomatitis: Investigation of possible etiologic factors. Am J Otolaryngol 2006;27:229-32.

Shashtri KA, editor. Susruta Samhita of Maharisi-Susruta, Nidana Sthana. Ch. 16, Ver. 66-8. Varanasi: Chaukhambha Sanskrita Sansthana; 2015. p. 391-2.

Kumari A, Tiwari P, editors. Yogratnakar: A Complete Treatise on Ayurveda, Nidana Sthana. Ch. 63, Ver. 196-8. Varanasi: Chowkhamba Vishwabharti Academy; 2010. p. 1027.8. Murthy KR, editor. Vagbhata’s Ashtanga Hridyam, Uttara Sthana. 7th ed., Ch. 22, Ver. 110. Varanasi: Chaukhamba Sanskrit Pratishthan; 2010. p. 217.

Kumari A, Tiwari P, editors. Yogratnakar: A Complete Treatise on Ayurveda, Nidana Sthana. Ch. 63, Ver. 199-200. Varanasi: Chowkhamba Vishwabharti Academy; 2010. p. 1027.

Ramchander, Jalwal P, Middha A. Recent advances on Senna as a laxative: A comprehensive review. J Pharmacogn Phytochem 2017;6:349-53.

Das D, Agarwal SK, Chandola HM. Protective effect of yashtimadhu (Glycyrrhiza glabra) against side effects of radiation/chemotherapy in head and neck malignancies. Ayu 2011;32:196-9.

Sankpal J, Takalikar J. Comperehencive review oftankana. J Ayurveda Integr Med Sci 2018;3:110-5.

Tripathi I, editor. Chakradatta of Chakrapannidatta. Ch. 56, Ver. 43-7. Varanasi: Chaukhambha Sanskrit Bhawan; 2010.

Murthy KR, editor. Sarngadhar Samhita by Sharangdhara, Uttar Khanda. Ch. 11, Ver. 10. Varanasi: Chaukhambha Orientalia; 2016. p. 234.

Ranasinghe S, Ediriweera S. A pharmacological appraisal of dhanyamla. Int Ayurvedic Med J 2015;3:1-20.

Shashtri R, editor. The Charaka Samhita of Agnivesh, Sutra Sthana. Ch. 5, Ver. 78-9. Varanasi: Chaukhamba Bharti Academy; 2013. p. 127.

Tripathi B, editor. Caraka Samhita of Agnivesa, Chikitsa Sthana. Ch. 30, Ver. 249. Varanasi: Chaukhamba Surbharati Prakashana; 2010. p. 1058.

Shashtri RD, editor. Charaka Samhita, Chikitsa Sthana. Ch. 26, Ver. 187. Varanasi: Chaukhambha Bharti Academy; 2016. p. 751.


Refbacks

  • There are currently no refbacks.
x
Message