Background: Mukhapaka is an oral mucosal condition described in Ayurveda as a Pitta-dominant
Tridoshaja and Raktapradoshaja disorder affecting Rasa, Rakta, and Mamsa Dhatus, closely correlating
with stomatitis in modern medicine. It manifests with symptoms like burning sensation, pain, difficulty
in chewing, and multiple oral ulcerations that impair the quality of life. Despite available symptomatic
treatment in contemporary medicine, recurrence is common. Ayurvedic texts mention both internal and
external interventions for effective management of this condition.Objective: To evaluate the
effectiveness of Ayurvedic internal and external therapeutic interventions in managing Mukhapaka with
an emphasis on ulcer healing ,symptomatic reliefand to prevent the recurrence of the condition
.Methods: A 24 year old female patient diagnosed with Recurrent Mukhapaka was treated with a 7-14
days Ayurvedic regimen. Internal medications included AvipattikaraChurna (1 tsp with lukewarm water
at bedtime for 14 days), Kamdugha Rasa (2 tablets twice daily before food for 7 days), and a
combination of Yashtimadhu and AmalakiChurna (10 gm each mixed, 1 tsp twice daily before food for
14 days). External procedures comprised Kavala using Triphala, Guduchi, and Madhu Kwatha twice
daily for 14 days and KhadiradiVati for chushana. On discharge, ArogyavardhiniVati (2 tablets twice
daily after food) was prescribed to prevent recurrence. Results: Marked improvement was observed in
symptoms such as burning sensation, pain, difficulty in chewing, and number and size of ulcerations.Burning and pain reduced significantly by the 7th day, and complete ulcer healing was seen by the 14th
day. The patient experienced no side effects and follow-up revealed no recurrence.Conclusion: This
case highlights the clinical efficacy of Ayurvedic treatment in managing Mukhapaka. The holistic
approach combining dosha-pacifying internal medications and locally acting external procedures was
successful in providing symptomatic relief and preventing recurrence. Such treatments are cost-
effective, safe, and offer a viable alternative or adjunct to conventionalmanagementof stomatitis.
Keywords: Mukhapaka, Stomatitis, Ayurveda, Pitta Tridosha, AvipattikaraChurna, Kamdugha
Rasa, Kavala, Rasayana
Publication date: 01/07/2026
https://www.ijbpas.com/pdf/2026/July/MS_IJBPAS_2026_10293.pdf
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https://doi.org/10.31032/IJBPAS/2026/15.7.10293
