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Inflammation of the mouth is known as stomatitis. It can be caused by poor oral hygiene, burns from hot liquids or eating food, medicine, allergic reactions or infections. While the cause of recurrent aphthous stomatitis (thrush) is not known, nutritional deficiencies are believed to play an important role. Management of stomatitis depends on the cause responsible for the disease.

Stomatitis is known as "Mukhpak" in Ayurveda. Ayurvedic Treatment for stomatitis is the following. A decoction of Triphala (three fruits), Patha (Cissampelos pareira), Manuka (raisins) and Jai (Jasminum auriculatum) leaves along with honey, is used for mouthwash. Cold water mixed with honey, or a decoction of Daruharidra (Berberis aristata) and alum are also used as mouthwash. Oil Jatyadi, Kamdudha or mixed with cream is used for local application for ulcers. Khadiradi Vati is used to suck. Mild purgation is advised. In patients with recurrent stomatitis, advised blood collection.

In Ayurveda, stomatitis is divided into five different types, depending on the Dosha disturbed causing the symptoms. A small description of each type, along with specific treatment is given below.

In the "type of Wattage" of stomatitis, there is severe pain, fissures of the tongue, and intolerance of cold food stuff. Panchlavan (five salts), and medicated oils are used for local application. Herbs are useful here: Arjun (Terminalia Arjuna), Erand (Ricinus communis), Khadir (Acacia catechu), Guggulu (Commiphora mukul), Jatamansi (Nardostachys jatamansi) Tagar (Valeriana wallichii), Deodar (Cedrus deodara) and Shilajit (Bitumen).

In the "Pittaja" type, no burning, redness, and taste taste in the mouth. Induced purgation is recommended in this type. Sugarcane juice, milk, grape juice and water with glucose used as a mouthwash. Dhatki (fruticosa Woodfordia) leaves are advised to be chewed. The same treatment, along with bloodletting, advised in the "Raktaja" type, where all the symptoms are more pronounced.

In pain "Kaphaja type", there is comparatively less. The mouth sores are very red, and rigid. There are more than salivation, and a slight itching on the affected areas. Kutki (kurroa Picrorrhiza), salt and Kshars (medicated caustics) are used for topical application. Decoctions Palash (Butea monosperma) and Amalaki (Emblica officinalis), mixed with Kshara used as mouthwash.

In the latter type of stomatitis called Sannipataja " there is a combination of symptoms of wattage, pittaja and types kaphaja. The treatment is given according to the predominant symptoms. An Ayurvedic formulation containing Gorochan, Kasis, alum, Rasanjan, Mocharasa (Salmalia malabarica) and honey is used for local application.

With the previous treatment, most patients have only local symptoms resolve within a few days. For thrush that are recurrent, or stomatitis with severe symptoms, longer treatment usually required. In addition, patients may need oral treatment with medicinal herbs to correct imbalances in the body.

Dr. A. A. Mundewadi is Chief Ayurvedic Physician at Mundewadi Ayurvedic Clinic based at Thane, Maharashtra, India. He is available as an online Ayurvedic Consultant at http://www.ayurvedaphysician.com

Dr. A. A. Mundewadi, B.A.M.S., has clinical experience of 22 years and clinical research experience of 9 years. He has published his findings of herbal treatment of HIV / AIDS in 55 patients in the Bombay Hospital Journal, Mumbai, India, July 2005 issue.

He has also successfully completed a clinical trial of herbal extract medicines in Schizophrenia compared to modern anti-psychotics, in 200 patients. He has also conducted preliminary studies of Ayurvedic herbal extracts in the treatment of Bipolar Disorder, Vascular Dementia, Alzheimer’s Disease, Parkinson’s Disease, Attention Deficit Hyperactivity Disorder, Autism, Mental Retardation, Tobacco and Alcohol Addiction, Age Related Macular Degeneration and different types of Cancer.

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