Published Paper Details:

Background: Pittaj Mukhapaka is a commonly encountered inflammatory and ulcerative condition of the oral cavity, characterized by burning sensation, pain, altered taste, and ulceration. Ayurveda describes it as a Pittaja Nanatmaja and Rakta Pradoshaja Vikara. Although several Ayurvedic formulations and local therapies have been studied for Mukhapaka, limited evidence exists comparing classical Ayurvedic Gandusha therapy with standard modern topical agents. Objective: To evaluate and compare the clinical efficacy of Triphaladi Kashaya Gandusha and Tannic Acid-Choline Salicylate Gel local application in the management of Pittaj Mukhapaka. Methodology: A randomized controlled clinical trial was conducted on 60 patients diagnosed with Pittaj Mukhapaka, divided equally into two groups. Group A received Triphaladi Kashaya Gandusha, while Group B received Tannic Acid- Choline Salicylate Gel for 5 days. Assessment was done using subjective and objective parameters on Day 1, Day 3, and Day 5. Statistical analysis was performed using paired and unpaired tests. Results: - Both groups showed statistically significant improvement (p < 0.05) in all parameters. Group A demonstrated higher percentage relief in Asya Daha, Asya Ruja, Asya Vairasya, and number of Vrana compared to Group B. Conclusion: Triphaladi Kashaya Gandusha showed superior clinical efficacy compared to Tannic Acid-Choline Salicylate Gel in the management of Pittaj Mukhapaka, with no adverse effects observed.