Ayurvedic Perspective and Management of Stress Induced Recurrent Aphthous Stomatitis: A Case Report

Abstract

According to the Ayurveda Mandagni (~weak digestive fire) is a primary cause of all diseases, including Mukhpaka (~recurrent aphthous stomatitis). Stress such as Chinta (~worry), Shoka (~grief), Bhaya (~fear) are the cause that contributes to the formation of Mandagni (~weak digestive fire) and, consequently Aam (~undigested metabolic waste) is the end product. The symptoms of recurrent aphthous stomatitis (RAS) can be correlated with Mukhpaka. A 42-year-old female patient presented to the outpatient department with complaints of recurrent, painful mouth ulcers in the buccal and labial mucosa and soft palate, along with a burning sensation, persisting for two and a half years. The exact etiology of recurrent aphthous stomatitis remains unknown; however, numerous predisposing factors, including stress, are known to influence the condition. The patient was diagnosed with recurrent aphthous stomatitis with stress, identified as a significant predisposing factor. The Depression Anxiety Stress Scale questionnaire was utilized for the diagnosis. The condition was managed with Aam Pachana (~metabolic waste digestive medication), along with anti-stress, anxiolytic and Medhya (~cognitive-enhancing) medications, as well as Pranayama (~breathing exercise). The total treatment period lasted 60 days, followed by a one-month follow-up. After the treatment, the patient experienced significant relief from recurrent aphthous stomatitis.