“Role Of Lodhradi Lepa And Gandusha Along With Shothahara Mahakashaya Kwatha In The Ayurvedic Management Of Shitada (Gingivitis): A Comprehensive Review”

Abstract

Background: Shitada (Gingivitis) is a prevalent Mukha Roga characterized by inflammation, bleeding, swelling, and foul smell in the gums. Modern approaches provide symptomatic relief, yet recurrences are common. In Ayurveda, Shitada is managed effectively with specific Kalpas and Mahakashayas that address the underlying Dosha imbalance, particularly Kapha and Rakta Dushti. Lodhradi Lepa & Gandusha along with Shothahara Mahakashaya kwatha are classical formulations known for their Lekhana, Ropana, Stambhana, and Shothahara properties, making them ideal  for holistic and sustainable management of Shitada.

Aim: To explore and critically analyze the therapeutic potential of Lodhradi Lepa & Gandusha along with Shothahara Mahakashaya kwatha  in the management of Shitada (Gingivitis) through classical references and contemporary insights. Objectives: To study the Ayurvedic etiology and pathogenesis of Shitada, To review the pharmacological actions of Lodhradi Lepa & Gandusha along with Shothahara Mahakashaya kwatha, To highlight clinical and experimental evidences supporting their comparative efficacy.

 Materials and Methods: This review is based on classical Ayurvedic texts, commentaries, and compendia (e.g., Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya, Bhavaprakasha), along with analysis of modern pharmacological studies available in databases such as PubMed, AYUSH Research Portal, and Google Scholar. Emphasis was placed on anti-inflammatory, antimicrobial, and wound-healing potentials of key herbs.

Results: Lodhra (Symplocos racemosa), Madhuka, Kalakuta, and other constituents of Lodhradi Kalpas, along with herbs in Shothahara Mahakashaya such as Gokshura, Brihati, Punarnava, and Devadaru, have shown significant Shothahara, Krimighna, and Raktaprasadana actions. Their synergistic use helps in reducing gingival inflammation, arresting bleeding, and promoting gum healing. Experimental studies also support their antibacterial activity against periodontal pathogens. Conclusion: The integrated application of Lodhradi Lepa & Gandusha along with Shothahara Mahakashaya kwatha offers a promising, evidence-based, and side-effect-free alternative for managing Shitada (Gingivitis). These classical formulations align with both traditional wisdom and modern pharmacology, reinforcing the efficacy of Ayurvedic therapeutics in oral health care.