Volume - 10 | Issue - 9 | September - 2020 | PRINT ISSN No. 2249 - 555X | DOI : 10.

36106/ijar
Original Research Paper
Ayurveda

LITERATURE REVIEW: DASHMULA TAIL GANDUSHA IN DANTHARSHA.

Dr. Hardikkumar Assistant Professor, Department of Shalakya tantra, Aarihant Ayurveda Medical
Parmar College & Research institute, Gandhinagar, Gujarat.
ABSTRACT Ayurveda is one of the greatest gifts of ancient India to mankind. It is one of the oldest scientic medical systems in the
world and have a long record of clinical experience. Shalakya Tantra is the branch of Ayurveda which deals with the
Vyadhis and their treatment related to Urdhwajatru. Dantharsha is one among the eight diseases of Danta. The main Dosha is Vat in Dantharsha.
On the basis of clinical features, it can be compared with Dental hypersensitivity. It is a progressive destruction of enamel. Because of attrition,
erosion or abrasion, enamel loose away from tooth. It may leads to Dental sensitivity. It is one of the major problems in dentistry. Our Acharya
describe many treatment modalities for Datharsha. Among them Gandusha with sneha like Dashmula tail is benecial to treat the disease
Dantharsha.
KEYWORDS : Dantharsha, Gandusha, Dashmula tail.
INTRODUCTION Samprapti: The way through which Dosha are vitiated through their
Shalakya tantra is one among eight specialties of Asthang Ayurveda own aggravating factors, the way through which Dhatus and Malas are
which deals with curative and prophylaxis of disease of head which vitiated by the Dosha by spreading in the body through Urdhwadi
include eye, ear and all urdhvajatrugat roga. Acharya Vaghbhatt various directions and leads to a disease is known as Samprapti.
described the Mukharoga & its Chikitsa in separate adhyay in
Uttartantra. There are 8 sub-sight of Mukharoga. Among them, The probable samprapti of Dantaharsha as under:
disease Danthrshaa is one part of Dantroga. On the basis of clinical By the Aharaja & Viharaja nidan seven, Kaphaprakopa,
features, Dantharsha can be compared with Dental hypersensitivity. Agnimandhyata and Raktadusti occur. This is the Sancaya state. If this
According to the Canadian consensus document, DH has been dened Nidana Sevana continuous, Dosha Prakopa occurs and Dushita Rakta
as “pain derived from exposed dentin in response to chemical, thermal interacts with Dusita Kapha and nally ascend to Urdhwajatru
tactile or osmotic stimuli which cannot be explained as arising from (Vimargagamana) and localized in Danta. This is the Sthana
any other dental defect or disease”. According to ayurveda” षतो Samshraya of Dosha. As a result of this, Sthana Samshraya, Mamsa
and Sira Dushti in Danta takes place which leads to the production of
द तधावनम”् is one of the main causative factor for Mukharoga as well prodromal symptoms. Then the pathogenesis progress to the next
as Dantroga. According to modern poor oral hygiene is an important Kriyakala that is Vyaktavastha. In this stage the symptoms like
risk factor for Mukha roga. In this era, faulty dietary habit & poor oral hypersensitivity, Dantashoola etc. occurs.
hygiene is very commonly found in illiterate as well as educated
people. Brushing to hard, gum disease (gingivitis), dental erosion
(food & drink), receding gums, teeth grinding, bleaching of tooth,
recurent scaling, calculus, root planing, poor nutritional diet, addiction
etc. are responsible for dental hypersensitivity. In Ayurvedic classics
several treatment modalities such as Gandusha, Kaval, Snehik nasya,
shirobasti, Dhumpan etc. have been mentioned for the management of
Dantaharsha. Among these, Gandusha is the kind of local treatment
which mainly have therapeutic effects such as Samana and Ropan.
Also, the Dashmula tail has Vathar and Vedanahar property. Which
would help to treat disease.

Nidan:
No separate or specic Nidanas of Dantaharsha have been mentioned
in Samhita. So, the general causative factors which are responsible
Mukharogas can be considered as the causes of Dantaharsha. Acharya
Vaghbhatt has described the Samanya Nidana of Mukharoga which
may be consider as nidan of Dantaharsha.

मा यमा हषवाराहपलकम|
ू ्
माषसपदध
ू ु ते ुरसफा णतम|् |१||
अवा श यां च भजतो व|्
धम
ू छदनग डषानच||२||
ू ु
कृ ाः ले मो बणा दोषाः कव
ु य तमख
ु ं गदान|् Rupa: According to Acharya Vaghbhatt following signs & symptoms
are found in Dantaharsha.
People who drink Shukta (wine) may be at higher risk for enamel stain
and erosion. Ikshuras (sugars) are easily and rapidly fermented by द तहष वाता लशीतभ ा मा |
भव य लाशनेनैव स ज ल||
cariogenic bacteria to produce acid and cause dissolution of
hydroxyapatite crystal of enamel and dentin. Dadhi is abhishyandi
which may obstruct the supplying channels of rasa-rakta &
subsequent Dhatus. More ever due to usna, tiksna etc. qualities it Shit, Amla ras & Vat intolerance, Dantshoola, Chaldant are the
causes raktadusti. Anuchit chardan (vomiting or acid reux) can symptoms of Dantaharsha.
damage tooth enamel. When stomach acid gets into the mouth, it can
have a corrosive effect on the tooth enamel. Among them a part of Chikitsa: Breaking of this Samprapti is known as Chikitsa. In
nidana can be creates “Khvegunya” which leads to pathogenesis of Ayurvedic classics several treatment modalities such as Gandusha,
disease. Kaval, Snehika nasya, Shirobasti, Dhumpan etc have been mentioned
for the Dantaharsha.
INDIAN JOURNAL OF APPLIED RESEARCH 1
 Volume - 10 | Issue - 9 | September - 2020 | PRINT ISSN No. 2249 - 555X | DOI : 10.36106/ijar

द तहष भेदे च वातहर स ं तल

ै मेलाकु ठपाटल वि वप वो
म जा वा ग डषः|
ू ि न धा च न यादयः||
Among these, Gandusha is the kind of local management which
mainly possesses therapeutic effects such as Shamana and Ropan. The
Dashmula taila has Vathar and Vedanahar property. Which would help
to treat dental pathology.

DISCUSSION:
In Dantaharsha the main Dosha involvement is Vat. Abhyang with
Sneha is benecial for Vat dosha and usna guna of swedan also
decrease the Vat. There are 4 types of Gandusha described which are
Snehik, Shaman, Shodhan, Ropan. Among them Snehik Gandusha is
useful to treat Vat dosha.

The drug which is taken by the mouth is passed through the liver and
then absorbed into the bloodstream (systemic circulation). But in other
forms of drug administration, the drug by-passes the liver and directly
entering the bloodstream and results in rapid onset of drug effect. By
the Gandusha the medicine directly absorbed in blood stream and act
more locally then systemically. Also Gandusha increased salivary
secretions that dissolve the Ama (toxins like food debris). The main
function of salivary uid is to maintain pH at the mucosal epithelial
cell surface and the tooth surface. Normally mouth is a non-acidic or
neutral. Unhealthy mouth is acidic. It indicates an oxygen-deprived
environment, which puts our teeth at risk for demineralization and
cavities. Gandusha is an immediate solution for mouth acidity and
which change the oral pH quickly into a safe zone. Also Gandusha
increases the vascular permeability in the oral cavity. Therefore, the
drugs get rapidly absorbed both locally and systemically. This can help
to enhance the healing process of disease.

Also, the ingredients of Dashmula tail are having properties like

kashay & maudhur ras, lagu-ruksh gun, usna virya & katu vipak which
gives Vat & Kaph shamka effect. These drugs produce Brihana effect
which may nourish and strengthen the Asthi Dhatu (Dant). According
to Acharya Vagbhatt, as per “Ashray- Ashrayi bhav” Asthi dhatu
virddhi decrease the Vat dosh. Also Dashmula taila's Snigdha, Balya,
Brihana & Vathar properties may useful to regenerates the exposed
dentin layer. Gandusha with Dashmula tail may block off the nerve-
enriched tubules in the exposed dentin. Which may helped to reverse
the pathology of Dantharsha.

CONCLUSION:
All the Vathar procedure are useful in Dantharshaa. Among them
Gandusha with sneha like Dashmula tail may useful to treat the
Dantharsha because it is feasible and It may also acts as oral hygiene
method. So, it can be concluded that Gandusha of Dashmula tail can
be used in Dantharsha.

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