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The Revitalisation of Jihwa Prakshalana: A Scientific Evaluation of Tongue Scraping in Contemporary Stomatology

Table of Contents:
Tongue Scraping

Amidst the rapid advancements of modern stomatology, the surge of interest in alternative oral healthcare practices has been undeniable. One particular practice, commonly known as tongue scraping or ‘Jihwa Prakshalana’ in Ayurvedic terminology, has been endorsed by an increasing number of scientific studies, validating its efficacious contributions to oral hygiene (I).

A Historical Context: Revisiting Ayurvedic Wisdom

Ancient Ayurvedic texts such as the Charaka Samhita advocate the usage of tongue scrapers fashioned from metals like gold, silver, brass, tin, or copper. These metals were not only readily available but also worked efficiently in ancient times (IIII).

Benefits of Jihwa Prakshalana: More Than Meets the Eye

Numerous studies have highlighted the multifaceted benefits of tongue scraping. It has been shown to:

  1. Significantly reduce the concentration of harmful bacteria in the oral cavity, thereby promoting better oral health (I).
  2. Diminish the production of volatile sulphur compounds (VSCs), which are the primary culprits behind halitosis (II).
  3. Enhance gustatory sensitivity by reducing tongue coating (III).
  4. Induce changes in the oral environment, leading to decreased putrefaction and bacterial load (III).

Toxins and Respiratory Complications

Toxins, or ‘ama’, which accumulate on the tongue’s posterior region, may lead to respiratory obstructions and halitosis. Tongue scraping serves as a simple yet effective approach for eliminating these toxins (IIIII).

The Catabolic Actions of Oral Bacteria

The microbiota within the oral cavity catalyses certain proteins, releasing VSCs in the process. These VSCs are predominantly responsible for bad breath. Scientific evaluations have underscored tongue scraping as a more effective method than tooth brushing for reducing these compounds (II).

The Case for Copper

The renaissance of research surrounding copper’s antibacterial properties positions it as an ideal material for tongue scrapers. Copper not only inhibits the growth of harmful bacteria but also provides essential enzymes that foster the survival of beneficial microbes in the oral environment (IIII).

Clinical Implications

The profound antiseptic benefits of copper have been confirmed in clinical settings where copper-infused furnishings led to a significant decrease in overall bacterial count (IIII).

Beyond Oral Hygiene: Digestive Benefits

Beyond maintaining oral health, the practice of tongue scraping also confers digestive benefits. The activation of taste buds stimulates lower intestinal activity, promoting complete bowel elimination when performed early in the morning (III).

Recommended Practice

Tongue scraping should ideally be the first activity upon waking. A U-shaped tongue scraper should be gently applied from the back to the front of the tongue, 5 to 10 times. This should be followed by brushing with fluoride-free toothpaste.

References

In summary, tongue scraping or Jihwa Prakshalana is not merely an age-old Ayurvedic practice, but a scientifically validated technique that offers extensive benefits for oral hygiene and overall well-being. As modern stomatology continues to evolve, the integration of such traditional practices represents a holistic approach to healthcare, resonating with both scientific rigour and ancient wisdom.

Dr Deepthi Niranjan

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Picture of About The Author: Dr Deepthi Niranjan

About The Author: Dr Deepthi Niranjan

Dr. Deepthi has 20+ years of experience in Ayurvedic medicine. Head of Medical Department at Indus Valley Ayurvedic Centre
BA Ayu Meds & Surgery in Kayachikitsa & Panchakarma, Rajiv Gandhi University of Health Sciences (RGUHS)

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