Satmikarana with Triphala Churna: A Pilot Single-arm Interventional Study for Tobacco (Masheri) De-addiction

Export Introduction: Masheri, a popular smokeless tobacco product, is extremely harmful to one’s health, especially for those living in rural areas. Traditional de-addiction techniques frequently entail a sudden stop, which causes withdrawal symptoms that make long-term recovery more difficult. The Satmikarana process of Ayurveda provides a method of progressive decrease by substituting healthy habits for detrimental ones. The efficacy of Triphala Churna in place of Masheri in the Satmikarana technique is assessed in this study. Methods: Thirty individuals with Masheri addiction participated in a pilot single-arm interventional study. Following Acharya Chakrapani’s tapering timetable, the intervention gradually substituted Triphala Churna for Masheri over 15 days. A five-point Likert scale quantifying the intensity of addiction, withdrawal symptoms, and general health outcomes was used to evaluate the efficacy. Follow-ups were taken on the 7th, 15th, and 30th day. Results: With a 72% efficacy, the frequency of Masheri oral application was significantly decreased. Constipation, sleep issues, and disturbed appetite were among the withdrawal symptoms that significantly improved. Anxiety, restlessness, and irritation were among the mental health metrics that decreased. Oral health improved, as evidenced by greater taste perception and less discomfort in the mouth. Triphala Churna was introduced gradually, which made the transition easier and had fewer withdrawal symptoms. Conclusion: The Satmikarana process with Triphala Churna is a successful, culturally appropriate, and long-lasting way to overcome a Masheri addiction. It promotes general well-being and reduces withdrawal symptoms by gradually replacing Masheri. This Ayurvedic approach can serve as a promising alternative in tobacco cessation programs.