Ranula is called upa jihvika in ancient Indian medicine. A brief account of it is provided here

1. उपजिजविका
Udaya Shankar, MD
Prof, Shalakya Tantra, KVGAMC, Sullia

2. Clinical features in Sushruta samhita
जिविाग्ररूपः श्ियथुर्हि जिविामुन्नम्य िातः कफरक्तयोननः |
प्रसेककण्डूपररदाहयुक्ता प्रकथ्यतेऽसािुपजिजविक
े नत
jihvāgrarūpaḥ śvayathu - Swelling like the tip of the tongue
jihvāmunnamya jātaḥ - underneath the tongue, that elevates tongue upwards
Kapharaktayōniḥ- induced by Kapha and Raktha.
Prasēka kaṇḍū paridāhayuktā - salivation, itching and burning sensation

3. Reading in another manuscript of Sushruta Samhita
‘कफरक्तमूलः| लालाकरः कण्डुयुतः सचोषः स
तूपजिह्वा कथिता भिषज्िः’
Meaning is similar to earlier shloka

4. Vagbhata

5. Lambamana upajihva-
It many hang down in the throat (plunging ranula)

6. Vakya-ahara-vighata-krit.
May obstruct speech, deglutation and other
functions of oropharynx

7. Jihva -mula- upari- sthitha.
The location of the swelling can be either dorsal
or ventral surface.

8. Management in Sushruta
उपजिविाां तु सांलिख्य क्षारेण प्रनतसारयेत ् |
लिरोविरेकगण्डूषधूमैश्चैनमुपाचरेत ्
Lekhana, Kshara pratisarana, Nasya, Virecana,
gandusha, dhumapana

9. Management in Vagbhata
Rakta mokshana
Pratisarana (gharshana) by yavakshara

10. Medical management
Gada nigraha -
Paste of jasmine leaves for local application
Vranda Madhava-
Topical medicine to be prepared from - vyosa, kshara, abhaya, chitraka .
Oil from the above ingredient

11. Medical management
Yoga ratnakara-
● Griha dhuma, aranala kwatha, madhu saindhava pratisarana
● Chewing musali kanda and nirgundi patra
● Kanchanara twak kashaya - kavala graha
● Khadira kashaya - kavala graha

12. Videos-
https://youtu.be/SP3iEpWoEhs

13. Ranula
The term ranula is derived from the Latin word rana, meaning frog, and describes
a blue, translucent swelling in the floor of the mouth reminiscent of the underbelly
of a frog. The lesions most often appear early in a patient's life, ie, in the first,
second, or third decade. Reported ranulas usually exist in association with oral
mucoceles. Ranulas may be classified based on their site of presentation into oral,
plunging, or mixed lesions. Oral lesions are confined to the floor of mouth.
Plunging ranulas occur less commonly than the oral form.

14. Imaging options for ranula assessment include computed
tomography (CT) scanning, ultrasonography, and magnetic
resonance imaging (MRI). A variety of surgical approaches
exist in the treatment of ranulas, including marsupialization,
excision, and removal of the sublingual gland

15. Management
Surgical Excision: Both oral and cervical ranulas can be treated effectively with this
approach involving the removal of the lesion along with the associated major salivary
gland with insignificant recurrence rates.2. Marsupialization: Some providers prefer it
before embarking on surgical removal. The whole pseudocyst is packed with gauze for 7-
10 days. This allows re-epithelialization of the cavity and also seals off the leakage site.
Besides, it also provokes a foreign body reaction causing fibrosis and atrophy of the
offending acini. If marsupialization fails to eliminate the disease, then surgical excision is
the next treatment of choice. 3. Laser Ablation, Cryosurgery, and Electrocautery: These
have also been employed for the treatment of smaller ranulas either alone or before the
marsupialization.4. Intralesional Injection of a Sclerosant Agent: Although considered
experimental, intracystic injection of the streptococcal preparation, OK-432, has been
reported to treat the disease with variable success rates