ISSN: 2320-5407 Int. J. Adv. Res.

11(06), 982-987

Journal Homepage: -www.journalijar.com

Article DOI:10.21474/IJAR01/17154
DOI URL: http://dx.doi.org/10.21474/IJAR01/17154

RESEARCH ARTICLE
A CASE STUDY ON AN AYURVEDIC MANAGEMENT OF ARDHAVABHEDAKA W.S.R. MIGRAINE

Dr. Paras Chetan Paner

Professor, Shalakya Tantra, Ashwin Rural Ayurved College, Sangamner, Ahmednagar.
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Manuscript Info Abstract
……………………. ………………………………………………………………
Manuscript History Migraine is an episodic headache sickness generally characterised by
Received: 26 April 2023 route of ache regarding both 1/2 of the head. according to global
Final Accepted: 31 May 2023 headache society, Migraine constitutes sixteen% of the primary
Published: June 2023 headache and influences approximately 10-20% of the general
population. Ardhavabhedaka is mentioned beneath Shiroroga (diseases
Key words:-
Migraine, Ardhavabhedaka, Anu Taila, of head) which can be correlated with migraine. Nasya Karma is
Nasya considered because the excellent healing intervention in Shiro Roga by
using Acharya Charaka. Kumkumadi Ghrita is noted via Acharya
Vagbhata in context of Shiroroga Chikitsa. So, an attempt has been
made to assess the efficacy of Anu Taila Nasya within the management
of migraine in this unmarried case take a look at. After 7 days of Nasya
Karma, tremendous development became seen in the scientific
capabilities of Migraine.
Materials and Methods: The subject who approached Shalakya Tantra
OPD of Shalakya Tantra, Ashwin Rural Ayurved College, Sangamner,
Ahmednagar with symptoms of Migraine since 2 years was
systemicallyreviewed and Nasya line of treatment is adopted.
Results: The subject showed marked improvementas depicted in the
scoring scale before and after treatment.
Discussion: By adopting the holisticapproach with both internal and
external treatment modalities an attempt is made to bring
aboutsatisfactory results.

Copy Right, IJAR, 2023,. All rights reserved.

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Introduction:-
Migraine is a recurrent headache ailment with excessive pain that may be unilateral (one-sided) and accompanied by
means of nausea or vomiting as well as photosensitivity (sensitivity to mild) and phonosensitivity (sensitivity to
sound). because of similarity of the signs and symptoms and signs and symptoms Migraine can be understood as
Ardhavabhedaka.it is the third maximum commonplace disease inside the international (behind dental caries and
tension-kind headache) with an predicted international prevalence of 14.7% (round 1 in 7 people). it is extra
commonplace than diabetes, epilepsy and bronchial asthma blended. Migraine is ranked globally as the 7th most
disabling ailment amongst all diseases and the main purpose of incapacity amongst all neurological issues. 1,2

It is highly prevalent in India (2014), andassociated with substantial disability. Prevalence wasgreater among
females (31.6%) vs. among males(18.5%) and in rural areas (28.9%) vs. urban areas(21.7%). 3

Corresponding Author:- Dr. Paras Chetan Paner

Address:- Professor, Shalakya Tantra, Ashwin Rural Ayurved College, Sangamner, 982
Ahmednagar.
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Ayurveda considers Shiras as an Uttamanga, as it shelters the vital components of body, mind and sense organs.
Shirorogas (disorders pertaining to Head) are said to be eleven in number according to Acharya Sushruta, ten
according to Vagbhata Acharya, nine according to Charaka Acharya. Ardhavabedhaka is one among the Shirorogas
explained.According to Acharya Sushruta, if one half of the head develops severe tearing and pricking pain,
giddiness, and piercing pain, suddenly after a fortnight or ten days, it should be diagnosed as Ardhavabhedaka
caused by all the Tridoshas.4

Consistent with Acharya Charaka, Ardhavabhedaka is the disorder of the head wherein a violent and excruciating
pain of a piercing or aching nature is felt in one 1/2 of the skull, orbit, neck, frontal and temporal regions of head,
which makes the concern sense giddy, and which both follows no awesome periodicity or recurs at a normal c
language of ten days or a fortnight. This takes place due to the concerted motion of Vata or Vatakapha. according to
Acharya Vagbhata – Ardhavabhedaka seems to be a type of Vataja Shirashula. He describes it to arise once in a
fortnight or a month.5

Common Migraine, that is Migraine without aura,characterized by no presence of early visual changes,dizziness,
confusion, having pins or needles in the skinsensation, forms roughly 75% of Migraine.Therefore, the common
Migraine has been selectedfor this study.In the contemporary medical system, one of thecommon medicines
prescribed for Migraine constitutelong term use of Triptans, and NSAIDs, Taking them daily can makeheadaches
worse due to medication overuse.To avoid the damage caused by them, there is anecessity for a safe effective simple
treatmentmodality in Ayurveda, which the study is aiming at. 6

Objectives:-
1. To understand the pathophysiology of Migraine inthe perspective of Ardavabhedaka explained inAyurveda
classics.
2. To find a better Ayurvedic approach in Migraine.

Case Report
Basic information of the patient
1. Age: 31 years/ Male
2. Religion: Hindu
3. Occupation: Shop kipper
4. Socioeconomic status: Middle class
5. History of present illness: A 31 years old male patientvisited OPD of Shalakya Tantra, Ashwin Rural Ayurved
College, Sangamner, Ahmednagar andpresented with chief complaints of headacheinvolving half side since last
2 years and interval ofheadache was 15 days to one month. Severity ofheadache was increased since last 15
days andinterval was on alternate day since 2 days.Associated complaints were irritability, nausea, anger.
Aggravatingfactors of headache were stress, hunger, sun light,noisy surroundings and crowd whereas
relievingfactors were only analgesics. Patient was diagnosedwith Migraine (Ardhavabhedaka) on the basis
ofclinical features and after assessing Dosha, Agni,Satmya, Bala, Vaya, etc., Nasya with Anu Taila wasplanned
for 7 days.

Personal history
Aharaja: Rooksha Ahara, KashayaRasa.
Viharaja: NAD.

Examination-
Asta Sthana Pareeksha
1. Nadi: 68/min
2. Mutra:, 5-6 times/day
3. Mala: once a day
4. Jihwa: Niram
5. Shabda: Prakruta
6. Sparsha: Prakruta
7. Druk: Prakruta
8. Akruti:Pittaj

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Assessment Criteria
The improvement was assessed on the basis of reliefin the signs and symptoms of the disease.

Subjective Criteria7
1. Pain will be assessed using Numeric Pain RatingScale before and after the treatment.
2. Disability will be assessed using the MIDASquestionnaire, before the treatment and afterthe fourth follow up.

Effect of therapy on symptoms of Migraine.

No. Symptoms Before treatment After treatment

1 Intensity of headache 3 2
2 Frequency of headache 3 1
3 Duration of headache 4 1
4 Nausea 1 0
5 Vomiting 0 0
6 Photophobia 2 1
7 Vertigo 0 0

Numeric Pain Rating Scale8

The NPRS is a segmented numeric version of thevisual analog scale (VAS) in which a respondentselects a whole
number (0–10 integers) that bestreflects the intensity of his/her pain.

Before treatment:
8 (Severe)

Treatment Protocol
Poorva Karma
Sthanika Abhyanga and Ushna Sveda (local massageand fomentation) of scalp, forehead, face, and neckwere
performed. Abhyanga was done withKsheerabala Taila.
ऺीरबऱातैऱं-
बऱाकषायकल्काभयांतैऱंऺीरसमंऩचेत ्।
सहस्रंशतवारं वावातासग्ृ वातरोगनत
ु ्||११९||
रसायनममदं श्रेष्ठममन्द्रियाणांप्रसादनम ्।
जीवनंबंह
ृ णंस्वयंशुक्रासग्ृ दोषनाशनम ्।
इततसहस्रऩाकंशतऩाकंवाबऱातैऱम ्||१२०||
अ.ह्रु. २२/४५,४६

Pradhana Karma
The patient was made to lie down in supine positionwith head low and legs slightly raised and thenlukewarm Anu
Taila was instilled slowly in either ofthe nostrils in an increased dosage. The other nostrilwas pinched while
administering the medicine in onenostril. The patient was advised to sniff the instilleddrug once followed by slow
breathing. The sameprocedure was repeated in another nostril.

Paschyat Karma
After the administration of Nasya, the patient wasadvised to remain in supine position for a minute(time of counting
up to 100) and spit out medicineswhich come in mouth. Patient was again subjected tofomentation on
supraclavicular region and thenadvised to gargle with warm water to expel out theresidual mucous lodged in throat.
Dhumapana withHaridra Dhuma Varti was advised. The patient wasadvised to avoid dust, smoke, sunshine,
alcohol,riding, anger, excess fatty and liquid diet, daysleeping, cold water for any purpose like Pana (Drink),Snana
(Bath) etc.

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Observation:-
After 7 days of Anu Taila Nasya improvement was observed in almost all clinical features, Intensity of headache
was reduced and duration and frequency of pain was also decreased considerably. There was also improvement in
symptoms like photophobia.

Numeric pain rating:

2 (Mild)

Discussion:-
अणुतैऱ-
जीवरतीजऱदे वदारुजऱदत्वक्सेव्यगोऩीहहमं
दर्वित्वक्मधुकप्ऱवअगरुवरीऩुण्ड्राहवबबल्वोत्ऩऱम ्।
धावरयौसुरम न्द्ं स्थरे कृममहरं ऩत्रंत्रुहिरे णुकां
ककञ्जल्कंकमऱावऱांशतगण
ु ेहदव्येऽम् मसक्काथयेत ्॥३७॥
तैऱािसंदशगुणंऩररशोष्यतेनतैऱंऩचेत्समऱऱेनदशैववारान ्।
ऩाकेक्षऺऩेच्चदशमेसममाजदग्ु धंनस्यंमहागुणमुशन्द्रतअणुतैऱमेतत ्॥३८॥
अ.ह्रु. २०/३७,३८

नस्यऱा -
घनोरनतप्रसरनत्वक्स्करधग्रीवअस्यवऺस्।
दृढे न्द्रियअस्तऩमऱता वेयन
ु स्
ि यशीमऱन्॥३९॥
अ.ह्रु.२०/३9
Migraine may be a tough sickness to diagnose being primarily based on medical signs only which might be
subjective and verifiable best with the aid of the patient. The medical correlation of migraine in Ayurveda can be
done on the basis of etiopathology, symptomatology, and prognosis etc. Ardhavabhedaka is the situation that's a
closer correlation to Migraine, which has been explained as Tridoshaja Vyadhi by means of Acharya Sushruta, Vata-
Kaphaja by means of Charaka and Vataja by Vagbhatta. Nasa is considered as therapeutic gate manner of head.
hence, the medication administered thru Nasya Karma can have an effect on the vitiated Doshas in head. So,
systemically accomplished Nasya Karma cures almost all of the sicknesses of Urdhvajatrugata Rogas. Anutaila is
quality used for Nasya Karma. It contains more than 25 herbs that are combined together in the shape of decoction.
This decoction is slowly infused with sesame oil over a long time frame with the assist of controlled heating until
the desired satisfactory of oil is received. This system is repeated 10 times to have effective potentization. Aja
Ksheer (Goat Milk) is also used in the last cycle only. Hence it is said that Anutaila is having property of
Mahagunam, Sarvottam Gunam. (Excellence over other of Oils used for Nasya Karma) Hence, Anu Taila Nasya can
provide relief in Ardhavabhedaka and Nasya is nearest root to alleviate the diseases of head. Laghu Sootashekara
Rasa was administered internally 2 tablets BD before food for 15 days. It is Katu and Tikta Rasa and Ushna Virya
have Deepana – Pachana Karma, which causes Amapachana and thus provides proper metabolism and ultimately
balances the Agni. Thus, these Rasa works at Agni Dushti stage in the Samprapti of Ardhavabhedaka and pacify the
Kapha Dosha.9

Conclusion:-
Migraine is a disabling medical illness. Ardhavabhedaka is clinically Pitta dominantly Tridoshaja Vyadhi. it works
as Doshapratynika and Vyadhipratynika Chikitsa in Ardhavabhedaka. In present generation because of high level of
pressure, there is imbalance in the hormonal degree. Indigestion along with constipation and acidity is one of the
causative factors of Migraine. So, it have to be treated carefully. So, it can be concluded that Nasya with Anu Taila
in conjunction with the drug Laghusutasekhara Rasa was effective not most effective in relieving the cardinal
features like paroxysmal unilateral headache related to vertigo, giddiness, vomiting, ache of various depth, excessive
tearing, piercing and pricking type abruptly after a fortnight or ten days but it also allows in relieving constipation
and acidity. it could be concluded that here is gratifying scope of suggesting this Ayurvedic control as secure and
effective medicine for Ardhavabhedaka.

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1. Central Council for Research in Ayurvedic Sciences, National AYUSH Morbidity and Standardized
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2. Steiner TJ et al. Migraine: the seventh disabler. The Journal of Headache and Pain 2013, 14:1.
3. Dennis L. Kasper, Anthony S. Fauci, Stephen L. Hauser, Dan L. LonGo, J. Larry Jameson Joseph Loscalzo.
Harrison’s Manual of Medicine. 19th Edition, Chapter 49. New York City, USA: McGraw-Hill Education;
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4. Dr. Adikananda Biswal, Dr.Rasmita Routray. A Text book of Shalakyatantra, 2014 ed. Varanasi – 221001
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5. Acharya Jadavaji Trikamaji, N M Acharya, editor. Sushruta Samhita of Sushruta with Nibandhsangraha
Commentry of Dalhana Acharya, Uttartantra 25.15
6. JAMA. 2009;301(24):2608.doi:10.1001/jama.301.24.26 08.

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7. Ashtanga hrdaya of Vagbhata, with the commentaries of Sarvangasundara and Ayurveda Rasayanam. Varanasi,
U.P: Chaukhambha Surbharathi Prakashan; 2002. Uttara sthana. 23.7-8
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Harrison’s Manual of Medicine. 19th Edition, Chapter 49. New York City, USA: McGraw-Hill Education;
2016. page number 215.
9. Acharya Jadavaji Trikamaji, N M Acharya, editor. Sushruta Samhita of Sushruta with Nibandhsangraha
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