Multimodal Ayurvedic Management of Ardhavabhedaka (Migraine without Aura) - A Case Report
DOI:
https://doi.org/10.70066/jahm.v14i9.2743Keywords:
Agni karma, Ardhavabhedaka, Case report, Gudadi nasya, Headache, MIDAS, Migraine, Viddha karma.Abstract
Background: Ardhavabhedaka is a Shiroroga (disorder of head), characterized by severe Sambheda (piercing), Toda (pricking), Shula (pain), Bhrama (giddiness) on one side of the head. It can be correlated with Migraine. Migraine accounts for 16% of all the primary headaches, it is three times more common in women than in men. WHO ranks Migraine among the World's most disabling medical illnesses. Clinical findings: A 40-year-old female working as a teacher presented to the ENT OPD with unilateral headache, heaviness and nausea. Based on clinical features she was diagnosed with Ardhavabhedaka (Migraine without aura). VAS and MIDAS scale were 8 and 15 (Grade III) respectively. Intervention: Patient was subjected to Sadyovirechana with Trivruth avaleha followed by Gudadi nasya for 7 days and Viddha Agni Karma (therapeutic needle piercing and local cauterization) (on 1st and 4th day of Nasya Karma) and Shirashoola Vajra rasa (1/BD/AF with water for 7 days) was administered orally, along with dietary and lifestyle modifications. Outcome: VAS score reduced from 8 at baseline to 0 post treatment. Similarly the MIDAS improved from 15 (Grade III) before treatment to 0 (Grade I) at first follow-up and second follow-up. The patient remained symptom free with no recurrence of migraine attacks during six months of follow-up. Conclusion: This case report highlights the potential role of multimodal approach in the management of Ardhavabhedaka after Kaya Shodhana (body purification), Viddha karma and Agni karma helped in pain management, nose is considered as gateway of Shiras, So the drugs having Teekshna, Ushna in nature and having Srotoshodaka (channel cleansing) property were used in Nasya karma. Shirashoola Vajra rasa is indicated in all types of Shiroroga. Patient experienced relief from symptoms and marked improvement was seen on all parameters. This suggest potential benefit of given treatment and requires validation through further studies.
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