Clinical evaluation of an Ayurvedic therapy– Sutashekhara Rasa and Brihat Jeevakadya Taila Nasya in the management of Ardhavabhedaka (Migraine)

Abstract

Ardhavabhedaka-hemicranial headache is a psychosomatic disorder: later replaced by migraine a Greek word "half of the head" because the pain of migraine often occurs on one side(classical Migraine) may affect the entire head. The term "migraine" refers to a syndrome of vascular pathology of the cranial blood vessels and is one of the commonest headache encountered in clinical practise. The survey results suggested that both patients and physicians believe migraine treatment is elusive and that patients are becoming increasingly frustrated and dissatisfied with treatment outcomes. Clinically, it is a Rakta/Pitta dominant disease;andAcharya Charaka opined that the vitiated Doshas after reaching Shirah vitiates Rakta (Rasavaha and Raktavaha Srotas) there to produce Shiro Roga (headache). Its diagnosis is based on mainly clinical history. For the present study, it was planned to compare the result between Brihat Jeevakadhya Taila Nasyaand Sutashekhara Rasa orally (Pitashamaka, Raktashodhaka, Deepana etc.) in Treatment Trial group and Flunarizine in Control group. The overall effect of therapy showed that in Trial group 80. 00% patients had marked improvement, followed by moderate improvement in 13. 33% and complete improvement in 6. 67%. In control group marked and moderate improvement was seen in 60. 00% and 33. 33% respectively; and 6. 67% had mild improvement. No any adverse drug reaction was found during whole study. Total 30 patients were registered and from the results and observation which were received from this study it can be concluded that Trial group is showing better results in Ardhavabhedaka

Ayurveda for management of migraine: A narrative review of clinical evidence

“…In another study, Brhat Jeevakadi taila nasya showed better results in symptoms associated with migraine headache, including severity and frequency, compared to Flunarizine 10 mg, wherein it fared better only in reducing the associated vomiting. [ 23 ] In another study, Panchagavya Ghrta nasya along with Tab. Flunarizine 10 mg scored better on pain scales.…”

“…Compared to Flunarizine, Sutashekhara Rasa, along with Nasya ameliorated most symptoms associated with migraine. [ 23 ] Laghu Sutashekhara rasa (LSR) was administered in two studies as stand-alone and in combination with nasya. [ 19 20 ] LSR as a stand-alone was found to be more effective compared to Nasya.…”

A comparative evaluation on efficacy of Brihat Dashmoola Taila Snehapana and Brihat Dashmoola Taila Nasya in the management of Ardhavabhedaka (Migraine)

“…Scoring pattern [9] Subjective symptoms based on the reduction of disease signs and symptoms, the patient's improvement was evaluated. Following are specifics of the score used for the study's primary indications and symptoms based on the reduction of disease signs and symptoms, the patients' improvement was evaluated.…”