Patil Giramalla, Patil Shivanand, Hosur Prateek
All India Institute of Ayurveda, Sarita Vihar, New Delhi, 110076, India.
All India Institute of Ayurveda, Dargalim, Goa, 403519, India.
J Ayurveda Integr Med. 2024 Sep-Oct;15(5):100983. doi: 10.1016/j.jaim.2024.100983. Epub 2024 Oct 24.
Migraine is one of the most prevalent causes of functional disability worldwide. Migraine patients experience headaches of varying degrees, which are related with a higher level of disability and are triggered by psychological and physiological stressors. Migraine is estimated to affect 16.6% of the world's population, with women being three times more likely to experience it than men. Despite considerable advancements in modern and traditional medicine, a complete cure remains uncertain. In Ayurvedic treatises, migraine headache is referred to as Ardhavabedhaka under the classification of Shiroroga (diseases related to the head region). 35-year-old Indian male police inspector, suffering from recurrent right hemi-cranial headaches once in three days for the last three months, presented symptoms of Tridhoshaja Ardhvabhedaka (Migraine) associated with Amlapitta (hyperacidity). After a thorough assessment of the patient, the treatment was meticulously planned based on the patient's Dosha pradhanyatha and Vyadhi avastha(stage of disease). For the proper Samprapti vighatana, Nidana parivarjana (abstinance from the eitiological factors), Deepana, Paachana, Siravyadha, Nasya and Dosha ShamanaChikitsa principles were adopted. Further, the severity of the migraine was assessed by MIDAS and NPR score, which subsequently decreased from 19 to 4, and the NPR scale decreased from 8 to 2 till completion of the therapeutic intervention. This case report unequivocally highlights the pivotal role of the Ayurveda treatment regimen in effectively managing migraine. Overall, effective treatment of migraine cases requires the correct assessment of Dosha status and Vyadhi avastha and the correct selection of the appropriate medicine and procedures like Siravyadha and Nasya at that appropriate stage of the disease.
偏头痛是全球导致功能残疾的最常见原因之一。偏头痛患者会经历不同程度的头痛，这与更高水平的残疾相关，且由心理和生理应激源引发。据估计，偏头痛影响着全球16.6%的人口，女性患偏头痛的可能性是男性的三倍。尽管现代医学和传统医学都取得了显著进展，但完全治愈仍不确定。在阿育吠陀论著中，偏头痛在头病（与头部区域相关的疾病）分类下被称为半侧头痛。一名35岁的印度男性警察检查员，在过去三个月里每隔三天就会出现一次复发性右半侧头痛，表现出与胃酸过多相关的三体液型半侧头痛（偏头痛）症状。在对患者进行全面评估后，根据患者的体液主导情况和疾病阶段精心制定了治疗方案。为了正确阻断发病过程，采用了避免病因、开胃、消食、通脉、滴鼻和调节体液等治疗原则。此外，通过偏头痛残疾评定量表（MIDAS）和数值疼痛评分（NPR）对偏头痛的严重程度进行评估，随后该评分从19降至4，NPR量表从8降至2，直至治疗干预结束。本病例报告明确强调了阿育吠陀治疗方案在有效管理偏头痛方面的关键作用。总体而言，有效治疗偏头痛病例需要正确评估体液状态和疾病阶段，并在疾病的适当阶段正确选择合适的药物和治疗方法，如通脉和滴鼻。
