Ayurvedic Approach of Shirorogas w.s.r. to Headache: A review study

references were taken from ayurvedic texts as well as modern texts.

1. AYURVEDIC APPROACH OF SHIROROGAS w.s.r . TO HEADACHE: A REVIEW Presented by DR.VARSHA S. DHAGE M.S. Shalakya -ENT Assi . Professor SNKDCT’s Ayurved Medical College, Nallasopara .

2. SHIRAHSHOOLA Update Shalakyatantra 2019, Dr. Varsha Dhage HEADACHE 2

3. INTRODUCTION The diseases in which “ Shirah shoola ” is the prime symptom, are named as Shirorogas . It is the seat of prana and all indrias ( Ch.su.). Shirah is a main control system of all bodily ailments. Alteration in the activity of the Shirah influences all body tissues and also influenced by body tissues in an inverse order. Update Shalakyatantra 2019, Dr. Varsha Dhage 3

4. Shirahshula is described in Ayurveda not only as the symptom of many diseases but also as an independent disease entity as Shiroroga . Shirahshula is also mentioned as synonym of Shiroroga . Charaka has mentioned Shiroruk (Shula ) as separate disease among eight types of Vata-vyadhis . The life style in modern era creates so many psychological disorders. Update Shalakyatantra 2019, Dr. Varsha Dhage 4

5. The International Association for the study of pain (IASP) has defined pain as “An unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage.” WHO includes headache among the top 10 causes of disability ( who.world health report.who.Genewa2001 google scholar) and in women, headache is among the top 5 , with an impact similar to arthritis and diabetes and worse than asthma. Update Shalakyatantra 2019, Dr. Varsha Dhage 5

6. AIMS & OBJECTIVES Update Shalakyatantra 2019, Dr. Varsha Dhage 6

7. METHODOLOGY To explore and elaborate the role of Ayurveda in headache w.s.r to Shirahshoola ( Shirorogas ) by refereing various authentic books, Samhitas , Web searches etc. Update Shalakyatantra 2019, Dr. Varsha Dhage 7

8. REVIEW OF LITERATURE Update Shalakyatantra 2019, Dr. Varsha Dhage 8

9. TYPES OF SHIRO ROGAS Update Shalakyatantra 2019, Dr. Varsha Dhage 9 Acc.to charaka (5) Acc. To sushruta(11) According to VAGBHATA Vataj Shirogata(10 ) Kapalgata(9) Vataja Pittaj Vataja Uoasheershak Pittaj Kaphaj Pittaj aroomshika Kaphaj Sannipataja Kaphaj darunka Tridoshaj Kshayaja Raktaj indralupta Krimija Anantavata Sannipataj Khalitya Shankhak Krimij Palitya Raktaj Suryavarta Shirogranthi Krimija Ardhavbhedak Shiro arbuda Suryaavarta Shankhaka shirovidhradhi Ardhavbhedak shirokampa

10. CLASSIFICATION OF HEADACHE Update Shalakyatantra 2019, Dr. Varsha Dhage 10

11. The different types of headaches depend upon the class to which they belong. Some common types include: Primary tension headaches that are episodic Primary tension headaches that are chronic Primary muscle contraction headaches Primary migraine headaches with aura Primary migraine headaches without aura Primary cluster headache Primary paroxysmal hemicrania (a type of cluster headache) Update Shalakyatantra 2019, Dr. Varsha Dhage 11

12. Primary cough headache Primary stabbing headache Primary headache associated with sexual intercourse Primary thunderclap headache Hypnic headache (headaches that awaken a person from  sleep) Hemicrania continua (headaches that are persistently on one side only, right or left [unilateral]) New daily-persistent headache (NDPH) (a type of chronic headache) Headache from exertion Trigeminal neuralgia and other cranial nerve inflammation Update Shalakyatantra 2019, Dr. Varsha Dhage 12

13. Secondary headaches due to : Disorders Infection Trauma Structural problems with the bones of the face, teeth, eyes, ears, nose, sinuses or other structures Substance abuse or withdrawal Update Shalakyatantra 2019, Dr. Varsha Dhage 13

14. CLASSIFICATION OF HEADACHE Update Shalakyatantra 2019, Dr. Varsha Dhage 14

15. PATHOPHYSIOLOGY OF HEADACHE Update Shalakyatantra 2019, Dr. Varsha Dhage 15

16. INTEGRATED APPROACH TOWARDS THE MANAGEMENT OF HEADACHE ( SHIROSHOOLA) : Modern treatment Acute treatment Acute management done by pain killer such as Aspirin, acetaminophen ,Triptans, etc. Preventive treatment to prevent to future attacks of headache for all types of headaches such as Antidepressents , varampils , etc. Ayurvedic treatment Nidana parivarjan Shiro abhyanga Nasya Snehan-swedan Lepan Dhoompana Vaman-virechan – basti Kawal – gandusha Raktamokshan Yogasana etc. Update Shalakyatantra 2019, Dr. Varsha Dhage 16

17. HEADACHe clinical MANAGEMENT Update Shalakyatantra 2019, Dr. Varsha Dhage 17

18. Contd.. NSAID Aspirin 600–900 mg (ideally effervescent) Ibuprofen 600–800 mg Naproxen 500–1000 mg Diclofenac 50–75 mg (or 100 mg suppository) Tolfenamic acid 200 mg Antiemetics For nausea and/or as a prokinetics such as Domperidone 10 mg up to three times a day (or 60 mg suppository) Metoclopramide 10 mg Prochlorperazine 3–6 mg as buccal preparatio   Triptan sensations such as burning or tingling in the chest or limbs are relatively common (7%) Update Shalakyatantra 2019, Dr. Varsha Dhage 18

19. Ayurvedic approach in the management of Shirashoola LEPAN Gunjadi lepam Marichadi lepam Muchkunda pushpa kalka Pathadi lepam Navsagar with water Sneha nasya / abhyanga Shadbindu taila Dashmoola taila Dhathura taila for abhyanga Gunja taila for abhyanga and nasya Himmanshu taila Kumara taila Update Shalakyatantra 2019, Dr. Varsha Dhage 19

20. Pradhaman nasya yashtinadhu + vatsanabh Navsagar + sudha churna + water Guda + shunthi Shatic churna + karpoora   Kanak taila Rudra taila Bhrungraj taila Mayuradya taila Mahamayuradya ghrita Update Shalakyatantra 2019, Dr. Varsha Dhage 20

21. Contd …. VATI Shira shooladi vajra ras vati Mahalakshmi vilas ras vati Laghu sutshekhar ras Swarna sutshekhar ras vati Chandanadi ras vati Triphala guggulu Kanchanara guggulu CHURNA Ashwagandhadi churna Shatavaryadi churna Talisadi churna Sitopaladi churna Chopachenyadi churna Yastimadhu churna Triphala churna Trikatu churna Shunti churna Haridra khanda Update Shalakyatantra 2019, Dr. Varsha Dhage 21

22. Update Shalakyatantra 2019, Dr. Varsha Dhage 22

23. KRIYAKALPAS IN SHIRASHOOLA SHIRO PICHU SHIROBASTI Update Shalakyatantra 2019, Dr. Varsha Dhage 23

24. SHIRODHARA NASYA Update Shalakyatantra 2019, Dr. Varsha Dhage 24

25. PATHYA Shiroabhyanga , shirovestana , sheetajala shir snana , sweda,nasya , dhoompana , virechan , lep,seka , upvasa , shirobasti , raktmokshan , agnikarma , upanaha , puranghrita , shalidhanya , shastika dhanya , yusha , ksheera , jangal mamsa , patola , shigru , draksha , karvellaka , godanti , amra phala amalaki trikatu dadima phala , taila takra kanji narikela haridra yashtimadhu tulasi nhrugraj etc Update Shalakyatantra 2019, Dr. Varsha Dhage 25

26. APATHYA Abhyaga dwesh , shiro abhighata shiro abhitapa , vegavodha , viruddha bhojana , jalakreeda.diwa swapna , nishijagara , ajeerna , exposure to dust,smoke etc. neglecting nasal, ear, teeth and eye disorders etc. Update Shalakyatantra 2019, Dr. Varsha Dhage 26

27. CONCLUSION Seven major texts of Ayurveda which included  Bruhtrayis  (three major texts),  Laghutrayis  (three minor texts) and Yoga Ratnakara were reviewed, The texts reviewed included  Charaka samhita ,  Sushruta samhita ,  Ashtanga Hridaya ,  BhavaPrakasha ,  Madhava nidana ,  Sharangadhara samhita ,  and   YogaRatnakara . Update Shalakyatantra 2019, Dr. Varsha Dhage 27

28. Contd … The compilation also includes information on headache-related disorders ( shiroroga ), and its ayurvedic management . On the basis of available data from different authentic books, articles, samhitas , web searches etc., we can say that the ayurvedic treatments are very much effective , easily available, less or without side effects and can cure headache completely. Update Shalakyatantra 2019, Dr. Varsha Dhage 28

29. Contd. Whereas in modern science, the medicines are only used to supress the pain temporally, very costly surgical treatments and can cause further complications too . Update Shalakyatantra 2019, Dr. Varsha Dhage 29

30. AYURVEDA GIVES SATISFACTION Before treatment After treatment Update Shalakyatantra 2019, Dr. Varsha Dhage 30

31. Update Shalakyatantra 2019, Dr. Varsha Dhage 31