EVALUATING THE EFFICACY OF BRIHAT DASHAMOOLA TAILA NASYA AND RASNA DASHAMOOLA KASHAYA WITH VARUNAADI KSHEERA GHRITA NASYA AND MUNDITAKA KASHAYA IN THE MANAGEMENT OF ARDHAVABHEDAKA VIS-A-VIS MIGRAINE

Introduction: Ardhavabedhaka is a condition characterized by severe pain in half of the head, such as bheda, toda, bhrama, shula appearing in interval of either 15 or 10 days or spontaneously without any cause1. This disease shows close resemblance to migraine. Migraine is a neural condition characterized by severe recurrent headache usually on one side of the head often accompanied by nausea, vomiting and photophobia2. Migraine affects globally 12% of the population. In India 14.12%-25.2% population and it is a disease predominantly seen in females, with male to female ratio of 1.7:2.6 and among those from urban than rural areas 1.3:1.83. Currently, migraines are managed by usage of analgesics and triptans. Chronic usage of these drugs may cause renal and hepatotoxicity. Therefore, it is necessary to explore ayurvedic approaches that can combat the disease. In Ayurevda this disease is managed by usage of uttama matra of chatuhsneha, shirokaya virechana, nadi sweda, niruha basti, anuvasana basti and shamanaoushadi. As Nasya karma is the prime treatment modality for the management of urdhwa jatrugata vikaras, it is considered appropriate for management of Ardhavabedhaka4.

Materials and Methods: The study was conducted using Brihat dashamoola taila as nasya for 8 days and Rasna dashamooladi Kashaya as shamanoushadhi for 23 days post nasya in group 1 and Varunadi ksheera ghrita nasya for 8 days and Munditaka Kashaya as shamanoushadhi for 23 days post nasya in group 2. The assessments were done on the domains of intensity of pain, frequency of attacks and duration of pain, along with the Headache impact score, on the 0th, 8th and 31st days, before and after the treatment.

Result: It showed that there was significant decrease in intensity, frequency, duration of pain and Hit score, post nasya karma in both group 1 and 2, also the reduction in pain was significant in both group 1 and 2 post shamanoushadhi. With the overall treatment, it was seen that the reduction in Hit score was highly significant with a p value of 0.000. On comparing the results obtained in both groups, it was observed that group 1 had significant results compared to group 2.

Conclusion: Nasya karma works as a treatment of choice in Ardhavabhedaka, due to its ability to eliminate the accumulated doshas from the shiras. The present study showed that Brihat dashamoola taila nasya along with Rasna dashamoola kashaya gives better results in vatakapha pradhana Ardhavabhedaka, and Varunadi ksheera ghrita nasya along with Munditaka Kashaya works better in vatapitta pradhana Ardhavabhedaka.