Casestudies migraine
Migraine is a neurological disorder usually characterised by intense, debilitating headache involving either half of the head. Symptoms may include nausea, vomiting, sensitivity to light and sound, etc. In Ayurveda it can be correlated as Ardhavabhedaka. Migraine can occur at all ages and usually begins before the age of 25. It is more prevalent in women than men.
Patient Name: Mrs. SM
Age/ Sex: 36 yrs/ Female
Presenting complaints:
- Severe headache since 2 years
H/O Presenting complaints:
A female patient of age 36 years old was admitted in our hospital with complaints of severe headache since 2 years. She has periodic episodes of headache, 1-2 episodes per month and each episode persists 2-3 days. She has taken allopathic treatments before and is on medication for the same. She has nausea at the time of headache.
Vital Parameters:
BP: 120/80mm of hg Pulse: 80/min
Height: 153cm Weight:60 Kg
Ahara: Mixed diet
Vihara: No exercises
Appetite: Samagni
Micturition: Normal
Bowel: Sama
Sleep: Good
Genereal Systemic examination:
Gait: normal GC: Normal CVS:S1S2 heard
CNS: Oriented to place and time
RS: NVBS heard PA: Soft, No organomegally
Clinical Examination:
Head and Neck: Tenderness + over temporal area
Dasavidha Pariksha:
Prakruthi: Kapha vata
Vikrutha Dosha: Kapha pitha
Dushya: Rasa, Rakta
Sara: Medosara
Samhanana: Madhyama
Satva: Madhyama
Aharasakthi: Abhyavaharanasakthi- Pravara
Jaranasakthi- Pravara
Vyayamasakthi: Pravara
Vaya: Youvana
Pramana: Madhyama
Ashtavidha Pariksha:
Nadi: Sadharana
Mala: Sama
Mutra: Sadharana
Jihwa: Anupalipta
Sabda: Sadharana
Sparsha: Anushnasita
Drik: Sadharana
Akruthi: Madhyama
Nidana Panchaka:
Nidana: Ahara – Seetha, Guru and Amlapradhana ahara
Vihara – Ratrijagarana
Purvarupa: Occasional headache
Rupa: Headache along with nausea twice in a month
Upasaya- Rest
Anupasaya-
Samprapthi Gataka:
Dosha: Kapha Pitha
Dushya: Rasa, Rakta
Agni: Jataragni, Dhatwagni
Ama: Sama
Srotas: Dhatuvaha
Srotodushtiprakara: Sanga
Sadhyasadhyata: Krichrasadhya
Samprapthi Flow Chart:
Mithyaharavihara
↓
Kapha and Pitha vridhi and Raja Tama prakopa
↓Agnimandya→Ama
Srotodushti
↓
Rasa Rakta dhathu dushti
↓
Shirogadam
↓
Shoola
Diagnosis: Migraine Headache (Shirashoola)
Treatments given:
We have given15 days of Inpatient treatments with internal medication and external therapies along with proper diet.
Shodhana Nasya, Shirovasti and Kayarechana was done along with shamanaushadhas
Outcome scales after 15 days of treatment:
Symptoms | Before treatment | After treatment |
Headache | 7 (VAS) | 0 |
Nausea | High | Absent |
After 15 days of inpatient treatment, patient has got complete relief from the symptoms. Advised her to continue the medications and Shaman Nasya for next one month.
