Shiras and shirorogas -a classical approach

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Shiras forms the root of the body where the special sense organs like eyes, ears, nose and tongue are situated. It is one of the most vital organs of the body. In Ayurveda much importance has been given to Shiras . It is one among the three marmas and listed under dashavidapranayatanas . Shirashoola istraditionallydescribedasaviolent throbbing pain in cephalic region. However it is impossible to specify its constant site and intensity. Site of headache are notably temporal, supra orbital, frontal, retro bulbar, parietal, post auricular and occipital. It may occur as well in the molar region in the upper and lower teeth, wall of the orbit, neck, common carotid arteries and down as far as the tip of the shoulder Keywords: Shiras, shirashoola, shiroroga SHIRAS AND SHIROROGAS -A CLASSICAL APPROACH Sangolli Kalmesh S 1 Mudhol Ramesh S 2 Hiremath Suresh G 3 1 Department of Shalakyatantra, KLE University, B.M.K Ayurveda Mahavidyalaya, Belgaum,Karnataka state, India 2 Department of ENT, KLE University J N Medical College Belgaum, Karnataka state, India 3 Professor, Department of Roganidana, KLE University B.M.K Ayurveda MahavidyalayaBelgaum, Karnataka state, India INTRODUCTION Shirorogas occupy a prime position in the urdhwajatrugata vikaras, as it is the seat of prana and indriyas [1]. It is sadhyopranaharamarma and is ashraya (moola) for otherparts of the body[2]. Importance of Uttamanga and disease afflicting it has been mentioned in the authoritative texts of Ayurveda. Mostly the term shiroroga is used as synonym of shirashoola . The term shirashoola encompasses all the aches and the discomfort located in the head. But in practice its application is restricted to discomfort in the region of the cranial vault. Headache is the most common reason for seeking medical help. In general 64% population reports headache Importanceof shiras as described by the classical texts: Charaka explains shiras as the sthana of prana [3]. Vagbhata explains shiras is ashraya of pranavayu which is responsible for Bhuddhi and other functions of indriyas [4] Sushruta opines prana is the combination of agni, soma,vayu, panchaindriyas and panchamahabhootas . Such pranas are located in shiras [5]. Madhukosha commentatorof Madhavanidana clarified the definitions of shirorogas . According to this commentary the term shiroroga refers to such clinical conditions where the shiroruja is a cardinal feature. Madhukosha also explains that shirashoola can be explained as the pain experienced by the patient in shiropradesha [6] Doshas seated in shiras are Pranavayu, Alochaka pitta, sadhaka pitta, Tarpakakapha and bhodakakapha Referance made by Su- Review Article International Ayurvedic Medical Journal ISSN:2320 5091 ABSTRACT Shiras forms the root of the body where the special sense organs like eyes, ears, nose and tongue are situated. It is one of the most vital organs of the body. In Ayurveda much importance has been given to Shiras . It is one among the three marmas and listed under dashavidapranayatanas . Shirashoola istraditionallydescribedasaviolent throbbing pain in cephalic region. However it is impossible to specify its constant site and intensity. Site of headache are notably temporal, supra orbital, frontal, retro bulbar, parietal, post auricular and occipital. It may occur as well in the molar region in the upper and lower teeth, wall of the orbit, neck, common carotid arteries and down as far as the tip of the shoulder Keywords: Shiras, shirashoola, shiroroga SHIRAS AND SHIROROGAS -A CLASSICAL APPROACH Sangolli Kalmesh S 1 Mudhol Ramesh S 2 Hiremath Suresh G 3 1 Department of Shalakyatantra, KLE University, B.M.K Ayurveda Mahavidyalaya, Belgaum,Karnataka state, India 2 Department of ENT, KLE University J N Medical College Belgaum, Karnataka state, India 3 Professor, Department of Roganidana, KLE University B.M.K Ayurveda MahavidyalayaBelgaum, Karnataka state, India INTRODUCTION Shirorogas occupy a prime position in the urdhwajatrugata vikaras, as it is the seat of prana and indriyas [1]. It is sadhyopranaharamarma and is ashraya (moola) for otherparts of the body[2]. Importance of Uttamanga and disease afflicting it has been mentioned in the authoritative texts of Ayurveda. Mostly the term shiroroga is used as synonym of shirashoola . The term shirashoola encompasses all the aches and the discomfort located in the head. But in practice its application is restricted to discomfort in the region of the cranial vault. Headache is the most common reason for seeking medical help. In general 64% population reports headache Importanceof shiras as described by the classical texts: Charaka explains shiras as the sthana of prana [3]. Vagbhata explains shiras is ashraya of pranavayu which is responsible for Bhuddhi and other functions of indriyas [4] Sushruta opines prana is the combination of agni, soma,vayu, panchaindriyas and panchamahabhootas . Such pranas are located in shiras [5]. Madhukosha commentatorof Madhavanidana clarified the definitions of shirorogas . According to this commentary the term shiroroga refers to such clinical conditions where the shiroruja is a cardinal feature. Madhukosha also explains that shirashoola can be explained as the pain experienced by the patient in shiropradesha [6] Doshas seated in shiras are Pranavayu, Alochaka pitta, sadhaka pitta, Tarpakakapha and bhodakakapha Referance made by Su- Review Article International Ayurvedic Medical Journal ISSN:2320 5091 ABSTRACT Shiras forms the root of the body where the special sense organs like eyes, ears, nose and tongue are situated. It is one of the most vital organs of the body. In Ayurveda much importance has been given to Shiras . It is one among the three marmas and listed under dashavidapranayatanas . Shirashoola istraditionallydescribedasaviolent throbbing pain in cephalic region. However it is impossible to specify its constant site and intensity. Site of headache are notably temporal, supra orbital, frontal, retro bulbar, parietal, post auricular and occipital. It may occur as well in the molar region in the upper and lower teeth, wall of the orbit, neck, common carotid arteries and down as far as the tip of the shoulder Keywords: Shiras, shirashoola, shiroroga Sangolli Kalmesh S et