Efficacy of Shirahshoolahar Basti in Ardhavabhedaka: Case Study
Journal name: Ayushdhara
Original article title: Efficacy of Shirahshoolahar Basti and Shaman Chikitsa in Ardhavabhedaka - A Single Case Study
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Chalakh Tejaswini
PG Scholar, Dept. of Panchakarma, Shree Saptshrungi Ayurved Mahavidyalay, Nashik, Maharashtra, India.
More Manjusha
Professor & HOD, Dept. of Panchakarma, Shree Saptshrungi Ayurved Mahavidyalay, Nashik, Maharashtra, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Efficacy of Shirahshoolahar Basti and Shaman Chikitsa in Ardhavabhedaka - A Single Case Study
Year: 2023 | Doi: 10.47070/ayushdhara.v10iSuppl1.1115
Copyright (license): CC BY-NC-SA 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
The study detailed in the article explores the efficacy of Shirahshoolahar Basti and Shaman Chikitsa in the treatment of Ardhavabhedaka, a condition recognized as a significant type of headache in Ayurvedic medicine. Ardhavabhedaka features unilateral headache accompanied by symptoms like nausea and vertigo, often categorized as a "Kashtasadhya Vyadhi." Traditional methods of treatment in Ayurveda include Panchakarma procedures, among which Basti therapy is particularly noted for its effectiveness against Vata disorders. The article presents a single case study of a 32-year-old male patient suffering from the condition for three years, emphasizing a therapeutic approach that combines both local and systemic interventions.
Efficacy of Shirahshoolahar Basti
One of the key therapies discussed is Shirahshoolahar Basti, which incorporates various ingredients believed to possess properties that balance the body's doshas, especially Vata. This treatment involves a carefully formulated combination of Gogruta, Dashmoola Taila, Mashkashaya, Dadhi, and Dadim rasa, aimed at addressing the specific pathological processes involved in Ardhavabhedaka. The procedure was administered over a 15-day period and included both local and systemic assessments before and after treatment. Results indicated a significant reduction in headache intensity, frequency, and associated symptoms like nausea and sensitivity to light, demonstrating the treatment's practical effectiveness in managing this complex condition.
Shaman Chikitsa Approach
The complementary treatment of Shaman Chikitsa involved the administration of several Ayurvedic formulations including Shirashooladi Vajra Rasa, Sutashekhar Rasa, and Pathyadi Kwath. These treatments were designed to target both Vata aggravations and general symptoms associated with headache disorders. By utilizing a comprehensive approach that combined oral medications and specialized Basti therapy, the patient experienced notable improvements. Symptom assessments before and after therapy demonstrated that not only did the frequency of headaches decrease, but other related symptoms such as nausea and vertigo also improved. This holistic method underscores the importance of individualized treatment in Ayurveda.
Conclusion
The results from the case study suggest that Shirahshoolahar Basti and Shaman Chikitsa are effective therapeutic options for managing Ardhavabhedaka. Through a structured approach involving both local and systemic Ayurvedic treatments, significant improvements in patient symptoms were achieved, indicating a potential for developing standardized treatment protocols for this type of headache. Future research involving larger patient samples could further validate the efficacy of these therapies in broader clinical settings, contributing to the growing field of integrative health approaches in managing chronic headache disorders.
FAQ section (important questions/answers):
What is Ardhavabhedaka and its main symptoms?
Ardhavabhedaka, a type of Shiroroga, involves paroxysmal unilateral headache, often accompanied by vertigo and varying pain intensity. Its symptoms may include nausea, vomiting, and photophobia, making it a challenging condition to manage.
What treatments were used in the case study?
The case study utilized Shirahshoolahar Basti along with Shaman Chikitsa. Shaman Chikitsa included various herbs, while Shirahshoolahar Basti featured Gogruta, Dashmoola taila, and Mashkashaya, administered over a treatment period of 15 days.
What were the results of the treatment for the patient?
The treatment led to significant improvements, reducing the severity, frequency, and duration of headaches, nausea, vomiting, and associated symptoms. The patient reported notable changes after 15 days, followed by a follow-up after 30 days.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Efficacy of Shirahshoolahar Basti in Ardhavabhedaka: Case Study”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Basti:
Basti is described as an effective treatment for Vata disorders and considered half of the treatment in Ayurveda. It involves introducing medicated substances into the rectum to control Vata doshas and treat diseases like Shiroroga and Ardhavabhedaka.
2) Ardhavabhedaka:
Ardhavabhedaka refers to a condition characterized by severe, episodic headaches typically affecting one side of the head. It is akin to migraine and can be accompanied by symptoms like vertigo, nausea, and photophobia. It is considered a type of Shiroroga in Ayurveda.
3) Rasa (Rasha):
Rasa in the context of the study generally refers to medicinal formulations used. For instance, Shirashooladi Vajra Rasa and Sutashekhar Rasa are Ayurvedic medicines given for treating Ardhavabhedaka.
4) Vata:
Vata is one of the three doshas in Ayurveda, responsible for movement and governed by air and space elements. Disorders like Ardhavabhedaka often primarily involve an imbalance in Vata dosha.
5) Shiroroga (Siroroga, Shiras-roga):
Shiroroga encompasses diseases of the head, where Shirashoola (headache) is the main symptom. Ardhavabhedaka, characterized by unilateral headache, falls under this category according to Ayurvedic texts.
6) Bhrama:
Bhrama refers to vertigo or dizziness, a common symptom associated with Ardhavabhedaka. It is typically treated as part of the comprehensive Ayurveda management plan using therapies like Basti and Shaman Chikitsa.
7) Taila (Thaila):
Taila refers to oils used in Ayurveda for various treatments such as Abhyanga (massage). In the treatment of Ardhavabhedaka, Dashmoola taila is used in Basti therapy.
8) Shuddha (Suddha):
Shuddha means purified in the Ayurvedic context, signifying the purified forms of ingredients like Parad (mercury) and Gandhak (sulphur) used in medicinal formulations like Sutashekhar Rasa.
9) Disease:
[see source text or glossary: Disease]
10) Dadhi:
Dadhi is curd or yogurt, used as an ingredient in the Shirahshoolahar Basti recipe for treating Ardhavabhedaka. It is considered Vatashamak, helping to balance the Vata dosha.
11) Pain:
[see source text or glossary: Pain]
12) Vajrarasa (Vajra-rasa):
Vajra-rasa is part of the medication given during Shaman Chikitsa for Ardhavabhedaka. Examples include Shirashooladi Vajra Rasa, which contains several ingredients targeting Tridoshaghna and pain relief.
13) Dravya:
Dravya refers to substances or ingredients used in Ayurvedic formulations. In the context of Basti, dravya like Goghruta and Dashmoola taila are important for the preparation.
14) Vajra:
Vajra refers to 'diamond' but in this context, it signifies the firmness or effectiveness of medicinal formulations like Shirashooladi Vajra Rasa used in treating Ardhavabhedaka.
15) Drug:
[see source text or glossary: Drug]
16) Adhobhakta (Adhas-bhakta):
Adhobhakta means taking medicine after meals. In the treatment of Ardhavabhedaka, medications like Shirashooladi Vajra Rasa and Sutashekhar Rasa are administered Adhobhakta.
17) Saindhava (Saimdhava):
Saindhava refers to rock salt, which is a component of the Shirahshoolahar Basti used for its Tridoshaghna properties, ensuring the effectiveness of the treatment for Ardhavabhedaka.
18) Ayurveda (Ayus-veda):
Ayurveda is the ancient Indian science of medicine and holistic health, focusing on balancing bodily doshas (Vata, Pitta, Kapha) through treatments like Basti and Shaman Chikitsa to manage diseases like Ardhavabhedaka.
19) Manjusha (Manjusa, Mamjusa, Mamjusha):
Manjusha is one of the authors of the study, contributing to the research on the efficacy of Shirahshoolahar Basti and Shaman Chikitsa in treating Ardhavabhedaka. She holds the position of Professor & HOD at Shree Saptshrungi Ayurved Mahavidyalay.
20) Vomiting:
[see source text or glossary: Vomiting]
21) Vertigo:
[see source text or glossary: Vertigo]
22) Nausea:
[see source text or glossary: Nausea]
23) Shiras (Siras, Siro, Shirash):
Shirah or Shira means head in Ayurveda. The term highlights the importance of head treatments in Ayurveda, treating conditions like Ardhavabhedaka under Shiroroga.
24) Dosha (Dosa):
[see source text or glossary: Dosha]
25) Pitta:
Pitta is one of the three doshas in Ayurveda, associated with fire and water elements, and governs metabolism. Imbalance in Pitta can contribute to conditions like Ardhavabhedaka.
26) Sira (Shira):
[see Shirah]
27) Karna:
Karna means ear in Sanskrit. In Ardhavabhedaka, pain can radiate to the Karna pradesha (region around the ear), indicating the involvement of certain doshas and need for specific treatments.
28) Balya:
Balya refers to strength or nutritional enhancers. In the context of the study, dravyas like Mashkashaya, used in Basti for its Balya properties, help in overall strengthening and nourishment.
29) Bhru:
Bhru means eyebrow. In Ardhavabhedaka, pain can affect areas around Bhru pradesha (eyebrow region), indicating the severity and spread of the headache.
30) Kala:
[see source text or glossary: Kala]
31) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya refers to the weakened digestive fire or digestive issues. It's one of the symptoms treated in the patient suffering from Ardhavabhedaka using Ayurvedic medications and therapies.
32) Amlapitta (Amla-pitta):
Amlapitta refers to acid dyspepsia or hyperacidity in Ayurveda. Sutashekhar Rasa, used in the study, targets Amlapitta and related symptoms like nausea, vomiting, and dizziness.
33) Abhyanga (Abhyamga):
Abhyanga is an Ayurvedic therapy involving oil massage, which precedes Basti treatment to enhance circulation and warm up the body, making therapies like Shirahshoolahar Basti more effective.
34) Triphala (Tri-phala):
Triphala is an Ayurvedic herbal formulation consisting of three fruits—Amalaki, Bibhitaki, and Haritaki, known for their Vata and Kapha balancing properties. It is part of Pathyadi Kwath used in the study.
35) Indriya (Imdriya):
Indriya refers to the senses. Certain Ayurvedic treatments aim to strengthen Indriyas, improving the overall health and functioning of sensory organs, as seen in the ingredients of Shirahshoolahar Basti.
36) Shankha (Sankha, Samkha, Shamkha):
Shankha means temple areas of the head. In Ardhavabhedaka, pain often manifests in the Shankha region, highlighting the need for targeted treatments.
37) Buddhi:
Buddhi means intellect. Ayurvedic treatments often aim to enhance Buddhi, with certain dravyas like Goghruta used for their cognitive benefits.
38) Sadhya:
Sadhya refers to a condition that is curable. Ardhavabhedaka is considered Sadhya, meaning with the right treatment, the condition can be managed effectively.
39) Dushya (Dusya):
Dushya refers to the affected tissues or system involved in the pathology of a disease. In Ardhavabhedaka, the affected Dushya includes Rasa and Rakta, which are targeted by treatments like Basti.
40) Vyadhin (Vyadhi):
[see source text or glossary: Vyadhi]
41) Kalpa:
[see source text or glossary: Kalpa]
42) Nasya (Nashya):
Nasya is an Ayurvedic Panchakarma therapy involving the administration of medication through the nasal passage. It is one of the varied treatments for Ardhavabhedaka.
43) Matra:
[see source text or glossary: Matra]
44) India:
India is where Ayurveda originated and continues to be widely practiced. The prevalence of migraine, akin to Ardhavabhedaka, is notably high, especially in the southern states of India.
45) Vega:
Vega refers to the episodic onset or attacks of a disease. In Ardhavabhedaka, monitoring and treating Vega helps in managing the condition effectively.
46) Guna:
[see source text or glossary: Guna]
47) Tree:
Tree as a metaphor in Ayurveda conveys that nourishing the 'root' (head) ensures the health of the entire body, akin to effective treatments for Shiroroga, including Ardhavabhedaka.
48) Vatapittahara (Vatapitta-hara):
Vatapittahara refers to substances or treatments that balance Vata and Pitta doshas. Ingredients like Goghruta in Shirahshoolahar Basti have Vatapittahara properties.
49) Siddhisthana (Siddhi-sthana):
Siddhisthana is a section in classical Ayurvedic texts such as Charaka Samhita where certain preparations like Shirahshoolahar Basti are mentioned, detailing the treatment protocols for diseases like Ardhavabhedaka.
50) Kiratatikta (Kirata-tikta):
Kiratatikta is a herb known for its Vata and Kapha balancing properties. It is one of the ingredients in Pathyadi Kwath, used in the study for treating Ardhavabhedaka.
51) Tamalapatra (Tamala-patra):
[see source text or glossary: Tamalapatra]
52) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is the Indian state where the study was conducted, specifically at Shree Saptshrungi Ayurved Mahavidyalay located in Nashik.
53) Matra-basti:
[see Matra and Basti]
54) Nagakesara (Nagakeshara, Naga-kesara):
Nagakeshara is an Ayurvedic herb used for its anti-inflammatory and therapeutic properties. It is an ingredient in Sutashekhar Rasa, part of the treatment regimen for Ardhavabhedaka.
55) Abhyantara (Abhyamtara):
[see source text or glossary: Abhyantara]
56) Adhishthana (Adhisthana):
[see source text or glossary: Adhisthana]
57) Anupashaya (Anupasaya):
Anupashaya refers to factors that aggravate a condition. In Ardhavabhedaka, symptoms worsen with stress, travel, and exposure to cold, highlighting the importance of avoiding these triggers.
58) Ashtavidha (Astavidha, Ashtan-vidha):
[see source text or glossary: Ashtavidha]
59) Vatsanabha (Vatsa-nabha):
[see source text or glossary: Vatsanabha]
60) Vatapitta (Vata-pitta):
Vata-pitta indicates the primary doshas involved in Ardhavabhedaka. The treatments aim to balance these doshas to alleviate the symptoms.
61) Bastikarman (Bastikarma, Basti-karman, Basti-karma):
Bastikarma refers to therapeutic practices involving Basti treatment, considered effective for Vata disorders like Ardhavabhedaka, helping in detoxification and symptom management.
62) Vatadosha (Vatadosa, Vata-dosha):
[see Vata-dosha]
63) Kaphadosha (Kaphadosa, Kapha-dosha):
Kaphadosha pertains to another dosha, which, along with Vata and Pitta, can contribute to conditions like Ardhavabhedaka if imbalanced.
64) Shirodhara (Sirodhara, Shiras-dhara):
Shirodhara is a Panchakarma therapy where medicated oil is poured on the forehead in a continuous stream. It is among the treatments for Ardhavabhedaka.
65) Discussion:
[see source text or glossary: Discussion]
66) Samprapti:
[see source text or glossary: Samprapti]
67) Purvarupa (Purva-rupa):
Purvarupa refers to the preliminary symptoms of a disease. For Ardhavabhedaka, these include Shirogaurav (heaviness in the head) and Shabdasahishnuta (sensitivity to sound).
68) Tridosha (Tridosa, Tri-dosha):
Tridosha refers to the combination of all three doshas—Vata, Pitta, and Kapha, involved in certain conditions like described by Acharya Sushruta for Ardhavabhedaka.
69) Upashaya (Upasaya):
Upashaya refers to factors that provide relief. In Ardhavabhedaka, local application of pain balm, Sthanik Abhyanga, and analgesics provide temporary symptom relief.
70) Jivaniya:
Jivaniya refers to substances that are rejuvenating and life-promoting. In the study, dravyas like Mashkashaya used in Basti have Jivaniya properties.
71) Medicine:
[see source text or glossary: Medicine]
72) Visarga:
[see source text or glossary: Visarga]
73) Vidanga (Vidamga):
[see source text or glossary: Vidanga]
74) Trikatu (Tri-katu):
Trikatu is a combination of three pungent spices—ginger (Sunthi), black pepper (Maricha), and long pepper (Pippali), known for their digestive and therapeutic properties, used in Sutashekhar Rasa.
75) Anupana:
Anupana refers to the vehicle or liquid taken along with a medicine. Examples include Madhu (honey) and Koshnajal (warm water) used with herbs to enhance efficacy in the treatment of Ardhavabhedaka.
[Note: The above list is limited to 75. Total glossary definitions available: 119]