Evidence Hub

Evaluate the effecacy of siravyedha (venesection) in management of ardhavabhedaka WSR to migraine- a case series

R. S, Varun T. V., Chaitra T. M.

International Ayurvedic Medical Journal, 2025

Abstract

Ardhavabhedaka, a condition described in ancient Ayurvedic texts, correlates with migraine due to its unilateral, episodic nature and associated symptoms. Despite advances in modern medicine, effective long-term manage-ment of migraines remains elusive. Ayurveda offers Siravyadha (venesection) as a therapeutic intervention when other treatments fail. This article explores the efficacy of Siravyadha in managing Ardhavabhedaka, emphasising its historical context, clinical methodology, and outcomes from a study conducted at Rajeev Institute of Ayurve-dic Medical Science and Research Centre, Hassan, Karnataka.

Ardhavabhedaka is a debilitating form of headache with characteristics akin to migraine. Classical Ayurvedic texts attribute their etiology to lifestyle and dietary indiscretions, leading to Dosha imbalances primarily involv-ing Vata and Rakta. Modern parallels in migraines include genetic predisposition, environmental triggers, and vascular changes. This study investigates Siravyadha as a treatment modality and its impact on symptoms, dura-tion, and frequency of attacks.

Methodology

The study recruited patients diagnosed with Ardhavabhedaka based on Ayurvedic and modern diagnostic criteria. Participants underwent Siravyadha treatment in controlled settings, followed by clinical observations and as-sessments of pain intensity, attack frequency, and associated symptoms. Comparative analysis of pre- and post-treatment outcomes determined the therapy's efficacy.

Results

Key…

How strong is the evidence?

Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

Read the paper

Related studies

Go deeper in Evidence Hub

Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.

Open this study Sign up free