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Therapeutic Efficacy of Classical Ayurvedic Shamana Chikitsa And Sira Vyedhana in Ardhavabhedaka W.S.R to Migraine: A Prospective Clinical Case Series

Prajna Paramita Behera, Satyajit Behera, Piyush Ranjan Parhi, Swarnakant Jena, Pragya P. Mallik, M. Nivetha, Asit Devi Prasad Biswal

International Journal of Drug Delivery Technology, 2026

10 participants

Abstract

Background

Ardhavabhedaka is one among the eleven Shirorogas described in Ayurvedic classics and clinically resembles

migraine headache.¹ Migraine is a chronic disabling neurovascular disorder characterized by recurrent attacks of

unilateral throbbing headache associated with nausea, vomiting, photophobia and phonophobia.² According to the

Global Burden of Disease study, migraine is one of the leading causes of years lived with disability worldwide.³

Contemporary management includes analgesics, triptans, beta blockers and antidepressants; however, recurrence,

medication dependency and adverse effects remain major concerns.⁴ Ayurveda provides a holistic therapeutic

approach through Shamana Chikitsa, Ghrita preparations and para-surgical interventions such as Sira Vyedhana.⁵

Aim To evaluate the efficacy of Avipatti Churna, Dhatryadi Kashayam, Godanti Bhasma, Mahatiktaka Ghrita and Sira

Vyedhana in the management of Ardhavabhedaka w.s.r to Migraine.

Materials and Methods

A prospective open-label interventional case series study was conducted on 10 patients diagnosed with

Ardhavabhedaka/Migraine attending the OPD and IPD of the Department of Kayachikitsa, GAM Puri. Patients

received Avipatti Churna 3 g, Dhatryadi Kashayam 15 ml, Godanti Bhasma 250 mg and Mahatiktaka Ghrita 1

teaspoon twice daily before food for 90 days. Sira Vyedhana at Sankha-Lalata Sandhi was performed once weekly for

28 days. Assessment was carried out using Visual Analogue Scale (VAS), frequency and duration…

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. Reported size: 10 participants or records.

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

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