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Effective management of migraine through ayurvedic techniques-a case report

Nilang Rajnikant Bhimani, Abhijit Dinkarrao Shekhar

International Ayurvedic Medical Journal, 2025

Abstract

Migraine are one of the most common causes of functional disability worldwide, affecting approximately 16.6% of the global population. Women are three times more likely to experience migraines than men. This condition is marked by recurring headaches, often triggered by psychological and physiological stressors. Despite advance-ments in both modern and traditional medicine, a definitive cure remains elusive. In Ayurveda, migraine is clas-sified under Shiroroga (head-related disorders) and is referred to as Ardhavabhedaka. This case report focuses on a 31-year-old Indian housewife presenting with neck pain followed by recurrent right hemi-cranial headaches with vomiting occurring every fifth day for the past four years. The condition was diagnosed as Tridoshaja Ardhavabhedaka (migraine) associated with Amlapitta (hyperacidity). A comprehensive Ayurvedic treatment plan was implemented based on the dominant dosha (Dosha Pradhanyatha) and the disease stage (Vyadhi avastha). The therapeutic regimen included Nidana Parivarjana (avoidance of causative factors), Deepana (di-gestive stimulants), Paachana (digestive treatments), Siravyadha (bloodletting), Nasya (nasal therapy), and Dosha Shamana Chikitsa (pacification of doshas). The severity of the patient's migraine was evaluated using the Migraine Disability Assessment Scale (MIDAS), while pain levels were measured with the Numeric Pain Rating Scale (NPRS). Following treatment, there was a significant improvement, with the MIDAS…

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