Management of vataj type of Shirshula with Goghrit Pratimarsha nasya- A case report

Abstract

Shira is  also  known  as Uttamanga in Ayurveda. It is  the  most  vital  part  of  our  body.  In  Ayurveda, Shiro  rogas are restricted  to  pain  or  discomfort  seen  around cranial  vault  and  not  the  disorders  of  brain mostly. Headache is the most frequent and troublesome reason to seek medical help in our daily life. Tension type  headache is the  most  common,  primary,  most  neglected  and  difficult  to  treat occurring  in  about  three-quarters  of  the  general  population.  They  can  range  from  the  occasional mild  headaches  to  daily  disabling  headaches in  some  cases. Current  allopathic  approach is highly limited in treating the disease with just pain killers, which again have lot of side effects.Holistic  Ayurveda  approach  practically  is  found  to  yield  very  good  results  in  the  patients  of headache. Vataja Shiroroga can be an apt classical correlation of Tension-type headache. Atiuccha bhashana, Vegadharana, Ratrijagarana, Upavasa and Shoka are   the   major   causes   of Vataja shirashula.  Classical  books  of  Ayurveda  advocate  the  use  of Snehana,  Swedana,  Navana  nasya, Snaihika dhumapana and local Vatahara kriya like Lepa and Parisheka as main mode of treatment. Nasya is  a  special  therapy  in  all Shalakya disorders  and Goghrita is  considered  as  best Vatahara dravya. In this study, Goghrita pratimarsha nasya is done in a 29 year old patient having typical symptoms, to access the overall efficacy. After 1 month of therapy, significant improvement was seen in the symptoms. Mild recurrence was seen post follow-up period.