ROLE OF AYURVEDIC INTERVENTION IN THE MANAGEMENT OF MIGRAINE: A CASE-REPORT

Abstract

Introduction:
Migraine is a common and debilitating neurological disorder affecting nearly 41 million adults worldwide, with a prevalence of approximately 16.6%. Women are almost three times more frequently affected than men. Characterized by recurrent unilateral headaches often triggered by psychological and physiological stressors, migraine substantially impairs quality of life. Despite advances in conventional medicine, a definitive cure remains elusive. In Ayurveda, migraine is described as Ardhavabhedaka, a subtype of Shiroroga, attributed primarily to the vitiation of Vata or Vata-Kapha dosha.

Objectives:
To evaluate the clinical effectiveness of an individualized Ayurvedic treatment protocol in a patient diagnosed with Tridoshaja Ardhavabhedaka (migraine)

Methodology:
A 39-year-old Indian female presented with recurrent left-sided headaches occurring every three days for the past two years, accompanied by nausea, vomiting, photophobia, and phonophobia. Ayurvedic management was planned according to Vyadhi avastha (disease stage) and Dosha pradhanyata (dosha predominance). The treatment included Dosha-shamana chikitsa (dosha-pacifying therapy), Nasya (nasal therapy), Shirodhara (oil streaming over the forehead), Nidana parivarjana (elimination of etiological factors), and Deepana-Pachana (enhancing digestion and metabolism). Clinical outcomes were measured using the Migraine Disability Assessment (MIDAS) and Numerical Pain Rating (NPR) scales.

Observation:
The patient showed progressive improvement with a reduction in MIDAS score from 20 to 4 and NPR score from 8 to 2. Frequency and severity of migraine episodes were markedly reduced, and associated symptoms such as nausea, vomiting, and photophobia resolved.

Conclusion:
This case demonstrates the potential of individualized Ayurvedic management in reducing migraine severity, frequency, and disability. It underscores the importance of assessing Dosha and Vyadhi avastha in planning effective treatment and suggests that timely application of Ayurvedic interventions may serve as a safe and effective complementary approach in chronic migraine care.