Shira: Difference between revisions
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As per ministry of Ayush, treatment is at three levels based upon the availability of health facility and clinical condition of the patient: | As per ministry of Ayush, treatment is at three levels based upon the availability of health facility and clinical condition of the patient: | ||
'''Level 1''' -: At solo ayurveda physician clinic/PHC | |||
In the initial stage when the patient is having signs and symptoms of shirashoola, following drugs may be given: | |||
{| class="wikitable" | |||
|Drugs | |||
|Dose | |||
|- | |||
|Pathyadi Kwatha[5] | |||
|20ml twice a day with guda | |||
|- | |||
|Gau ghrita | |||
|3 drops in each nostril 4 times a day | |||
|} | |||
Referral criteria: If patient is not responding to above mentioned management within 5 or 7 days and if signs and symptoms indicate need for further investigations. | |||
'''Level 2''': CHC’s or small hospitals with basic facilities, | |||
in addition to the management mentioned in Level 1, few of the following drugs may be added as per the requirement and status of the patient. | |||
{| class="wikitable" | |||
!'''Drugs''' | |||
!'''Dose''' | |||
|- | |||
|Shirahshooladi Vajra Rasa[6] | |||
|2 tabs twice a day with normal water | |||
|- | |||
|Shadabindu Taila Nasya[7] | |||
|3 drops in each nostril once a day | |||
|- | |||
|Dashamoola Taila[8] for Abhyanga on scalp | |||
|15 ml once a day | |||
|} | |||
Referral criteria: If patient is not responding to above mentioned management within 10 days or signs and symptoms become more acute, patient should be referred for panchakarma therapy. | |||
'''Level 3''': Ayurveda hospitals at institutional level or district hospital / integrated ayurvedic hospitals. | |||
In addition to the management of Level 1 and Level-2, panchakarma procedures is indicated. | |||
{| class="wikitable" | |||
!S.no. | |||
!Type of Shiroroga | |||
!Treatment | |||
|- | |||
|1. | |||
|Vataja shiroroga | |||
|Ø Shirodhara with Luke warm cow milk prepared with Vata pacifying medicines | |||
Ø Upanaha sweda with krishara | |||
Ø Marsha nasya with Tila Taila prepared with Vata pacifying medicines | |||
|- | |||
|2. | |||
|Pittaja Shiroroga | |||
|Ø Shirodhara with cold milk, sugarcane juice, madhu jala, mastu | |||
Ø Marsha nasya with Pitta pacifying aushadha sidhdha ghrita i.e. kshira sarpi, jeevaniya ghrita | |||
Ø Virechana with trivrita avaleha or ghrita | |||
|- | |||
|3. | |||
|Kaphaj Shiroroga | |||
|Ø Pradhaman Nasya with Katphala Churna | |||
Ø Shirolepa with Trivrittadi Lepa | |||
Ø Fomentation with Water | |||
|- | |||
|4. | |||
|Tridoshaja Shiroroga | |||
|Ø Above mentioned treatment as per predominant Dosha | |||
Ø To drink old Ghrita is especially advocated. | |||
|- | |||
|5. | |||
|Raktaja Shiroroga | |||
|Ø As per Pittaja Shiroroga | |||
|- | |||
|6. | |||
|Kshayaja Shiroroga | |||
|Ø Ghritapana | |||
Ø Marsha Nasya with Vataghna Aushadh Siddha Taila | |||
|- | |||
|7. | |||
|Suryavarta | |||
|Ø Ghritapana | |||
Ø Marsh Nasya with Jeevaniya Ghrita | |||
Ø Shirodhara with lukewarm cow milk prepared with Vataghna medicines | |||
Ø Shirobasti with Luke warm cow milk | |||
|- | |||
|8. | |||
|Ardhavabhedaka | |||
|Ø Same as treatment of Suryavarta | |||
Ø Avapida Nasya with Shirisha Moola/Phala or Vacha & Pippali | |||
|- | |||
|9. | |||
|Anantavata | |||
|Ø Same as treatment of Suryavarta | |||
|- | |||
|10. | |||
|Shankhaka | |||
|Ø Marsha Nasya with Vataghnaaushadh Sidhdha Ghrita | |||
Ø Shirolepa Shatavaryadi Churna[Su. Uttartantra 26/39] | |||
|} | |||
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