Changes

pratishyAye shiroroge yaccoddiShTaM cikitsitam||78||

pratishyAye shiroroge yaccoddiShTaM cikitsitam||78||

Vata aggravated due to consumption of ruksha (dry/ ununctuous) substances, excessive quantity or frequent intake (adhyashana), easterly breeze, dew/snow, sexual intercourse, withholding of urges, exhaustion and exercise, either singly or along with kapha, affecting either half of the head produces severe pain in neck, eyebrow, temples, ear, eye, forehead of one side. The condition is acutely severe like a sharp weapon or firelog and is called ardhavabhedaka. The condition when severe may impair the functions of an eye or an ear. The 4 snehas (taila, ghrita, vasa and majja) in the maximum dose, kayavirechana (purgation), sirovirechana (purificatory errhines), nadisweda, 10  year old ghee, oil enemas, poultices, shirobasti, cautery are advocated here. The management told for pratishyaya (rhinitis) and headaches as mentioned should also be employed appropriately. (74-78)

Vata aggravated due to consumption of ruksha (dry/ ununctuous) substances, excessive quantity or frequent intake (adhyashana), easterly breeze, dew/snow, sexual intercourse, withholding of urges, exhaustion and exercise, either singly or along with kapha, affecting either half of the head produces severe pain in neck, eyebrow, temples, ear, eye, forehead of one side. The condition is acutely severe like a sharp weapon or firelog and is called ardhavabhedaka. The condition when severe may impair the functions of an eye or an ear. The 4 snehas (taila, ghrita, vasa and majja) in the maximum dose, kayavirechana (purgation), sirovirechana (purificatory errhines), nadisweda, 10  year old ghee, oil enemas, poultices, shirobasti, cautery are advocated here. The management told for pratishyaya (rhinitis) and headaches as mentioned should also be employed appropriately. (74-78)

Suryavarta (headache increasing after sun-rise and in noon):

 

==== Suryavarta (headache increasing after sun-rise and in noon) ====

 

सन्धारणादजीर्णाद्यैर्मस्तिष्कं रक्तमारुतौ|  

सन्धारणादजीर्णाद्यैर्मस्तिष्कं रक्तमारुतौ|  

दुष्टौ दूषयतस्तच्च दुष्टं ताभ्यां विमूर्च्छितम्||७९||  

दुष्टौ दूषयतस्तच्च दुष्टं ताभ्यां विमूर्च्छितम्||७९||  

syAnnAvanaM jIvanIyakShIrAShTaguNasAdhitam||83||  

syAnnAvanaM jIvanIyakShIrAShTaguNasAdhitam||83||  

Witholding the urges, indigestion etc. leads to the vitiation of rakta and vata which in turn vitiate the mastishka (brain). Thus, affected by the vitiated rakta and vata, at sunrise due to the heat of sunrays these slowly liquefy and thereby during the day there is headache which increases with the day. At the end of the day as they solidify, the headache subsides. The condition is called suryavarta and is managed by post-prandial ghee consumption, shirovireka (purificatory errhines), kayavireka (purgation), shiropicu (holding a gauze or piece of cotton soaked in medicated oil over the vertex) or shirobasti (holding medicated oil in a circular tank like formation over the head) with trisnehas, poultices prepared with jangala mamsa (meat of animals living in dry lands), affusions with ghee and milk, ghee (nasya) errhines prepared out of ksheerapaka of barhi, tittiri, lava (birds that live on land) etc. and navana (unctuous errhines) with ghee processed with 8 parts milk and jivaniya drugs (jeevaka, jeevanti- Leptadenia reticulata, rishabhaka, kakoli, kshirakakoli etc).(79-83)

Witholding the urges, indigestion etc. leads to the vitiation of rakta and vata which in turn vitiate the mastishka (brain). Thus, affected by the vitiated rakta and vata, at sunrise due to the heat of sunrays these slowly liquefy and thereby during the day there is headache which increases with the day. At the end of the day as they solidify, the headache subsides. The condition is called suryavarta and is managed by post-prandial ghee consumption, shirovireka (purificatory errhines), kayavireka (purgation), shiropicu (holding a gauze or piece of cotton soaked in medicated oil over the vertex) or shirobasti (holding medicated oil in a circular tank like formation over the head) with trisnehas, poultices prepared with jangala mamsa (meat of animals living in dry lands), affusions with ghee and milk, ghee (nasya) errhines prepared out of ksheerapaka of barhi, tittiri, lava (birds that live on land) etc. and navana (unctuous errhines) with ghee processed with 8 parts milk and jivaniya drugs (jeevaka, jeevanti- Leptadenia reticulata, rishabhaka, kakoli, kshirakakoli etc).(79-83)

Anantavata (pulsating headache involving all areas of head):

 

==== Anantavata (pulsating headache involving all areas of head) ====

 

(उपवासातिशोकातिरूक्षशीताल्पभोजनैः)|  

(उपवासातिशोकातिरूक्षशीताल्पभोजनैः)|  

दुष्टा दोषास्त्रयो मन्यापश्चाद्घाटासु  वेदनाम्||८४||  

दुष्टा दोषास्त्रयो मन्यापश्चाद्घाटासु  वेदनाम्||८४||  

dvAraM hi shiraso nAsA tena tad vyApya hanti tAn||88||

dvAraM hi shiraso nAsA tena tad vyApya hanti tAn||88||

A physician proficient in the Ayurveda scriptures should employ nasya karma (errhines) in diseases of the head as the nose being the gateway of head, the medicines administered thereby pervades into the head and cures diseases pertaining to the head.(88)

A physician proficient in the Ayurveda scriptures should employ nasya karma (errhines) in diseases of the head as the nose being the gateway of head, the medicines administered thereby pervades into the head and cures diseases pertaining to the head.(88)

Types of nasya (nasal drug delivery therapy):

 

==== Types of nasya (nasal drug delivery therapy) ====

 

नावनं चावपीडश्च ध्मापनं धूम एव च|  

नावनं चावपीडश्च ध्मापनं धूम एव च|  

प्रतिमर्शश्च विज्ञेयं नस्तःकर्म तु पञ्चधा||८९||  

प्रतिमर्शश्च विज्ञेयं नस्तःकर्म तु पञ्चधा||८९||