Changes

Here after shall be elaborated certain diseases of the head. The aggravated ''rakta, pitta'' and ''vata'' getting lodged in the ''shankhadesha'' (temporal area) produce a severe painful swelling with redness. It is acute in manifestation like poison and obstructs the channels of the head and neck, killing the patient in 3 nights. If the patient survives beyond these 3 days, then considering the condition as ''pratyakhyeya'' (incurable but manageable) one should administer treatment modalities such as ''shirovirecha'' (errhines), ''seka'' (affusions) etc., which are curative of ''visarpa'' (erysipelas like lesions).[70-73]

Here after shall be elaborated certain diseases of the head. The aggravated ''rakta, pitta'' and ''vata'' getting lodged in the ''shankhadesha'' (temporal area) produce a severe painful swelling with redness. It is acute in manifestation like poison and obstructs the channels of the head and neck, killing the patient in 3 nights. If the patient survives beyond these 3 days, then considering the condition as ''pratyakhyeya'' (incurable but manageable) one should administer treatment modalities such as ''shirovirecha'' (errhines), ''seka'' (affusions) etc., which are curative of ''visarpa'' (erysipelas like lesions).[70-73]

===== Ardhavabhedaka (migraine affecting one side of head) =====

===== ''Ardhavabhedaka'' (migraine affecting one side of head) =====

रूक्षात्यध्यशनात्  पूर्ववातावश्यायमैथुनैः|  

रूक्षात्यध्यशनात्  पूर्ववातावश्यायमैथुनैः|  

वेगसन्धारणायासव्यायामैः कुपितोऽनिलः||७४||  

वेगसन्धारणायासव्यायामैः कुपितोऽनिलः||७४||  

केवलः सकफो वाऽर्धं  गृहीत्वा शिरसस्ततः|  

केवलः सकफो वाऽर्धं  गृहीत्वा शिरसस्ततः|  

मन्याभ्रूशङ्खकर्णाक्षिललाटार्धेऽतिवेदनाम्||७५||  

मन्याभ्रूशङ्खकर्णाक्षिललाटार्धेऽतिवेदनाम्||७५||  

शस्त्रारणिनिभां कुर्यात्तीव्रां सोऽर्धावभेदकः|  

शस्त्रारणिनिभां कुर्यात्तीव्रां सोऽर्धावभेदकः|  

नयनं वाऽथवा श्रोत्रमतिवृद्धो विनाशयेत्||७६||  

नयनं वाऽथवा श्रोत्रमतिवृद्धो विनाशयेत्||७६||  

चतुःस्नेहोत्तमा मात्रा शिरःकायविरेचनम्|  

चतुःस्नेहोत्तमा मात्रा शिरःकायविरेचनम्|  

नाडीस्वेदो घृतं जीर्णं बस्तिकर्मानुवासनम्||७७||  

नाडीस्वेदो घृतं जीर्णं बस्तिकर्मानुवासनम्||७७||  

उपनाहः शिरोबस्तिर्दहनं चात्र शस्यते|  

उपनाहः शिरोबस्तिर्दहनं चात्र शस्यते|  

प्रतिश्याये शिरोरोगे यच्चोद्दिष्टं चिकित्सितम्||७८||

प्रतिश्याये शिरोरोगे यच्चोद्दिष्टं चिकित्सितम्||७८||

rūkṣātyadhyaśanāt pūrvavātāvaśyāyamaithunaiḥ|  

rūkṣātyadhyaśanāt pūrvavātāvaśyāyamaithunaiḥ|  

vēgasandhāraṇāyāsavyāyāmaiḥ kupitō'nilaḥ||74||  

vēgasandhāraṇāyāsavyāyāmaiḥ kupitō'nilaḥ||74||  

kēvalaḥ sakaphō vā'rdhaṁ gr̥hītvā śirasastataḥ|  

kēvalaḥ sakaphō vā'rdhaṁ gr̥hītvā śirasastataḥ|  

manyābhrūśaṅkhakarṇākṣilalāṭārdhē'tivēdanām||75||  

manyābhrūśaṅkhakarṇākṣilalāṭārdhē'tivēdanām||75||  

śastrāraṇinibhāṁ kuryāttīvrāṁ sō'rdhāvabhēdakaḥ|  

śastrāraṇinibhāṁ kuryāttīvrāṁ sō'rdhāvabhēdakaḥ|  

nayanaṁ vā'thavā śrōtramativr̥ddhō vināśayēt||76||  

nayanaṁ vā'thavā śrōtramativr̥ddhō vināśayēt||76||  

catuḥsnēhōttamā mātrā śiraḥkāyavirēcanam|  

catuḥsnēhōttamā mātrā śiraḥkāyavirēcanam|  

nāḍīsvēdō ghr̥taṁ jīrṇaṁ bastikarmānuvāsanam||77||  

nāḍīsvēdō ghr̥taṁ jīrṇaṁ bastikarmānuvāsanam||77||  

upanāhaḥ śirōbastirdahanaṁ cātra śasyatē|  

upanāhaḥ śirōbastirdahanaṁ cātra śasyatē|  

pratiśyāyē śirōrōgē yaccōddiṣṭaṁ cikitsitam||78||

pratiśyāyē śirōrōgē yaccōddiṣṭaṁ cikitsitam||78||

rUkShAtyadhyashanAt pUrvavAtAvashyAyamaithunaiH|  

rUkShAtyadhyashanAt pUrvavAtAvashyAyamaithunaiH|  

vegasandhAraNAyAsavyAyAmaiH kupito~anilaH||74||  

vegasandhAraNAyAsavyAyAmaiH kupito~anilaH||74||  

kevalaH sakapho vA~ardhaM  gRuhItvA shirasastataH|  

kevalaH sakapho vA~ardhaM  gRuhItvA shirasastataH|  

manyAbhrUsha~gkhakarNAkShilalATArdhe~ativedanAm||75||  

manyAbhrUsha~gkhakarNAkShilalATArdhe~ativedanAm||75||  

shastrAraNinibhAM kuryAttIvrAM so~ardhAvabhedakaH|  

shastrAraNinibhAM kuryAttIvrAM so~ardhAvabhedakaH|  

nayanaM vA~athavA shrotramativRuddho vinAshayet||76||  

nayanaM vA~athavA shrotramativRuddho vinAshayet||76||  

catuHsnehottamA mAtrA shiraHkAyavirecanam|  

catuHsnehottamA mAtrA shiraHkAyavirecanam|  

nADIsvedo ghRutaM jIrNaM bastikarmAnuvAsanam||77||  

nADIsvedo ghRutaM jIrNaM bastikarmAnuvAsanam||77||  

upanAhaH shirobastirdahanaM cAtra shasyate|  

upanAhaH shirobastirdahanaM cAtra shasyate|  

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 fire-log 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) =====