Efficacy of Pathyaksha Dhatryadi Kashayam Tablet and Godanthi Bhashma on Ardhavabhedaka with special reference to Migraine

Abstract

As per the classical texts of Ayurveda, Ardhavabhedaka is a one of Shirakshoola caused by all the three Doshas causing severe tearing and pricking pain in half of the head, with nausea, vomiting and piercing pain suddenly after a fortnight. Migraine is a kind of powerful headache that usually presents with nausea, vomiting and sensitivity to light. Most people start having migraine headache between ages 10 and 40.They generally lasts between 4 to 72 hours. .A 30-year-old female patient presented with 5 years history of migraine was treated with Pathyaksha Dhatryadi Kashayam tablet and Godanthi Bhashma for 4 weeks and follow up 7 months. The clinical presentation of patient was recurrent attack of headache, nausea, vomiting, difficult to engaging of day to day work and photophobia. She has taken abortive and preventive treatment in regular basis but no improvement was reported. The patient was treated for one month with these medicines. Terminalia chebula, Terminalia bellirica, and Embilika officinalis have properties of Kapha and Pitta balancing and also Vata Anulomana. Andrographis paniculata, Azadirachta indica, and Tinospora cordifolia have Pitta Nashaka property. Curcuma longa is an excellent anti-inflammatory drug. Godanthi Bhashma has coolant properties and preferred in the treatment of Pitta imbalance disorders. Progress of the treatment was recorded and therapeutic effects were evaluated through symptomatic relief using ICHD (International Classification of Headache Disorder). It can be concluded that these regimen is effective in treating Ardhavabhedaka (Migraine) by reducing symptoms and reducing the recurrence of the disease.