Migraine:
Migraine is a neurological disorder characterized by recurrent moderate to severe headache often in association with a number of autonomic nervous system symptoms.Typically the headache affects one half of the head, pain is pulsating in nature, and lasts from 2 to 48 hours. Associated symptoms may include nausea, vomiting and sensitivity to light, sound or smell. The pain is generally made worse by the physical activities.
Migraine is believed to be due to a mixture of environment and genetic factors. About two third of cases run in families. Even changing hormone levels may also play a role in this.
The exact mechanism of migraine are not known, However a number if psychological conditions are associated, including depression and anxiety, it also believed to be a neuro-vascular disorder. The primary theory is related to increased excitability of cerebral cortex and abnormal control of pain neurons in the trigeminal nucleus of the brain stem.
For migraine some triggering factors are also there like stress, hunger, and fatigue (these factors equally contributes to tension headache.) Psychological stress has also been reported as a factor by 50% to 80% of people. Migraine has also been associated with post-traumatic stress disorder and abuse. Migraine is more likely to occur around menstruation. Other hormonal influences, such as menarche, oral contraceptives use, pregnancy,(Migraine typically do not occur during the second and third trimesters.) pre-menopause and menopause(Even after menopause it usually will not occur.) also play a vital role.
For the treatment of Migraine
There are three main aspects of treatment
- Avoid trigger,
- Acute symptomatic control and
- pharmacological prevention.
Medication are more effective if used earlier in an attack. The frequent use of medications may result in medication overuse headache, in which the headaches become severe and more frequent. This may occur with triptans, ergotamines and analgesics, especially narcotic analgesics. Due to these concerns simple analgesics are recomended to be used less than three days per week at most.
Long term prognosis in people with migraines is variable. Most people with migraines have periods of lost productivity due to their disease, however typically the condition is fairly benign and is not associated with an increased risk of death.
Arthavabhedaka:
According to Ayurveda Arthavabhedaka is when VATA dosa becomes kupita because of improper diet or improper life style and when it is association with the KAPHA dosa and settled in Shiras bhaga (Head region) it may cause the arthavabhedaka roga (Diseases).
Now aggravated VATA and KAPHA dosa, will cause severe pain in the half part of the head and it will also cause severe pain in facial region, ear, eyes, and half of the forehead. Pain will be severe and its pricking type.
In this according to Ayurveda, there is no psychological, or even environmental reason explained. But if you go deep then as its mentioned in the beginning that Arthavabhedaka is because of improper diet and / or improper lifestyle so we can include that lifestyle may include environment reason.
For the treatment of Arthavabhedaka, acharyas have clearly mentioned that, firstly one has to discontinue the reason which is responsible for the Arthavabhedaka, if you give the best medicine for the disease but the main cause of the disease is same then nothing will work on the disease and before starting the actual treatment one has to undergo for the NASYA karma firstly then only internal medication can be given.
Along with the medication certain dietary advised should be given which we are following in our clinic, If person is not ready to follow the diet then I kindly request you all, not to take such patient because if you take such patient then the actual disease wont be cured as you might have expected it, n moreover it will defame you.
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Very nice post
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