Headaches- classification prevention and top 10 therapies for the treatment of headaches in Ayurveda

1. UDAYA SHANKAR
PROF, AUTHOR, CLINICIAN

2. Conceptual
Background
01
Marma
Paripalanam
02
Top 10
Therapies
03
Medications
04

3. The Journal of Headache and Pain

4. SHIRO ROGA SAMPRAPTI
PATHOGENESIS OF HEADACHES
सङ्ख्माविकल्ऩप्राधान्मफरकारविशेषत् |
सा भबद्मते मथाऽत्रैि िक्ष्मन्तेऽष्टौ ज्िया इतत ||११||
दोषाणाां सभिेतानाां विकल्ऩोंऽशाांशकल्ऩना |
स्िातन््मऩायतन््माभमाां व्माधे् प्राधान्मभाददशेत् ||१२||
हेत्िाददकात्स्न्माािमिैफाराफरविशेषणभ ् |
नक्तन्न्दनतताबतक्ताांशैव्मााधधकारो मथाभरभ् ||१३||
…….भाधि तनदान १

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The International Classification of Headache Disorders, 3rd edition (2013-18) -14
Primary Headache
1. Migraine
2. Tension-type headache
3. Cluster headache and trigeminal
automatic cephalagias
4. Other primary headache including
cough headache, hemicranias
continua
Secondary headaches (headaches
causes by another diagnosis)
5. Post-traumatic
6. Vascular disease
7. Other intracranial pathology
(tumour, so on)
8. Substances
9. CNS infection
10. Homeostatic disorders, such as
hypertension, hypoxia
11. Cervicogenic, ocular, sinus related
12. Psychiatric
Cranial neuralgias, facial pain

6. Artificial
food
Bakery
Citrus
Fruits
Fish
Depression
Fish / fruits/
Fatigue
Exercise
Lights Lunch
Menstrual
periods
Poisons
Noise/
Nuts
Odors
Salty foods Sleep
Skipped
meals
Stress
Watching TV
or movies
Weather

7. A B C OF HEADACHE TRIGGERS - विकल्ऩ सांप्रान्तत
दोषाणाां सभिेतानाां विकल्ऩोंऽशाांशकल्ऩना |
वातस्य
उच्चैबााष्माततबाष्माभमाां तीक्ष्णऩानात्प्रजागया
त्|
शीतभारुतसांस्ऩशााद्व्मिामाद्िेगतनग्रहात्||१६||
उऩिासादबीघाताद्वियेकाद्िभनादतत|
फाष्ऩशोकबमत्रासाद्बायभागााततकशानात्||१७||
भशयोगता् भसया िृद्धो िामतयाविश्म कत तमतत|
पऩत्तस्य
कट्िम्ररिणऺायभद्मक्रो
धातऩानरै्|
वऩत्तां भशयभस सन्दतष्टां भशयोयो
गाम कल्ऩते||२२||
श्लेष्मणः
आस्मासतखै् स्ितनसतखैगता
रुन्स्नग्धाततबोजनै्|
श्रेष्भा भशयभस सन्दतष्ट्
भशयोयोगाम कल्ऩते||२४||

8. स्िातन््मऩायतन््माभमाां व्माधे् प्राधान्मभाददशेत्||१२||
A primary headache is
a headache that is due to
the headache condition itself
and not due to another
cause.
A secondary headache is
a headache that is present
because of
another condition such as a
sinus headache from sinusitis.

9. Allergy
Water
sports
Sleep
disorders
Heat or
wind
Mental Alcohol
Vega
dharana
External
pathogens
Position of
sleep
Neglect of
Abhyanga
Eye strain
Irritating
Odor
Dusta Ama
Improper
Speech

10. SECONDARY HEADACHES
Upadrava Visha Sroto dusti Cikitsa Vyapat

11. •

12. • SAVISHA ANNA ABHYAVAHARA (AS SU 8/10)
• ALARKA VISHA(AH U 38/11) VYALA
DASTA(C CI 23/176)
• LUTHA VISHA-PITTAJA( SK 8/108)
• TWAK, SARA, NIRYASA VISHA(MN 69/11)
• VISHA DUSTA ANILA(SK3/16) VISHA DUSTA
DHUMA(SK 1/63)
• SAVISHA NASYA(AS SU 8/17)
• SAVISHA SHIRO ABHYANGA(C CI 23/116)
• SAVISHA MALYOPAYOGA(C CI 23/120)
VISHA LIPTA SHASTRAVIDDHA(A H
• U 35/42) MADATYAYA (C. CI 24/102)

13. PRANA -VATAJA /KAPHAJA KASA MAHA SWASA(C CI 18/11)
UDAKA-BADHODARA, UDAKODARA( CCI 13/47; AHNI 12/30)
ANNA -AJIRNA, URDHWAGA AMLAPITTA(MN 51/5), VATAJA
CHARDI( C CI 20/8)
RASA- JSANNIPATIKA JWARA(C CI 3/103)
RAKTA- PUYARAKTA (AHU 19/24)
MAMSA - ARSA- PURVARUPA(AHNI 7/19) NASA ARSHA/NASA
ARBUDA(AHU 19/27)
ASTHI- BHAGNA (SU NI 15/9
MAJJA – APATANTRAKA (SNI 1/64)ARDITA (AHNI 15/34)
MUTRA- ASMARI (ASNI9/6)
PURISHA -VATIKA VISUCHIKA, GRAHANI(AHNI 8/24),
MANO- UNMADA PURVARUPA(C NI 7/6)

14. LANGHANA ATIYOGA (AHSU 24/42)
DUSTA RAKTA STAHMBHANA(CA CI 14/179)
VAMAN-VIRECANA VYAPAT( C.SI.6/59)
NIRUHA BASTI AYOGA( C SI 1/42)BASTI VYAPAT( C SI7/5)
NASYA- ATIYOGA(C SI 1/52) MITHYA YOGA(C SI 2/21)
ATI RAKTA MOKSANA( S SU 14/30)
KSARA ATI DAGDHA( A S SU 39/ 11)
AKALA DHUMA ( S CI 40/12)
ANJANA ATIYOGA( A S SU 32/21)
PARIHARA MITHYA YOGA (C SI 12/13)

15. बलं पववृणोतत– हेतुऩूववरूऩरूऩाणां साकल्याद्व्याधेबवलवत्त्वं, ​
तेषामवयवेनैकदेशेनाबलवत्त्वम ्
Mild Moderate severe

16. “ते व्मावऩनोऽवऩ हृन्नाभमोयधोभध्मोध्िासांश्रमा्| िमो
ऽहोयात्रत्रबतक्तानाां तेऽन्तभध्माददगा् क्रभात ्||”
नक्तां यात्रत्र्, ददनभह्, ऋतिो िसन्तादम्, बतक्तभाहा
य्, एषाभांशैयेकदेशै्; व्माधधकारो व्माधधिृद्धधहातनहेतत
कार्|
यात्रेयादौ श्रेष्भा, भध्मे वऩत्तां, शेषे िामत्; एिां ददनस्म;
िसन्ते कपस्म, शयदद वऩत्तस्म, िषाासत िामो् कोऩ्; ए
िां बतक्तादौ बतक्तभात्रे कपस्म, भध्मे ऩच्मभानािस्था
माां वऩत्तस्म, अन्ते सम्मक्ऩरयणते बतक्ते िामो् प्रकोऩ
इतत|

18. CARE OF HEAD
Protection:
from injury
Promotion:
Kriyakalpa,
kavala nasya ..
Prescription:
Shodhana and
Samana
हृदमे भून्ध्ना फस्तौ च नृणाां प्राणा् प्रततन्ष्िता्| तस्भात्तेषाां सदा मत्नां कत िीत ऩरयऩारने||९||
आफाधिजानां तनत्मां स्िस्थिृत्तानतितानभ ्| उत्ऩन्नातताविघातश्च भभाणाां ऩरयऩारनभ ्||
चयक भसद्धध ९/९-१०||
आफाधिजानभभतत भभोऩघातकहेततिजानभ ्| स्िस्थिृत्तानतितानां च हृदमाददऩोषकतमैि ऩारकां
बितत| उत्ऩन्नातताविघात इतत त्ऩन्नभभायोगप्रतीकाय्||

19. Nila Manya
Sira Marma Mukata, Swaravaikrutya,
Arasagrahita
4
2.
Matruka
Sira Marma Sadya Pranahara 8
3.
Krukatika
Sandhi Marma Chalamurdhata 2
4.
Vidhura
Snayu Marma Badhirya 2
5.
Phana
Sira Marma Gandha Adnyanam 2
6.
Apanga
Sira Marma Aandhya drushti upaghato
va
2
7.
Aavarta
Sandhi
Marma
Aandhya drushti upaghato
va
2
8.
Shankha
Asthi Marma Sadya Pranahara 2
9.
Utshepa
Snayu Marma Sashalyo jeevet pakat
patitashalyo va
2
10.
Sthapani
Sira Marma Sashalyo jeevet pakat
patitashalyo va
1
11.
Seemant
Sandhi
Marma
Unmad –bhaya-chitta-
nashair-maranam
5
Shrungatak Sira Marma Sadya Pranahara 4
13,
Adhipati
Sira Marma Sadya Pranahara 1

20. 1. NECK- SIRA MATRIKA, NILA, MANYA
2. EAR EYE NOSE- APANGA, AVARTA, VIDHURA, PHANA
3. SCALP- SHANKHA UTKSHEPA, ADHIPATI, SIMANTA
4. OTHERS STHAPANI AND SRINGATAKA

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34. स्िेदो नस्मां धूभऩानां वियेको
रेऩ: सेको रांघनां शीषाफन्स्त:
यक्तोन्भतन्क्त: िन्ननकभोऩनाहो
..सेव्मो भत्मै: शीषायोगे मथा स्िभ ्..।
- भशयो योगप्रकयणान्ते मोग यत्नाकय: ॥

40. 6. LANGHANA
Fasting for 72 hours can regeneate entire immune system – Journal of Cell Biology

45. TREAT THE CAUSE !

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50. Rasa (Shuddha parada) 48 g
Gandhak Shuddha 48 g
Lauha (bhasma) 48 g
Ravi (Tamra Bhasma) 48 g
Guggulu Shuddha (Exd.) 192 g
Triphala raja (Churna) 96 g
Kushtha (Rt.) 12 g
Madhu (Yashti) (Rt.) 12 g
Kana (Pippali) (Fr.) 12 g
Shunthi (Rz.) 12 g
Gokshura (Fr.) 12 g
Kriminashana (Vidanga) (Fr.) 12 g
Bilva (Rt.) 12 g
Agnimantha (Rt.) 12 g
Shyonaka (Rt.) 12 g
Gambhari (Rt.) 12 g
Patala (Rt.) 12 g
Shalaparni (Rt.) 12 g
Prishniparni (Rt.) 12 g
Brihati (Rt.) 12 g
Kantakari (Rt.) 12 g
Gokshura (Rt.) 12 g
Dashamula kvatha Q. S. for Bhavana
Ghrita (Goghrita) Q. S. for Bhavana
Important Ingredients

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52. THANK
YOU !
DR. UDAYASHANKAR
BENAKA HEALTH CENTRE
GANAPATHY STREET
MADIKERI, KA
DR.UDAYASHAKAR@GMAIL.COM
08272-228464/ +91-9449627464