Panchendriya-vardhan taila for Acute and Chronic Migraine – A Case Report

ABSTRACT: Migraine is an episodic headache disorder usually characterized by pain involving either half of the head. According to International headache society, Migraine constitutes 16% of the primary headache and affects about 10-20% of the general population. Kshayaj Shira roga is mentioned under Shiroroga (Diseases of head) which can be correlated with migraine. Nasya Karma (Errhine Therapy) is considered as the best therapeutic intervention in Shiro Roga by Acharya Charaka. Panchendriya vardhan taila has shown vata hara properties along with nutrition effect on sense organs. So, an attempt has been made to assess the efficiency of this oil in an acute as well as chronic condition of migraine. Marsha nasya of panchendriya vardhan taila on a patient with acute migraine was given which was followed by a regular pratimarsha nasya of the same for one month to deal with the chronic aspect. The medicine showed instant effect on application during acute condition in this patient.This case study had an acute excruciating one sided pain during the visit but had milder forms of pain for the last 6 months. The patient neglected the pain for this whole period and resorted to local painkillers. This was a case of kshayaj shiro roga due to the etiology of several hours of screentime, extreme physical exertion and irreregular sleeping patterns. To tackle the current pain a nasya of pachendriyavardhan taila was given with a higher dose. This showed immediate relief in the pain, photophobia and phonophobia.So we decided to tackle the chronic recurrence of the disease with a pratimarsha nasya of the same.