shirashula

1. UDAYASHANKAR PROF, AUTHOR, CLINICIAN

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

3. The Journal of Headache and Pain

4. SHIRO ROGA SAMPRAPTI PATHOGENESIS OF HEADACHES सङ्ख्माविकल्ऩप्राधान्मफरकारविशेषत्| साभबद्मतेमथाऽत्रैििक्ष्मन्तेऽष्टौज्ियाइतत||११|| दोषाणाांसभिेतानाांविकल्ऩोंऽशाांशकल्ऩना| स्िातन््मऩायतन््माभमाांव्माधे्प्राधान्मभाददशेत्||१२|| हेत्िाददकात्स्न्माािमिैफाराफरविशेषणभ्| नक्तन्न्दनतताबतक्ताांशैव्मााधधकारोमथाभरभ्||१३|| …….भाधि तनदान१

5. 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 The International Classification of Headache Disorders, 3rd edition (2013-18) -14 12. Psychiatric Cranial neuralgias, facial pain

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

7. A B C OF HEADACHE TRIGGERS - विकल्ऩ सांप्रान्तत दोषाणाांसभिेतानाांविकल्ऩोंऽशाांशकल्ऩना| वातस्य उच्चैबााष्माततबाष्माभमाांतीक्ष्णऩानात्प्रजागया त्| शीतभारुतसांस्ऩशााद्व्मिामाद्िेगतनग्रहात्||१६|| उऩिासादबीघाताद्वियेकाद्िभनादतत| फाष्ऩशोकबमत्रासाद्बायभागााततकशानात्||१७|| भशयोगता्भसयािृद्धोिामतयाविश्मकततमतत| श्लेष्मणः आस्मासतखै्स्ितनसतखैगता रुन्स्नग्धाततबोजनै्| श्रेष्भाभशयभससन्दतष्ट् भशयोयोगामकल्ऩते||२४|| पऩत्तस्य कट्िम्ररिणऺायभद्मक्रो धातऩानरै्| वऩत्तांभशयभससन्दतष्टांभशयोयो गामकल्ऩते||२२||

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

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

10. SECONDARY HEADACHES Upadrava Visha Sroto dusti Cikitsa Vyapat

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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. Mild Moderate severe बलंपववृणोतत–हेतुऩूववरूऩरूऩाणांसाकल्याद्व्याधेबवलवत्त्वं,​ तेषामवयवेनैकदेशेनाबलवत्त्वम्

16. “तेव्मावऩनोऽवऩहृन्नाभमोयधोभध्मोध्िासांश्रमा्| िमो ऽहोयात्रत्रबतक्तानाांतेऽन्तभध्माददगा्क्रभात्||” नक्तांयात्रत्र्, ददनभह्, ऋतिोिसन्तादम्, बतक्तभाहा य्, एषाभांशैयेकदेशै्; व्माधधकारोव्माधधिृद्धधहातनहेतत कार्| यात्रेयादौश्रेष्भा, भध्मेवऩत्तां, शेषेिामत्; एिांददनस्म; िसन्तेकपस्म, शयददवऩत्तस्म, िषाासतिामो्कोऩ्; ए िांबतक्तादौबतक्तभात्रेकपस्म, भध्मेऩच्मभानािस्था माांवऩत्तस्म, अन्तेसम्मक्ऩरयणतेबतक्तेिामो्प्रकोऩ इतत|

18. CARE OF HEAD Prescription: Shodhana and Samana Promotion: Kriyakalpa, kavala nasya .. Protection: from injury हृदमेभून्ध्नाफस्तौचनृणाांप्राणा्प्रततन्ष्िता्| तस्भात्तेषाांसदामत्नांकतिीतऩरयऩारने||९|| आफाधिजानांतनत्मांस्िस्थिृत्तानतितानभ्| उत्ऩन्नातताविघातश्चभभाणाांऩरयऩारनभ्|| चयकभसद्धध९/९-१०|| आफाधिजानभभततभभोऩघातकहेततिजानभ्| स्िस्थिृत्तानतितानांचहृदमाददऩोषकतमैिऩारक ां बितत| उत्ऩन्नातताविघातइततत्ऩन्नभभायोगप्रतीकाय्||

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

20. NECK- SIRAMATRIKA, NILA, MANYA EAREYENOSE- APANGA, AVARTA, VIDHURA, PHANA SCALP- SHANKHAUTKSHEPA, ADHIPATI, SIMANTA 4. OTHERSSTHAPANIANDSRINGATAKA 1. 2. 3.

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34. स्िेदो नस्मां धूभऩानां वियेको रेऩ: सेको रांघनां शीषाफन्स्त: यक्तोन्भतन्क्त: िन्ननकभोऩनाहो ..सेव्मो भत्मै: शीषायोगे मथा स्िभ्..। -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