Natural treatments for migraine

2. Migraine is a primary headache disorder Recurrent headaches-moderate to severe Affects one half of the head-pulsating in nature Can last few hours to days Associated symptoms -nausea, vomiting, and sensitivity to light, sound, or smell worse - physical activity

3. Up to one-third of people have an aura Aura - a short period of visual disturbance -signals that the headache will soon occur.

4. early description fount in the Ebers papyrus- written around 1500 BC in ancient Egypt The word "migraine" is from the Greek - hemikrania- "pain on one side of the head" (hemi-), "half", and (kranion), "skull".

5. Environmental and genetic factor About two-thirds of cases run in families Changing hormone levels - as migraines affect slightly more boys than girls before puberty The underlying causes of migraines are unknown.

6. People with Migraine have altered neuro- physiologic responses between attacks Stabbing headache (“ice-pick” pains) Enhanced sensory processing • visual • auditory

7. self-limited, recurrent severe headache associated with autonomic symptoms. Variable-severity of the pain, duration, and frequency –attack Migrainosus-longer than 72 hours.

8. 4 phases- not all phases are necessarily experienced prodrome - occurs hours or days before the 1. headache Aura - which immediately precedes the headache 2. Pain- also known as headache phase 3. Postdrome - the effects experienced following the 4. end of migraine attack

9. Prodromal- 60% of those with migraines 2 hrs to 2 days before- pain or the aura. symptoms may include- altered mood, irritability, depression or euphoria, fatigue, craving for certain food, stiff muscles (especially in the neck), constipation or diarrhea, and sensitivity to smells or noise

10. Aura- transient focal neurological phenomenon - occurs before or during the headache appear gradually –starts over a number of minutes and last less than 60 min. Symptoms -visual, sensory or motor in nature Vision- scintillating scotoma

11. Sensory - feeling of pins-and-needles -one side in the hand and arm-spreads to the nose–mouth area on the same side. Motor symptoms- weakness- lasts longer than one hour

12. headache - unilateral, throbbing, and moderate to severe intensity. comes on gradually--aggravated by physical activity.  bilateral pain -40% of cases neck pain is commonly associated with it pain lasts- 4 to 72 hours in adults

13. Other symptoms- blurred vision, nasal stuffiness, diarrhoea, frequent urination, pallor, or sweating.

14. symptoms occurring once the acute headache has settled. sore feeling in the area where the migraine was. impaired thinking for a few days after the headache has passed. Other symptoms -feel tired, head pain, cognitive difficulties, gastrointestinal symptoms, mood changes, and weakness

15. Migraines may be induced by triggers ❖ Physiological aspects-stress, hunger, and fatigue ❖ Psychological stress -50 to 80% cause.

16. ❖Hormonal influences-menarche, oral contraceptive use, perimenopause, and menopause Migraines typically do not occur during the second and third trimesters

17. Preventive - include medications, nutritional supplements, lifestyle alterations, and surgery. The goal - reduce the frequency, painfulness, duration of migraines, and to increase the effectiveness of abortive therapy.

18. 15% affect -Worldwide It is more common in women at 19% than men at 11%. It most often starts at puberty and is worst during middle age. In some women they become less common

19. Initial -simple pain medication - ibuprofen and paracetamol for the headache. medication for the nausea, avoidance of triggers Specific medications such as triptans or ergotamines may be used

20. Suppression of natural urges Indigestion Intake of dry food, Oily and spicy food Exposure to sunshine for prolonged period, fog, cold fasting Anger, jealousy, grief, stress etc. Intake of dry, pungent and salty food etc. Talking loudly

21. Pakshat kupyati maasat vaa swayameva cha shamyati ati vridhastu nayanam sravanam vaa vinashayet [A H. u 23] Yasya uthamaga ardhamateeva jantho: sambhedha toda bhrama shoolajushtam, pakshadhashaahad adhava api aakasmaat tasya ardhavabhedakam tritasyat vyavasthade. [S S. u 25/15]

22. Acc to charaka and madhavacharya- vata or vata kaphaja disease Acc to SS-tridoshaja Acc to AH-vataja disease

23. kabala Abhyanga Shirovasti Sneha pana Dhoomapana Nasyam Raktamoksha Agni karma over bhru,lalata,shangha Lepa Pariseka

24. Avapeeda nasya- Shireesha beejam, apamarga moolam ,bala moola triturated in water Nasya with sthira rasa Vamshi moola, vacha and pippalli Vamshimoola,karpoora or manassila with honey yasti with honey or chandana and honey Aja ksheera Samana nasya-kakolyadi grta, moorvadi grta ,ksheerabala taila, dhanwantara tailam ,anu taila ,satbindhu taila.

25. Lepa on fore head with prapunnada mixed with amla dravya drugs pacify Pitta Dosha like chandana, karpoora, Jatamansi

26. ksheerabala taila, chandanadi taila-Vata involvement is high. -ksheera dhara (cow milk)- is done when Pitta involvement is more -Takra Dhara (buttermilk)- is done when there is Vata involvement. Kavala graha – with chandanadi taila, maha narayana taila Shirovasti – beneficial for this purpose. Any vata-pitta pacifying oils are

27. Pathyadi khwada – used in the treatment of headache, earache, pain in temporal region, migraine etc. Shirashooladi vajra rasa – used in the Ayurvedic treatment of headache, migraine, tension headache, vascular headache etc. Mayura ghrita Bhoonimbadi khwada – Used in fever, cold, sinusitis, headache Kumaryasava