Publication

Abstract : Shiras is considered as the Uttamanga and it is the seat of Prana and all the Indriyas. Shirshoola is one of the commonest complaints in children, especially in the adolescence due to the change in lifestyle, food habits and many other reasons. Ardhavabhedaka is one among the various types of Shirashoola, in which there will be headache pertaining to half part of the Shiras. It is as a severe, interrupted headache which troubles once in three to five, ten to fifteen or thirty days. The main clinical features include Atheeva Sambheda toda, Bhrama, Shula in Uttamanga ardham. It manifests once in Pakshaat or Dashaahaat. Migraine is associated with periodic headache, which is unilateral, often along with some visual disturbances and even vomiting. Occurrence of these attacks varies from few days to several months. A 10 year old male patient was brought to the Out Patient Department of Kaumarabhritya, SDM College of Ayurveda and Hospital, Hassan by his parents with complaints of recurrent attacks of head ache, once in ten to fifteen days or a month which is pertaining to one side of the head. This is a severe, pricking type of pain and is affecting his studies and even sleep. This condition can be understood as Ardhavabhedaka. After a thorough interrogation with the parents and proper evaluation regarding the present condition of the child, started with Mukhabhyanga, Nadi sweda, Marsha Nasya, Lepana and suitable internal medications. Significant improvement was noticed in the condition of the child after a course of treatment for 7 days. Later, he was discharged with suitable medicines to be continued in home and the Pathya apathya to be followed for a period of 15 days. The condition of the child was much better than previous when assessed during two follow up visits within a month.