Category: Herbal Remedies

Natural Ayurvedic Treatment for Migraine and Headache

Introduction

Ever experienced throbbing, one-sided pain in the head that wouldn’t go for hours together? Migraine is a common disorder which according to WHO affects nearly 10 % people worldwide. [1] It is a type of primary headache, which means there is no underlying disease causing the headache. Upto two-thirds of those affected are women. [2] In Ayurveda, a disease named ‘Ardhavbhedaka’ bears resemblance to modern day description of migraine. It is a disease caused by the vitiated vata dosha, pitta dosha and kapha dosha according to Acharya Susruta. Avoiding triggers, lifestyle modifications, management of attacks and Ayurvedic regimen lessen the severity and frequency of attacks and improve the quality of living. Now we are going to explain Migraine in detail and its management with ayurveda.

Understanding Migraine-Modern and Ayurvedic aspect

Migraine is a complex disease which is characterized by overstimulation of the nervous system and changes in blood flow in the brain. It has genetic susceptibility and about 70 % of all people who suffer from migraine have at least one close relative who also suffers from it. [2] The disease peaks in persons aged 15-24 years.  Women are predominantly affected with their ratio to men being 3:1. [3]

Although a specific cause of migraine is not known, there are certain triggers that cause the onset and worsening of the disease. Hormonal changes, stress, certain medications, strong light, smell, noise and certain foods trigger the attacks. The triggers can be different for different individuals and can be identified by the person in subsequent attacks.

Ardhavbhedaka is described in Ayurveda as being a type of headache that affects one side of the head and is severe in nature. Faulty food(Ahara) and lifestyle(Vihara) such as Dry food, overeating, irregular sleep pattern, suppression of urges, stress, psychological imbalance, strenuous exercise, sexual activity etc.  disrupt the balance of the three doshas, namely vata, pitta and kapha with vata and pitta being predominant. The vitiated doshas then reach the head and obstruct the rasa and rakta strotas (blood vessels) thus producing ardhavbhedaka.

Causes of Migraine

Features of migraine – The presenting symptoms

A recurrent, pulsating or throbbing pain in one or both sides of the head presenting often with associated symptoms such as nausea and increased sensitivity to light and sound is Migraine. Migraine attacks initially affect the front, side and sometimes back of one side of head. The pain gradually increases and can persist upto 4 – 72 hours. The pain is moderate to severe in intensity sometimes severely affecting the overall quality of life.

Migraine may or may not present with the preceding symptoms also known as Aura. The Aura sometimes presents itself before the attack, along with the attack or sometimes skipping the main attack altogether. The stage of Aura generally goes for less than an hour. The Aura consists of visual disturbances like flashing lights, appearance of lines or defects in the field of vision. Light-headedness, ringing in the ear, weakness in the muscles can also occur.

Diagnosing Migraine – Evaluation and Testing

Diagnosing migraine is mainly dependent on history. Since there is no identifiable underlying cause of migraine, tests such as blood tests and scans are not definitive diagnostic tools in migraine. Therefore, keeping track of the frequency and duration of attacks of migraine, associating symptoms, and triggering factors help reach the diagnosis.

  • A blood test, brain and body scan and medical examination may help rule out any other condition that may be the cause of headache.
  • A psychological examination is also needed sometimes to identify stress factors.

Treating Migraine – The Approach

The short-term objective of the treatment is to provide relief during an acute migraine attack. And the long-term objective of the treatment is to reduce the severity and intensity of the attack. Acute attacks are treated symptomatically. Pain-relieving drugs are used to relieve pain and are most effective when the pain is mild. Drugs named ‘Triptans’ are useful in migraine. [2]

Ayurveda helps achieve long-term treatment goals. It helps reduce the severity and frequency of migraine attacks. Modification of lifestyle, avoiding the triggering factors, and treating with Ayurvedic medicines make for the main treatment of migraine.

Pacifying the vata and pitta dosha predominant tridoshas, improving the ‘Agni” or the digestive balance of the body and strengthening the brain and the nervous system are the goals to be achieved in an Ayurvedic treatment plan.

Home Remedies for Migraine

You can Include the Following Home Remedies

  1. Drink plenty of fluids to avoid dehydration.
  2. Include Mild to moderate exercise, yoga, and meditation in your daily regimen.
  3. Get adequate sleep and nutritious food.
  4. Identify triggering factors and avoid them.
  5. Drinking Ginger Tea a few times a day helps relieve the symptoms of migraine
  6. Take coriander powder and soak it overnight. Drink it in the morning to get relief from the pain.

Ayurvedic Medicines for Migraine

In ayurveda, below are the treatment protocol which should be followed

1. Restoring the balance of agni : In shodhana therapy of ayurveda , the toxins of the body are removed with the help of panchkarma and function of agni is restored. Agni or the digestive power needs to be restored before giving the curative medicines. Agni restoring herbs are haritaki, triphala, amalaki, chitrak etc. In polyherbal formulations, Arogyavardhini vati works very well on agni.

2. Balancing the tridosa : Shaman therapy follows the shodhana therapy. It targets the specific dosha, and dosha or disease specific medicines are given. In this vata dosha is balanced by giving vata-pacifying herbs such as ashwagandha and pitta dosha is pacified with the help of anti-pitta herbs such as Praval pishti, mukta shukti etc.

3. Nervine Strengthens : There are certain nervous systems strengthening herbs like brahmi, shankhpushpi, ashwagandha etc. Which help in boosting the health of the nervous system and brain.

Planet Ayurveda Migraine care pack

Treatment of Migraine and Headache

Treatment of Migraine

Planet Ayurveda is a trusted, famed and renowned GMP certified company offering herbal products across all over the world. These products are prepared using the standardized extract of herbs and are 100 % safe. Herbal formulations prepared in the house of Planet Ayurveda are free from additives, chemicals, preservatives and binders by following the strict ayurveda principles under the guidance of MD ayurveda experts. Planet Ayurveda brings forth a wholesome Migraine Care Pack which are as follows

  1. Arogyavardhini vati
  2. Ashwagandha churna
  3. Pitta balance
  4. Medhya churna
  5. Brahmi capsules

Products Description

1. Arogyavardhini vati

Ashwagandha capsules is a single herbal formulation in capsule form prepared using stanadardized extract of  Ashwagandha root (Withania somnifera). This capsule is very efficacious in sustaining nervous health and  a wonderful anti-inflammatory, analgesic, immune booster and a rejuvenator. It is considered as an antidepressant and adaptogenic tonic. Thus, it shows very good results in migraine.

Dosage– 1 capsule twice daily with plain water after meals.

2. Medhya churna

This is a polyherbal formulation in powder form prepared using Vacha (Acorus calamus), Ajmoda (Carum roxburghianum), Ashwagandha (Withania somnifera), Shwet Jeerak (Cuminum cyminum) etc. This enhances the memory and aids in reducing the associated symptoms of the disease like nausea, vomiting, pain in the head etc. This balances all the doshas and sustains normal health.

Dosage– 1/4th tsp once a day with plain water after meal

3. Arogyavardhini vati

This is a classical herbal formulation prepared in the house of Planet Ayurveda in tablet form prepared using

  • Bibhitaki (Terminalia bellerica)
  • Haritaki (Terminalia chebula)
  • Chitrak mool (Plumbago zeylanica)
  • Amalaki (Emblica officinalis) and some other herbs

This formulation removes all the endotoxins from the body and sustains health cells. It also helps in reducing the pain in head, nausea, vertigo and other related symptoms of migraine.

Dosage– 2 tablets twice daily with plain water after meals.

4. Pitta Balance

As the name indicates, this formulation balances the pitta dosha and prepared using Praval Pishti (Coral compound), Akik Pishti (Agate compound), Mukta Pishti, giloy (Tinospora cordifolia) etc.This formulation assist in reducing the symptoms of migraine because of its pitta balancing property. It also keeps the mind and body calm and provides a soothing effect to them.

Dosage– 2 capsules twice daily with plains water after meals

5. Brahmi Capsules

Brahmi capsules are safe and prepared using the standardized extract of Brahmi (Bacopa monnieri).Classically this is mentioned as Medhya (nervine tonic), thus reducing the pain in head occurring due to migraine. It is one of the best herbs to be used in nervous system disorders as it contains alkaloids like Bacopasides which aids in nourishing the neurons and improves retention ability.

Dosage–  2 capsules twice daily with plains water after meals

Conclusion

At last, we can console that the above mentioned herbal formulations are very much safe and effective in migraine. So use these formulations without any worry and keep yourself healthy. For more queries you can contact us on herbalremedies123@yahoo.com.

Refrences

  1. https://www.medscape.com/answers/1142556-170220/what-is-the-global-prevalence-of-migraine-headache
  2.  https://emedicine.medscape.com/article/1142556-overview#a2
  3. AYURVEDIC MANAGEMENT OF ARDHAVBHEDAKA ROGA (MIGRAINE) – A CASE REPORT; Gupta Asherfi Lal ewt al, World Journal of pharmaceutical research, 2019

Treatment of Dvt/ Varicose Vein (Sira Vikar) in Ayurveda

Abstract

The venous system in our body is a huge branching network of structures that carry deoxygenated blood away from the systemic tissues to the heart. It would not be wrong to say that beneath the layer of visible skin we have a huge spread meshwork of Veins, venules, capillaries, arterioles, arteries etc. Ayurveda has considered a total of 700 Sira (Veins) in the human body. Its massive expansion in the body is beautifully compared to the venation pattern of the leaves. Ayurveda believes the common origin of all the veins is Nabhi (the naval). It is from this point that the veins diverge in the upper (urdhva), lower (adho) and the diagonal (tiryak) directions.The vein being functional for an entire-time until the person lives, are vulnerable to the obvious wear, tear, and also the complicated pathologies. Ayurvedic correlation of the same can be made to Sira Granthi.  This article discusses a very common venous pathology “Varicose vein”. This is a complete pathology in itself and is also a mere etiology for complicated conditions such as DVT. This article discusses the cause, pattern,sign-symptoms, pathology and management of this disease.

Introduction

Varicosity of the vein pertains to dilation, elongation and torsion of the vein. It is found commonly in the “superficial venous system of long or short saphenous”,  “esophageal varix”, “hemorrhoidal veins”,”spermatic veins” etc.

Varicose vein

The venous drainage in undertaken via

  1. Deep Veins
  2. Superficial Veins
  3. Perforating or connecting veins

1. Deep veins

Anatomically these veins are located in the close proximity to arteries.These have a better build-up of veins in them which directs the flow of blood upwards and prevents its regurgitation due to gravity. Examples of such kinds of veins are- Peroneal vein,popliteal vein,tibial vein,femoral veins etc.

2. Superficial Veins

These veins lie between the skin and the deep fascia. It is found where the subcutaneous fat is seen. Examples of subcutaneous veins are Long (begins in the medial marginal vein of foot and ends in the femoral vein) and Short (begins in the lateral marginal vein of foot and ends in the popliteal vein) Saphenous veins.

Perforating or communicating Veins

These veins join deep veins to superficial veins.These veins have a good build-up of valves that prevent the backflow of blood from superficial veins to the deep veins. It is due to the failure of these valves that the blood retrogates back to the superficial veins and causes “Varicose veins”.

Etiology

There are many factors that are causative to varicose veins and they are

  1. Prolonged standing– When a person occupationally or habitually stands for really longer durations,his blood in the lower limbs pressures ( due to gravity) against the valves.This dysfunctions valves and brings the retrograde flow of blood.
  2. Obesity– Adiposity or the fat accumulation offers poor support to the veins.
  3. Gereatric Degeneration– In old age the vein walls experience atrophications which makes them incompetent.
  4. Athletes– Due to over activity the veins get exerted pressures by the contractions of calf muscles which forces blood in reverse direction through perforating veins. This brings destruction to the Valves and causes “Varicose veins”.
  5. Pregnancy-The pregnant state is accompanied with the release of progesterone hormone which brings dilatation and relaxation of the veins of the lower limb (most common in the first trimester of pregnancy). The pregnant uterus also puts more pressure over inferior vena cava which becomes a reason of obstruction in the normal flow.

Types

There are three different types of Varicosities

  1. Primary varicose veins– This type is mainly a result of valve failure. For example a pathology in a saphenofemoral valve causes varicosity in long saphenous veins.
  2. Secondary varicose veins– This type of various vein is due to some obstructions such as physical growths (tumours, fibroids,cysts), DVT, progesterone (in multiparous), arteriovenous fistula etc.
  3. Congenital varicose veins– This type is majorly seen among the children less than 20 years of age.The reason may be arteriovenous fistula ,haemangioma etc.

Clinical Features

Below are the clinical features of DVT

  1. Fatigued aching legs
  2. Severe pain while walking
  3. Tortuous and dilated veins
  4. Swollen ankles
  5. Pigmented skin associated with itching

Investigations

Following investigations should be done to rule out DVT

  1. Venography ( X ray of veins after an injection of a dye)
  2. Doppler Ultrasound(to measure the amount of blood flow)
  3. Photoplethysmography( to see volumetric changes of the blood )
  4. Duplex ultrasound  (an imaging of blood flow and the vessels)
  5. Local examination tests like Brodie Trendelenburg test,Tourniquet test,Perth’s test,Cough impulse test,Fegan’s method test etc.

Complications

If the disease is not treated in the first place that can cause severe complications in the later stages of life.  It might cause “Thrombophlebitis”, “Pigmentation”, “Eczema”, “Venous ulcer”, “ Hemorrhage”

Treatment

  1. Palliative managementThe use of long stockings all day long (not in the night) and practising the exercises such as cycling of feet while lying down on the back.
  2. Operative treatment-Several operative procedures such as Ligation (of long saphenous vein), Ligation with stripping,Sclerotherapy or Fegan’s injection therapy,Radiofrequency ablation ,Endovenous laser surgery etc are performed.

Deep Vein Thrombosis

If the pathology like varicose veins is not treated properly then it might result in the severe complications such as “Deep Vein Thrombosis”or Phlebothrombosis. The predisposing factors of DVT are stasis, increased blood coagulability, and injury to the vascular wall. Varicose veins and several other causative factors such as minor injuries, visceral cancer, surgery, diabetes, pregnancy, infection, obesity, use of contraceptive pills are contributory to hypercoagulation of the blood thereby leading to the condition of “ Venous thrombosis”. Venous thrombosis may be superficial or deep. Buerger’s disease and visceral cancer can cause visible Trousseau’s sign of superficial venous thrombosis.

Deep Vein Thrombosis or Phlebothrombosis is a condition in which the thrombus is loosely attached to the vein wall from which the emboli displaces causing fatal pulmonary embolism.

Clinical Features of Dvt

  1. This condition may be asymptomatic for the majority of the patients.
  2. A severe aching pain at the site of thrombus can be felt. This usually aggravates standing.
  3. Minimal inflammation too can be seen.

Physical Findings

  1. Physically swelling, tenderness is visible
  2. Homan’s sign is positive- In this test on dorsiflexion of the foot, the calf veins that are thrombosed, pains.
  3. Mose’s sign is positive- In this test the calf muscle on being squeezed, pains.
  4. Lab investigations such as Phlebography, plethysmography, Doppler ultrasound and Duplex ultrasound can confirm DVT findings.

Management of Dvt

Prevention

  1. Venous intimal injury and hypercoagulability must be avoided in any form.
  2. Leg must be elevated above the level of heart.
  3. Exercises like plantar flexion can be beneficial considerably.
  4. Elastic stockings must be worn.
  5. Bed rest is advised ( it prevents thrombus emboli from spreading)
  6. Sitting and standing idly should be avoided.

Medications

  1. Anticoagulants such as heparin ( should not however be discontinued abruptly)
  2. Coumarin derivatives such as warfarin
  3. Fibrinolytic drugs such as streptokinase ( converts plasminogen into plasmin)

Surgery

  1. The affected vein is by- passed if possible.
  2. The vein if larger (such as vena cava, iliac vein) can be repaired via prosthetic material.
  3. Venous transplant
  4. Venous thrombectomy
  5. Insertion of umberally filter (this prevents pulmonary embolism)

Ayurvedic Understanding of Varicose Veins

The probable correlation of varicose vein can be made to the concept of Sira Granthi in Ayurveda. Ayurveda considered the vitiated Vata dosha the main culprit behind this pathology. Vitiated vata increases the pressure over valves and hence dysfunctions them. It also distorts the elasticity of veins.

Ayurvedic Management

Ayurveda manages this pathology by balancing the vitiated Vata doshas. It makes use of Vatrakt chikitsa, abhyanga(massage),dhara,Sira vyadha and leech therapy.There are several herbs provided by our mother nature that can be very beneficial (due to their ras,gun,virya,vipak) against these diseases.

Herbs for varicose veinTreatment of varicose vein

Herbal Remedies for Varicose Veins

Planet Ayurveda has made use of ancient wisdom and has come up with very effective results against fibroids. Planet ayurveda is a globally emerging herbal manufacturing hub that formulates herbomineral /herbal formulation that are obtained from 100% natural sources with strict adherence to ayurvedic texts and principles .These herbal medications are being made under strict vigilance and guidance of expert ayurvedic physician using ancient time tested formula.

Planet Ayurveda offers a Varicose Vein care pack which includes the following

  1. Gotu kola Capsules
  2. Curcumin Capsules
  3. Triphala Guggul

Products Description

1. Gotu kola Capsules

This formulation is made up of pure standardized extract of Mandookparni (Centella asiatica) which supports healthy blood circulation. The effective action of balancing the vitiated tridoshas in the pathology behind varicose vein brings enormous relief. This drug also balances the psychic energies and alleviates the stress (which is a major causative  factor behind the further compilation such as DVT)

Dose- 1 Capsule twice a day

2. Curcumin Capsules

This formulation has standardized extract of Curcuma longa which works amazingly over inflammations, pathogenic infestations, pain etc that could be associated along with varicose vein or the thrombotic embolisms.

Dose-1 Capsule twice a day

3. Triphala Guggul

This formulation has

  • Emblica officinalis (Amla)
  • Terminalia billerica ( Bibhitaki),
  • Terminalia chebula ( Haritaki)
  • Piper longa(Pippali)
  • Purified Commifora mukul( Guggul) in it.

This formulation boosts metabolism,flushes toxins out of the body and pacifies the inflammation.

Dose– 2 Tablets twice a day

Conclusion

This pathology is very severe but unfortunately goes unnoticed for the majority of the time. Nowadays stress has become an inevitable part of everyone’s life, and this stress is the major hypercoagulability factor. Stress should be reduced to minimal levels and then accordingly its management should be advised.