Patient had various health issues like overweight, headache, cold-cough, breathlessness, joint pains, indigestion, thyroid, piles etc. for a long time. Out of all those, at the time of consultation, she asked her doctor to focus mainly on headache, cold-cough, congestion and digestive problems that were giving her a lot of trouble in concentrating on anything.Headache, generally affects the whole head but patient reported that she experienced pain more in the left side of her head. With headache, patient also had different associated symptoms such as watery eyes, throat congestion with occasional pain. Her headache happened almost regularly but sometimes it appeared with a couple of day’s gap. Some other problems that the patient reported during consultation were wheezing sound in the chest and occasionally phlegm passing after taking medicines.Because of indigestion, patient also had gastric problem which caused gas that was not easy to pass and often caused heaviness in abdomen. Weak digestion and fragile immunity made her vulnerable to diseases very easily. She was regularly taking medicines for thyroid at the time of consultation.Specific History (H/O Present Illness)Almost for ten years she was affected by headache.Physical/ Systemic FindingsBowels: Once daily, not clear-constipating feeling Appetite: Variable Gas: Yes Acidity/nausea: Yes Sleep: Disturbed Mind: Stressed/anger Digestion: Weak Sweating – excess,Thirst – excess, Urine: Occasional mild burning sensationH/O Past illness / Family HistoryEarlier patient was diagnosed with HTN and took medicines to normalize it. At time of consultation, patient was not taking any blood pressure medicines. She had joint problem for 3 years, dry piles for 10 years, joint pains and general oedema for 4 years, hearing problem for 20 years and tingling sensation for 3 years. Patient mentioned that her menstruation had stopped at the age of 38 and her deliveries were normal.
Case Management
/ target=”_blank”>Ayurvedic treatment for migraine headaches
Samprapti Ghataka: Dosha: Vata-pitta Dushya: Ras, rakta Srotas: Ras vaha, rakta vaha, anna vaha, mano vaha Adhishthan: Shir
Nidana: Unwholesome diet and routine, psychological factors, other associated diseases, weak digestion etc.
Chikitsa Sutra
• Nidana parivarjan – Avoid things in diet and routine that accelerates progression of disease
• Shodhan Chikitsa – Some effective and easy to implement methods are discussed to be done at home
• Sattvavjay Chikitsa – Patient education, expectation management and approach of treatment is shared
JIVA TREATMENT PLAN IN AUG 2015
Churna
Shivakshar
rasayan
Tablets
Soot
shekhar ras
Products
Mukti
supplement pack
Amla
pittantak rasayan
Trisiddha
guggulu
Kasna
syrup
Bhudhatri
rasayan
Shir
shooladi vajra ras
Shankhpushpyadi
churna
Swas
kasantak churna
Specific Advice:
Pathya: Patient was advised to do regular practice of yoga-pranayam, walks, application of oil in nostrils, massaging the whole body and soles with lukewarm til oil processed with ajwain, adarak and methi dana are very helpful. Preferably drink lukewarm water. For coughing, taking roasted ginger with honey and tulsi leaves extract, kali mirch and pippali paste with honey is advised. Castor oil is suggested to lubricate intestines and clear blockage.
Apathya: Avoid rice, dahi, baingan, urad dal, rajam, chhole, citrus, fried, oily, spicy, salty, excess of sweet things, fast foods, white flour products etc. and exposure to cool air. Over thinking, stress, anger etc. should be managed properly in a natural way to minimize them.
Modifications/Changes made in prescription during course, Below changed medicines were given as per patient’s feedback:
In Oct 2015
Virechak churna was replaced with Shankhpushpyadi churna. Triphala supplement pack and Aragvadhadi kwath was given in products. Rest of medicines were kept same.
In Nov 2015
Changes, done in medicines, are given here:
Churna
Shiva
Rasayan
Tablets
Sooth
Shekhar Rasa
Products
Aragwadhadi
Kwath
Bhudhatri
Rasayan
Shirshool
Vajradi Rasa
Virechak
Churna
Migraine
Vati
Panchsakar
Churna
Shankh
Bhasma Vishesh
In Feb 2016: In medicines, Soot shekhar ras was replaced to Smritika tablet while Stressfree tablet and brahmi tablet was added in products. Rest of medicines were kept same.
In April2016: Sitopaladi churna was replaced to Bhudhatri churn in mixture and Kasna syrup was added in products. Other medicines were repeated.
In June 2016
Churna
Shiva
Rasayan
Tablets
Shirshool
Vajradi Rasa
Products
StressFree
Tablets
Virechak
Churna
Migraine
Vati
Brahmi
Tablets
Panchsakar
Churna
Samagni
Vati
Triphalaghrit
Amlapittantak
Rasayan
Outcome
Due to multiple deep seated chronic problems, patient started feeling gradual changes in the beginning. In between she reported that she used pain killers and other allopathic medicines to treat her anxiety, stress, restlessness and other similar problems which gave her adverse effect. She responded well in coughing, breathlessness and other chest congestion problems but headache and indigestion continued to appear intermittently. With continuation of treatment, patient reported good recovery in all her problems and later based on improvements her medicine dosages were tapered. Eventually, she got recovered significantly and all her lingering complications were relieved.
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