Authors : Dr. Nishu Raina; Dr. Kunal Modi

Volume/Issue : Volume 11 - 2026, Issue 8 - August

Google Scholar : https://tinyurl.com/3zafeu48

Scribd : https://tinyurl.com/45emxhh8

DOI : https://doi.org/10.38124/ijisrt/26aug489

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : Ardhavabhedaka is a classical Ayurvedic disorder of the head characterized predominantly by severe unilateral headache, with clinical features that may overlap with migraine, particularly when accompanied by nausea, vomiting, photophobia, and phonophobia. A 41-year-old woman presented with a 2-year history of recurrent, severe, left-sided throbbing headache associated with nausea, vomiting, photophobia, phonophobia, and osmophobia. Her relevant medical history included hypertension for 10 years and type 2 diabetes mellitus for 5 years. Clinical examination was largely unremarkable apart from facial pallor; the recorded blood pressure was 130/90 mmHg and oxygen saturation was 94%. Based on the clinical presentation and Ayurvedic assessment, the condition was diagnosed as Ardhavabhedaka with migraine-like features. The patient was treated with a multimodal Ayurvedic regimen consisting of Bala Guduchayadi Taila administered as Marsha Nasya (3 mL in each nostril), along with oral Pathyadi Kwatha 25 mL twice daily and Shirsooladi Vajra Rasa two units twice daily for 28 days. Following treatment, the case record documented a marked reduction in the frequency and severity of headache episodes, resolution of nausea and vomiting, and substantial reduction in photophobia and phonophobia. No standardized quantitative headache or disability scale was documented in the source record. This case demonstrates an association between a 28-day multimodal Ayurvedic intervention and symptomatic improvement in a patient presenting with Ardhavabhedaka and migrainelike features. However, the findings should be interpreted cautiously because of the single-case design, absence of a comparator, lack of standardized quantitative outcome measures, and inability to attribute the observed improvement to any individual component of the treatment regimen. Further systematically documented clinical studies are warranted to evaluate the therapeutic potential and safety of this approach.

References :

1. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1–211.
2. Shastri AD, editor. Sushruta Samhita of Maharshi Sushruta with Ayurveda Tattva Sandipika commentary. Uttara Tantra, Chapter 25/15. Varanasi: Chaukhambha Sanskrit Sansthan; 1997. p.128.
3. Shastri KN, Chaturvedi GN, editors. Charaka Samhita with Viddhyotini Hindi commentary. Siddhi Sthana, Chapter 9/75–78. Varanasi: Chaukhamba Orientalia; 2018.
4. Gupta A, editor. Ashtanga Hridaya with Viddhyotini Hindi commentary. Uttara Sthana, Chapter 23/7–8. Varanasi: Chaukhamba Orientalia; 2010. p.726.
5. Upadhyaya Y. Madhava Nidana with Madhukosha commentary. Siroroga Nidana, Chapter 60/11. Varanasi: Chaukhamba Orientalia; 2010. p.404.
6. Mangal A, Pali S, Makhija P. Efficacy of an Ayurvedic intervention in the management of migraine: a case report. Int J AYUSH Case Rep. 2021;5(1):19–23.
7. Maurya M, Kumar A, Sharma N, Singhal T. A clinical study of Kumkum Nasya and Pathyadi Shadanga Kwatha in the management of Ardhavabhedaka with special reference to migraine: a randomized clinical trial—research protocol. J Ayurveda Integr Med Sci. 2025;10(11):163–169. doi:10.21760/jaims.10.11.17.
8. Maurya M, Sharma N, Nigam R, Mishra J. A single case report of Pathyadi Shadanga Kwatha and Kumkum Nasya in the management of Ardhavabhedaka with special reference to migraine. Int Res J Ayurveda Yoga. 2025;8(12):8–11. doi:10.48165/IRJAY.2025.81202.
9. Trikamji Y, editor. Sushruta Samhita of Sushruta with Nibandha Sangraha commentary of Dalhana Acharya. Chikitsa Sthana, Chapter 40/25. 3rd ed. Varanasi: Chaukhambha Surbharati Prakashan; 2014. p.555.
10. Mishra B, editor. Bhavaprakasha, Madhyama Khanda. Chapter 62/17–19. 4th ed. Varanasi: Chaukhamba Bharati Academy; 2014. p.599.
11. Tripathi I, Dwivedi R, editors. Chakradatta of Sri Chakrapanidatta. Shiroroga Chikitsa, Chapter 60/40. Varanasi: Chaukhamba Sanskrit Series Office; 2012. p.374.
12. Srivastava S. Sharangadhara Samhita with Jeevanprada commentary. Purva Khanda, Chapter 7/149. Varanasi: Chaukhamba Orientalia; 2013. p.113.
13. Sah SK. Treating migraine (Ardhavabhedaka) with Ayurveda: a single case study. Int J Trend Sci Res Dev. 2019;3:68–69.
14. Prakash VB, Prakash S, Sharma SC, Negi N. Response to Ayurvedic therapy in the treatment of migraine without aura. Int J Ayurveda Res. 2010;1(1):30–36. doi:10.4103/0974-7788.59941.
15. Sen KG. Bhaishajya Ratnavali with Siddhiprada Hindi commentary by Siddhi Nandan Mishra. Part 2. Shirorogadhikara, Chapter 65. Varanasi: Chaukhamba Amrabharati Prakashan; 2005.