Therapeutic Role Of Vacha–Pippali Taila Nasya Combined With Pathyadi Kwatha In Ardhavbhedaka (Migraine): Evidence From A Case Study

Abstract

Background: Ardhavabhedaka, described in Ayurveda, bears close resemblance to migraine in modern medicine. It is characterized by severe unilateral headache associated with symptoms such as nausea, photophobia, and phonophobia. Current management in conventional medicine provides symptomatic relief but may lead to recurrence and side effects. Ayurvedic interventions like Nasya and Kashaya are described for long-term relief by correcting Vata vitiation and improving systemic balance.

Case Presentation: A patient presented with recurrent episodes of migraine-like headache associated with nausea and photophobia. The intervention protocol included Pathyashadangam Kashaya (20 ml twice daily before meals for 28 days) and Vacha Pippali Taila Nasya (6 drops in each nostril at 9:00 AM, delivered in two 7-day sessions with a 7-day gap).

Intervention and Follow-up: Participants were advised dietary and lifestyle modifications in accordance with Pathya-Apathya. Therapy was assessed using HIT-6, MIDAS, and a multidimensional grading system. Follow-up was carried out on the 15th, 30th, and 60th days to monitor recurrence and long-term effects.

Results: Progressive reduction in headache severity and associated symptoms (nausea, photophobia, phonophobia, and vertigo) was observed. HIT-6 and MIDAS scores showed marked improvement post-treatment, indicating a reduction in migraine disability and impact on daily life.

Conclusion: The combined use of Vacha Pippali Taila Nasya and Pathyashadangam Kashaya was effective in reducing the intensity and frequency of migraine attacks, with improvement in associated symptoms and quality of life. This supports the role of Ayurvedic interventions in the management of Ardhavabhedaka.