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== Preventive ==
 
== Preventive ==
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Ayurveda scholars have suggested few regimes into daily routine which have a potential to prevent multiple illnesses including headache and other shirorogas. Few of them are listed below,
    
=== Benefits of nasya in preventing shirorogas ===
 
=== Benefits of nasya in preventing shirorogas ===
वर्षे <sup>[१]</sup> वर्षेऽणुतैलं च कालेषु त्रिषु ना चरेत्||५६|| प्रावृट्शरद्वसन्तेषु गतमेघे नभस्तले| नस्यकर्म यथाकालं यो यथोक्तं निषेवते||५७||
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Acharya charaka in sutrasthana states, nasya must be practiced as preventive method during, pre-rainy season, autumn and spring when the weather is non-cloudy.
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न च केशाः प्रमुच्यन्ते <sup>[२]</sup> वर्धन्ते च विशेषतः| मन्यास्तम्भः शिरःशूलमर्दितं हनुसङ्ग्रहः||५९|| पीनसार्धावभेदौ च शिरःकम्पश्च शाम्यति|
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The benefits of Nasya are described as follows which also include its effect on headache and disorders affecting head.
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सिराः शिरःकपालानां सन्धयः स्नायुकण्डराः||६०|| नावनप्रीणिताश्चास्य लभन्तेऽभ्यधिकं बलम्| Cha . su 5.59-60
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Benefits of nasyam,
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* Prevents hairfall and promotes hair growth.
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* Prevents, stiffness of neck
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* Manages, Headaches
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* Facial paralysis
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* Stiffness in jaw/ lock jaw
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* Rhinitis
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* Migraines/hemicrania
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* Tremors
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Nasya therapy helps in the nourishment of anatomical structures like blood vessels, ligaments and tendons in the head region and provides necessary strength to them. (Cha . su 5.59-60)
    
=== Benefits of shiro abhyanga ===
 
=== Benefits of shiro abhyanga ===
नित्यं स्नेहार्द्रशिरसः शिरःशूलं न जायते| न खालित्यं न पालित्यं न केशाः प्रपतन्ति च||८१||
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Applying hair oil or doing head massage with oil is an integral part of ideal daily regime recommended by Ayurveda. It has got multiple health benefits specifically related to head and hair.
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बलं शिरःकपालानां विशेषेणाभिवर्धते| दृढमूलाश्च दीर्घाश्च कृष्णाः केशा भवन्ति च||८२||
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Daily head massage with oil helaps in following ways, (Cha Su. 5 81-83)
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इन्द्रियाणि प्रसीदन्ति सुत्वग्भवति चाननम् <sup>[१]</sup> | निद्रालाभः सुखं च स्यान्मूर्ध्नि तैलनिषेवणात्||८३|| Cha Su. 5 81-83
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* It prevents headaches,
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* It prevents hair fall and premature greying of hair.
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* It strengthens the bony cavity or cranium overhead.
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* It strengthens the roots of hair, promotes hair growth, retains the natural hair color.
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* Soothes senses,
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* Nourishes the facial skin.
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* Improves sleep quality and altogether provides happiness.
    
=== Avoid daytime sleep ===
 
=== Avoid daytime sleep ===
शिरःशूलं स्तैमित्यं गुरुगात्रता|.....भवेन्नृणां दिवास्वप्नस्याहितस्य निषेवणात्| (Char. Samh. Suu 21.46-49)
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Ayurveda acharyas always discourage the day time sleep in everyone except certain physiological and medical conditions. It is clearly stated that Daytime sleep can trigger or lead to headache, stiffness and heaviness in body, Therefore it must be avoided to prevent headache or to quickly cure it when one is suffering from it. (Char. Samh. Suu 21.46-49)
    
== Causes of shiro rogas ==
 
== Causes of shiro rogas ==
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Headache and other head related diseases have been counted under Shirorogas by Ayurveda acharyas. Elaborate discussion on causes of these diseases has been found in Ayurveda treatises. Following tbale gives the general idea of causes of headache and head related diseases along with the gross classification og the causes. Char. Samh. Su 7/8, Char. Samh. Su 7/16, (Char. Samh. Su. 17.8-11), Cha. Si 12.14, Cha. Si 12.14, Cha. Si 12.14, Su su 42.15
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=== Vega vidharna /sthana vaigunya ===
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Purisha- पक्वाशयशिरःशूलं वातवर्चोऽप्रवर्तनम् <sup>[३]</sup> | पिण्डिकोद्वेष्टनाध्मानं पुरीषे स्याद्विधारिते||८|| Char. Samh. Su 7/8
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Kshawathu- मन्यास्तम्भः शिरःशूलमर्दितार्धावभेदकौ| इन्द्रियाणां च दौर्बल्यं क्षवथोः स्याद्विधारणात्||१६||Char. Samh. Su 7/16
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=== Causes of shiroroga general ===
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सन्धारणाद्दिवास्वप्नाद्रात्रौ जागरणान्मदात्|
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उच्चैर्भाष्यादवश्यायात् प्राग्वातादतिमैथुनात्||८||
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गन्धादसात्म्यादाघ्राताद्रजोधूमहिमातपात्|
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गुर्वम्लहरितादानादति शीताम्बुसेवनात्||९||
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शिरोऽभिघाताद्दुष्टामाद्रोदनाद्बाष्पनिग्रहात् <sup>[१]</sup> |
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मेघागमान्मनस्तापाद्देशकालविपर्ययात्||१०||
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वातादयः प्रकुप्यन्ति शिरस्यस्रं च दुष्यति|
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ततः शिरसि जायन्ते रोगा विविधलक्षणाः||११|| (Char. Samh. Su. 17.8-11)
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=== others ===
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तत्रोच्चैर्भाष्यातिभाष्याभ्यां शिरस्तापशङ्खकर्णनिस्तोदश्रोत्रोपरोधमुखतालुकण्ठशोषतैमिर्यपिपासाज्वरतमक- Cha. Si 12.14
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रथक्षोभात् सन्धिपर्वशैथिल्यहनुनासाकर्णशिरःशूलतोदकुक्षिक्षोभाटोपान्त्रकूजनाध्मानहृदयेन्द्रियोपरोध- Cha. Si 12.14
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व्यवायादाशुबलनाशोरुसादशिरोबस्तिगुदमेढ्रवङ्क्षणोरुजा Cha. Si 12.14
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Tikta rasa atiyoga
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Su su 42.15
   
{| class="wikitable"
 
{| class="wikitable"
 
|'''Lifestyle related causes'''
 
|'''Lifestyle related causes'''
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|'''Miscellaneous'''
 
|'''Miscellaneous'''
 
|-
 
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|Day sleep
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|Daytime sleep
 
|Exposure to excess cold or wind
 
|Exposure to excess cold or wind
 
|Suppression of natural urges like (yawning,  micturition etc)
 
|Suppression of natural urges like (yawning,  micturition etc)
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|Excessive crying (Char. Samh. Su. 17.8-11)
 
|Excessive crying (Char. Samh. Su. 17.8-11)
 
|-
 
|-
|Over indulgence in heavy food items, sour tasting  food
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|Over indulgence in heavy food items, sour tasting  food and excessive bitter taste food
 
|Constant exposure to dust, smoke.
 
|Constant exposure to dust, smoke.
 
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|
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== Treatment aspects ==
 
== Treatment aspects ==
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Headaches even though very commonly observed are one of the primary symptoms in a wide range of diseases from hyperacidity to brain tumor. Ayurveda suggests few general measures descibed below to get relief from symptoms like headache. Apparently trivial looking symptom like headache is related to an important [[Marma (मर्म)|marma]](vital point) in the [[Sharira (शरीरम्)|shareera]]. Thus, consultation with a certified [[Vaidya (वैद्यः)|Vaidya]] or Ayurvedic physician is of importance even while executing the below given general management protocols.
    
=== Swedana- ===
 
=== Swedana- ===
प्रतिश्याये च कासे च हिक्काश्वासेष्वलाघवे| कर्णमन्याशिरःशूले स्वरभेदे गलग्रहे||२०|| अर्दितैकाङ्गसर्वाङ्गपक्षाघाते (Char. Samh. Su. 14.20-21)
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Swedana is a therapy which means fomentation or sudation or simply steam therapy. There are various methods or types listed in Ayurvedic Samhitas regarding swedana therapy, which differs from disease to disease. Precisely the procedure which relieves stiffness, heaviness, obstruction and cold from body or a specific targeted area is called as swedana and in various Shiroroga(along with many other disorders), Swedana is used as one of the treatment procedure. (Char. Samh. Su. 14.20-21)(char.sut.22.11)
 
Swedana is a therapy which means fomentation or sudation or simply steam therapy. There are various methods or types listed in Ayurvedic Samhitas regarding swedana therapy, which differs from disease to disease. Precisely the procedure which relieves stiffness, heaviness, obstruction and cold from body or a specific targeted area is called as swedana and in various Shiroroga(along with many other disorders), Swedana is used as one of the treatment procedure. (Char. Samh. Su. 14.20-21)(char.sut.22.11)
    
=== Jeerna ghruta ===
 
=== Jeerna ghruta ===
योनिकर्णशिरःशूलं घृतं जीर्णमपोहति||२३३|| (Char. SAmh. su 27.233)  (Su su 45.107)
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Jeerna ghruta means old preserved ghee, this is used orally as one of the treatment methods in shira shula (headache of certain type). Ghee In general has properties which enhances memory, intelligence, balances vata and kapha doshas and also improves digestion and metabolism.the properties of ghee vary based on the source of milk. (cow, buffalo, goat, sheep etc) (Char. SAmh. su 27.233) (Su su 45.107) (char.sutr.27.231)
 
Jeerna ghruta means old preserved ghee, this is used orally as one of the treatment methods in shira shula (headache of certain type). Ghee In general has properties which enhances memory, intelligence, balances vata and kapha doshas and also improves digestion and metabolism.the properties of ghee vary based on the source of milk. (cow, buffalo, goat, sheep etc) (Char. SAmh. su 27.233) (Su su 45.107) (char.sutr.27.231)
    
=== Tailam ===
 
=== Tailam ===
अथ तैलानि |
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While describing the properties and benefits of a simple sesame oil used for cooking and external application. Tailam has properties such as nourishing and soothing the micro channels, is flowy in nature and many other properties as well. Application of taila helps improve skin quality, enhances memory functions. Provides stability of muscles. Improves skin complexion, enhances strength. Taila is chakshushya meaning, improves eye sight.
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तैलं त्वाग्नेयमुष्णं तीक्ष्णं मधुरं मधुरविपाकं बृंहणं प्रीणनं व्यवायि सूक्ष्मं विशदं गुरु सरं विकासि वृष्यं त्वक्प्रसादनं मेधामार्दवमांसस्थैर्यवर्णबलकरं चक्षुष्यं बद्धमूत्रं लेखनं तिक्तकषायानुरसं पाचनमनिलबलासक्षयकरं [१] क्रिमिघ्नमशितपित्तजननं [२] योनिशिरःकर्णशूलप्रशमनं गर्भाशयशोधनं च (Su Su 45.112)
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Acharya Sushruta has mentioned its beneficial action on headache. He stated that, the sesame oil helps to relieve headache. Along with that it also has the capacity to relieve earache.  
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=== Nasya ===
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The route of administration of the oil when it is to be used as a medicine could be either external or oral. But the dosage, time of administration, combination or even instruction for external use vary depending on the cause, other symptoms, season, strength of agni and the person. (Su Su 45.112)
Aternative name- Shiro virechana -
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नस्तःकर्म च कुर्वीत शिरोरोगेषु शास्त्रविद्|
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(Su Su 45.112)
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द्वारं हि शिरसो नासा तेन तद् व्याप्य हन्ति तान्||८८|| Cha. Si 9.88
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=== Nasya ===
 
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Nasya karma also known as shiro virechana(that therapy which expels doshas situated in shiras) is one of the panchakarma therapy methods which means instillation of medicine (in the form of oil, powder, herbal liquid etc) through nostrils. This is primely indicated for the diseases of head and its associated structures. (asht,hrud.sutr.20.1) (Cha. Si 9.88)<blockquote>नस्तःकर्म च कुर्वीत शिरोरोगेषु शास्त्रविद्| द्वारं हि शिरसो नासा तेन तद् व्याप्य हन्ति तान्||८८|| Cha. Si 9.88</blockquote>
 
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Meaning: the one who has the knowledge to perform nasya in scientific method should conduct nasya in shirorogas (head related diseases). It is because the nose acts as an entry point to the head and structures inside it so it can cover the entire region and eliminate diseases affecting those.
Nasya karma also known as shiro virechana(that therapy which expels doshas situated in shiras) is one of the panchakarma therapy methods which means instillation of medicine (in the form of oil, powder, herbal liquid etc) through nostrils. This is primely indicated for the diseases of head and its associated structures. (asht,hrud.sutr.20.1) (Cha. Si 9.88)
      
=== Dhumapana ===
 
=== Dhumapana ===
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Indicated in headaches of various kind, heaviness of head, runny nose, sinuses, cough. (Cha.Chi 18/65)
 
Indicated in headaches of various kind, heaviness of head, runny nose, sinuses, cough. (Cha.Chi 18/65)
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शिरसः पीडने स्रावे नासाया हृदि ताम्यति|
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कासप्रतिश्यायवतां धूमं वैद्यः प्रयोजयेत्||६५|| - Commentary- शिरस इत्यादिना धूमयोग्यावस्थोपदर्शनपूर्वकं धूममाहशिरसः पीडने इत्यादि| शूलगौरवादिना शिरसः पीडने| (Cha.Chi 18/65)
      
== In which rogas does shira gets affected or headache seen as symptom ==
 
== In which rogas does shira gets affected or headache seen as symptom ==
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