acomparative studyonrole ofshirodhara jatamamsi …ayushportal.nic.in/pdf/2868.pdf · diagnosed...

Clinical StudA Comparative Study on Role ofShirodhara &Jatamamsi In

The Management of "Vatika Shirah Shoola" W.S.R. To"Tension Head Ache"

"Dr. Sushanta Kumar Sahoo, **Prof Ajay Kumar Sharma

Abstract

Vatika Shirahshoola (Tension Head ache) is most common type of primary headache accounting 90%of all headaches and approximately 3% of the population suffer from chronic tension headache. It is produceddue to contraction of the muscles of head & neck & psychological factors like stress and strain aggravatesthe condition.The incidence is more in the youngsters, computer operators, jwellerry workers. Total 43diagnosed cases of Vatika Shirahshoola (Tension Headache) were selected for the present research work &divided into three groups. The patients of group-I were treated with Shirodhara with Dashamula Taila,patients of group-II were treated with Jatamamsi powder orally and patients of group - III were treatedwith tab. Amytryptiline orally. The trial drug Dashamula Taila and procedure Shirodhara showed highlysignificant reduction in symptoms like Ghata Sambidhyate(Cutting type of pain in posterior aspect of neck),Stavyate cha shirodhara(Tightness of muscles of neck), Sirah Sphurana (Pulsatile Veins in Head), PrakashAsahata (Photophobia) etc. in comparison to other two groups. Thus Shirodhara with Dashamula Taila iseffective in the management of the Vatika Shirahshoola (Tension Headache).

Key Words Vatika Shirahshoola, Shirodhara, Dashamula Taila, Tension Headache.

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ftn:, -men Cfft -qffi ~ ~ ~ ~ CflRUT mm % ~ qHfBCfi CflRCFl ~ (RlCf 3TIfu:~ JiftTCf) >r'lfTfcrcf

Cfl@ '& I ~ ~ ~: 'iq~1)i=4Cf1'i,CfillJ!{C:~ ~, ~ crcR:f if \T;qI~I(H ~ ~ % I

~ -W~ ~ if cnfuCfi" ftn::~ ~ ~ 43 UfTr;qT CfiT ~ ~ 'l<:fT % 3ffi ~ 3 1ri if fcf~

~ 'l<:fT I 1ri-1 ~ UfTr;qT CfiT ~ ~ -mD'tTRT &RT ~ ~ 'l<:fT I 1ri-2 ~ "iTfTr:n CfiT 'i12:1 q i'81 ~ "&RCfiT "fu7:n 'l<:fT I 1ri-3 ~ UfTr;qT CfiT Amytryptiline ~ &RT ~ ~ 'l<:fT I >r~ 1ri ~ "itfTr;qT if ~~ ~ ~ -B -mD'tTRT &RT ~ Tf7lT, ~ ~ ~ fcfi 311la:rT ~ ~a.ro if ?:f2.TT- ~ w~uffi (Cutting

type of pain in posterior aspect of neck) I «r'Rfcf g rnumu (Tightness of muscles of neck), fu\: ~ (Pulsatileveins in head), 3ffi >fCfirn ~ (Photophobia) if JiftTCf) ffi'q w:rr 'l<:fT % I 31(f: ~ (h;:r -B -mD'tTRT ~

~1~~1(1(Tension Headache) Cfft f-qfCfi,BI if ~ dqllllf) % I

Ph.D. Scholar, ** Prof. & Head, P.G Deptt. of Kayachikitsa, NIA, Jaipur (Raj) -302002.

8

Clinical StudA Comparative Study on Role ofShirodhara &Jatamamsi In

The Management of "Vatika Shirah Shoola" W.S.R. To"Tension Head Ache"

Introduction

Today the people of modern civilization haveabsolutely changed the concepts of diet, Dinacharya,Ritucharya, sleeping pattern and everything of theirlife styles leading to various disagreeable acute andchronic ailments. Due to frequent indulgence inMithya Aahara, Vihara and Pragyaparadha theincidence of various psychosomatic disorders areincreasing very rapidly. Tension Headache is one ofthe frustrating acute / chronic illnesses, which iswidespread in the population with varying severity.

Headache is one of the most commonmedical complaints of humankind. Headache itself ismanifested as a disease as well as a symptom.Headache sufferers are the main purchasers of the16,000 tones of Aspirin, much of theAcetaminophen, Ibuprofen, & sinus medicationsconsumed yearly in United States'. Headache is aleading cause of absence from work & accounts forloss of 150 million work days per year in UnitedStates only. The cost of lost labour hours isestimated to be as high as 17 billion dollars per year.Among different types of headache, Tension typehead ache, one of the primary headaches is found inmore number of people in normal life. Though theetiology is not clear, it is postulated that contractionof the muscles of head and neck, some neurologicaldisturbances causes this type of headache andpsychological factors like anxiety, stress aggravatethe condition. Hence persons having occupations likeComputer operators, Official clerks, Bank employeesetc. are mainly prone to suffer from this disorder.

Need of the study:

For the management of the diseaseanalgesics, NSAIDs, Opoid derivatives, antinauseating drugs are used in modern medicine. Butthese drugs on long term use cause severe adverseeffects. Asprin & NSAID can interfere with blood

clotting; Acetaminophen containing preparations iftaken in sufficient quantity may cause liverdysfunction', Opoid derivatives may develop drugdependence. The more common side effect on longterm use of these drugs is that they develop ReboundHeadache / Analgesic Headache. Hence nowadaysmore emphasis is given on physiotherapy (withmuscle relaxation and stress management) ratherthan the use of analgesics for the management of thecondition. Hence to avoid the adverse effects, effortshave been made to develop an approach which issafe, effective and cost effective treatment modalityfor the management of the disease VatikaShirahshoola (Tension Headache).

Aims and Objectives:

Present research work has been undertakenwith the following two objectives:

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-i 1

Material and Methods:

1. Study Design : It is a randomized controlledsingle blind study. The data obtained after clinicalstudy were analyzed with the help of Paired "t' test.

2. Selection of Cases : The study was conductedin 47 clinically diagnosed patients of Vatika ShirahShoola(Tension headache) out of which 4 patientsdiscontinued the treatment and the rest 43 patientscompleted the treatment. The patients were selectedfrom the OPD & IPD of NIA Hospital, Jaipur andNeurology Deptt. of SMS hospital, Jaipur as per theselection criteria. All the patients were randomlydivided into following three groups.

9

Journal of Ayurveda

1. Patients of Group I were treated with Shirodharaby Dashamoola Taila.

2. Patients of Group II were treated withJatamamasi powder in capsule form.

3. Patients of Group III were treated with thecontrol drug (Tab Amitryptiline).

Follow up was done on every 15th day up toone month after completion of the therapy in all thepatients.

SELECTION CRITERIAS:

Individuals of either sex within the age groupof 20 - 50 years having the history of both Episodicand Chronic type Tension Headache were selectedrandomly.

EXCLUSION CRITERIAS:

1) Individuals below 20 yrs & above 50 yrs of age.

2) Patients associated with other major systemic orpsychiatric diseases.

3) Headache due to other major causes likeMigraine, Trigeminal neuralgia, Intracranialspace occupying lesions and other systemicdiseases such as Hypertension, Refractive errorsetc.

4) Patients having increased Intracranial Tensiondue to any reason.

3. Selection of the Drugs

1. Dashamula Taila due to its Vata Shamakaproperty and Shirodhara for stress managementand muscle relaxation were selected in thepresent study.

2. Jatamamsi due to its Nidrajanana and Medhyaproperties was selected.

3. For the control drug Tab. Amytriptiline wasselected due to its effectiveness and cost effectivepoint of view.

4. Pre treatment Observation : All the patients werestudied along with the registration by notingdown their demographic profile like age, sex,occupation, education, socioeconomical status,addictions, dietary habits etc. Detailed Physical,General and Systemic examinations were

Vol.III No.1 Jan-Mar 2009

performed. During this all other relevantinformations like Astavidha Pariksha,Dashavidha Pariksha including assessment ofSharirika Prakrit was done as per textualreferences.

5. Administration of Drugs, Dose & Duration:

Group I -

No of patients 15 (Total registered -16,discontinued - 1)

Drug Dashamoola Taila

Dose Shirodhara with DashamoolaTaila for 45 minutes / day.

Duration 15 days.

Group II -


Drug Jatamamsi powder incapsule form.

2 gms twice daily withlukewarm water.

Dose

Duration 15 days.

Group III -


Drug Tab. Amytriptiline

25 mg at bed time1/2 tab HS for 7days.1 tab HS for 16 days1f2 tab HS for 7 days

30 days

Dose

Duration

Follow up was done on every 15th day up toone month after completion of the therapy in all thepatients.

Investigations:

There are no specific investigations todiagnose Vatika Shirashoola (Tension headache).The following Haematological, Radiological and othertests were performed wherever possible to rule outthe cause of headache as well as to confirm and

10


differentiate the diagnosis of Vatika Shirashoola(Tension headache).

• Investigations like Hb%, TLC, OLC, ESR and FBSwere recorded before and after treatment toevaluate the nature and extent of changes inrelation to the course of the disease Vatikashirashoola (Tension headache).

• Other investigations like X-ray PNS, X-rayCervical spine, Fundoscopy, Refraction Error,Visual Acuity were done only to exclude theother pathology of headache.

• CT Scan and MRI of brain, EEG etc were advisedwherever possible.

6. Criterias of Assessment:

During the trial and follow up study thepatients were assessed after completion of treatmentand follow up was done on every 15th day upto onemonth on the basis of following parameters:-

(A) Subjective Improvement:

All the patients under trial were speciallyasked for any changes or improvement in theirgrowing feeling of well being either physicaly ormentaly and their clinical manifestations producedby the drug under trial.

(B) Clinical Irnpr-overnerrt:

All symptoms to be taken for the assessmentof clinical improvement, the incidence of presentingfeatures were worked out and the severity of thesymptoms was rated in each case. For this purposethe following "Symptom Rating Scale" developed byProf.A.K. Sharma et.al was used.

Symptom Rating Scale forShirah sh oola (Tension headache)by Prof. A.K. Sharma et.al.

Vatikadeveloped

SI. Symptoms Grades No. %

1. Absent - 0 00

2. Mild + 1 25%

3· Moderate ++ 2 50%

4· Severe +++ 3 75%

5· Agonising ++++ 4 100%

Journal of Ayurveda

Following symptoms of Vatika Shirahshoola(Tension Headache) were assessed before and afterthe therapy.

1. Ghata Sambidhyate(Cutting type of pain inposterior aspect of neck)

2. Bhru madhye Tapa, Ativedana (Burningsensation & pain in between the eyebrows)

3. Lalatam tapa, ativedana(Burning sensation &pain in fore head)

4. Srotro Baddha (Loss of hearing power)

5. Swanatah Srotre(Abnormal sounds in ear)

6. Shiraghurnanam (Head reeling)

7. SarbaSandhee Mochanam(Pain in all the jointsof skull)

8. Sirah Spurana (Pulsatile Veins in Head)

9. Stavyate cha shirodhara(Tightness of musclesof neck)

10. Nausea/Vomiting

11. Light Sensitivity

12. Sound sensitivity

13. Frequency of attack

Besides this a "Headache ImpactQuestionary'" was adviced to be maintained by thepatient for the self assessment of headache and torule out the triggering factors and relieving factorsof the headache.

Observations & Results

The demographic data w.s.r. to age, sex,habitat, socioeconomical status, occupation andobservations like Sharirika Prakriti, status of Agni,status of Kostha and chronicity of illness etc. arepresented in graphs. The data obtained after clinicalstudy were analyzed with the help of paired 't' test.

11

Journal of Ayurveda VolJII No.1 Jan-Mar 2009

(showing incidence of age in 47 patients of VatikaShirahshoola(Tension Headache)

44.&8~:;40

'"3')

C 30.!!;; 2SQ.

0 20ci 1')z

1050

20·30

Age Group

~.05

• Tol,)1 No. of P,)lll'llh

31·40 41·50

(showing incidence of Sex in 47 registered patients of VatikaShirahshoola(Tension Headache).

Showing incidence of Habitat in 47registered patients of Vatika ShirahshoolalTension

Headachel

30

20IS

10

5

o

7 7 G 7

1• •Group I Group II

3829

8

181• 'I'•tower CI•.h~

12


Graph - 4

(showing incidence of socioeconomicalstatus in 47registered patients)

TotalGroup I Group II Group III Percentage

• Higher Class Middle Class iIiI Lower Class

Graph - 5

Showing the incidence of 000 IpCltion

I • Total • Percentage I occupation

Graph - 6

---------.------120 -~------,

100

80

8. 60~QI

~ 40QI11.cgz 20

20

Present Absent

• Total No. of Patients • Percentage I13

Journal of Ayurveda

Journal of Ayurveda

60

10

4')40

<11 350.0~ 30C<11 2 ~)~<11 20c-

o/:! 150z 10

L,

0

50

4540

41 3SQD~C 3041

~ 2:141CLGiS 200z 1S

10

5

0

Grap h . ~

-13')'1

J 7.0;>

ao (j

4 -i r,J .•... --.Sharirika Prakriti

4.2.45

20IS

31.92

Manasika Prakritti

C;raph - <)

25.53

23 ..:1

~Incidence of Status of Agni

Group l Gr oup ll Group Ilt

Agni

14

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M,lIlcl" • 5.JIlIJ

o [j

if>u» r,l

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-~

VoLIII No.1 Jan-Mar 2009

Vol.IIl No.1 Jan-Mar 2009 Journal of Ayurveda

Incidence of types of Kostha

Kroora(18)38",4

Incidence of Sleep pattern

JO3S 31.91

?,O<IICD 2:1r;;: 20<II

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Regjon~of Head.xhe

15

')080 63.0570

~ 60QD 39.2~ 50C~~ 40~e, 30 \,

20 \\

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'\. of tmurovcmcnt

Groups

Journal of Ayurvcda

GIQIlIII•..cGIv...GIc,

alloz

100

90807060 '

50 "40 1

30 0

2010

o


100

Group I Total PercentageGroup IIIGroup II

• Chronic _ Frequent Episodic .. Infrequent Episodic • Total

Showing comparative overall effect of improvement in different groupsof Vatika Shirahshaala (Tension headache) on the basisof Clinical

parameters after respective treatment

87.11

• Group-l

Group-It

• Group-Il!

16

Vol.IIl No.1 Jan-Mar 2009 Journal of Ayurveda

Table No:t(Showing overal improvement in the symptoms of Vatika Shirahshoola

(Tension Headache) in all the three groups

s. Symptoms Group Group GroupNo. I II III

1 Ghata Sambhidhyate 80.00 % ** 66.67 %(Cutting type of pain in posterior aspect of neck)

2 Bhru madhye Ativedana 75·00 % 100% 100%(Pain in between the eyebrows)

3 Bhru madhyeTapa ** ** **(Burning sensation in between eyebrows)

4 Lalatam ativedana (Pain in fore head) 70.00 % 72·72 % 100 %

5 Lalatam Tapa ** ** **(Burning sensation in fore head)

6 Shiraghurnanam (Head reeling) 66.67 % 33·33 % 100 %

7 SarbaSandhee Mochanam 58.33 % 33·33 % 100 %

(Pain in all the joints of skull)

8 Niskrusyate Aksheenam ** ** **(Feeling of eyes extruded outwards)

9 Sirah Sphuranam (Pulsatile Veins in Head) 70·59 % 18.18 % 100%

10 Stavyate cha shirodhara 57·14 % ** 80 %(Tightness of muscles of neck)

11 Nausea/Vomiting 57·14 % 83.33 % 100%

12 Light sensitivity 45-45 % 16.66 % 90 %

13 Sound sensitivity 61.54 % 36·36 % 100%

14 Intensity of pain 57·14 % 33·33 % 74·19 %

15 Frequency of attack 58 % 13·51 % 69·05 %

N .B. The symptoms Marked "**"were absent in the respective groups.17

Journal of Ayurveda Vol.III No.1 Jan-Mar 2009

Table NO:2(Showing p - value in the symptoms of Vatika Shirahshoola (Tension Headache)

in all the three groups

S. Group Group Group:'\10. Symptoms J !I III

P value Result P value Result P Value Result

1 Ghata Sambhidhyate <0.05 S ** ** <0.05 S(Cutting type of pain inposterior aspect of neck)

2 Bhru madhye Ativedana <0.10 NS ND ND ND ND(Pain in between theeyebrows)

3 Bhru madhyeTapa ** ** ** ** ** **(Burning sensation in betweeneyebrows)

4 Lalatam ativedana <0.01 S <0.10 NS ND ND(Pain in fore head)

5 Lalatam Tapa (Burning ** ** ** ** ** **sensation in fore head)

6 Shiraghurnanam <0.01 S >0.10 NS <0.01 S(Head reeling)

7 SarbaSandhee Mochanam <0.001 HS >0.10 NS <0.05 S(Pain in all the joints of skull)

8 Niskrusyate Aksheenam ** ** ** ** ** **(Feeling of eyes extrudedoutwards)

9 Sirah Sphuranam <0.001 HS >0.10 NS <0.001 HS(Pulsatile Veins in Head)

10 Stavyate cha shirodhara <0.05 S ND ND <0.02 S(Tightness of muscles of neck)

11 Nausea/Vomiting <0.05 S <0.01 S ND ND

12 Light sensitivity <0.02 S >0.10 NS <0.001 HS

13 Sound sensitivity <0.001 HS <0.05 S ND ND

14 Intensity of pain <0.001 HS <0.01 S <0.001 HS

15 Frequency of attack <0.001 HS <0.02 S <0.001 HS

HS- Highly significant, S - Significant, NS - Not Significant, ND - Not Defined,N.B. The symptoms Marked "**"were absent in the respective groups.

18


Discussions :

Graph - 1 : The observations in the presentstudy reveal that incidence of Vatika Shirashoola(Tension headache) is highest in the age group 21-30 years( 21 cases, 44.68%) , 16 cases (34.05%) werefrom 31-40 years of age group and 10 cases (21.27%)were from 41-50 years of age group. This shows thatYotika Shirahshoola is found more in the youngsterswithin the age group of 20-30 years. This may bebecause of the reason that in this age group theyoung people are more exposed to several types ofstress and strain of day to day life regarding theirstudy, career, job and family problems etc.

Graph - 2 : In the present series of patientsthere is dominance of female sex. (30 cases,63·82%).

Graph - 3 : Maximum number (27 cases,57.44%) of patients registered were from urban area.This may be due to the location of the hospitals inthe city area and awareness of the people about theirailments.

Graph-4 : The majority of cases registeredfor the current trial, belonged to lower class 22(46.82%) patients. Middle class people also exhibited18 (38.29%) patients. Only 07 (14.89%) cases wererecorded from the high class society.

Graph-s : In the present study maximumpercentage (17cases, 36.18%) of the patients was ofHouse wives and next from students (11 cases,23-40%). Other occupations observed were Stitching(Tailors), Barber, Gems workers, Computeroperators, Business man etc. From this observationit is clear that persons having occupations in whichthere is excessive strain over eyes, neck muscles andmental stress are more prone to suffer from thedisease Vatika Shirahshoola (tension headache).

Graph-6 : It is clear from this graph thatYatika Shirahshoola (Tension headache) may be seenin several family members but it is not hereditary innature.

Graph-s : Patients of Vata-Pittaj Prakriti(48.94%, 23 patients) and Rajasika prakritit zc:cases,42-45%) dominated the series.

Journal of Ayurveda

Manasa Prakriti and other Satuika and TamasikaPrakriti were found in 15 (31.92%) and 12(25.53%)patients respectively.

Oraph-o & 10 : Regarding the status of Agniand Kostha observations show that the patients ofVishamagni (23 cases, 48.93%) & Kroora Kostha(i Scases, 38.3%) dominated the series, whichindicates the dominance of Vata Dosha in the diseaseVatika Shirahshoola.

Graph-ll : Maximum percentage (zacases,51.06%) of patients had Samyaka Nidra (normalsleeping pattern). But deprivation of sleep due to anycause aggravates Vatika Shirahshoola (TensionHeadache) and sleep also relievs the disease.

Graph-12 : Maximum number of patients,registered for the current clinical study were havingnon-specific headache ie. 18 (38.30%) patients andthe particular site involved in headache was foundmaximum in bilateral head region i.e. in 15 (31.91%)cases.

Graph-13 : In the present series of patientsregistered for the trial maximum percentage (27cases, 57.4%) of cases presented with history ofchronic Tension type headache, where as 27.65%(13) cases witnessed Frequent Episodic type ofheadache and 14-49% (07) cases witnessedInfrequent Episodic type Tension headache.

Graph-14: It shows that on assessment ofoverall improvement there was 63.05%, 39.20% &87.11% of relief in patients of group I, II & IIIrespectively. But statistically the improvement washighly significant in patients of group I & III &insignificant in patients of group II.

Table -1: It shows the overallimprovement in different symptoms of VatikaShirahshoola(Tension Headache) Howevermaximum relief was observed in patients of 1sl and3rd group in comparison to patients of 2nd group.

Table -2 : It shows the p- value and thestatistical assessment of different symptoms of VatikaShirahshoola(Tension Headache) in all the threegroups.

On over all observations of differentGraph-8 : It was observed that maximum symptoms of Vatika Shirahshoola (Tension

patients 20 (42.45%) were having Rajasika type of headache) revealed that the patients treated with19

Journal of Ayurveda

Shirodhara and tablet Amytriptiline showed highlysignificant relief in various symptoms and thepatients treated with Jatamamsi powder showedsignificant relief in some of the symptoms. Althoughthe rate of relief in patients of VatikaShirahshoola(Tension headache) with Amytriptilinetablet was very fast and maximum percentage ofrelief was noticed in patients but certain adverseeffects like drowsiness, dryness of mouth & tonguewere also reported with reccurrence of VatikaShirahshoola (Tension headache) in some patientsafter the course of treatment. Whereas in the patientsof Shirodhara treated group though the onset ofrelief in various symptoms of Vatika Shirahshoola(Tension headache) was slow but no patientscomplained about any adverse effects and there wasno reccurrence of symptoms after the therapy.Therefore Shirodhara with Dashamoola Taila seemsto be better remedy for the management of patientssuffering from Vatika Shirahshoola (Tensionheadache).

Probable modes of action of DashamoolaTaila

As per the description regarding Dashamoolataila in Bhaishajya Ratnavali: it is effective in themanagement of all types of Vata-Kaphaj Shirorogason external application. It is also effective in fivetypes of Kasa, Shotha, Jeerna Jwara, diseases ofhead, Kama (Ear), Akshi (Eye), Manyasthambha(Lock Jaw), Antra Vriddhi and Shleepada (Filariasis)etc.

By summarizing the properties of theconstituent drugs- of Dashamoola taila it is clearthat it possesses the properties like Deepana(appetizer), Pachana (Digestive), Anulomana,Vatahara, Kaphahara, Shothahara, Vishahara,Vrimhana, Rasayana (rejuvenative) & Medhya(nervine tonic) properties. Besides these SarshapaTaila (mustard oil) is having Katu, Tikshna, Laghu,Guna & having Vata-Kapha Nashaka properties>.Hence it is beneficial in the management of VatikaShirahshoola.

ProbableSh irodh ara!

It is quite difficult to pinpoint the exactmodes of action of Shirodhara, because it needsmuch advanced studies & researches to establish it.

modes of action


Still some efforts have been made to put forwardsome probable modes of action of Shirodhara. Thefollowing mechanisms may act individually or incombination for clinical improvement in patients ofVatika Shirahshoola (Tension Headache)-

1. Shirodliara therapy has been found to haveanxiolytic, adaptogenic and tranquilizing effectsresulting into a kind of relaxation response.

2. It is a kind of relaxation therapy which reducesmental tension, anxiety and results in a morecalm out look without producing any markeddegree of sedation and hypnosis without grosslyaltering in the level of consciousness.

3. When nerve endings of autonomic nervoussystem are stimulated, they produce chemicalsubstances like acetyl choline. Constant pouringof oil/milk over forehead stimulates the nerveending and in turn Acetyl choline may beliberated. Small doses of Acetyl choline cause fallof blood pressure, leading to decreased activityof central nervous system.

4. Vitiated Vata Dosha is responcible for ManasikaDosha Raja and other Manasiku Vyadhies .likeAnidra,Chittodvega etc. Shirodhara may calmdown the hyper action of vitiated Vuta Doshu andultimately produce tranquility of mind.

5. Shirodhara may produce Medhya effect by reflexaction.

6. Shirodhara may activate and stimulate the 4Sarea in prefrontal lobe in the brain which is theseat of learning, memory and behavior.

7. According to Yogic science, there are 10 mainChetana Kendras (Nadichakra) in our body.These Nadichakras are connected to each otherand work in collaboration with each other. TwoChakrus, viz; Agya Chakro (between twoeyebrows) & Bhramarguha Chakra (in upper partof forehead) are stimulated by Shirodhara,whichin turn produce beneficial effects.

of8. Shirodhara may act locally as a local anasthetic

agent, there by producing tranquility of mind andresulting in improvement in mental functions.

20

Vol.Jll 'o.l Jan-Mar 2009

Probable modes of action of Jatamamsi

The patients of 2nd group were treated withJatamamsi powder in capsule form for themanagement of Vatika Shirahshoola. Jatamamsipossesses Tikta, Kasaya Rasa, Laghu Guna ,ShitaVirya and Katu Vipaka. It possesses Medhya,Tridoshaghna and Nidrajanana properties". SinceVatika Shirahshoola (Tension headache) isassociated with anxiety, sress and strain etc,Jatamamsi is more potent to counteract thepsychological factors and thus relieve VatikaShirahshoola (Tension headache). It also acts as anervine tonic. Hence headache due to neurologiccauses can also be treated effectively by Jatamamsi.

Side / Adverse effects :

None of the patients of the i " group(Shirodhara group) & 2nd group (Jatamamsi group)reported any side effects. Whereas the son e of thepatients treated with the controled drug (Tab.Amytryptiline) reported side effects like excessivesleep, dryness of tongue, lip etc & recurrence afterdiscontinuing the drug.

Conclusion :

On the basis of findings and observationsobtained after completion of current project it canbe concluded that Dashamoola Taila Shirodhara isan effective, dependable, safe, readily available andgood remedy for the management of VatikaShirahshoola (Tension Headache).

Journal of Ayurveda

Refferences

1. Chapter - 2 , Conquring Headache, z nd edition byAlan Rapoport, Fred ShefteIt-2006

2. Chapter - 2 , Conquring Headache, znd edition byAlan Rapoport, Fred Sheftelt- 2006

3. Hand book of Neurologic Rating Scales, by RobertM.Herdon, 1" indian edition- 2006, Published byJaypee Brothers Medical Publicerst P) Ltd, New Delhi.

4. (Bh.R. 65/90-93) Bhaisajya Ratnavali of KavirajaGovinda Das Sen, Siddhi Prada Hindi Commentary,by Prof. Siddhi Nandan Mishra, ChaukharnbhaSurbharti Prakash an, Varanasi, 1" edition , 2005

5. Dravyaguna Vigyana, by Prof. P.V. Sharma,published by Chaukhambha Bharti Academy, GopalMandir Lane, Varanas i.t qc S

6. (A.S.Su. 6/ 103)Astanga SangrahaMoreswar Kunte published bySuravarati Publication, Varanasi

by Pt.AnnaChaukhambha

2002

(Ch.Su.27/290) Cha raka Sam h ita, Cha rakaChandrika Hindi Commentary, by Dr.Brahmanand Tripathi published by Chaukhambha,Surbharti Prakashana, Gopal Mandir Lane,Varanasi, 6th edition, 1999

7. The panchakarma treatmentKeraliya panchakarma, byPublished by Shri Satguruedition- 2002

of Ayurveda includingProf. A. K. Sharma,

Publications Delhi, 1"

8. Ayurvedic Pharmacopea of India,CCRAS, Part-I, Vol-I, Page-67-68,

published- 2007

by

Websites:

1. www.himalayadrugsco.in

2. www.ayurveda.foryou.com

3. www.ccras.nic.in

4. www.google.com.

5. www.medicine.net.com

Journals:

1. Medicinal and Aromatic Plants Abstracts (MAPA).National Institute of Science Communication CSIRNew Delhi, India Vol. 23 June, 2001

2. The Journal of Research and Education in IndianMedicine B.H.U. Varanasi Vol. XIth 1991.

3. Indian Journal of Traditional Knowledge, NISCAIR,CSIR New Delhi, India Vol. 5 October 2006.

4. Indian Journal of Experimental Biology, NISCAIR,CSIR, New Delhi, India March 1990.

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