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As per ministry of Ayush, treatment is at three levels based upon the availability of health facility and clinical condition of the patient:
As per ministry of Ayush, treatment is at three levels based upon the availability of health facility and clinical condition of the patient:
'''Level 1''' -: At solo ayurveda physician clinic/PHC
In the initial stage when the patient is having signs and symptoms of shirashoola, following drugs may be given:
{| class="wikitable"
|Drugs
|Dose
|-
|Pathyadi Kwatha[5]
|20ml twice a day with guda
|-
|Gau ghrita
|3 drops in each nostril 4 times a day
|}
Referral criteria: If patient is not responding to above mentioned management within 5 or 7 days and if signs and symptoms indicate need for further investigations.
'''Level 2''': CHC’s or small hospitals with basic facilities,
in addition to the management mentioned in Level 1, few of the following drugs may be added as per the requirement and status of the patient.
{| class="wikitable"
!'''Drugs'''
!'''Dose'''
|-
|Shirahshooladi Vajra Rasa[6]
|2 tabs twice a day with normal water
|-
|Shadabindu Taila Nasya[7]
|3 drops in each nostril once a day
|-
|Dashamoola Taila[8] for Abhyanga on scalp
|15 ml once a day
|}
Referral criteria: If patient is not responding to above mentioned management within 10 days or signs and symptoms become more acute, patient should be referred for panchakarma therapy.
'''Level 3''': Ayurveda hospitals at institutional level or district hospital / integrated ayurvedic hospitals.
In addition to the management of Level 1 and Level-2, panchakarma procedures is indicated.
{| class="wikitable"
!S.no.
!Type of Shiroroga
!Treatment
|-
|1.
|Vataja shiroroga
|Ø Shirodhara with Luke warm cow milk prepared with Vata pacifying medicines
Ø Upanaha sweda with krishara
Ø Marsha nasya with Tila Taila prepared with Vata pacifying medicines
|-
|2.
|Pittaja Shiroroga
|Ø Shirodhara with cold milk, sugarcane juice, madhu jala, mastu
Ø Marsha nasya with Pitta pacifying aushadha sidhdha ghrita i.e. kshira sarpi, jeevaniya ghrita
Ø Virechana with trivrita avaleha or ghrita
|-
|3.
|Kaphaj Shiroroga
|Ø Pradhaman Nasya with Katphala Churna
Ø Shirolepa with Trivrittadi Lepa
Ø Fomentation with Water
|-
|4.
|Tridoshaja Shiroroga
|Ø Above mentioned treatment as per predominant Dosha
Ø To drink old Ghrita is especially advocated.
|-
|5.
|Raktaja Shiroroga
|Ø As per Pittaja Shiroroga
|-
|6.
|Kshayaja Shiroroga
|Ø Ghritapana
Ø Marsha Nasya with Vataghna Aushadh Siddha Taila
|-
|7.
|Suryavarta
|Ø Ghritapana
Ø Marsh Nasya with Jeevaniya Ghrita
Ø Shirodhara with lukewarm cow milk prepared with Vataghna medicines
Ø Shirobasti with Luke warm cow milk
|-
|8.
|Ardhavabhedaka
|Ø Same as treatment of Suryavarta
Ø Avapida Nasya with Shirisha Moola/Phala or Vacha & Pippali
|-
|9.
|Anantavata
|Ø Same as treatment of Suryavarta
|-
|10.
|Shankhaka
|Ø Marsha Nasya with Vataghnaaushadh Sidhdha Ghrita
Ø Shirolepa Shatavaryadi Churna[Su. Uttartantra 26/39]
|}
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