Changes

*Patient is to be advised to adopt ''vritti'' (specific diet regimen) i.e. ''peyadi krama'' /''samsarjanakarma'' (post ''virechana'' management as per ca.su.15/16). [40-42]

*Patient is to be advised to adopt ''vritti'' (specific diet regimen) i.e. ''peyadi krama'' /''samsarjanakarma'' (post ''virechana'' management as per ca.su.15/16). [40-42]

==== Complication of shiro-arti (headache) ====

==== Complication of ''shiro-arti'' (headache) ====

दुर्बलेक्रूरकोष्ठेचतीव्रदोषेतनुर्मृदुः|  

दुर्बलेक्रूरकोष्ठेचतीव्रदोषेतनुर्मृदुः|  

tIkShNAnulomikenAtha snigdhaM bhukte~anuvAsayet  ||46||  

tIkShNAnulomikenAtha snigdhaM bhukte~anuvAsayet  ||46||  

Etiology, clinical manifestation and management of shiro-arti basti complication:

===== Etiology, clinical manifestation and management of ''shiro-arti basti'' complication =====

Shiro-arti complication occurs when basti having qualities of tanu (not thick), mridu (mild), shita(cold) quality and in less dose administered to patients of durbala (weak), krura koshtha(hard bowel) and tivra dosha (severely vitiated dosha).

 

Avarita dosha (covered/ obstructed dosha) will further vitiate the agitated vata by niruha basti. Vitiated vata will run in all directions in the body, especially upward and affect the head.

''Shiro-arti'' complication occurs when ''basti'' having qualities of ''tanu'' (not thick), ''mridu'' (mild), ''sheeta''(cold) quality and in less dose administered to patients of ''durbala'' (weak), ''krura koshtha''(hard bowel) and ''tivra dosha'' (severely vitiated ''dosha'').

Signs & symptoms:

 

• Greeva manya graham (stiffness of muscles & tendons of neck)

''Avarita dosha'' (covered/ obstructed ''dosha'') will further vitiate the agitated ''vata'' by ''niruha basti''. Vitiated ''vata'' will run in all directions in the body, especially upward and affect the head.

• Shira, kantha bhedana (breaking type of pain in head & neck region)

 

• Badhirya (deafness)

====== Signs & symptoms ======

• karnanada (tinnitus)

 

• pinasa, (rhinorrhoea)

*''Greeva manya graham'' (stiffness of muscles & tendons of neck)

• netra vibhrama (giddiness)

*''Shira, kantha bhedana'' (breaking type of pain in head & neck region)

Management:

*''Badhirya'' (deafness)

*''karnanada'' (tinnitus)

*''pinasa'', (rhinorrhoea)

*''netra vibhrama'' (giddiness)

 

===== Management =====

 

• Abhyanga with lavana taila as per standard methods

• Abhyanga with lavana taila as per standard methods

• Shirovirechana with pradhamananasya and dhumapana

• Shirovirechana with pradhamananasya and dhumapana