Migraine: An Ayurvedic Perspective With Special Emphasis on Management Through Panchakarma—a Narrative Review

This is the authors' abstract. We don't add key points for this paper.

Migraine is a common and disabling primary headache disorder characterised by recurrent attacks of moderate-to-severe headache, often accompanied by nausea, vomiting and increased sensitivity to light or sound. Ayurveda describes several headache disorders under Shiroroga, among which Ardhavabhedaka has been correlated with migraine on the basis of similarities in clinical presentation. This narrative review examined the Ayurvedic understanding of Ardhavabhedaka and critically discussed the rationale and available clinical evidence for Panchakarma-based management. Information was synthesised from published Ayurvedic literary reviews and the clinical studies cited in those reviews, with attention to Nidana, Dosha involvement, Samprapti, therapeutic principles and individual procedures including Nasya, Virechana, Basti, Vamana and Raktamokshana, as well as selected external therapies.