Study of Effect of Panchgavya Ghrit - A Snehik Nasya in Vatika Shiroroga (Shirashool) - An Interventional Study

Abstract

Introduction: In Ayurveda, diseases related to Urdhvajatrugata and their Chikitsa have a special reference in classical texts. Among all Shirorogas, Shirashool (headache) is having prime importance as it affects the individual’s lifestyle and daily activities. Transmucosal routes of drug delivery (i.e., the mucosal linings of the oral, nasal, rectal, vaginal, and ocular cavities) offer distinct advantages over per-oral administration for systemic effect. Nasal drug delivery has been used since ancient times for therapeutic and recreational purposes. In Charak Chikitsa Sthan 26, it has been exclusively mentioned that Snehan, Swedan and Nasya as the best treatment for Vaatik Shirashool. Aim and Objective: To study the efficacy of Panchagavya Ghrit in Vataj Shirorog. To study the mode of action of Panchagavya Ghrit Pratimarsha Nasya in the same. Materials and Methods: 40 patients of Vaatik Shirashool were selected based on inclusion and exclusion criteria and symptoms based on classical symptoms in Ayurved Samhitas and evaluated based on subjective parameters. Sneha in the form of Panchagavya Ghrita was given to patients as Pratimarsha Nasya for 30 days. Follow-up was taken on the 15^th, 30^th, 45^th and 60^th of the study. Observation and Results: Observations were categorised and analysed by Wilcoxon Signed Rank Test. The results in all symptoms, i.e., pain (site, type, duration, frequency) (p=<0.05) and associated symptoms (p=<0.05) were found significant. Conclusion: Hence, Panchagavya Ghrita as Pratimarsha Nasya was found effective in Vaatik Shirashool. Neck stiffness and pulsating sensation were found most occurring symptoms along with vertigo. Hence, we can correlate Vaatik Shirashool with cervical spondylitis. Hence, Panchagavya Ghrita may be found effective in cervical spondylitis also.