Physio-pathological study of Migraine & its Pacification with Marma Chikitsa

The term ‘migraine’ for very long has been used to refer to severe headache but it has more to it. There are certain physiologic changes occurring in brain that lead to pain in half side of head usually with associated symptoms like nausea, vomiting and visual disturbances. The exact cause of migraine is not known but various postulates explain the physiopathology of migraine and its course. It is believed to be because of either vascular, neurochemical, neuronal and hormonal changes. Severe migraine pain can be disabling while mild to moderate pain can interfere with one’s day-to-day activity. Besides far advancements in pharmacology, the rising incidences of migraine put a great threat to society especially when it hampers daily activities. It is a primary headache so no organic pathology can be appreciated in imaging of brain. Diagnosis is based on history, presenting symptoms and exclusion of other pathology. Ayurveda describes ardhavbhedaka as pain in half side of head. The causes and symptoms of ardhavbhedaka as mentioned in classical texts have close resemblance to migraine. The management of migraine by drugs alone is not fruitful. The need of the hour is an alternative method for decreasing pain severity and frequency of attacks which is the ultimate goal of management. It can be achieved by unique but less explored concept of ‘marma therapy’. It is seen as healing power of vital points in body. But Marma therapy has more to it. Migraine besides far advancements in pharmacology is a rising issue. It is the second most common cause of headache which can be very debilitating. Marma therapy can prove to be a milestone in management of migraine. It needs to be explored more.