Klassifikation und Therapie von Kopfschmerzen im Ayurveda

Summary

In der klassischen ayurvedischen Literatur werden 11 Kopfschmerzerkrankungen unter dem Begriff shiroroga beschrieben. Die Differenzialdiagnose erfolgt durch Anamnese, körperliche Untersuchung, aber auch Allgemeinzustand, Konstitution und Verdauungskraft des Patienten werden beurteilt.

Die ayurvedische Therapie umfasst: Vermeidung ätiologischer Faktoren, stoffwechselanregende Maßnahmen, Hirntonika, dosha-beruhigende Maßnahmen, ausleitende Verfahren und Pancakarma-Therapie.

Auch wenn die Studienlage noch recht dünn ist, bestätigt die klinische Praxis die Effektivität und gute Verträglichkeit einer korrekt indizierten ayurvedischen Therapie von Kopfschmerzen.

Keywords

Ayurveda - Kopfschmerz - shiroroga

• Literatur

• 1 Straube A, Gaul C. Kopfschmerz. Aktueller Stand von Wissenschaft und Therapie. Schmerz 2015; 29: 510-515
• 2 Brons M. Handbuch Schmerz. Neu-Isenburg: MMI Wissenschaftsverlag; 2005: 20
• 3 Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders. 3 rd ed. (beta version). Cephalalgia 2013; 33: 629-808
• 4 Sharma PV. Sushruta Samhita. Varanasi: Chaukambha Vasvabharati 1999; Vol. 3: 264-268
• 5 Murthy SKR. Madhava Nidanam. Varanasi: Chaukambha Orientalia; 1993: 217-219
• 6 Mustafa T, Srivastava KC. Ginger (Zingiber officinale) in migraine headache. J Ethnopharmacol 1990; 29: 267-273
• 7 Rauf K, Subhan F, Al-Othman AM et al. Preclinical profile of bacopasides from Bacopa monieri (BM) as an emerging class of therapeutics for management of chronic pain. Curr Med Chem 2013; 20: 1028-1037
• 8 Dar NJ, Hamid A, Ahmad M. Pharmacological overview of Withania somnifera, the Indian Ginseng. Cell Mol Life Sci 2015; 72: 4445-4460
• 9 Gupta A, Singh S. Evaluation of anti-inflammatory effect of Withania somnifera root on collagen induced arthritis in rats. Pharm Biol 2014; 52: 308-320
• 10 Yin H, Cho DH, Park SJ et al. GABA-mimetic actions of Withania somnifera on substantia gelatinosa neurons of the trigeminal subnucleus caudalis in mmice. Am J Chin Med 2013; 41: 1043-1051
• 11 Mathuraman A, Singh N. Neuroprotective effect of saponin rich extract of Acorus calamus L. in rat model of chronic constriction injury (CCI) if sciatic nerve-induced neuropathic pain. J Ethnopharmacol 2012; 142: 723-731
• 12 Rajput SB, Tonge MB, Karuppayil SM. An overview on traditional uses and pharmacological profile of Acorus calamus Linn. (Sweet flag) and other Acorus species. Phytomedicine 2014; 21: 268-276
• 13 Kulkarni YA, Agarwal S, Garud MS. Effect of Jyotishmati (Celastrus paniculatus) seeds in animal models of pain and inflammation. J Ayurveda Integr Med 2015; 6: 82-88
• 14 Agarwal P, Sharma B, Fatima A et al. An update on Ayurvedic herb Convolvulus pluricaulis Choisy. Asian Pac J Trop Biomed 2014; 4: 245-252
• 15 Perrone D, Ardito F, Giannatempo G et al. Biological and therapeutic activities, and anticancer properties of curcumin. Exp Ther Med 2015; 10: 1615-1623
• 16 Goyal S, Khilnani G, Singhvi I et al. Guggulipid of Commiphora mukul, with antiallodynic and antihyperalgic activities in both sciatic nerve and spinal nerve ligation models of neuropathic pain. Pharm Biol 2013; 51: 1487-1498
• 17 Prabhavathi K, Chandra US, Soanker R et al. A randomized, double blind, placebo controlled, cross over study to evaluate the analgesic activity of Boswellia serrata in healthy volunteers using a mechanical pain model. Indian J Pharmocol 2014; 46: 475-479
• 18 Gupta A, Nishteshwar K, Shukla VJ et al. Evaluation of analgesic activity of Terminalia arjuna (Roxb.) Wight and Arn bark: A tribal claim. Ayu 2014; 35: 458-461
• 19 Parekar RR, Bolegave SS, Marathe PA et al. Experimental evaluation of analgesic, anti-inflammatory and anti-platelet potential of Dashamoola. J Ayurveda Integr Med 2015; 6: 11-18
• 20 Kabir AU, Samad MB, Costa D NM et al. Investigation of the central and peripheral analgesic and anti-inflammatory activity of Draksharishta an Indian Ayurvedic formulation. J Basic Clin Pharm 2012; 3: 336-340
• 21 Grampurohit PL, Rao N, Harti SS. Effect of anuvasana basti with kseerabala taila in sandhigata vata (Osteoarthritis). Ayu 2014; 35: 148-151
• 22 Vaidya PB, Vaidya BS, Vaidya SK. Response to Ayurvedic therapy in the treatment of migraine without aura. Int J Ayurveda Res 2010; 1: 30-36
• 23 Thomas D, Govindhan S, Baiju EC et al. Cyperus rotundus L. prevents non-steroidal anti-inflammmatory drug-induced gastric mucosal damage by inhibiting oxidative stress. J Basic Clin Physiol Pharmacol 2015; 26: 485-490
• 24 Kalaiselvan S, Rasool MK. The antiinflammmatory effect of triphala in arthritic-induced rats. Pharm Biol 2015; 53: 51-60
• 25 Singh DP, Mani D. Protective effect of Triphala Rasayana against paracetamol-induced hepato-renal toxicity in mice. J Ayurveda Integr Med 2015; 6: 181-186