A Clinical Study on the Efficacy of Shreshtanimbadi Decoction in the Management of Kaphaja Shirsha Shoola

Authors

  • N V P Rohini Senior Lecturer, Department of Ayurveda medicine and Indigenous Medicine, Faculty of Indigenous Medicine, University of Colombo, Sri Lanka. Author
  • H S V Jayasuriya MD Scholar, Department of Ayurveda Roga Nidana Evum Vikriti Vigyana, National Institute of Ayurveda, Deemed to be University, Jaipur, Rajasthan, India. Author

Keywords:

Ayurveda, Headache, Shiro Roga, Shirsha shoola, Sinusitis

Abstract

Shirsha Shoola (Headache) is a very common condition of current society. Ayurveda Acharyas have been explained  Shirsha Shoola as a type of Shiro Roga (diseases in the head). Kaphaja Shirsha Shoola is a common type of 07 Shirsha  Shoola types. Kaphaja Shirsha Shoola occurs mainly due to vitiation of Kapha Dosha and Vata Dosha. With signs  and symptoms, this condition can be correlated with chronic sinusitis. Shreshtanimbadi decoction consist of ten  ingredients; Thriphala (Emblica officinalis, Terminalia bellirica, Terminalia chebula), Nimba Tvak (Azadirachta  indica), Patola (Trichosanthes cucumerina L.), Megha (Cyperus rotundus), Rajini (Curcuma Longa), Thrayanthi  (Baccopa Monneiri), Hema (Cassia angustifolia), and Amrita (Tinospora ordifolia). These herbs, which pacify  vitiated Vata Dosha and Kapha Dosha to treat Kaphaja Shirsha Shoola. Forty selected patients were randomly  divided into two groups of 20 for each treatment arm and controlled arm. The treatment group was treated with 120 ml  of decoction of Shreshtanimbadi twice a day for 14 days. The second group was treated with 120 mL of placebo twice  a day for 14 days. All patients were advised to follow Pathya (Wholesome food and behaviors). Assessment has been  done before and after treatments. After treatment, treatments arm most of the patients’ symptoms were completely  or partially relieved compared to controlled group (P < 0.001). Such as headache with76.91%, heaviness of the head  from 87.9%, loss of appetite from 78.67%, peri-orbital edema from 73.20%, and ear itching from 70.00%. After  the treatment, nine patients have been completely cured and all patients have been showed reduction of symptoms.  It is observed that the Shreshta nimbadi decoction is beneficial for Kaphaja Shirsha Shoola (chronic sinusitis)  Management. 

 

Downloads

Download data is not yet available.

References

1. Xu Y, Quan H, Faris P, Garies S, Liu M, Bird C, Kukec E, Dean S, Rudmik L. Prevalence and incidence of diagnosed chronic rhinosinusitis in Alberta, Canada. JAMA Otolaryngol Head Neck Surg. 2016;142(11):1063-9.

2. Bhishagratna KKL. An English translation of the sushruta samhita. 1st ed., Vol. 3. Uttara Sthana 25/1. Calcutta: Bharat Mihir Press BY M, Bhattacharyya of Messrs, Sanyal and Co.; 1916. p. 131.

3. Sharma P. Charaka samhitha (text with English translation). 1st ed., Vol. 1. Suthrasthana 17/14. Varanasi:. Choukhambha Orientalia; 2014. p. 115.

4. Murthy KRS. Uttarasthana. In: Vagabhata’s ashtanga hridayam (text, English translation, notes. Appendix and indices) 5th ed., Vol. 3., Ch. 23/1-3. Varanasi: Krishnadas Academy; 2001. p. 218.

5. Sharma P. Caraka-samhita (text with English translation). Vol. 1. Varanasi: Chaukhambha Orientalia; 2014. Pg 117.

6. Sharma P. Charaka samhitha (text withenglish translation). 1st ed., Vol. 1. Suthrasthana 17/25. Varanasi: Choukhambha Orientelia; 2014. p. 116.

7. Sharma P. Vägbhata’s astänga hrdayam (text, English translation, notes. Appendix and Indices). 5th ed., Uttara Sthana 23/10. Varanasi: Krishnadas Academy; 2001. p. 218.

8. Bhishagratna KKL. An English translation of the sushruta samhita. 1st ed., Vol. 3. Uttarathanthra/25/5. Calcutta: Bharat Mihir Press By M, Bhattacharyya of Messrs, Sanyal and Co.; 1916. p. 132. 9. Verma M. A conceptual study on kaphaja shiroroga with special 6(2):210.

10. Bhishagratna KKL. Uttarasthana. In: An English translation of the sushruta samhita. 1st ed., Vol. 3., Ch. 25/8. Calcutta: Bharat Mihir Press By M, Bhattacharyya of Messrs, Sanyal and Co.; 1916. p. 136.

11. Murthy KRS. Vagbhata’s astanga hrdayam (text, English translation, notes. Appendix and indices), 5th ed., Vol. 3. Uttara Sthana 24/13-14. Varanasi: Krishnadas Academy; 2001. p. 226.

12. Suri SH. Kwathadhikara. In: Hkwmmd R, editor. Shri yogachintamani. 1st ed., Ch. 4. Bombay: Khemraj Shrikrishnadas Shri; 1917. p. 121.

Downloads

Published

2025-06-30

How to Cite

Rohini, N. V. P., & Jayasuriya, H. S. V. (2025). A Clinical Study on the Efficacy of Shreshtanimbadi Decoction in the Management of Kaphaja Shirsha Shoola . International Research Journal of Ayurveda and Yoga, 8(6), 1-6. https://journals.acspublisher.com/index.php/irjay/article/view/22543