Retinal Migraine - Ayurvedic Treatment

Retinal Migraine (ocular migraine) is a rare type of migraine that involves an aura, with visually predominant hallucinations. It is an eye condition that causes brief attacks of temporary blindness or visual problems like flashing lights in one eye. In most of the cases, the vision becomes normal after a short while, and the signs are harmless. Some people get retinal migraine every few months, although the frequency can vary. Retinal migraine is a separate condition different from headache-type migraine or migraine with aura, which usually affects the vision of both eyes.

Signs and Symptoms

Seeing twinkling lights, also known as scintillations
Areas of lessened vision, also called scotoma
Temporary loss of vision, or blindness
Any of the above happening repeatedly
Headache before during or after the vision attack

Nedenler

The underlying cause of retinal migraine remains largely unknown. A possible cause discovered upon examining people with active retinal migraine is that some individuals were having a spasm of the blood supply to the retina as their migraine occurred.

It may be triggered by:

stress
smoking
high blood pressure
oral contraceptive pill
excess exercise
high altitude
dehydration
low blood sugar
excessive heat

Retinal migraine tends to be more common in:

women
people aged under 40
personal or family history of migraine or other headaches
people with an underlying disease – such as lupus, hardening of the arteries, sickle cell anaemia, epilepsy, antiphospholipid syndrome, and giant cell arteritis

Patofizyoloji

Retinal migraine is caused by the blood vessels to the eye suddenly narrowing (constricting), reducing the blood flow to the eye. Afterwards the blood vessels relax, blood flow resumes and sight returns. Usually there are no abnormalities within the eye and permanent damage to the eye is rare.

Teşhis

There are no diagnostic tests to confirm retinal migraine. Diagnosis is accomplished by reviewing the patient’s personal and family medical history, studying their symptoms, and conducting an examination. Retinal migraine is then diagnosed by ruling out other causes for the symptoms.

Treatments

Treatment for retinal migraine usually just involves taking pain relief for any headaches and reducing exposure to anything that might be triggering the retinal migraine.

aspirin
beta-blocker
calcium channel blocker
tricyclic antidepressant
anti-epileptics

Prognoz

Mostly the attacks are short and self-relieving

Komplikasyonlar

Retinal damage
Vision loss

Disease & Ayurveda

There is not a single disease name explained in Ayurveda for retinal migraine. But Ayurveda explains the eyes as the seat of Pitta and associated with headaches like suryavarta and anantavata, ardhavabhedaka etc. So, a vitiation of Vaata and Pitta can lead to this disease.

Nidana

Dry food intake & excessive food intake
Wind from east side
Causative factors for the vitiation of Vaata & Pitta
Irregular sleep or lack of sleep
Taking bath in cold water immediately after heat/sun exposure

Purvaaroopa

Belirtilmemiş

Samprapti

Belirtilmemiş

Lakshana

Seeing bright lights and visual hallucinations with or without headache

Bölümler

Belirtilmemiş

Prognoz

Yaapya

Chikithsa

Samana

Lepanam with Soolahara dravyas
Aamapachanam
Agnideepanam
Intake of jeernaghrutam

Sodhana

Avapeedanasyam
Uttamammtrasnehapanam with Chatu:sneham
Sirovirechananasyam
Kaayavirechanam
Upanaha
Sirovasti
Nadeeswedam
Asthapanavasti
Anuvasanavasti

Commonly used Medicines

Mevcut Markalar

AVS Kottakal
AVP Coimbatore
SNA oushadhasala
Vaidyaratnam oushadhasala

Home Remedies

There is no cure for migraine at home but some measures can be helpful to lessen the suffering due to migraine.

using flexible cold packs or masks
staying in a quiet, darkened room
sleeping, when necessary

herbal extracts, like jatipatri, karpoora and turmeric
acupuncture
neck exercises

A migraine episode is often a response to a trigger. To figure out the culprit, a person might try keeping a diary and recording what they did, ate, and drank before an episode.

It may be particularly helpful to avoid:

low blood sugar
physical overexertion
stress
certain foods, such as chocolate and any that contain tyramine
certain medications, like some birth control pills
bright lights and flickering screens

The following strategies can also help reduce the frequency of migraines:

getting enough rest and sleep
reducing stress
drinking plenty of water
improving posture
avoiding dietary triggers, such as caffeine, alcohol, and cheese
exercising daily

Diyet

Kaçınılması gerekenler

Heavy meals and difficult to digest foods – cause indigestion.

Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine

Carbonated drinks – makes the stomach more acidic and disturbed digestion

Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)

Milk and milk products – increase kapha, cause obstruction in channels and obesity

Curd – causes vidaaha and thereby many other diseases

Eklenecek

Hafif yemekler ve kolay sindirilebilir gıdalar

Green gram, soups, honey

Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc

Davranış

Protect yourself from cold climate.
Aşırı güneş ışığı, rüzgar, yağmur veya toza maruz kalmaktan kaçınmak daha iyidir.
Maintain a regular food and sleep schedule.
İdrar, dışkı, öksürük, hapşırık vb. dürtüleri tutmaktan veya zorlamaktan kaçının.
Avoid sedentary lifestyle.

Yoga

Regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.

Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.

Yoga, vücut içinde ve çevredeki sistemle uyumu koruyabilir.

Pavanamuktasana

Nadisudhi pranayama

Bhujangasana

Simple exercises for lungs and heart health

Tüm egzersizler ve fiziksel eforlar sadece bir tıp uzmanının gözetimi altında kararlaştırılmalı ve yapılmalıdır.

Research Articles

https://pubmed.ncbi.nlm.nih.gov/29939547/

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