Understanding Neuro-modulatory mechanism of Nasya karma with Dashamoola Ghrita in Migraine with CGRP biomarker- A case series

Authors

  • Himani Binji
  • U Vishnu
  • Kadamabri PB
  • Vishnu Raj
  • K P Namboothiri

DOI:

https://doi.org/10.70066/jahm.v13i10.2328

Keywords:

Migraine, CGRP, Neuro-modulation, Nasya karma, Dashmoola Ghrita

Abstract

Introduction: This case series explores the effect of Dashmoola Ghrita Marsha Nasya on migraine in relation to CGRP, a key neuromodulator in migraine pathophysiology. While CGRP has been extensively studied in modern medicine, its modulation through traditional Ayurvedic therapies remains underexplored. Clinical Findings: Three patients with episodic migraine presented with moderate to severe headaches, photophobia, and nausea. All had elevated MIDAS scores and serum CGRP levels, indicating significant disability and active neuroinflammatory response. Intervention: Patients underwent Marsha Nasya with Dashmoola Ghrita (8 bindu) for seven consecutive days. Outcomes: Post-treatment, patients demonstrated an average 34% reduction in MIDAS scores and an average 40% decrease in serum CGRP levels, indicating both symptomatic relief and biochemical parameters. Conclusion: Dashmoola Ghrita Marsha Nasya may exert a neuro-modulatory effect on CGRP and improve clinical outcomes in migraine. These findings suggest the potential role of integrating Nasya therapy with biomarker-based evaluation in the management of migraine.

Author Biographies

Himani Binji

Postgraduate Scholar, Department of Panchakarma, Amrita School of Ayurveda, Amrita Vishwa Vidyapeetham, Amritapuri, India – 690525 

U Vishnu

Associate Professor,Department of Panchakarma, Amrita School of Ayurveda, Amrita Vishwa Vidyapeetham, Amritapuri, India – 690525

Kadamabri PB

Associate Professor, Department of Panchakarma, Amrita School of Ayurveda, Amrita Vishwa Vidyapeetham, Amritapuri, India – 690525

Vishnu Raj

Assistant Professor, Department of Panchakarma, Amrita School of Ayurveda, Amrita Vishwa Vidyapeetham, Amritapuri, India – 690525

K P Namboothiri

Professor & Head, Department of Panchakarma, Amrita School of Ayurveda, Amrita Vishwa Vidyapeetham, Amritapuri, India – 690525

References

World Health Organization. Parkinson disease: Key facts [Internet]. Geneva: WHO; 2023 [cited 2025 Nov 6]. Available from: https://www.who.int/news-room/fact-sheets/detail/headache-disorders

Stovner LJ, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A, Steiner T, Zwart JA. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007;27(3):193–210. https://doi.org/10.1111/j.1468-2982.2007.01288.x

Burstein R, Jakubowski M. Analgesic triptan action in an animal model of intracranial pain: a race against the development of central sensitization. Ann Neurol. 2004;55(1):27–36.rstein R, Jakubowski M. Analgesic triptan action in an animal model of intracranial pain: a race against the development of central sensitization. Ann Neurol. 2004 Jan;55(1):27–36. https://doi.org/10.1002/ana.10785

Goadsby PJ, Edvinsson L, Ekman R. Vasoactive peptide release in the extracerebral circulation of humans during migraine headache. Ann Neurol. 1990;28(2):183–7. https://doi.org/10.1002/ana.410280213

Van Dongen RM, Zielman R, Noga M, Dekkers OM, Hankemeier T, van den Maagdenberg AM, Terwindt GM, Ferrari MD. Migraine biomarkers in cerebrospinal fluid: a systematic review and meta-analysis. Cephalalgia. 2017;37(1):49–63. https://doi.org/10.1177/0333102415625614

Bellamy JL, Cady RK, Durham PL. Salivary levels of CGRP and VIP in rhinosinusitis and migraine patients. Headache. 2006;46(1):24–33. https://doi.org/10.1111/j.1526-4610.2006.00294.x

Iyengar S, Johnson KW, Ossipov MH, Aurora SK. CGRP and the trigeminal system in migraine. Headache. 2019;59(5):659–81 https://doi.org/10.1111/head.13529

Shastri A, editor. Sushruta Samhita of Sushruta with Ayurveda Tatva Sandipika Hindi Commentary. Chapter 25, verse 15, 165, Reprint ed. Varanasi: Chaukhambha Sanskrit Sansthana; 2011.

Sharangadhara. Sharangadhara Samhita. In: Tripathi B, editor. Nasyavidhi Adhyaya, Uttar khanda,chapter 8, verse 25,231, Varanasi: Chaukhambha Prakashan; 2011

Vagbhata. Ashtanga Hridaya. In: Arunadatta, commentator. Sarvangasundara. Sutra Sthana, Chapter 20, verse 1, 287, Varanasi: Chaukhambha Sanskrit Series Office; 2009.

Tiwari R, Sharma S, Sahu S, Mishra K. A conceptual and critical study of “Nasa hi sirso dwaram” w.s.r. to Nasya Karma. World J Pharm Med Res. 2022;8(8):141–5 https://www.wjpmr.com/download/article/99072022/1659164698.pdf

Rajput A, Pingale P, Dhapte-Pawar V. Nasal delivery of neurotherapeutics via nanocarriers: facets, aspects, and prospects. Front Pharmacol. 2022;13:979682. https://doi.org/10.3389/fphar.2022.979682

Urs KL, Sweta KM. Conceptual understanding of anti-inflammatory effects of Dashamoola with relevant modern effects: a critical study. J Ayurveda Integr Med Sci. 2022 [cited 2025 Nov 6]. https://www.jaims.in/jaims/article/view/2178

Peres MF, Sanchez del Rio M, Seabra ML, Tufik S, Abucham J, Cipolla-Neto J, Silberstein SD, Zukerman E. Hypothalamic involvement in chronic migraine. J Neurol Neurosurg Psychiatry. 2001;71(6):747–51. https://doi.org/10.1136/jnnp.71.6.747

Additional Files

Published

2025-11-17

How to Cite

Binji, H. ., Vishnu, U. ., PB, K. ., Raj, V. ., & Namboothiri, K. P. . (2025). Understanding Neuro-modulatory mechanism of Nasya karma with Dashamoola Ghrita in Migraine with CGRP biomarker- A case series. Journal of Ayurveda and Holistic Medicine (JAHM), 13(10), 79-87. https://doi.org/10.70066/jahm.v13i10.2328