A Conceptual Ayurvedic Analysis of Trigeminal Neuralgia with Reference to Anantavata
Author : Dr. Piyush Manoj Aloni and Dr. Shamli Pawase
Abstract :
Background: Trigeminal Neuralgia is a chronic neuropathic pain disorder characterised by episodes of intense, stabbing, electric shock-like pain in areas of the face where the branches of the trigeminal nerve are distributed- lips, eyes, nose, scalp, forehead, upper jaw, and lower jaw. Contemporary management relies largely on anticonvulsants and surgical interventions, which may have limitations such as adverse effects or recurrence.
The clinical features of Trigeminal Neuralgia closely resemble Anantavata, a Tridoshaja Shiroroga described in classical texts. Ayurveda offers a holistic framework involving Shaman and Shodhan Chikitsa, Ahar-Vihar and Yoga, which may provide sustainable relief.
Aim: To conceptually analyse Trigeminal Neuralgia with reference to Anantavata as described in classical Ayurvedic texts with detailed elaboration of Sharir, Nidan, Samprapti, and Chikitsa principles, and to present a theoretical framework for its Ayurvedic management.
Materials and Methods: This was a conceptual and literary study based on classical Ayurvedic texts including Charaka Samhita and Sushruta Samhita along with relevant contemporary literature on Trigeminal Neuralgia. Classical descriptions of Anantavata were reviewed and conceptually correlated with the modern clinical and anatomical understanding of Trigeminal Neuralgia. No clinical intervention or outcome assessment was performed.
Results: Conceptual analysis revealed a close similarity between the Lakshanas, Nidanas, and Samprapti of Anantavata and the clinical presentation of Trigeminal Neuralgia. Ayurvedic Chikitsa principles such as Shirovirechan (Nasya), Raktamokshana, Lepan, Ahar–Vihar, and Yoga are theoretically appropriate based on Samprapti Vighatana.
Conclusion: Trigeminal Neuralgia can be conceptually correlated with Anantavata as described in Ayurvedic literature. Understanding the condition through Ayurvedic principles provides a rational theoretical framework for its holistic management.
Keywords :
Trigeminal Neuralgia, Anantavata, Shiroroga, Ayurveda.