Migraine

To Evaluate the Prescribing Pattern of different types of Chronic Headache in a tertiary Care Hospital. 63 patients were the subjects in Medicine Department of a Multispecialty Hospital, in Greater Noida. It was a duly approved, prospective study, in patients on chronic Headache therapy, conducted by competent professionals. The data was obtained from physicians’ prescribing records and patients by individual interviews using the structured proformas as per World Health Organization guidelines. In 63 patients, suffering from different types of headache were evaluated. Among the 63 patients suffering from headache 17(26.98%) were males and 46(73.01%) were females, indicating 3:1 (Female: male) prevalence ratio of headache. Out of 63 patients of chronic headache, age range of 31-40 years had the maximum number 22(34.92%) of patients, followed by 21(33.33%) in age range of 21-30 year. Among the 63 patients suffering from headache Out of 31 patients diagnosed of migraine headache 23(74.19%) were females and 8(25.86%) were males, indicating prevalence of migraine 3 times more in females than in male. NSAIDs (100%) were the most prescribed abortive treatment followed by ergotamine 22(34.92%) and prochlorperazine 22 (34.92%). Among the opoid analgesics caffeine 22(34.92%) was mostly prescribed followed by tramadol 13(20.63%). Sumatriptan 9(14.28%) was less prescribed. The prospective study demonstrated that the incidence migraine headache was found to be higher in female patients. NSAIDs were the most prescribed abortive treatment followed by ergotamine 22(34.92%) and prochlorperazine22 (34.92%) Among the opoid analgesics caffeine was mostly prescribed followed by tramadol.

The Unani System of Medicine also known as Greeko-Arab medicine, founded by Hippocrates is based on the concept of equilibrium and balance of natural body humours (blood, bile, black bile and phlegm). The imbalance in the quality and quantity of these humours leads to diseases whereas restoration of this balance maintains health of a person. According to Unani literature, headache is a type of pain which occurs in specified area of head and disturbs its functions. It can be due to external or internal factors. The internal factors may be maddi (involving matter) or sadah (which do not involve matter). Shaqeeqa is an Arabic word which is derived from the word ‘Shaq’ which means a part or a side, due to which it is named as Shaqeeqa. The cause of migraine is either riyah haar or imtila. In this system of medicine, the basic principle of treatment is Ilaj bil zid i.e treatment is in contrast to nature and Mizaj of the disease and is adopted in two ways i.e. observational and rational methods which are employed through diet, drugs, regimes, manipulation techniques and operations. This review aims at highlighting the concept of migraine with special reference of Shaqeeqa and its management in Unani system of medicine.