TY - JOUR AU - Sanghmitra, Randhir AU - Vinayak, Joshi Mrudula AU - Nilkanth, Joshi Vinayak PY - 2022/07/08 Y2 - 2024/03/28 TI - Association of Viharaj Hetus (External and Environmental Factors) with Shirahshool (Headache) – A cross sectional study JF - International Journal of Ayurvedic Medicine JA - IJAM VL - 13 IS - 2 SE - Research Articles DO - 10.47552/ijam.v13i2.2506 UR - https://ijam.co.in/index.php/ijam/article/view/2506 SP - 345-350 AB - <p>Background- <em>Shirahshool </em>(headache) encompasses all the aches and discomforts associated in the <em>Shira(head) </em>region and is described under the caption of <em>Shiroroga </em>in Ayurveda texts<em>. Aharaj </em>(diet related) and <em>Viharaj </em>(external and environmental) <em>Hetus </em>are the main causative factors for any disease; yet the external and environmental factors also play an  important role in <em>Shirahshool</em>. Aim-To observe the role of <em>Viharaj Hetus </em>for their association with <em>Shirahshool </em>.Study Design-This cross sectional study was conducted amongst the pre diagnosed <em>Shirahshool </em>patients, both male and females from the age group 20-60 years, who were suffering for more than one year and get <em>Shirahshool </em>for more than 30 minutes every time. A structured, pilot tested questionnaire with 15 questions validated by scientific committee was used to collect the information. Statistical analysis- The collected data is qualitative Pearson correlation test and Chi square test is used to test the association between <em>Viharaj Hetus </em>and <em>Shirahshool</em>. P- Value  less than 0.05; which was considered as significant association. Result- Amongst <em>Viharaj Hetus</em>, <em>Shita Vayu Sewan </em>(cold air exposure-external environmental factor) was present in maximum number of patients i.e. 40 %, <em>Nidra Vega Vidharana </em>(suppression of the urge for sleep) in 36%, Asatmya Gandha Sewan(bad odour) in 31 % of total Shirahshool patients. Conclusion- The highest  incidence of <em>Shiroroga </em>based on chronicity (59%) is in between 1-5 years with the duration for 30-60 minutes and based on severity 46% with moderate grade of <em>Shirashool. </em>Exposure to cold air and suppression of urge for sleep are the causative factors found as important with respect to duration of exposure whereas anger was noted as major, immediate <em>Hetu </em>of <em>Shirahshool. </em>Thus the association of <em>Viharaj hetus </em>with <em>Shirahshool </em>is of very much importance with respect to diagnosis, prevention and treatment</p> ER -