Trigeminal neuralgia is a kind of neuropathic pain which is associated with nerve injury or nerve lesion. It is considered as the most excruciatingly painful condition known to mankind. Due to the sharp, intense and stabbing nature of pain, sufferers called it as ‘suicide disease’. This is a chronic condition of pain that affects some important cranial nerves which are the most widely distributed nerves in the head. The annual incidence for women is approximately 5.9 cases per 100,000 women; for men, it is approximately 3.4 cases per 100,000 men. Unfortunately, there is no definitive cure for trigeminal neuralgia at present. The management of trigeminal neuralgia includes anticonvulsants, tricyclic antidepressants drugs and other surgical measures. As per Ayurvedic classics this condition has close proximity with the disease Anantavata which is Sannipatika in nature. The name itself indicates the extremely vitiated vatadosha. In Mashbaladi Pachana Kashaya, drugs are sheet Virya, Snigdha Guna, Madhura Rasa that subside the vitiated Vataby its nourishing property. The Kashaya is also Siddha by Ghrita, Saindhava and Hingu due to Ghrita it is also helpful in nourishing and balancing Vata and Hingu and Saindhava responsible for Kapha Vilayana and Sroto Shodhana. Thus Nasya with Mashbaladipachanakashaya can be a better option for Trigeminal neuralgia.
