Introduction:
Migraines and chronic cervical headaches are common in today’s stressful lifestyle. While modern medicine often explains them in terms of disc herniation, nerve compression, or vascular changes, Ayurveda understands them through the lens of Marma points—vital energy seats in the body.
One such key marma, Krukatika Marma, located at the junction of the neck and skull, plays an important role in cervical disorders and migraine‑like conditions.
Here we present a real case study of a 52‑year‑old entrepreneur who found long‑awaited relief through Marma Chikitsa combined with classical Ayurvedic therapies.
Patient Background:
Age/Sex: 52‑year‑old male
Profession: Business entrepreneur
Health history: Diabetic, borderline hypertensive
Main complaint: Recurrent throbbing headache and neck pain for 25 years, along with palpitations, dizziness, and occasional nausea.
History and Clinical Findings:
The patient reported a road traffic accident 28 years ago, during which he fell from a bike and suffered a neck injury.
Ever since, he had developed recurring headaches and cervical pain.
Recent MRI: Cervical disc herniation from C3 to C7 levels.
Pain pattern: Throbbing pain around head regions corresponding to Shankha Marma, Manya Marma, and Adhipati Marma.
Additional constrictive chest‑like pain radiating from the T8 region to both sides of the ribs.
On examination:
- Tenderness at C3–C7 (2+)
- Shankha Marma 2+ tenderness
- Manya Marma 1+ tenderness
- Adhipati Marma 1+ tenderness
- Krukatika Marma 2+ tenderness
Ayurvedic Understanding:
In Ayurveda, Krukatika Marma is situated at the base of the skull where the neck meets the head.
It serves as a junction for nerve impulses and vascular supply between the brain and spinal region.
Trauma or prolonged strain here can disturb Vata dosha, leading to:
- Cervical migraine
- Palpitations (Hriddravata)
- Vertigo (Bhrama)
- Nausea (Hrullasa)
The patient’s long history and imaging supported the involvement of this vital marma point in his chronic condition.
Treatment Plan:
A holistic program was designed combining Marma Chikitsa and internal Ayurvedic medicines.
1. Marma Chikitsa (Therapeutic Marma stimulation):
The manipulations were carried out in a specific therapeutic order:
- Krukatika → Shankha → Manya → Adhipati → Amsha → Bruhati
Gentle, rhythmic manipulation helped release muscular tension, improve circulation, and pacify deranged Vata influence over the cervical spine.
2. Griva Basti (Cervical Oil Pool Therapy):
A medicated oil reservoir was placed around the cervical region to nourish tissues, reduce inflammation, and strengthen the neck region.
3. Internal Medicines:
Ajamodadi churna – for Vata‑Kapha balance, digestion, and circulation.
Prasaranyadi kashaya – for neuromuscular stiffness and pain relief.
Asthisamharakadi yoga – for strengthening bone and cartilage health
Progress and Outcome:
On the first day itself, the patient reported significant relief in headache intensity and heaviness.
After 15 days of Marma therapy with internal medicines, he was able to resume work with new enthusiasm.
He even regained confidence to drive his car independently to his office, something he had avoided due to headaches and dizziness for years.
Key Takeaways for Readers:
- Cervical migraine is often linked to old neck injuries and cervical disc herniation.
- Krukatika Marma therapy can play a major role in addressing such chronic migraines.
- Marma Chikitsa combined with Griva Basti and classical Ayurvedic medicines can restore balance naturally.
Always consult a qualified Ayurvedic physician before deciding on therapy—treatment is customized for every patient’s unique doshic imbalance and health history.
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