Hello, Your history suggests right-sided trigeminal neuralgia well controlled on Ayurvedic treatment for 4 months. The new mild, burning headache on the left side, triggered by stress, without classical neuralgic shocks, is more consistent with migraine (Ardhavabhedaka) rather than trigeminal neuralgia. This is reassuring, especially since pain is mild and your physician has examined you.
Your treatment will focus on Pitta–Vata balance, stress control, migraine prevention, and protecting the trigeminal nerve from recurrence.
🔎 Recommended Observations (No urgent tests needed if symptoms remain mild) 1. Maintain a headache diary (time, trigger, duration) 2. Monitor for red flags: electric-shock pain, facial trigger points, chewing pain 3. Review if pain increases in intensity or frequency
💊 Internal Medicines Current Treatment (Continue) 1. Dashamoola Kashayam – as advised 2. Nervine Capsule – as prescribed 3. Ksheerabala 101 Capsule – continue 4. Pathyashadangam Tablet – continue as started
👉 Relief Timeline for Migraine • Mild headaches usually improve in 5–7 days • Frequency reduces in 2–3 weeks • Full stabilisation in 4–6 weeks
If needed after 7 days (only if headache persists) 1. Godanti Bhasma – 125 mg twice daily with honey Excellent for burning headache & Pitta dominance 2. Brahmi Vati (plain) – 1 tablet at bedtime Stress-related migraine prevention
🌿 External & Supportive Therapies 1. Shiro Abhyanga – 3× weekly – Use Ksheerabala Taila or Brahmi Taila – Gentle massage to scalp & temples 2. Cold water splash to face during headache (if comfortable) 3. Nasya – 2 drops Anu Taila in each nostril, morning Prevents recurrence
🥗 Diet & Lifestyle Recommendations ❌ Avoid (Migraine triggers) 1. Skipping meals 2. Excess spicy, sour, fried foods 3. Coffee, chocolate, fermented foods 4. Late nights, screen overuse 5. Emotional stress ✅ Include 1. Regular meal timings 2. Cooling foods – rice, ghee, milk (daytime) 3. Coconut water (not cold) 4. Warm water sipping 5. Adequate sleep
🧘🏻♀️ Yoga & Pranayama 1. Anulom Vilom – 10 minutes daily 2. Sheetali / Sheetkari – 5 minutes (burning sensation) 3. Bhramari – 5 minutes (stress relief) 4. Shavasana – before sleep
Avoid Kapalbhati during headache phase.
• Your symptoms are not suggestive of bilateral trigeminal neuralgia • Migraine commonly presents with burning discomfort and stress trigger • Pathyashadangam usually shows effect within 5–7 days • Seek review if pain becomes sharp, electric-like, or facial triggers appear
✨ You are already on a strong Vata-stabilising regimen; this episode is likely temporary and reversible.
With calm reassurance, Dr. Sumi MS (Ayu)
It is highly unlikely to be Trigeminal Neuralgia on the second side. Your doctor is correct; the burning is due to Pitta (Heat) caused by stress.
Pathyashadangam typically takes 5 to 7 days to reduce the vascular inflammation completely. Since it has only been 2 days, please be patient.
Medicines Continue: Pathyashadangam Kashayam (Specific for Migraine) and Ksheerabala 101 Continue: Deshamoola Kashayam (Balances Vata). Note: The Ksheerabala you are already taking will protect the nerves on the left side even if there is mild irritation.
External Therapy Nasya (Nasal Drops): Put 2 drops of Ksheerabala 101 (oil) in BOTH nostrils at bedtime.
Cooling Paste: Apply Sandalwood paste on the Left Temple to stop the burning sensation immediately.
Lifestyle Stress is the main cause. Practice Anulom Vilom breathing daily.
Avoid Sour foods (Curd/Pickles) and Spicy foods for 1 week to reduce the heat.
Regards Dr Gursimran Jeet Singh MD Panchakarma
I understand your Worry Especially because you have already experienced trigeminal neuralgia on one side when someone has gone through that kind of burning nerve pain, even a new headache can create a lot of fear
From what you have described, the new pain on the left side is mild associated with stress and presents more like a headache with burning sensation rather than sharp electric shock like pain Trigeminal neuralgia pain is usually very intense, sudden stabbing or shooting, often triggered by touching the face, chewing, talking, brushing teeth, or even cold air It tends to be very specific and severe Since the examined doctor feels is of more like a migraine, especially with a family history and stress involvement , and you are explanation fits into migraine involvement
Pathyashadangam is commonly used in migraine, type, headache, headache Work is gradually by reducing heat, improving circulation in the hydrogen and stabilising nerve sensitivity This medicine does not usually give instant relief like a painkiller It usually takes 7 to 10 days to see the noticeable improvement
The fact that you pain is mild and not worsening is a positive sign Also, your right sided neuralgia is being well controlled for four months with dashamoola kashayam nervine capsule and Ksheerabala 101 shows that were nervous system is responding well to treatment
Stress is an important trigger here even mild mental strain, poor sleep or overthinking can bring migraine type pain, especially when the nervous system has already been sensitive due to past neuralgia try to keep regular sleep, awards, skipping meals, reduce screen exposure and avoid excessive heat, spicy food and caffeine
Continue your routine treatment and focus on rest and stress. Reduction anxiety itself can amplify headaches so reassurance and patience are part of the Healing especially in your case
Don’t panic Trust your doctor. If you want better results add Tab Guduchi 2-0-2 Tab.Yashtimadhu 2-0-2 Just for 1week.
Hello, I totally get your concern. If someone has a history of trigeminal neuralgia, even a very slight new pain can scare them a lot. But don’t worry, we are here for you 😊
Understanding Your Current Situation
You have: Right-sided trigeminal neuralgia, undergoing Ayurvedic treatment for 4 months
Medicines: Dashamoola Kashayam, Nervine capsule, Ksheerabala 101 capsule
Burning neuralgic pain is well controlled ✔️
New symptom since last week: Left-sided mild headache Mild burning sensation Triggered by stress
Doctor diagnosed it as migraine (family history present) Started Pathyashadangam tablets (2 days completed)
IS THIS TRIGEMINAL NEURALGIA ON THE LEFT SIDE?
If we consider the information you provided, it does not sound like trigeminal neuralgia. Also, your doctor’s assessment makes sense.
Why this is likely MIGRAINE and not neuralgia:
👉Trigeminal Neuralgia Sharp, sudden, electric shock-like pain Extreme, very often, crack-like Touch, chewing, brushing trigger pain Very short attacks (seconds) Almost always one-sided
👉Migraine
Dull, burning or throbbing pain Stress, sleep issues trigger pain Lasts hours up to a day Can be on either side
Your pain is mild, stress-related, and continuous, which is characteristic of migraine, not neuralgia.
Ayurvedic View
Trigeminal neuralgia → Vata predominance Migraine → Vata–Pitta imbalance Stress aggravates Vata, causing headache even on the opposite side
Your current medicines are good for the nerves, which is a positive indication.
About Pathyashadangam Tablets Pathyashadangam is a classical medicine for migraine: Reduces burning Calms Pitta Stabilizes Vata in the head region
When does it show relief? Typically 7–14 days Some patients may feel partial relief in 5–7 days Full stabilization may take 2–3 weeks It’s too early to decide the effect after only two days.
What You Should Watch For (Reassurance Signs)
– Pain is mild – No electric shock-like pain – No facial trigger points – Stress-related – Already responding to nerve medicines
All these factors speak against trigeminal neuralgia recurrence.
What You Can Do to Speed Recovery Daily Care Don’t stay up late Don’t overdo your screen time Eat timely Warm, light food
Helpful Home Measures Soft Shiro abhyanga with Ksheerabala Taila (2–3 times/week) Practice Anulom Vilom pranayama (10 minutes daily) This seems to be migraine, not neuralgia Your neuralgia treatment is effective
Pathyashadangam cannot be judged in 1–2 weeks Stress management is very important You are already being treated properly
Please don’t be too worried—fear can, in fact, vitiate Vata and cause headaches.
Warm regards, Dr Snehal Vidhate
Your ayurvedic medicines combination for Trigeminal neuralgia is good. And you have seen results, so continue as before For migraine Start with Pathyadi kadha 15 ml twice daily after food with water Shirshoolavajradi vati 1-0-1 after food with water Kamdudharas moti yukta 1-0-1 after food with water. Avoid spicy, sugary foods, fast foods. Do Nasya with almond oil 2 drops in both nostril once daily Do pranayam lom -vilom bhastrika bhamri 5-10mins daily twice.
1.Shiroshooladi vajra rasa 2 tab twice daily with milk after meals 2.Pathyadi kwath 20 ml with 20 ml water twice daily after meals 3.Pathyasadagam Tablet 1 tab twice daily with water after meals
🍲 Diet & Lifestyle - Avoid stress triggers: late nights, excess screen time, skipping meals. - Favor light, warm foods: khichdi, moong dal, lauki, ridge gourd. - Avoid very spicy, oily, or fermented foods (they aggravate Pitta and trigger migraine). - Drink warm water; avoid cold drinks. - Yoga/Pranayama: Anulom Vilom, Bhramari, Shavasana — calming for stress headaches. - Daily walk 20–30 minutes.
Add Cap. Palsinuron 2 caps twice a day before food. Take the meds for 21 days.
Alternate foot immersion in hot and cold water for 2.5-3 mins in hot and 2.5-3 mins in cold water. Do this whole season for half an hour atleast.
Apply dry ginger lep on your forehead while sleeping.
❌Avoid Fried, oily, spicy, fermented, packed and processed food.
🧘♀️Practise Anulom vilom, ujjaye, tratak (focus on a blue spot on a white paper)
If you’re experiencing new symptoms like a headache with burning pain on the opposite side, it’s important to closely monitor your condition. Since your doctor has diagnosed this as a migraine based on your family history, it’s reassuring, but it’s understandable to have concerns given your history of trigeminal neuralgia.
The treatment you have been prescribed, Pathyasadagam tablet, is used in Ayurveda for managing conditions associated with headaches and migraines. Generally, you may start to see improvement in your symptoms within a few days, though for some, it might take a week or even a bit longer. Consistency is key, so continue taking it as prescribed. Keep a small headache diary, noting down times, triggers, and relief measures that help or worsen your condition, to provide your doctor a better insight during follow-ups.
Your current regimen with Deshamoola Kashayam and Ksherabala 101 capsule for trigeminal neuralgia has been effective and it is essential to continue these unless told otherwise by your treating physician. They may provide broader nervine support which could also help alleviate any residual migraine symptoms indirectly.
In terms of lifestyle, ensure you are maintaining a routine that minimizes stress; consider incorporating meditation or deep breathing exercises, as both migraines and neuralgia can be exacerbated by stress. Drink warm lemon-ginger tea daily to help ease pain, and work with your digestion to ensure your agni (digestive fire) is strong, as a well-functioning digestion supports overall resilience to such conditions.
Avoid known migraine triggers, which may include certain foods, excessive screen time, harsh lighting, and irregular sleep patterns. Instead, opt for a vata-pacifying diet, focusing on warm, cooked meals with spices like cumin and coriander.
If you notice symptoms worsening, or if new symptoms appear, your doctor may need to re-evaluate your condition. Be sure to communicate any concerns promptly.
Thank you for contacting, ask Ayurveda Since your new pain is on the left side, which is mild and associated with family, history of migraine and not trigeminal neuralgia under ayurvedic management pathyasadagam tablet, use usually start showing relief within 5 to 7 days, but full symptom control may take 2 to 3 weeks, depending upon triggers diet and lifestyle
Continue managing stress, avoid trigger foods maintain regular, sleep and follow your doctors. Recommendations if pain increases or becomes sharp sudden or associated with Vision changes contact ASAP.
Do light dinner avoid screen time oil massage, overhead with warm sesame oil will be helpful along with your medication
