Clinical Cases

Acute Migraine in a Woman of 30

managing migraine triggers and help getting treatment

Dr. Parth Aphale presents a brief case of acute migraine.

A female patient of 30 came to my clinic three days back complaining of headache. Initially the headache was mild, but went on increasing.

Chief Complaint-

Headache since 3 days.

Origin, Duration and Progress of chief complaint-

Patient was apparently alright until three days ago when she started complaining of headache. Initially the headache was mild, but went on increasing. Pain is not continuous, comes and goes. When it comes it is a severe, blinding headache++, pulsating++, throbbing pain in forehead and temples. Pain <light, noise >tight bandaging, pressure.Sensation as if beaten by a hammer.

No Associated Complaints

No history of any major illness or operation in the past.

Family History-

Father- Hypertension

No other major illness in the family.

Personal History-

           Appetite Normal
           Thirst Normal
           Cravings Sour++
           Aversion Nothing specific
           Bowels Normal
           Urine Normal
           Perspiration Scanty, no staining, no odor
           Thermals Hot

(wants fan++, < hot weather, >cold)

           Sleep Good, refreshing, 7 hours
           Dreams Nothing specific
           Menstrual history Regular, painful, clots+, 4/28
           Obstetric history 1 son, FTND

 

General Examination-

General Examination Vital Data
Lean, thin, fair complexion. Temperature- Afebrile
Nails- ridged B.P- 130/90 mm. Hg.
Palms- rough, warm Pulse- 77/min
R.R- 17/min


Clinical Diagnosis-

Migraine

Acute Totality-

Pulsating pain in forehead <noise

Pulsating pain in forehead <light

Pulsating pain in temples <noise, light

Pulsating headache >tight bandaging

Pulsating headache >pressure

Hammering pain in forehead and temples

Reportorial Totality-

Head- pain- forehead in- pulsating

Head- pain- forehead in- pulsating- bandage amel

Head- forehead in- noise

Head- pain- forehead in- light agg

Head- pain- forehead in- pressure amel

Head- pain- temples- pulsating- noise from

Head- pain- temples- pulsating- light agg

Head- pain- temples- pulsating- pressure- amel

Repertorisation –

 Acute Migraine in a Woman of 30 1

Probable Remedies-

Belladonna, Glonoine, Lac Def

Indicated Remedy-

Belladonna

Prescription-

Belladonna 1M, 2 pills, Q.I.D x 2days

Follow up chart-

Follow up Symptoms Assessment Remedy
18.10.15 Pain in forehead 80% better

Slight dull pain in forehead, intermittent

No pain in temples

Grade III Belladonna 1M, T.D.S x 1day
21.10.15 Pain in forehead 60% better

Pain in temples 60% better

Can bear light and noise

Grade III Belladonna 1M, T.D.S x 2 days
24.10.15 No pain in forehead

No pain in temples

Can bear light and noise

Grade I S.L, T.D.S x 3 days
28.10.15 No headache Grade I S.L T.D.S, x 3 days
 1.11.15 No headache Grade I S.L T.D.S, x 3 days
 5.11.15 No headache Grade I Stop treatment


Grade-III: Presence of symptoms

Grade -1: Disappearance of present pathology

Belladonna was prescribed in high potency (1M) after considering the acute totality of headache. Within 24 hours, there was marked improvement and by the 3rd day there was no headache. There was neither any aggravation nor any recurrence. Patient was advised long term treatment for migraine. When a simillimum is given in high potency with required repetition in acutes, it does wonders. The main important aspect in such cases is posology and repetition of doses.

About the author

Parth Aphale

Parth Aphale

Dr. Parth Aphale, M.D.(Hom.), is a homeopathic physician in Pune, and Assistant Professor, Department of Homoeopathic Pharmacy at Dr. D.Y. Patil Homoeopathic Medical College and Research Centre, Pune.

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