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 –
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.