Homoeopathic medicine in migraine- a case report

Dr Dhamini G

ABSTRACT:
Migraine is a severe type of Headache characterized by recurrent unilateral headache ,associated with nausea and vomiting.which has a huge impact on the quality of life of a patient.This article shows An efficacy of Individualized Homoeopathic Medicine Ignatia Amara in reducing the intensity as well as the recurrence of headache in migraine in a case of female aged 54years.Results Before and after treatment was assessed using MIDAS(Migraine Disability Assessment )test.

KEY WORDS: Homoeopathy,Migraine,Headache,Individualized Homoeopathic Medicine,MIDAS.

INTRODUCTION:
Migraine is defined as severe throbbing plus unilateral headache related to nausea, photophobia, phonophobia and vomiting. This is a striking feature of the disease, as most individuals feel pain in one half of the head. However, bilateral pain is also common and occurs at the front and back of the head. The nature of the pain is throbbing, which worsens with exertion or movement.1

CASE REPORT:
This is a case report of a female patient aged 54years , hostel warden by occupation at Bangalore who presented to the outpatient department of Government Homoeopathic Medical College and Hospital on 19/7/2023 with the complaints of Recurrent Headache since 10years.

HISTORY:

• Patient was apparently healthy before the complaints of recurrent headache since 10years
• Pain starts mainly after travelling,stress(thinking about past).once starts has to take pain killers sometimes painkillers also doesn’t help, pain remains for one whole day.
• Onset and progression: sudden and gradual
• Location : onesided,sides-Alternating-parietal , occipital ,frontal region
• Sensation: Aching pain,heaviness , Intolerable

Repertorial Approach:

Symptoms taken for repertorization:

• MIND:Conscientious about trifles
• MIND:Dwells -past disagreeable occurrences ,on
• MIND:Religious affections too occupied with religion
• MIND: Weeping Amelioration
• GENERALITES: Food and drinks ,sweet desire
• HEAD: Pain- Aching
• HEAD: Heaviness
• HEAD: Pain-Binding head amelioration
• HEAD: Pain- sides alternating

Prescription: Ignatia 200/ 3doses

DISCUSSION:
Migraine is a primary disorder of headache ,General treatment of which has two types:Abortive ( NSAID’s ,Triptans ,Anti emetics ,Ergotamines ) and prophylactic(Beta blockers ,Anti epileptics ,Calcium channel Blocker,Antidepressants) which has its own adverse effects and contraindications.5This case was diagnosed as Common migraine based on ICHD-3 diagnostic criteria for common migraine(without aura) .Homoeopathy is a holistic system of medicine and we treat patients based on individualization.wherein the complaints are not only reduced but the tendency and recurrence can be removed.this case is one of the evidence as In this case of Migraine , patient presented with the chronic complaints of which she was suffering from Recurrent attack of severe headache since10 years.After carefully examining the case, chronic totality was constructed, analysed and evaluation of the symptoms of the case according to the Homeopathic principles was done.this case was Repertorized using synthesis repertory, remedies were differentiated and the remedy Ignatia Amara was selected based on symptom similarity after referring Homoeopathic Materia medica . Single and simple Remedy was Prescribed according to one of the cardinal principles of Homoeopathy.the Predominant symptoms observed in this case are Grief-dwelling on the past sad events,Suppressed emotions,diligent,perfectionist,sensitive to criticism,likes Appreciation which are similar to the symptoms of Ignatia Amara . Patient showed significant improvement throughout the subsequent follow ups.Among 12 observations of Dr Kent to assess the prognosis after the Homoeopathic treatment, 4th observation -No aggravation with Recovery of the patient ,was seen in this case.7

CONCLUSION:
This case report shows the efficacy of individualized Homoeopathic medicine Ignatia Amara in the treatment of Common migraine.this study also highlights the importance of knowledge of Medicine for Diagnosing and differentiating the disease, also about the Homoeopathic philosophy,case taking and ascertaning mind symptoms which is the most important task for a Homoeopathic physician to individualize the case,and converting those symptoms into rubrics for Repertorization by selecting a Appropriate Repertory and arriving at a right similimum with the knowledge of Homoeopathic Materia medica and prescribing single and simple medicine followed by not interfering to disturb the action of a similimum given.

CONFLICT OF INTEREST:None

FINANCIAL SUPPORT:Nil

DECLARATION OF PATIENT CONSENT:Informed Consent was Taken.

REFERENCE:

1. Khan J, Asoom LIA, Sunni AA, Rafique N, Latif R, Saif SA, et al. Genetics, pathophysiology, diagnosis, treatment, management, and prevention of migraine. Biomed Pharmacother [Internet]. 2021;139(111557):111557. Available from: http://dx.doi.org/10.1016/j.biopha.2021.111557

2. Iba C, Ohtani S, Lee MJ, Huh S, Watanabe N, Nakahara J, et al. Migraine triggers in Asian countries: a narrative review. Front Neurol [Internet]. 2023;14. Available from: http://dx.doi.org/10.3389/fneur.2023.1169795

3. Eigenbrodt AK, Ashina H, Khan S, Diener H-C, Mitsikostas DD, Sinclair AJ, et al. Diagnosis and management of migraine in ten steps. Nat Rev Neurol [Internet]. 2021;17(8):501–14. Available from: http://dx.doi.org/10.1038/s41582-021-00509-5
4. Gupta J, Gaurkar SS. Migraine: An underestimated neurological condition affecting billions. Cureus [Internet]. 2022; Available from: http://dx.doi.org/10.7759/cureus.28347

5. Lew C, Punnapuzha S. Migraine Medications. StatPearls Publishing; 2023
6. Carvalho GF, Luedtke K, Braun T. Minimal important change and responsiveness of the Migraine Disability Assessment Score (MIDAS) questionnaire. J Headache Pain [Internet]. 2021;22(1). Available from: http://dx.doi.org/10.1186/s10194-021-01339
7. Kent JT. Lectures on homoeopathic philosophy: With classroom notes & word index: 7th edition. New Delhi, India: B Jain; 2023.chapter-35

Dr Dhamini G
MD Part-2
Department of Organon of medicine
Govt.homoeopathic Medical College and Hospital,Banglore-79

UGO Dr Shobha Rani
Assistant Professor, Department of Organon of Medicine

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