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Aug 1, 2013

A Case of Chronic Headache


© Dr. R. S. Mann 2013

A married woman, 35 yrs old, was suffering from chronic headaches for 10 years. Pains are severe 2-3 days every week but mild pains remain always. She does not feel head light anytime since a long time.

Pains are one sided, mostly on right side, aggravates from anger, noise, exposure to sun, mostly at forenoon around 11 AM, better by pressure. She eats lot much salt and salty things. She wants to lie down quietly and silently when headache. Always lie on painful side which somewhat relieves the pain. Headache is associated with vomiting which does not relieve.

Patient has hypothyroidism for few years and is on Thyronorm 50. Her uric acid levels fluctuate off and on and her physician prescribe medicines to keep it under normal range accordingly.

Rubrics Selected:

MIND - QUIET; wants to be
HEAD - PAIN - accompanied by - vomiting
HEAD - PAIN - anger; from
HEAD - PAIN - forenoon
HEAD - PAIN - lying - side, on - painful - amel.
HEAD - PAIN - noise, from
HEAD - PAIN - Sides - one side
HEAD - PAIN - Sides - right
HEAD - PAIN - sun, from exposure to
GENERALS - FOOD and DRINKS - salt - desire
GENERALS - LIE DOWN - desire to







Nov 29, 2012

Prescription:   
1.     Natrum Mur 200  three doses with 30 minutes interval.
2.     Sac Lac twice a day for seven days.





Dec 8, 2012

 Head pains are better in severity. Severity reduced. Mild pains which were continuing everyday earlier are now stopped.

Prescription:

Sac Lac twice a day for fifteen days.

Dec 31, 2012

Severe head pain started from 30th Dec, this time on left side, in occipital region, very much irritability during pain and her husband told that she is weeping many times a day.

Rubrics Selected:

MIND - IRRITABILITY - headache, during
MIND - WEEPING - easily
HEAD - PAIN - accompanied by - vomiting
HEAD - PAIN - anger; from
HEAD - PAIN - forenoon
HEAD - PAIN - lying - side, on - painful - amel.
HEAD - PAIN - noise, from
HEAD - PAIN - Occiput
HEAD - PAIN - Sides - one side
HEAD - PAIN - sun, from exposure to
STOMACH - THIRSTLESS
GENERALS - FOOD and DRINKS - salt - desire
GENERALS - HYPOTHYROIDISM
GENERALS - LIE DOWN - desire to
GENERALS - SIDE – left

 







Prescription:

1.     Natrum Mur 1M three doses with 30 minutes interval.
2.     Sac Lac twice a day for fifteen days.

  
Feb 28, 2012

Prescription of Dec 31, does not relieved. Her pains were very much, she again started pain killer as per requirement. In two months she again fed up with painkillers and decided to Start Homeopathy again.

Case is taken again with details.

Patient is of very angry nature, get angered easily, very irritable. Fear of cancer. Remains sad. Talk very hastily. Most of Symptoms of headache are same, some new symptoms are added. Head pain when she works in kitchen and due to heat. Sensation of a ball rolling in head. Head pain from lying down (Change from earlier symptom). Pain in occiput and vertex. Thirstless. Uric Acid level are increased which are causing pain in thighs on walking and squatting. Insomnia and disturbed sleep. Desire for salt is very much. Amelioration after sleep and very much weakness by exertion. 


Rubrics Selected:

MIND - ANGER
MIND - ANGER - easily
MIND - FEAR - cancer; of
MIND - IRRITABILITY
MIND - IRRITABILITY - headache, during
MIND - SADNESS
MIND - SPEECH - hasty
HEAD - BALL; sensation of a - rolling in brain
HEAD - PAIN - anger; from
HEAD - PAIN - Forehead, in
HEAD - PAIN - heated, from becoming
HEAD - PAIN - lying
HEAD - PAIN - noise, from
HEAD - PAIN - Occiput
HEAD - PAIN - sun, from exposure to
HEAD - PAIN - Vertex
STOMACH - THIRSTLESS
EXTREMITIES - PAIN - Thigh
EXTREMITIES - PAIN - Thigh - walking
SLEEP - DISTURBED
SLEEP - SLEEPLESSNESS
GENERALS - FOOD and DRINKS - salt - desire
GENERALS - LIE DOWN - desire to
GENERALS - SLEEP - after sleep - amel.
GENERALS - SQUATTING - agg.
GENERALS - URIC ACID - diathesis, lithemia
GENERALS - WEAKNESS – exertion

 

 Part 1


Part 2



Prescription:

Phosphorus 200  three doses with interval of half hour, prescribed with sac lac for fifteen days. Marked irritability during headache and very much desire for salt with lean thin constitution of patient was the reason to prescribe Phosphorus.

March 12, 2013

Pain is better, frequency and severity reduced. Sac Lac prescribed for ten days.

March 26, 2013

Pains are mild, less frequent, easily bearable but not stopped. Sac Lac is prescribed for fifteen days.

April 22, 2013

Head pain from April 21, started from morning, very very severe with vomiting.

Phosphorus 200  one dose prescribed with sac lac for ten days.

May 2, 2013

Pain is better but a mild pain always remains in head which is not easy to locate. Sac Lac is prescribed for fifteen days

May 10, 2013

Pain started again in forehead, vertex after exposure to sun. With pain in lower limbs, thighs which aggravates in walking. Feel very much weak. Irritability, sadness and hopelessness are there. Insomnia.

Phosphorus 200 one dose was prescribed.

May 20, 2013

Pains are improved, less frequent but patient does not feel normal at all. Mild pains are always there.

On evaluating, it is found that earlier prescription was partially similar which somewhat relieved the symptoms but not cured the patient. Desire for salt and irritability during headache are given unnecessary weight age in evaluation.

Preference is given to hasty speech, profound sadness, uric acid diathesis. And one more important point is that, head pain exposure from sun is found in Sepia and Not in Phosphorus. In my Radar Version it is a wrong entry.

Prescription:

Sepia 30  three doses prescribed with thirty minutes interval with sac lac for fifteen days.

Patient has not reported for a long time.

July 20, 2013

Patient came for his son’s sickness and told that in last two months, she has no headache, angry mood, irritability, sadness, ball sensation, insomnia, pain in lower limbs. She feels quite well. Head is light, no heaviness and even she does not feel any ‘mild’ thing there in head now. Even desire for SALT is gone which mislead earlier for wrong medicines.  

Amazingly, her thyroid profile come under normal range and her physician

reduced her Thyronorm 50 to Thyronorm 25 daily. Her uric acid level come under normal range. 

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