Homoeopathic approach in chronic migraine: a case report

Migraine is a recurrent neurological disorder characterized by episodic headache, often associated with nausea, photophobia, phonophobia and other sensory symptoms. Chronic migraine may substantially affect academic, occupational and social functioning. Homoeopathic case-taking emphasizes the individual pattern of headache, associated symptoms, mental and general characteristics, and modalities. This case report presents an educational model of a 29-year-old female with a long-standing history of recurrent migraine attacks. The characteristic features included left-sided throbbing headache, aggravation from sunlight and mental exertion, nausea, photophobia, relief by pressure and lying in a dark quiet room, and a marked desire for company during attacks. A structured totality of symptoms was formed and repertorization was performed using selected rubrics from a Kent-style repertory framework. Natrum muriaticum emerged as the leading remedy, with supportive differentiation from Sepia, Nux vomica and Pulsatilla. The patient was followed using headache frequency, intensity and functional impact as outcome measures. This report is intended for academic demonstration of homoeopathic case-taking and repertorization and does not establish efficacy of homoeopathy for migraine.