| Migraine is a form of recurrent paroxysmal headache often
confined to one side of the head. It begins during childhood
to adult life, and is frequently associated with gastric and
sensory disturbances.
CAUSES:
Anxiety, over work, emotional upsets, menopause, hypertension,
premenstrual tension, food deprivation, too much chocolate
or orange etc.
SYMPTOMS:
AGE: Young adults
SEX: common in females
TEMPERAMENT: Obsessional Migraine occurs regularly. It also
seems to bear some relation to menstrual periods. There are
usually certain symptoms like weakness, lassitude, depression
etc. for few days.
There is pressure and vertigo. During the attack, the scalp
is hypersensitive. Loss of appetite, nausea, vomiting are
also observed.
The pain in the head is most often right sided, in the temporal
region. This can occur on both sides or can alternate. The
patient is dull mentally. He is sensitive to noise. The pupils
may be dilated or contracted. The face may be pale or flushed.
As a rule, patient prefers to lie in a dark room and refuse
food. It has been observed that the superficial temporal artery
throbs vigorously and may be tender on palpitation. The headache
may last 12 to 14 hours usually, but shorter to longer attacks
may also occur.
TYPES OF MIGRAINE:
HEMIPLEGIC MIGRAINE:
Cerebral changes may persist sometimes, even if headache has
subsided.
BASHAR MIGRAINE:
When there is spasm of the basilar artery, there may be visual
disturbances, headache and partial paralysis in lower limbs.
FASIOPLEGIC MIGRAINE:
Recurrent facial palsy is associated with migraine.
RETINA MIGRAINE:
In this condition, migraine is associated with occlusion of
the retinal artery or any of the retinal artery or any of
its branches.
POST THAUMATIC MIGRAINE:
Migraine may be seen in some cases of head injury.
MIGRAINOUS NEURALGI:
Here the attacks are severe, but not long lasting. The eyes
may be red and nostrils may be blocked due to congestion.
GENERAL MANAGEMENT:
Patients should regulate their lifestyle so as to avoid both
physical and mental fatigue. Rest is essential during the
attack.
HOMOEOPATHIC MEDICINES:
IRIS VER:
The patient vomits a bitter bilious substance and the vomiting
gives relief to the pains in the head.
DAMIANA:
This is an excellent remedy for migraine. In severe cases,
it may be given every half hour and patient will sleep after
few doses.
SCUTELLARIA:
This is a good remedy for nervous sick headaches, which are
causes by excitement and over exertion with frequent scanty
urination.
TANGO:
Is used for neuralgic affections and migraine.
COCA:
In migraine which is the result of fatigue, weariness and
exhaustion. Headache is preceded by flashes of light before
the eyes and is accompanied by vertigo.
SANGUINARIA CAN:
Is used for right sided migraine.
SPIGELIA:
Acts better on left sided migraine.
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