Minutus

My sister in law who has been staying with me woke this morning at 7.30 with a migraine, vomiting and diarrhoea. This was the first migraine like this for 12 months and I had given her a Puls 200 on Friday since she was so bunged up with catarrh, wasn't feeling very good and Puls was prescribed by an eminent London homeopath a couple of years ago as a constitutional Rx as wouldn't treat this ginger haired freckly, weepy relation as I don't do constitutionals for friends and family!!

There is only one Rx for headache with vomiting and diarrhoea in the rep and that is Graphites so I gave her a 200C. I also noticed it followed on well from Puls.The sweating she was experiencing went and she vomited once more. I repeated the Rx and at 10.30 she was on her way driving back to London!!! She said if she had taken the Doctors medication (she didn't have it with her) it would have got rid of the migraine but she would have been out for the count for the rest of the day!!

I have told her that the Puls probably caused it and what she experienced was a cleansing of toxins and she will probably feel a lot better than she has down for a while. I am trying to get her to go back to the homeopath as she has menstrual problems that need dealing with rather than the hysterectomy that the consultant advises and she doesn't want!!
www.rochellemarsden.co.uk

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Can anyone identify what remedy I should have given to relieve this patent who presented with the following acute migraine attack.

The migraine presented as a sore head on the right hand side of the temples with nausea, vomiting ,sore ears and eyes. "It feels like a blunt instrument in my eyes and twisting into my ears". Noise and light and movement agg. and she has to keep passing urine very frequently but it was scanty. She felt she had a dry mouth and was thirsty rather than not but didn't drink much water while she was with me. She kept trying to press into her eyes as that made it feel better.
It was associated with her period. She had one just before the period began which stopped as the menses started and then 7 days after again when the menses was still continuing. She hadn't had a migraine like this for about 6 months. but they tend to come at approx 6 month intervals. I had given her a constitutional Rx a month ago.
Regards

Rochelle

www.rochellemarsden.co.uk

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IPEC?

DN

Dear Rochelle,
Looks enough of a case.
The eye, cutting pains >pressure- bell, bry, pul, ver a
eliminating with headache , nausea with: ver a
headache:amel: menses during: ver a.
ver a has frequent calling for urine with scanty micturition.
has also a place in right internal head
The stumbling block may be thirst since ver a is a thirsty remedy and also
the long duration of menses
since vera has a scanty discharge with short duration that too early.
The qualmishness agg by slight movement are very marked.

Interestingly some time back, there was a case in minutus with headache
absent during menses
( I think, Rhonda's). The above is just a possiblity with Boger's.But the
typical chilliness and some
others you might connect to the case can clinch it.
All the best
Venkat

I'm not sure *cutting pains* is the most appropriate rubric to consider.
Pain experienced as if from a blunt instrument (like a blunt stick, or a
thumb being pushed hard against an area) tends to be dull, obtuse, sore, and
either focal or affecting a larger area, like the whole head.
In the absence of any description of throbbing pain, or pain synchronous
with the pulse, or piercing like a shock, or compressive vicelike pain etc,
I'd have a look at remedies with dull, obtuse, sore, aching pain.
Just as an example only, Anacardium.
Symptom number 117: Dull pressure as from a peg on the upper border of the
right orbit, penetrating to the brain, with stupefaction of the whole side
of the head.
Symptom no 118: Pain as if a peg were driven in under the upper border of
the orbit, touching the eyeball..
Symptom no 137: Slow dull thrusts from both sides of the ears and in their
passages, as if two dull pegs, pressing inward, were about to meet in the
middle.
Symptom no 122: Great sensitiveness to the light.
Symptom no 103: The pains in the head are aggravated by motion.
Symptom no 303: Frequent micturition.
Symptom no 304: Frequent urging to micturition, and little discharge of
urine.
The Anacardium pain is relieved by pressure, and it's not surprising that
the patient would instinctively attempt a homoeopathic response by pressing
into her eyes to find relief. That's the sort of indications I'd be looking
for - along with confirmatory concomitants where present.

Good luck.
Chris

Thanks Dhiru, Venkat and Chris. You have given me some wonderful pointers to this patient's Rx.

I had given her Pulsatilla previously - not because she is a particularly Pulsatilla person but because with her depression she kept crying and also the main part of the case is that she feels lonely and abandoned. The Puls given 5 weeks previously may have brought out the headaches as she hadn't had one for 6 months. Her crying has stopped but she now says that she is unable to cry!! Amazingly, which I didn't expect she has become far less violent and has not hit out at anything. The anger and violence especially before menses was a presenting complaint. With this period there was none of the usual anger and no pain.

While she was with me I gave her Bryonia because she was fine as long as she didn't move , but she had to keep going to urinate. I also gave her Ipec to help the nausea.

I will look carefully at Anac and Verat Al. as possible constitutional Rx for her.

Thanks

Rochelle
www.rochellemarsden.co.uk

Sounds like Sepia to me. I would use 'boring' for the blunt instrument
sensation.

Best, Joy

www.homeopathicmateriamedica.com
on 21/3/04 12:02 AM, rochelle at rochelle@ntlworld.com wrote:

Can anyone identify what remedy I should have given to relieve this patent
who presented with the following acute migraine attack.

The migraine presented as a sore head on the right hand side of the temples
with nausea, vomiting ,sore ears and eyes. "It feels like a blunt instrument
in my eyes and twisting into my ears". Noise and light and movement agg. and
she has to keep passing urine very frequently but it was scanty. She felt
she had a dry mouth and was thirsty rather than not but didn't drink much
water while she was with me. She kept trying to press into her eyes as that
made it feel better.
It was associated with her period. She had one just before the period began
which stopped as the menses started and then 7 days after again when the
menses was still continuing. She hadn't had a migraine like this for about 6
months. but they tend to come at approx 6 month intervals. I had given her a
constitutional Rx a month ago.
Regards

Rochelle
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At the risk of being very boring ) Boring pain in MMP is more closely
defined as a sharp penetrating pain (think of a dentist's drill), - as in
Spigelia's characteristic digging and tearing in the brain sensation, not
really dull as if caused by a blunt object.
Sepia is in the rubric, dull pain, obtuse as 3rd grade, (5th being the
highest) and would of course, be a contender in it's relation to the whole
case.

Chris

Dear Chris,
Some more ;'piercers:'
Boger: pg 311 eyes: under main rubric: cutting: piercing, lancinating etc:
buf, dro,hep,mos,nat p, plb,stap,sul
do- balls in: agar, apis, colo,(right), merc( right), sang, stry

Regards
Venkat

for her.
Dear Rochelle,
I quoted from Boger's. I have many reservations on 'The constitutional'
Will 'disease totality presented with its outstanding symptom which is
pathologically removed from the seat of suffering' be the more apt term
for representing the Rx ?

In this case eyes amel by pressure is a contender for the PQRS. It is a far
cry
from the headache with vomitting.

Another peculiar is relieved during menses.
Thanks and the best.
Regards
Venkat