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BANGALORE, KARNATAKA.
ANNEXURE II
BELGAUM
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6. BRIEF RESUME OF THE INTENDED WORK
INTRODUCTION
A migraine is a common type of headache that may occur with symptoms such as
nausea, vomiting, or sensitivity to light. The word derives from the Greek
word ἡμικρανία (hemikrania), "pain on one side of the head" from ἡμι- (hemi-), "half",
Typically the headache is unilateral (affecting one half of the head) and pulsating
in nature, lasting from 2 to 72 hours. Migraine headaches tend to first appear between
the ages of 10 and 45. Sometimes they may begin later in life. Migraines occur more
number of factors. However, the exact chain of events remains unclear. Today, most
medical experts believe the attack begins in the brain, and involves nerve pathways and
chemicals. The changes affect blood flow in the brain and surrounding tissues.
acetaminophen for the headache, an antiemetic for the nausea, and the avoidance of
triggers. Specific agents such as triptans or ergotamines may be used by those for whom
simple analgesics are not effective. Globally, more than 10% of the population is
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HOMOEOPATHIC VIEW POINT:
deals with the principle of individualization. It treats the man, rather than the disease.
HYPOTHESIS
REVIEW OF LITERATURE
Types of Migraine
1) Migraine with aura: This type is known as classical migraine and is less common.
light often causing momentary visual impairment, double vision, numbness, tingling,
vertigo and difficulty in speaking. Some people may have symptoms of migraine aura
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without a headache. 2
2) Migraine without aura: This type is more common and is associated with a slowly
increasing headache which in due course develops into a throbbing headache. This
headache is mostly unilateral and is accompanied with nausea, vomiting, and unusual
Causes:
Age: Usually the Migraine is tend to appear between ages of 10- 45 years. Sometimes
Sex: Can be seen in both sexes but Women are more prone to get Migraine than Men.3
The underlying cause of migraines is unknown however they are believed to be related
to a mix of environmental and genetic factors. Migraine attacks may be triggered by,
Missed meals.
Foods:
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Baked goods, chocolate, nuts, peanut butter, and dairy products.
Foods containing tyramine, which includes red wine, aged cheese, smoked
Onions. 3
Typically the headache is unilateral (affecting one half of the head) and
pulsating in nature, lasting from 2 to 72 hours. A migraine lasting longer than 72 hours
4. The postdrome, the effects experienced following the end of a migraine attack.
Prodrome phase: This phase start Two hours to two days before the start of pain or the
depression or euphoria, fatigue, craving for certain food, stiff muscles (especially in the
neck), constipation or diarrhea, and sensitivity to smells or noise. This may occur in
accompanies the attack. They appear gradually over 5 to 20 minutes and usually subside
just before the headache begins. Symptoms include are a temporary blind spot,
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Blurred vision, Eye pain, Seeing stars or zigzag lines, tingling and numbness sensation
Pain phase: Classically the headache is unilateral, throbbing, and moderate to severe in
Bilateral pain is particularly common in those who have migraines without an aura. The
pain usually lasts 4 to 72 hours. The frequency of attacks is variable, from a few in a
irritability. 1
Postdrome: The effects of migraine may persist for some days after the main headache
has ended; this is called the migraine postdrome. Symptoms like, impaired thinking,
tired feeling or "hung over", gastrointestinal symptoms, mood changes, and weakness
can be observed. 1
Diagnosis:
Scan are occasionally performed to exclude other causes of headaches. EEG may be
Management:
There are three main aspects of treatment:
1) Trigger avoidance.
3) Pharmacological prevention.
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Medications are more effective if used earlier in an attack. The frequent use of
become more severe and more frequent. This may occur with triptans, ergotamines, and
This is why Homoeopathy has more scope in treating Migraine permanently than
any other systems.
HOMOEOPATHIC MANAGEMENT
headache," i.e., increasing in violence with the ascent of that luminary, and decreasing
J H CLARK: Headache, with rheumatic pains and stiffness of limbs and neck.
- Periodical sick headache; with vomiting of bile; begins in morning,
agg- during day, lasts till evening; agg- from motion, stooping, noise, and light; only
endurable when lying still, and >> by sleep or after vomiting; esp. severe over right eye.
- Heaviness in head from vertex to centre of forehead, with pressing in glabella and
and Sanguinaria has no equal in this affection. The patient suffers from rush of blood to
the head, which causes faintness and decided nausea, the nausea even continuing until
vomiting sets in. The pains, which are of a violent character, begin in the occipital
region, spread then over the head, and settle over the right eye. 5
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HERING C: Headache with nausea and chilliness, followed by flushes of heat,
extending from head to stomach. Headache as if forehead would burst, with chill and
burning in stomach. Headache over right eye. Headaches as if it would burst; amel-
upwards, and settles over eyes, especially right. Veins and temples are distended.
day.
It is a headache that begins in the morning and continues to get worse during noon and
The headache which is bursting in nature begins at occiput and thence spreads upward
NASH E: Pain beginning in occiput; spreads over the head and settles over the right
MURPHY Robin: Periodical sick headache, pain begins in occiput, spreads upwards
or ascending from occiput to over right eye. Headaches, if he goes without food.
from occiput to over right eye. Headaches, if he goes without food. Headaches, better
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OBEJECTIVES OF THE STUDY
of MIGRAINE.
SOURCES OF DATA
The cases for study will be collected from IPD, OPD, and Peripheral clinics of
Minimum sample size will be 30. Random Sampling Procedure will be adopted.
All cases will be taken as per the Performa prepared for study.
will be done.
All patients registered between period of 17october 2012 to 15March 2015 will be
taken for study. No new cases will be taken for study after 15 march 2015. Cases will
Prognosis assessment will be based on general & local improvement of the patient as
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INCLUSIVE CRITERIA
socioeconomic status.
EXCLUSIVE CRITERIA
MENTION BRIEFLY.
YES,
2. EEG
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LIST OF REFERENCES.
1. http://en.wikipedia.org/wiki/Migraine.
2. http://amcofh.s483.sureserver.com
3. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001728/
6. Clarke J.H, A Dictionary of Practical Materia Medica. Reprint Edition, New Delhi;
198pp
2006; 569pp.
11. Murphy Robin, Homoeopathic Remedy Guide, Edition Nov 2001, 1536pp.
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9. SIGNATURE OF
CANDIDATE
11.2 SIGNATURE
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