Abstract
Introduction:
Migraine is a chronic, recurrent neurovascular disorder characterized by episodic headache associated with nausea, photophobia, phonophobia, and functional disability. Conventional management often provides symptomatic relief but fails to address individual susceptibility and recurrence. Homoeopathy, through individualized remedy selection based on totality of symptoms, offers a holistic approach.
Case Summary:
A 28-year-old-female presented with symptoms of Recurrent headache for 2 years, pain extends from occiput to forhead, pulsating type of pain, alternating side. Detailed case-taking, analysis, and repertorial evaluation led to the prescription of Lac Caninum, resulting in significant improvement in frequency, intensity, and associated symptoms, with sustained relief.
Keywords Migraine, Lac Caninum, Homoeopathy, Case report, Individualization
Introduction
Migraine is a primary headache disorder affecting approximately 12–15% of the global population, with higher prevalence among females. It is characterized by unilateral or bilateral throbbing headache, often accompanied by nausea, vomiting, and sensory hypersensitivity. Emotional stress, hormonal changes, and sensory stimuli are common triggers.
From a homoeopathic perspective, migraine is not merely a local pathology but an expression of constitutional imbalance. Individualization, based on mental and physical generals along with characteristic particulars, forms the cornerstone of treatment. Lac Caninum, a remedy prepared from dog’s milk, is known for its marked alternation of symptoms, strong mental features such as lack of self-confidence and sensitivity to criticism, and characteristic shifting pains—features that make it a valuable remedy in certain migraine cases.
Case Report
Patient Information:
A female of moderate built, aged 28 years came to the outpatient department of C.D. Pachchigar Homoeopathic Medical College and hospital on 5 February 2025
Presenting Complaint
• Patient having complaint of migraine since Last 2 years; Pain extends from occiput to forehead.
• Pulsating type of pain, very discomfort in head.
• Pain alternating sides → shifts from Rt to Lt or vice-versa → sometimes starts from Rt, then to Lt or starts on one side → becomes more violent on same side.
• Headache <loud music+, noise >by sitting quiet, Rest, Naxdom.
• Headache stays for 6–8 hours; 20-25 times in a whole month → sometimes whole day++ She took Naxdom for the pain.
Associated Complaints:
• Weakness+ whole day; Doesn’t like to do anything.
• Tendency to take cold easily, aggravated from cold – cold air, AC, cold
atmosphere →Sneezing start
Personal History:
Appetite: Adequate, 3times/day
Desire: Milk++
Thirst: 3 litre/day, one glass at a time, pot water
Urine: 5–6 times/day, no burning, no itching
Stool: once/day, satisfactory, no burning, soft stool
Sleep: Disturbed, 5–6 hours, position – sidewise
Dreams: Dreams of snake, she has to keep her eyes closed
Perspiration: Moderate, only in summer on chest & back
Diet: Veg
Thermal: Chilly Patient
Past History/ Operative Procedures/ Milestone/ Vaccination:
• Tonsillitis at age of 14, treated with allopathic medicine
• Chronic Cold
Family History:
Father: HTN
Mother: DM
P.G.F: HTN
P.G.M: HTN
M.G.F: DM
M.G.M: HYPOTHYROIDISM
Menstrual History:
Menarche at age of 14 years
LMP: 23/01/25
Cycle: 28-30 days
Duration: 4-5 days
Character: Profuse, Bleeding without clots Concomitants: Before: Heaviness of breast, Backache During: Cramps in Abdomen, Backache After: No Complaint
Physical Examination:
General Examination:
General Appearance: Adequate
Built: Well-Built
Hair: Blackish
Eyes: Sclera – white
Conjunctiva – Pink
Lips: Pinkish
Nails: NAD
Tongue: Moist, clean
Vitals:
BP: 130/80 mm of Hg
RR: 16 / Min
SPO2: 98%
Local Examination:
Systemic Examination:
R.S: B/L Clear Airway
G.I.T: P/A- Soft
Pulse: 84/min
Temp: 98.6 f
C.V.S: S1 & S2 Clear
C.N.S: Conscious & Oriented
Mental and Life Span:
She has so much anxiety; she gets terrified very easily. Any bad news startles her. She has a lot of tension about her health. She has so many negative thoughts about it – what if she has a heart problem?
She feels rejected because of her colleagues at the workplace. She feels worthless and disgusted with herself. She believes that she is not capable enough to get a good position in her job. That’s why she is trying very hard to accomplish all tasks on time and submit her work before the deadline. When she is not able to finish tasks on time, she feels inferior and lacking in potential. She fears losing her job, so she completes the work hurriedly. Dream of snakes — there is one large snake, and she is fighting with it. Her friends go to parties but they don’t invite her. She feels so lonely and bad. She feels left out. She misses them a lot, and her mind constantly revolves around the affairs of life.
In college too, her friend Neeta did the same thing to her. She feels she might not be worthy enough for this.
Analysis & Evaluation of Case:
| NO. | SYMPTOMS | ANALYSIS | GRADE |
| 1. | Pain in occiput extending to forehead | Physical Particular | Ⅰ |
| 2. | Head pain alternate sides | Physical Particular | Ⅰ |
| 3. | Weakness headache during | Physical Particular | Ⅲ |
| 4. | Milk desire | Physical General | Ⅱ |
| 5. | Profuse menses | Physical General | Ⅰ |
| 6. | Heaviness of menses before breast | Physical General | Ⅰ |
| 7. | Dreams of snakes | Mental General | Ⅰ |
| 8. | Tension with fear | Mental General | Ⅰ |
| 9. | Tension about health | Mental General | Ⅰ |
| 10. | Unworthy feeling | Mental General | Ⅰ |
| 11. | Fear of heart disease | Mental General | Ⅰ |
| 12. | Left out feeling | Mental General | Ⅰ |
| 13. | Cold aggravates | Mental General | Ⅲ |
Miasmatic Evaluation: Psora
Totality of Symptoms:
1. Tension with Fear
2. Tension about health
3. Unworthy Feeling
4. Fear of heart disease
5. Dreams lying on large snake
6. Leftout Feling
7. Cold agg
8. Heaviness of breast before menses
9. Profuse meres
10. Milk desire
11. Weakness headache during
12. Head Pain alternate side
13.Pain in occiput extending to forehead
Repertorial Totality:
1. Mind – Anxiety – Fear, with
2. Mind-Anxiety-Health, about
3. Mind-Delusion, imagination, snakes lying on a large
4. Mind – Delusion, imagination, worthless, he is
5. Mind-Fear, heart disease
6. Mind-Forsaken feeling
7. Mind-Dreams, Snakes
8. Head-Pain-headache, alternating sides
9. Head- pain, Headache, occiput, extending to forehead
10. Female Genitalia- menses, profuse
11. Chest-Heaviness, Mammae, menses before
12. Generalities-Cold, agg
13. Generalities-foods and drinks, Milk, milk product, desire
Advice:
• Do Meditation & yoga
• Try to avoid stress.
Rx:
Lac Can IM x I dose x stat
SL x 4 x TDS x 15 days
Follow up:
| DATE | COMPLAINTS | PRESCRIPTION |
| 19/02/25 | Headache mild better In last 15 days, 9 times head pain occur, stays for 4-6 hours Took 3 times Naxdom Weakness 20% better Sleep- sometimes disturbed due to headache | Rx: SL 200 × TDS × 15 days |
| 05/03/25 | Pain in occiput decrease Occur 3 times in 15 days, last for 4-5 hours Weakness better (50%) | Rx: SL 200 × TDS × 15 days |
| 19/03/25 | Head pain decrease (90%) Occur 2 times only in last 15 days, last for 2-3 hours | Rx: SL 200 × TDS × 15 days |
| 02/04/25 | Head pain increases in last 15 days Occur 7-8 times, took 2 times Naxdom, last for 6-8 hours Stool constipated, hard stool, once/day but unsatisfactory. | Rx: Lac Can IM x I dose x stat SL 200 × TDS × 15 days |
| 16/04/25 | Head pain better. Occur 2 times in last 15 days, last for 4-6 hours | Rx: SL 200 × TDS × 15 days |
| 30/4/25 | Head pain better No attack of pain in last 15 days | Rx: SL 200 × TDS × 15 days |
| 14/5/25 | Head pain better No attack of pain in last 15 days | Rx: SL 200 × TDS × 15 days |
| 28/05/25 | Head pain better No attack of pain in last 15 days | Rx: SL 200 × TDS × 15 days |
Conclusion:
This case demonstrates the effectiveness of individualized homoeopathic treatment in migraine. Lac Caninum, selected on the basis of mental generals and characteristic alternation of symptoms, resulted in sustained improvement. The case highlights the importance of holistic evaluation and constitutional prescribing in chronic migraine management.
Declaration of Patient Consent:
The author certifies that appropriate patient consent was obtained. The patient has given consent for clinical information to be reported in the article, with assurance that anonymity will be maintained.
References:
1. Boericke W. Pocket Manual of Homoeopathic Materia Medica and Repertory. New Delhi: B. Jain Publishers Pvt. Ltd.
2.Allen HC. Keynotes and Characteristics with Comparisons of Some of the Leading Remedies of the Materia Medica. New Delhi: B. Jain Publishers Pvt. Ltd.
3.Kent JT. Lectures on Homoeopathic Materia Medica. New Delhi: B. Jain Publishers Pvt. Ltd. 4.Kent JT. Repertory of the Homoeopathic Materia Medica. New Delhi: B. Jain Publishers Pvt. Ltd. 5.Murphy R. Lotus Materia Medica. New Delhi: B. Jain Publishers Pvt. Ltd.
6.Hahnemann S. Organon of Medicine. 6th ed. Translated by W. Boericke. New Delhi: B. Jain Publishers Pvt. Ltd.
7.Hahnemann S. Materia Medica Pura. New Delhi: B. Jain Publishers Pvt. Ltd.
8.Hering C. The Guiding Symptoms of Our Materia Medica. New Delhi: B. Jain Publishers Pvt. Ltd. 9.Boger CM. Synoptic Key of the Materia Medica. New Delhi: B. Jain Publishers Pvt. Ltd. 10.Phatak SR. Materia Medica of Homoeopathic Medicines. New Delhi: B. Jain Publishers Pvt. Ltd. 11.Clarke JH. A Dictionary of Practical Materia Medica. New Delhi: B. Jain Publishers Pvt. Ltd.
12.Schroyens F. Synthesis: Repertorium Homeopathicum Syntheticum. London: Homeopathic Book Publishers.
13.Schroyens F. Complete Repertory. New Delhi: Homeopathic Book Publishers.
14.International Headache Society. The International Classification of Headache Disorders, 3rd edition (ICHD-3).
