TWELVE REMEDIES IN HEADACHE, WITH COMPARISONS By W. A. Dewey

 THE

HOMOEOPATHIC RECORDER.

Vol. X. Philadelphia and Lancaster, Feb, 1895. No. 2.

TWELVE REMEDIES IN HEADACHE, WITH

COMPARISONS

By W. A. Dewey, M. D., 52 West 25th Street, New York.

I. Belladonna. 

Belladonna is probably the first remedy thought of in headache; 

its symptoms, however, are so clear that by rights it should 

only be thought of when indicated. Of course throbbing is the 

great keynote, but violent shooting pains in the head, so severe 

as to drive the patient almost wild, are scarcely less characteristic. 

The patient cannot lie down, must sit up, nor can he bear 

light, noise or jarring; this last is most characteristic. The 

location of the ache is mostly in the frontal region or right side, 

flushed face, dilated pupils accompany. Glonoine is the only 

remedy having throbbing as characteristic as Belladonna. Glonoine, 

however, does not have such a lasting effect as Belladonna, it 

is more relieved by motion, the face is not so deeply flushed and 

there is aggravation from bending the head backwards, all of 

which will serve to distinguish the two remedies. Cinchona also 

has throbbing, but here it is due to anaemia. Belladonna has 

also a symptom common to both Nux vomica and Bryonia, 

namely, a feeling as if the head would burst. The headaches of 

Belladonna are usually worse in the afternoon. 

II. Nux vomica. 

Probably, taken all in all, Nux vomica is more often indicated 

in headache than any other remedy; this is, presumably, 

due in the main to the causes of headache calling for Nux 

vomica; thus, we have headache from the excessive use of alcohol, 

the morning “big head,” tobacco, coffee, headache from digestive 

troubles, constipation, bilious derangement. These are all common 

causes of the Nux vomica headache. The ache is situated 

over one or the other eye, usually the left, or else in the occiput. 

It is apt to begin in the morning and last all day until night, 

and is accompanied with sour taste and perhaps nausea and 

violent retching. The dull, wooden, bursting feeling of the head 

following a debauch is most characteristic of Nux vomica. Head- 

aches of high livers call for Nux. 

There are some modalities to the Nux vomica headache that 

should be carefully noted, as this point will sometime aid greatly 

in making a selection, for instance: Stooping and coughing aggravate 

the headache; it is worse in the morning; moving the 

eyes and motion in general makes the head feel worse. What 

relieves the Nux vomica headache is not so clear; certain headaches 

calling for Nux will be better by wrapping the head up warm 

and by rest, but these conditions are rare ones calling for the 

drug. In general, nothing relieves the Nux vomica headache, 

but it will often disappear after rising and being about for a few 

hours. This is a characteristic point in those headaches due to 

alcoholic excesses. 

III. Sanguinaria 

Genuine sick headache calls for this drug, and the symptoms 

in brief are these: The pain begins in the morning and in the 

occiput; it comes up over the head and settles in the right eye. 

The pain increases in severity until there is vomiting of food 

and bile, then oftentimes the ache is relieved. Noise and light 

are unbearable, and sleep relieves. The pain will be so intense 

at times that the patient will frantically bore her head into the 

pillow for relief. Belladonna may be easily differentiated by the 

following points: It has hot head, more throbbing, flushed face 

and cold feet, and the pain coming up from the occiput is not so 

marked as under Sanguinaria. The Sanguinaria headache is 

relieved by lying down, Belladonna by being propped up in bed, 

and Sanguinaria is more useful in the gastric form of headache. 

There may be also profuse micturition with Sanguinaria relieving 

the headache, as we find under Gelsemium, Ignatia and in 

a less degree under some other drugs. 

IV. Iris Versicolor. 

The Iris headache characteristically commences with a partial 

blindness or blurring of vision, being similar here to Gelsemium, 

and it is especially a remedy for gastric or bilious headaches. 

It is a useful remedy for Sunday headaches, not, however, in 

that form which sometimes occurs as a convenient excuse for 

non-church attendance, which is incurable, but that form which 

occurs in teachers, scholars, professors, etc., in whom a relief of 

the strain for the preceding six days produces the headache. 

The pains are mostly located over the eyes in the supra- orbital 

ridges, usually on one side at a time. The pains are throbbing 

or sharp, and when at their acme, vomiting occurs which is apt 

to be bitter or sour. Especially characteristic is vomiting of 

matters so sour that the teeth are set on edge. The headache of 

Iris is aggravated by motion, cold air and coughing; moderate 

exercise in the open air relieves. In sick headache with continuous 

nausea it is one of our most useful remedies, and if 

indicated closely by the above symptoms it will not fail. 

V. Gelsemium. 

Gelsemium is another remedy which has a headache commencing 

with blindness, and especially it is a remedy for headaches 

due to eye strain. Onosmodium is another. The ache under 

Gelsemium commences in the occiput or nape of the neck. Comes 

up over the head and settles in an eye like Sanguinaria. There 

is a feeling as if a band were about the head, the patient is dull 

and apathetic, and there is great soreness in the eyes when moving 

them. Occipital headaches often find their remedy in Gelsemium. 

Cocculus is another remedy for these conditions. 

Remember the copious urination which relieves the headache, 

and that the headaches are accompanied with visual troubles, 

such as double vision, squinting and dim sight, and Gelsemium 

will be easily recognized. 

Gelsemium headaches are also relieved by sleep, and dizziness 

may accompany. 

VI. Cocculus. 

Another remedy for occipital headache is Cocculus, and it is a 

most excellent one; the symptoms are these: The ache occurs in 

the lower part of the occiput and extends to the nape, and it is 

nearly always associated with vertigo, the head feels numb, 

empty and stupefied, and with this vertigo there is constant 

nausea. Among the causes of headache calling for Cocculus may 

be mentioned riding in the cars or a carriage. A peculiar symptom 

of Cocculus is the sensation as if the occiput were opening 

and shutting like a door. Cannabis Indica has the sensation as 

if the vertex were opening and shutting. This is one of the 

most characteristic symptoms of Cannabis. 

The headaches of Cocculus in general are worse from mental  

effort, and are better indoors and during rest. 

VII. Spigelia. 

This remedy holds about the same relation to the left side of 

the head that Sanguinaria does to the right side. The pains are 

neuralgic in character and settle over the left eye, and they are 

apt to follow the course of the sun, beginning in the morning, 

reaching the acme at noon and subsiding at sunset. There is 

often a sensation as if the head were open along the vertex. 

Noise and jarring of the bed as under Belladonna aggravates the 

pain, stooping and change of weather also make the pain worse. 

The pure neuralgic character of the pain, and its left side preference, 

should lead to the remedy. 

VIII. Cimicifuga 

This is another remedy for the neuralgic form of headache, 

and it has some valuable symptoms. There is first a sensation 

as if the top of the head would fly off. There are sharp, lancinating 

pains in and over the eyes, shooting to the top of the 

head. The brain seems to move in waves, and there may be the 

symptom of a sharp pain extending from the occiput to the 

frontal region, as if a bolt was driven through the head. Headaches 

which are reflex or dependent on some uterine irritation 

are met by this remedy. When there is a feeling as if the 

patient would go crazy it is especially indicated. Many of the 

pains begin in the occiput and shoot down the spine; there is a 

tendency to bend the head forward, which relieves somewhat. 

IX. Silicea

Silicea is a very useful remedy in headache, but one not very 

often used. When a patient with headache has her head tied up 

with a towel or handkerchief it will probably indicate one of two 

remedies. Argentum nitricum if the head be tied up tightly, for 

here we have relief from pressure, and Silicea if the head is tied 

up simply to keep it warm. The headache of Silicea is nervous 

and caused by excessive mental exertion. It is supra-orbital 

and worse over the right eye, the pains coming up from the back 

of the head. Noise, motion and jarring aggravate. Warmth 

relieves. Menyanthes is similar in some respects to Silicea, but 

pressure rather than warmth relieves, and on going up stairs 

there is a sensation of a heavy weight on the vertex. The 

headache of Silicea, like Ignatia and Gelsemium is relieved by 

copious urination. 

An additional indication for Silicea is an extreme sensitiveness 

of the scalp. 

X. Argentum nitricum. 

A characteristic of this drug is that the head seems enormously 

large. There is much boring pain in the left frontal 

eminence. Thuja has a sensation as if a nail were driven into 

the frontal eminence. Ignatia and Coffea have these sharp, 

nail-like pains also. The pains under Argentum nitricum 

increase to such a degree that the patient seems as if she would 

lose her senses. Tying the head up tightly relieves the headache 

of this drug, it being the pressure that relieves. 

XI. Melilotus alba. 

A remedy often overlooked in the treatment of the congestive 

forms of headache is Melilotus. With this remedy there is a 

sensation of bursting; it seems as if the brain would burst 

through the forehead; the pains are intense and throbbing and 

almost drive the patient frantic. The eyes are bloodshot and 

the headache tends to recur every afternoon. Sometimes the 

headache culminates in nosebleed, which relieves. There is 

with this drug, which reminds of Cimicifuga, an undulating 

sensation in the brain. 

XII. Natrum mur 

The headache of Natrum mur. is as if there were little hammers 

beating in the skull, worse from moving the head or eyeballs. 

It comes on in the morning, is worse about 10 A. m., and 

is preceded by partial blindness, as we found under Iris and Gel- 

semium. The little hammer sensation is also found under 

Psorinum. Natrum mur., as well as Calcarea phos., is an excel- 

lent remedy for certain headaches in school girls during menses. 

A malarial basis for a headache will sometimes suggest this 

remedy. 

To read more medicines for headache read Homeopathic medicines for Headache and Migraine.

A Case of Chronic Headache

© Dr. R. S. Mann 2013

A married woman, 35 yrs old, was suffering from chronic headaches for 10 years. Pains are severe 2-3 days every week but mild pains remain always. She does not feel head light anytime since a long time.

Pains are one sided, mostly on right side, aggravates from anger, noise, exposure to sun, mostly at forenoon around 11 AM, better by pressure. She eats lot much salt and salty things. She wants to lie down quietly and silently when headache. Always lie on painful side which somewhat relieves the pain. Headache is associated with vomiting which does not relieve.

Patient has hypothyroidism for few years and is on Thyronorm 50. Her uric acid levels fluctuate off and on and her physician prescribe medicines to keep it under normal range accordingly.

Rubrics Selected:

MIND - QUIET; wants to be

HEAD - PAIN - accompanied by - vomiting

HEAD - PAIN - anger; from

HEAD - PAIN - forenoon

HEAD - PAIN - lying - side, on - painful - amel.

HEAD - PAIN - noise, from

HEAD - PAIN - Sides - one side

HEAD - PAIN - Sides - right

HEAD - PAIN - sun, from exposure to

GENERALS - FOOD and DRINKS - salt - desire

GENERALS - LIE DOWN - desire to

Nov 29, 2012

Prescription:   

1.     Natrum Mur 200  three doses with 30 minutes interval.

2.     Sac Lac twice a day for seven days.

Dec 8, 2012

 Head pains are better in severity. Severity reduced. Mild pains which were continuing everyday earlier are now stopped.

Prescription:

Sac Lac twice a day for fifteen days.

Dec 31, 2012

Severe head pain started from 30^th Dec, this time on left side, in occipital region, very much irritability during pain and her husband told that she is weeping many times a day.

Rubrics Selected:

MIND - IRRITABILITY - headache, during

MIND - WEEPING - easily

HEAD - PAIN - accompanied by - vomiting

HEAD - PAIN - anger; from

HEAD - PAIN - forenoon

HEAD - PAIN - lying - side, on - painful - amel.

HEAD - PAIN - noise, from

HEAD - PAIN - Occiput

HEAD - PAIN - Sides - one side

HEAD - PAIN - sun, from exposure to

STOMACH - THIRSTLESS

GENERALS - FOOD and DRINKS - salt - desire

GENERALS - HYPOTHYROIDISM

GENERALS - LIE DOWN - desire to

GENERALS - SIDE – left

 

Prescription:

1.     Natrum Mur 1M three doses with 30 minutes interval.

2.     Sac Lac twice a day for fifteen days.

  

Feb 28, 2012

Prescription of Dec 31, does not relieved. Her pains were very much, she again started pain killer as per requirement. In two months she again fed up with painkillers and decided to Start Homeopathy again.

Case is taken again with details.

Patient is of very angry nature, get angered easily, very irritable. Fear of cancer. Remains sad. Talk very hastily. Most of Symptoms of headache are same, some new symptoms are added. Head pain when she works in kitchen and due to heat. Sensation of a ball rolling in head. Head pain from lying down (Change from earlier symptom). Pain in occiput and vertex. Thirstless. Uric Acid level are increased which are causing pain in thighs on walking and squatting. Insomnia and disturbed sleep. Desire for salt is very much. Amelioration after sleep and very much weakness by exertion. 

Rubrics Selected:

MIND - ANGER

MIND - ANGER - easily

MIND - FEAR - cancer; of

MIND - IRRITABILITY

MIND - IRRITABILITY - headache, during

MIND - SADNESS

MIND - SPEECH - hasty

HEAD - BALL; sensation of a - rolling in brain

HEAD - PAIN - anger; from

HEAD - PAIN - Forehead, in

HEAD - PAIN - heated, from becoming

HEAD - PAIN - lying

HEAD - PAIN - noise, from

HEAD - PAIN - Occiput

HEAD - PAIN - sun, from exposure to

HEAD - PAIN - Vertex

STOMACH - THIRSTLESS

EXTREMITIES - PAIN - Thigh

EXTREMITIES - PAIN - Thigh - walking

SLEEP - DISTURBED

SLEEP - SLEEPLESSNESS

GENERALS - FOOD and DRINKS - salt - desire

GENERALS - LIE DOWN - desire to

GENERALS - SLEEP - after sleep - amel.

GENERALS - SQUATTING - agg.

GENERALS - URIC ACID - diathesis, lithemia

GENERALS - WEAKNESS – exertion

 

 Part 1

Part 2

Prescription:

Phosphorus 200  three doses with interval of half hour, prescribed with sac lac for fifteen days. Marked irritability during headache and very much desire for salt with lean thin constitution of patient was the reason to prescribe Phosphorus.

March 12, 2013

Pain is better, frequency and severity reduced. Sac Lac prescribed for ten days.

March 26, 2013

Pains are mild, less frequent, easily bearable but not stopped. Sac Lac is prescribed for fifteen days.

April 22, 2013

Head pain from April 21, started from morning, very very severe with vomiting.

Phosphorus 200  one dose prescribed with sac lac for ten days.

May 2, 2013

Pain is better but a mild pain always remains in head which is not easy to locate. Sac Lac is prescribed for fifteen days

May 10, 2013

Pain started again in forehead, vertex after exposure to sun. With pain in lower limbs, thighs which aggravates in walking. Feel very much weak. Irritability, sadness and hopelessness are there. Insomnia.

Phosphorus 200 one dose was prescribed.

May 20, 2013

Pains are improved, less frequent but patient does not feel normal at all. Mild pains are always there.

On evaluating, it is found that earlier prescription was partially similar which somewhat relieved the symptoms but not cured the patient. Desire for salt and irritability during headache are given unnecessary weight age in evaluation.

Preference is given to hasty speech, profound sadness, uric acid diathesis. And one more important point is that, head pain exposure from sun is found in Sepia and Not in Phosphorus. In my Radar Version it is a wrong entry.

Prescription:

Sepia 30  three doses prescribed with thirty minutes interval with sac lac for fifteen days.

Patient has not reported for a long time.

July 20, 2013

Patient came for his son’s sickness and told that in last two months, she has no headache, angry mood, irritability, sadness, ball sensation, insomnia, pain in lower limbs. She feels quite well. Head is light, no heaviness and even she does not feel any ‘mild’ thing there in head now. Even desire for SALT is gone which mislead earlier for wrong medicines.  

Amazingly, her thyroid profile come under normal range and her physician

reduced her Thyronorm 50 to Thyronorm 25 daily. Her uric acid level come under normal range.