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> Spigelia: Nervous headache beginning in the morning at base of brain, spreading over the head and locating in eye orbit and temple of left side. Intolerable pressive pain in the eye balls. Tic douloureux of left side. Pain disappears in the evening. Sensation as though the head were bound around the vertex.

> Sanguinaria Canadensis: For the same symptoms as in "Spigelia", except that it is a right-sided remedy. Biliious headache when going without food. Veins and temples distended. Headache once in seven days begins on waking in the morning in occiput and travels to the right eye and temple; the patient is driven into a dark room and has to lie down. starts vomiting bile, which relieves him. Heat of palms and soles. Bursting headache worse with sunrise. Has false hunger with aversion to thought and smell of food.

> Cedron: Severe unbearable pains recurring daily at 6 p.m. Tic douloureux.
> Bryonia: Headache when stooping as if brain would burst through forehead. Worse on motion. Headache brought on by playing or watching the play.

> Melilotus: Violent congestive and nervous headache, which is relieved by epistaxis (bleeding form the nose). Congestive
headache as though the brain would burst through the forehead.

> China Off: Headache congestive, throbbing and hammering like on temples, worse by slightest contact and better by hard
pressure.

> Kali Bi: If headache begins with blurred vision. Sight returns as headache increases.
> Lac Vac: Headache with nausea and constipation or at the time of menstruation; relieved by frequent urination.

> Ruta : Brought on by reading and eye-strain. Head remedy for eye-strain
> Oleander: As if heavy weight is put on the scalp which is crushing the head; better by looking sideway or crossing eyes.

> Arnica Montana: When trauma (injury) is the cause, pain aching. bruised, occasionally sharp, as if nails were being driven into the brain; mental confusion. Aching pain is aggravated by rinsing the head and is relieved by having the head elevated.

> Hypericum: Headache due to indulging in alcoholic and other stimulants. It has aching pain as if beaten; tensive; heavy; dull; confused; sinking; and bruised with associated symptoms of nausea and vomiting of sour and nasty matter. Ineffectual urging for stool. Headaches better in the evening.

> Chamomilla: Headache with peevishness. The patient is cross and angry. This headache occurs normally in patients who use alcohol in excess and take opium to counteract its effect or who take strong coffee to quieten the nerves

> Iodium: Headache as if tied up with a band, worse by going into the warm room or near fire. Better in cold room and in cold air and white eatino.

> Calcarea phos: Headache of school girls and boys who apply themselves too closely to their books, especially children who are growing rapidly and whose mental development is out of
proportion to their physical strength.

> Thuja : Headache as if a nail were driven into the occiput or into the frontal eminence.
> Robinia: Bilious headache with gastric symptoms, pain in stomach, sour vomiting and acidity. Feels as if the head is full of boiling water.

> Tarentula Hispania: As if thousand needles were piercing in head; worse by noise, touch and strong light.. Better by rubbing.
> Lac Defloratum: Sick headache begins in forehead extending to occiput with throbbing, nausea, vomiting, blindness and obstinate constipation, at the time of menses; relieved by frequent urination.

> Veratrum Alb: Nervous headache with vanishing of sight and icy cold sensation in vertex better by cold application. Headache that changes the face almost inducing insanity.
> Chionanthus: Specific for sick headaches. Listless and apathetic. Dull frontal headache over root of nose. Over eyes, through
temples, worse stooping and moving,. Use mother tincture.

> Epiphegus: Nervous headache with characteristic symptom of spitting constantly, saliva viscid, Headache preceded by hunger.

> Ignatia: Nervous headache after grief. Terminates with a profuse flow of urine. Headache in hysteria. Pain as if a needle or nail were driven into the head.

> Silicea; Headache relieved by wrapping and covering. Worse in the dark and bettter in light. Nervous headache caused by
excessive study at school.
> Onosmodium: Due to strain, or eye strain; vertigo; nervous headache, neurasthenia

> Actea R.: Frontal, vertical or occipital headache with great pain in eyeballs, better by pressure and worse by slightest motion.
> Sepia : Headache darting pains right side head and face rolling and beating against frontal bone; darting and tearing pain in left temple, over left eye extending towards occiput. Headache on vertex, throbbing, feels as though head would open on top, worse from noise. Aversion to food of any kind with feeling of emptiness and goneness sensation in stomach. Better after meals and relieved completely by sleep.

> Staphisagria.: Headache after eating beef. Headache with roaring in ears. Aching, stupefying pain in head, especially forehead. Pains are pressing inwards and outwards; they are increased on slightest touch.
> Crotalus Hor: Sick headache, vomiting of bile in large quantities. Cannot lie on right side or on back without producing black bilious vomiting

> Anacardium: Headache relieved entirely by eating; worse during motion and working. Gastric and nervous headaches.
> Cocculus: Pain in the back of the head, as if the parts were alternately opening and closing. Headache comes on like a
shadow. Can hear what is going on while asleep, even snoring. Nervous headache with giddiness and nausea and vertigo. Holds
the nape of neck firmly with hands owing to the severity of pain.

> Ptelia: Bilious headache with burning sensation of skin, face and even breath that burns the nostrils.
> Psorinum: Headache due to hunger, wants to eat but cannot eat enough.

> Alumina silicate: Headache worse by binding the hair, biting the teeth together, before and during menses, stepping heavily,better by cold air and cold application, moving the head and from walking.
> Selenium: Headache caused by indulgence in alcohol or tea, by hot weather over study and aggravated by strong odours.
Increased flow of urine during headache.

> Phosphorus: Headache relieved by cold application and is aggravated in a warm room and by warm applications. Sense of coldness in the base of brain

> Lachesis: Violent headache during the menstrual period when the flow slackens. Headache, like the menstrual pain is relieved by the flow. Bursting and hammering headache with blood running to the head.
> Calcarea carb: Chronic headache in fatty persons with tendency for sweating of the face. icy coldness of hands and clamminess of the extremities.

CASE STUDY

The cases which I am presenting here in this case study is an abstract of 50 cases treated in special OP on migraine functioning on alt Fridays in Govt: Homoeopathic Medical College. Trivandrum. I was in charge of this OP from April 2000 To March 2001. These cases were treated during this period.

CONCLUSION
Of the fifty cases taken for this study thirty six cases showed  marked improvement of complaints without any recurrence after six months of treatment. Yet they are continuing treatment in the OPD regularly.

I have found from these cases that if the correct remedy is administered in suitable potencies even in severe acute cases,
patient gets relief within few hours.

The important symptoms to be considered for selecting a remedy in migranious attacks are
1. Generals both physical and mentals
2. Peculiar rare and uncommon symptoms
3. Characteristic particulars
4. Constitutional symptoms
5. Characteristic modalities and concomitants

BIBLIOGRAPHY
1. Davidson's Principles and practise of medicine
2. A short Text book of medicine by Dr:K V. Krishna Das
3. Inches book of health care By Dr: C.H.Asrani
4. Select your remedy By Bishamber das
5. Clinical repertory appended to the materia medica-boericke
6. Concise repertory of homoeopathic medicines-S.R.Pathak
7. Repertory of homoeopathic materia medica -Dr: J.T.Kent
8. Repertory of hering's guiding symptoms of our materiamedica- C.B.Knerr
9. Boenninghausen's characteristics and repertory- Dr: C.M.Boger

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