International Journal of Homoeopathic Sciences

Background and Objective: "Migraine" is a neurological disease, of which the most common symptom is an intense and disabling episodic headache. Migraine headaches are usually characterized by severe pain on one or both sides of the head and are often accompanied by photophobia (hypersensitivity to light), hyperacusis (hypersensitivity to sound) and nausea.

The homeopathic Medical Science is one, which has holistic approach towards the treatment of case of diseases. Homeopathic medicine acts dynamically and administered in the required potency and doses to cure the case of diseases, within shortest period of time. While the treating the cases homoeopathically, modalities play an important role in finalizing similimum out of group of remedies arising after repertorization. Modalities Helps to characterize the particular symptom, as well as act as an individualistic feature in general and narrows fields of selection of remedy i.e. helps to finalizing similimum. Dr. Boger gives highest rank to modality in the case analysis.

I have evaluated and reiterate the significance of modalities for selection of homoeopathic medicine in cases of migraine and showed the utility of the research work entitled “finding modality and its significance for selection of similimum to manage migraine homoeopathically”

Material and Method: This is a prospective, open, observational study conducted at Govt. Homoeopathic Medical College and Hospital, Bhopal, (M.P.). A total of 38 cases of age group 17-45 years of migraine diagnosed clinically were selected and followed up for the outcome. History of patient’s illness was elicited in an elaborate manner as per the directions given in the aphorisms the §83-104 by Dr. Samuel Hahnemann in the 5^th edition of Organon of Medicine. Case history was recorded in detail with all the symptoms including subjective and objective were considered. After taking the totality of symptoms and evaluating the cases according to Kent’s Method and the constitutional medicine is found out by using RADAR 1.4 Repertory. Patients were given homoeopathic medicine as per individualized homoeopathic principles, in potencies ranging from 30C to 1M as per the need of the case. MIDAS scale was used for assessing and for measuring complaints severity at baseline and after treatment. The quantitative data obtained was analyzed by student’s paired-t test.

Result: A total of 38 patients were enrolled based on the inclusion criteria, and the intention-to-treat population (n=38) was analyzed. The results demonstrated a significant reduction in migraine severity after the individualized homeopathic treatment based on modalities. Upon applying the paired t-test, it was found that 08 cases (21.05%) showed marked improvement, 21 cases (55.26%) showed moderate improvement, 03 cases (7.89%) showed mild improvement, and 06 cases (15.78%) showed no significant improvement. These results highlight the importance of considering modalities in the homeopathic management of migraines for selecting the appropriate similimum.

Conclusion: The individualized homeopathic treatment based on modalities resulted in significant improvement in migraine patients, as demonstrated by the difference in MIDAS scores before and after treatment. These findings support the effectiveness of homeopathy in managing migraines when treatment is tailored to the patient’s specific modalities. The study highlights the critical role of identifying and considering these modalities such as triggers, aggravating, and ameliorating factors in selecting the appropriate similimum, thereby enhancing the overall efficacy of homeopathic management for migraines.