International Journal of Homoeopathic Sciences

Background: Chronic Migraine headache unresponsive to conventional analgesics poses a significant therapeutic challenge. Individualized homeopathic prescription, based on the totality of symptoms and miasmatic background, can offer long-term relief in such cases.

Case Summary: A 36-year-old female presented with severe, maddening headaches persisting for four years. The pain was intolerable and aggravated by exposure to sun, heat, noise, light, and eyestrain, but ameliorated after bilious vomiting. The patient had taken multiple conventional analgesics without lasting relief. The miasmatic evaluation revealed a dominant syphilitic background. Based on the totality of symptoms and the patient’s constitutional characteristics, Sepia 200 was prescribed in infrequent doses.

Results: Remarkable improvement was observed within a few weeks, and complete freedom from headaches was achieved within four months of treatment. The patient remained symptom-free during follow-up.

Conclusion: This case demonstrates the efficacy of individualized constitutional homeopathic treatment with Sepia 200 in a chronic syphilitic miasmatic headache unresponsive to conventional therapy. It highlights the importance of holistic case-taking and miasmatic understanding in managing deep-seated chronic headaches.