International Journal of Homoeopathic Sciences

Migraine is a common neurovascular disorder characterized by recurrent headache episodes associated with nausea, vomiting, and sensory hypersensitivity, leading to significant functional impairment. Conventional management often provides symptomatic relief but may be associated with adverse effects and limited long-term benefit. This case report highlights the role of individualized homoeopathic treatment in the management of migraine. A 22-year-old female presented with recurrent left-sided, throbbing headaches of 2-4 years’ duration, accompanied by nausea, vomiting, and anxiety, with increased frequency over the preceding six months. The headaches were aggravated by sun exposure, fasting, emotional stress, and bright light, and relieved by rest and sleep. Based on a comprehensive case analysis and repertorization, Natrum muriaticum 200C was selected and prescribed. Clinical improvement was assessed using validated outcome measures, including the Migraine Disability Assessment (MIDAS) questionnaire and the Visual Analogue Scale (VAS). The patient showed gradual and sustained improvement, with a significant reduction in both headache frequency and intensity. Objective assessment revealed a decrease in MIDAS score from 13 (moderate disability) to 3 (little or no disability) and a reduction in VAS score from 8/10 to 2/10 following treatment. This case demonstrates the potential effectiveness of individualized homoeopathic treatment in migraine management and emphasizes the usefulness of standardized outcome measures for objective assessment.