Role of Homoeopathy in Managing Migraine in a Menopausal Woman After Failure of Conventional Therapy: A Case Report

Int. Jr. of Contemp. Res. in Multi. PEER-REVIEWED JOURNAL Volume 4 Issue 6 [NovDec] Year 2025 435 © 2025 Dr Bhavesh Kumar Bisen, Dr Avani Pande, Dr Rubina Sheikh, Dr Himani Gami. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY NC ND).https://creativecommons.org/licenses/by/4.0/ Case Report Role of Homoeopathy in Managing Migraine in a Menopausal Woman After Failure of Conventional Therapy: A Case Report Dr. Bhavesh Kumar Bisen 1, Dr. Avani Pande 2, Dr. Rubina Sheikh 3, Dr. Himani Gami 4 1Associate Professor, Department of Practice of Medicine, Ram Krishna College of Homoeopathy & Medical Sciences, RKDF, University Campus, Bhopal, Madhya Pradesh, India 2 PG Scholar, Department of Practice of Medicine, Ram Krishna College of Homoeopathy & Medical Sciences, RKDF, University Campus, Bhopal, Madhya Pradesh, India 3 PG Scholar, Department of Practice of Medicine, Ram Krishna College of Homoeopathy & Medical Sciences, RKDF, University Campus, Bhopal, Madhya Pradesh, India 4 PG Scholar, Department of Practice of Medicine, Ram Krishna College of Homoeopathy & Medical Sciences, RKDF, University Campus, Bhopal, Madhya Pradesh, India Corresponding Author: *Dr Bhavesh Kumar Bisen DOI: https://doi.org/10.5281/zenodo.17984023 Abstract Manuscript Information Migraine during menopause are common and often refractory to conventional therapies due to hormonal fluctuations, medication intolerance, or poor therapeutic response. This case report presents the successful management of chronic menopausal migraine with individualised homoeopathic treatment after conventional medicine failed to provide relief. The report also highlights the importance of understanding menopausal mental and physical expressions in selecting the appropriate homoeopathic remedy. ▪ ISSN No: 2583-7397 ▪ Received: 14-10-2025 ▪ Accepted: 27-11-2025 ▪ Published: 19-12-2025 ▪ IJCRM:4(6); 2025: 435-438 ▪ ©2025, All Rights Reserved ▪ Plagiarism Checked: Yes ▪ Peer Review Process: Yes How to Cite this Article Bisen BKB, Pande A, Sheikh R, Gami H. Role of homoeopathy in managing migraine in a menopausal woman after failure of conventional therapy: a case report. Int J Contemp Res Multidiscip. 2025;4(6):435-438. Access this Article Online www.multiarticlesjournal.com KEYWORDS: Homoeopathy, Menopausal migraine, Individualised remedy, Hormonal transition, Case report. Int. Jr. of Contemp. Res. in Multi. PEER-REVIEWED JOURNAL Volume 4 Issue 6 [NovDec] Year 2025 436 © 2025 Dr Bhavesh Kumar Bisen, Dr Avani Pande, Dr Rubina Sheikh, Dr Himani Gami. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY NC ND).https://creativecommons.org/licenses/by/4.0/ INTRODUCTION Migraine is a chronic complex neurological disorder of the central nervous system characterised by recurrent episodes of moderate to severe pain in the head, associated with nausea, vomiting, photophobia, and phonophobia [1,2]. It is generally found in females compared to males in the Middle Ages of life [2]. The onset of migraines is common during perimenopause and menopause, primarily due to fluctuating estrogen levels, with other various triggers like stress, anxiety, and tension [2]. Hormonal instability can modify vascular reactivity, neuronal excitability, and pain pathways, making migraine more frequent and difficult to treat in menopausal women. Conventional therapies such as NSAIDs, triptans, betablockers, antidepressants, and hormone replacement therapy (HRT) are routinely prescribed, which treat only symptoms and signs of migraine [1,2]. but many women experience inadequate relief of symptoms and signs of migraine and develop intolerance to these medications [1,2]. This challenge has prompted interest in alternative systems of medical science like homoeopathy, which focuses on individualised prescribing and holistic management of migraine. Homoeopathic practice emphasises the totality of symptoms, including emotional, physical, and general characteristics, making it particularly helpful in cases where hormonal imbalance influences both physical complaints and mental state. CASE REPORT Patient Profile • Name: Mrs DP • Age: 51 years • Sex: Female • Marital Status: Married • Occupation: Professor • Menopausal Status: Late perimenopause (irregular cycles for 1.5 years) • Visit Date: 28/12/2024 • Location: Dr Bhavesh Bisen Homoeopathic and Diet Clinic, Kohe Fiza, BHOPAL, MP Chief Complaints • Recurrent throbbing pain on the left side of the head, radiating to the occiput part of the head for the past 8 months • Pain begins in the left temporal region, spreading to the occiput. • Nature: Throbbing, pulsating, congestive type. Associated symptoms: • Hot flushes with profuse sweating • Vertigo on rising • Irritability, loquacity, tendency to talk rapidly • Sleep is disturbed by heat and dreams • Sensation of constriction around the neck; intolerance to collars Aggravation: • Morning on waking, • tight clothing around the neck, • heat, sun exposure, • menopause-related hot flushes, • emotional excitement, • missed meals. Amelioration • Cold applications, • open air, • after menstrual flow. • Frequency: 2–3 attacks/week • Intensity: Severe enough to require rest in a dark room • Duration: 4–12 hours History of Present Illness: The patient had been experiencing pain in the head intermittently for years, but the frequency and intensity markedly increased during perimenopause. Over 8 months, she consulted a neurologist and received: • NSAIDs, which are Ineffective • Triptans, which are for Partial relief only • Amitriptyline, which is stopped due to sedation and dryness. • Hormonal replacement treatment is stopped due to breast discomfort. Despite multiple therapies, pain in the head persisted, affecting her daily routine, work and sleep, and increasing emotional distress. Past History • No history of any illness. Family History • Mother had migraine with hypothyroidism and menopause at 48 years • Maternal grandmother with thyroid disorder Generalities • Cannot tolerate heat; desires fresh air • Craving: Spicy food, stimulants • Sleep: Disturbed, wakes frequently from heat and dreams of snakes and danger • Perspiration is profuse during hot flushes Mental Symptoms • Talkative, jumps from one topic to another • Jealous tendencies • Feels worse on waking from sleep • Easily excited, weepy before headache CASE ANALYSIS Totality of Symptoms and Selection of Remedy • Loquacity, jealousy, emotional excitability • Left-sided throbbing migraine • Worse from heat, morning, tight clothing, menopause • Better from cold applications • Hot flushes, • Profuse perspiration • Sleep aggravated • Sensation of constriction around the neck Int. Jr. of Contemp. Res. in Multi. PEER-REVIEWED JOURNAL Volume 4 Issue 6 [NovDec] Year 2025 437 © 2025 Dr Bhavesh Kumar Bisen, Dr Avani Pande, Dr Rubina Sheikh, Dr Himani Gami. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY NC ND).https://creativecommons.org/licenses/by/4.0/ Repertorisation: Conducted using Kent Repertory. Figure 1: Repertorisation. Posology Lachesis 200C, water dose Add 1 drop of Lachesis 200C to a clean glass bottle containing 100 mL of distilled water and mix in 5–10 drops of alcohol to prevent contamination. Close the bottle securely and shake it 2 times by firmly striking the base of the bottle against your palm. Give 1 teaspoon mixed with ½ cup water once daily for 7 days, then review. Follow-Up - Detailed follow-up is mentioned in Table 1. Table 1: Follow-up chart Follow-Up Period Clinical Changes Prescription 5/1/2025 Headache frequency reduced to 1 episode/week Intensity markedly milder. duration shorter Hot flushes decreased Sleep improved Continue to remedy 1 teaspoon mixed with ½ cup water once daily 20/1/2025 Only one mild headache episode Intensity markedly milder. duration shorter Hot flushes decreased Sleep improved Continue to remedy 1 teaspoon mixed with ½ cup water once daily 5/2/2025 No migraine episodes Hot flushes are 80% better Resumed all daily activities without limitations Continue to remedy 1 teaspoon mixed with ½ cup water once daily 20/2/2025 Patient is completely asymptomatic No migraine episodes Hot flushes are 90% better Resumed all daily activities Continue to remedy 1 teaspoon mixed with ½ cup water once daily 7/3/2025 No migraine recurrence Energy levels improved Menopausal symptoms significantly reduced Second Prescription: Placebo 15 drops in ½ cup of water twice daily before meals for 15 days, no repetition of the remedy due to continued improvement 22/3/2025 No migraine recurrence Energy levels improved Menopausal symptoms significantly reduced Patient reports “feeling normal again” Placebo: 15 drops in ½ cup of water twice daily before meals for 30 days. 22/4/2025 All symptoms have completely disappeared Placebo: 15 drops in ½ cup of water twice daily before meals for 30 days. DISCUSSION Menopause is often associated with fluctuating estrogen levels, which alter pain pathways and vascular sensitivity, leading to frequent and severe migraine symptoms. Conventional therapies may fail in the relief of symptoms of migraine. In this case, homoeopathic management with Lachesis 200C provided significant relief not only from migraine but also the associated menopausal and emotional symptoms and signs. The remedy was selected based on a clear constitutional picture, menopausal modality, and characteristic cravings. After the remedy, the patient experienced rapid and sustained improvement without adverse effects. Key points highlighted by this case: • Homoeopathy can play an important role when conventional therapy provides inadequate relief in symptoms and signs. • A deep understanding of menopausal mental and physical expressions is essential. • Individualised prescribing based on totality helps address both acute and chronic components. • Addressing susceptibility leads to long-term remission. CONCLUSION This case demonstrates that individualised homoeopathic treatment may provide significant relief in menopausal migraine unresponsive to conventional therapy. Homoeopathy offers a safe, holistic, and effective approach in managing both migraine and menopausal symptoms when the remedy accurately matches the patient’s totality. Int. Jr. of Contemp. Res. in Multi. PEER-REVIEWED JOURNAL Volume 4 Issue 6 [NovDec] Year 2025 438 © 2025 Dr Bhavesh Kumar Bisen, Dr Avani Pande, Dr Rubina Sheikh, Dr Himani Gami. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY NC ND).https://creativecommons.org/licenses/by/4.0/ Author's contribution – The case taking and clinical analysis were carried out by Dr Bhavesh Kumar Bisen. The manuscript was written and compiled by Dr Avani Pande, Dr Rubina Sheikh, and Dr Himani Gami. All authors reviewed and approved the final version of the article. Patient perspective The patient was satisfied during and after the homoeopathic treatment. Informed consent The consent to publish the information obtained from the patient. Conflict of interest None. Sources of funding None. REFERENCES 1. Wikipedia contributors. Migraine. Wikipedia, The Free Encyclopedia [Internet]. 2025 Dec 17 [cited 2025 Dec 17]. Available from: https://en.wikipedia.org/w/index.php?title=Migraine&oldid =1327988122 2. Us M, Medica HM. Chronic migraine treated with Chionanthus virginica mother tincture: a case report. 3. 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Creative Commons (CC) License This article is an open-access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY 4.0) license. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. About the corresponding author Dr. Bhavesh Kumar Bisen is an Associate Professor in the Department of Practice of Medicine at Ram Krishna College of Homoeopathy & Medical Sciences, RKDF University, Bhopal, Madhya Pradesh, India. He is engaged in teaching, clinical practice, and academic research in homoeopathic medicine.