Chronic headaches are one of the most common and distressing
problems for many of our patients. Homeopathic medicine can be
remarkably effective in treating headaches, regardless of their etiology. In
eliciting the patient's symptoms, a homeopathic interviewer must understand
many explicit details concerning the headaches, including how long the patient
has suffered with the headaches and any original etiology, quality and
intensity of pain, site of the headache and whether it is localized or
radiating, causative factors, time of onset, duration, other symptoms of any
kind which accompany or precede the headache, and any modalities (ie: what
tends to make the headache better or worse). Whereas allopathic, or even
holistic, medicine, may not vary treatment of a headache according to the above
factors, homeopathy makes definite distinctions.
In Kent's Repertory, the most standard repertory used by most
homeopaths, there are 89 pages devoted to head pain. Listed under the general
rubric (heading) "head pain, headache in general", 259 homeopathic remedies are
listed. Kent lists 4l different qualities of head pain ranging from the more
common "dull pain", "shooting", and "sore" to the more unusual "lan-cinating",
"boring", "crushed, as if shattered, beaten to pieces", "grinding", "as from a
nail", "stunning; stupefying", and many more. Homeopathy can even determine the
correct remedy for a headache according to the etiology, prescribing
differently depending on whether the headache was due to exposure to a draft,
chill, or heat exposure, followed anger, grief, or "excessive joy". or occurred
after ingestion of specific substances such as alcohol, candy, meat, milk,
coffee, tea, or even lemonade. Further details which differentiate between
remedies might include periodicity, onset after listening to music, after
lactation, before, during, or after the menses, or during the climacteric.The
homeopath learns quite quickly that the only way to find the correct remedy for
his or her patient's very specific symptoms is by an extremely detailled
casetaking. It may take five or ten minutes just to gather the necessary
symptomatic informa- tion about the headaches. In a case, such as the one that
follows, where there are several types of headaches, this same type of explicit
information must be gathered about each classification of headache. This type
of interview, needless to say, requires the full attention and patience of the
homeopath. As with any symptom, if the patient has experienced it for more
than a couple of months or has had it in the past, it falls into the category
of chronic illness and the homeopath must take "the full case". This means
interviewing the patient for one to one and a half hours about all of his or
her symptoms, physical, mental, and emotional, rather than just the headache
symptoms. On the other hand, if the headache is acute and isolated, not part of
a chronic pattern, one may evaluate only the headache symptoms and prescribe
accordingly.
If you know a little bit about homeopathy and we ask you, "What is the
single most common remedy for headaches?", you might respond, correctly,
"Belladonna". However, in a homeo- pathic practice, if you know only about
Belladonna, you won't get very far in helping your pa-tients alleviate their
headaches nor in achieving the homoepathic goal in the treatment of head-aches,
to have them go away pretty much once and for all, or, if they do return, to be
infrequent and of mild intensity.