INTRODUCTION

31 Years. married female Came to me in 1996 for severe migraine. That time I had no idea of plant family and sensation. Though I knew causative factor of migraine, my prescription was symptomatic. I prescribed remedy Nat M., Tabaccum without real relief.
On 29-10-02, I retook case according to our latest method - within four months she is cured.
Transcription:
D: Tell me about your problem?
P: Migraine. It starts at any time of day, shooting pain as soon as it starts. I can't stand, have to lie down.
D: At any time?
P: Sometime morning, evening, night, midnight. 1, 2 0' clock.
D: How did it start?
P: Suddenly starts at midnight. It starts when I am sleeping.
D: Explain?
P: It never gives symptoms before starting / no signal. Starts at any moment. Moment it starts, it is too much. Hardly 6 minutes I can bear it.
D: What you mean by 'no signal'?
P: Normally, headache starts slowly.
D: You feel head heavy?
P: I have no signal. Any moment it starts. Once it starts, heavy feeling is there throughout. I can't bend down, turn around. Headache stops. Heavy feeling there throughout the day.
D: What kind of pain suddenly?
P: Shooting. Somebody is hammering on one side.
D: Hammering someone? Describe.
P: As if crackers are cracking from inside I feel hammering. It's not constant. It comes and stops. Stops and hits, like that, not continuous.
D: Describe hammering, any other word?
P: I can say crackers hammering. I try to hold it with hand to stop, but it can't - I feel helpless. That nothing is working on you, once it stops and I don't want it to start again. Feeling of head as if it is going to burst.
D: Which one is more correct? Hammering or bursting?
P: Hammering is more correct.
D: How did it start?
P: 9-10 years back and attack. Every year I had. In 1999-2000 again started. Big attack.
D: How did first attack start? Any precipitating factor?
P: After marriage, big major attack.
D: After marriage, what happened?
P: One month before marriage, one incidence - mental tension - there was a robbery. My grand parents and mother were stabbed. It was 19th March. 15th April my date of marriage decided. Suddenly, it happened. I went to work, father work and brother in Pune. No one at home except them. At 2.30 this happened. May be they were 3 / 4 people. Police couldn't find anything, may be the cause was robbery. All 3 in different 3 rooms were killed. All 3 were killed in different room.
D: Effect?
P: Shock - Extremely unexpected. First thing shock, but I shouldn't take it as a shock. I had to face it as I had to take care of father. He was in collapse and my younger brother first shocked and I had to face it.
D: Explain?
P: I had that feeling that I am all alone, that many people have died - 2-3 deaths together. When I used to go out - always one fear, travelling accident should not happen - means 2-3 deaths together. I knew this could happen, (Still she went to office inspite of sleepy feeling indicates it was not expected). Inquired more about this fear later on 9-1-2003.
D: First effect?
P: I was at office, had a habit to call up mother at lunch hour. That day I tried but it was coming engaged. Previous night, say late night - I was tired and I had headache. I didn't want to go to office, but mother literally kicked me out of the house. So, in office, after lunch I slept. When I got up it was 2.15 and I was late for work. So I went back to work, did not call, but after 3.30 - 4.00 p.m. my husband's cousin came and said that you will have to go as there is a robbery, grandparents - were injured and hospitalized. It was suddenly shock. I was worried. The moment I saw him in office, I was wondering why he was here. Stops at - 9:55.

D: Headache started after a month, what was feeling - effect till then?
P: Fear. Scarred not thinking what must be the reason - robbery / police asked father anybody was threatening him in business, so in mind what was reason.
D: Fear?
P: No one should threaten / my father collapsed.
D: Physically what happened?
P; No one should come to hurt me too. I was very alert to close all windows and door all the time in night. I used to get up check father is sleeping, check window. Feeling, if somebody comes I should be able to defend.
D: How you must have defended?
P: I used to think what all things that have can be used as weapon - umbrellas, knife, I knew karate, Kung fu. If someone really attacked you, you should be able to defend. I attack him.
D: How?
P: With umbrellas, hit on the head. With fingers press fingers in eye, throat. We are taught to attack back if somebody comes in front, what can I do. With kitchen knife way to attack face. It distracts his mind. With knife First don't show knife. I would hide the knife and as soon as the person will come, I would attack the face, so his attention is distracted. I can attack. Otherwise distract attention and use other hand to attack him hold hand weapon.
D: You would have done?
P: Yes.

D: Dreams at that time?
P: I hardly slept during that time.
D: What were I thought?
P: There was one tree, used to fed. Someone might climb and come to house, be awake next nights. Tries something. I used to awake at nights.
D: With thought any bodily - head, mind, chest, stomach?
P: With the tree waving if wind blow and heart beats I used to get alert.
D: What worst could happen?
P: I always used to feel somebody is there or not.
D: Describe ­ heart beat.
P: Nothing else.
D: What are the other things you scared of in general?
P: Nothing. I used to stay alone. Never scared of darkness.
D: Why people scared of darkness because of?
P: Unknown fear - somebody's there in dark, somebody would attack you. Ghost may be. You are scarred of.
D: What you mean by 'attack'?
P: Someone is scared of, go to dark room e. g. my elder very scarred to go to kitchen alone.

D: You had to face because of father. Tel more, by strong, tell more?
P: Parting from mother had a very bad impact on my mind. In morning, when I left home, she stands on balcony to tell me bye. That day I didn't go to see her as 40-42 stabs over her body. I didn't go to see her. She tried to defend very well. Her legs were cut, her neck 3/4th cut. Saw grandparents.
D: Situation so pathetic, why no tears?
P: That time also, I didn't cry much. I used to cry when alone in night, hiding face from father, brother.
D: What was feeling at night?
P: I used to think what mother might have gone through, what she must have felt when she knew she is going to die - happy kids are not at home. She must have screened, must have expected some help but couldn't. Nobody heard her. She must be knowing those people as she was preparing tea. For ¾ glasses 2:30 net time for tea for home people.
D: Suppose you must be in her post and some known people, what must be your feeling? She must have taken what you want known people do?
P: Shock. That how few people can do it.
D: Shock feeling?
P: You trust somebody. Known people.
D: Any other incident with impact?
P: Not at much.
D: Any dream lifetime?
P: No dream, but day - dream feeling. There was a garage and I used to feel someone is murdered that so I used to literally get up and see is it dream or feeling, I don't know. One day caretaker was really murdered. I know this can happen but first was shock. So, mentally I was prepared for such things. So I knew this should happen that many people in my fly are dead as if I knew this would happen first SHOCK then greater shock.

D: Effect of migraine upon you?
P: I don't feel like working / going out.
D: How does that feeling?
P: Helpless. You have to do but you can't look after work and kids. Your body is not helping you - not working - feeling whatever medicine I should take as I want to go rid of this.
D: Why?
P: Because you can't work. You feel you have become 'stagnant' (I feel the way it has started Suddenly it should be stopped). You can't do anything. Fever 2-3 days, and then you are OK. Everyday morning I pray this should not happen. If I can't do anything, depressed once it starts. Stop the same way. Just stop. Why doesn't it stop the way it starts, not feel like having food.
D: As a child?
P: Very free pampered boy, tomboy, were allowed to go anywhere you want. Miasm
D: Now?
P: There is responsibility, so you can't be that free, but that is Okay.
D: As a child what was the feeling?
P: I felt lucky.
D: Tomboy?
P: I liked to do kiting. I felt as if I am a boy. I used to play marble / cycling / cricket. Study wise, I used to get good marks, scholarship, No tension.
D: What you feel now?
P: Now . . . My Mother-in-law is there. It's restriction. Whatever you do she does not like it. She feels its wrong.
D: Feeling of restriction?
P: It hurts. You don't l know her sentences and you know your capacity. You can go out and buy, decorate your house the way you want to and/or you want to try something new she says it's useless.
D: Hobbies and interests?
P: I am learning dance Kaththak. I am working at Garment Factory. So I always link about like to read stories with kids.
D: Tell?
P: I always tell stories about - very small small stories and help kids to understand good things e.g. you should not be greedy, you should be good to all with friends, honest. Books would help my children to grow kids, to know your children psychology.
D: Why you learnt karate?
P: To defend yourself when you go out alone and to help others. Other people can't help themselves since they can't.
D: Responsibility for you?
P: Look after their study, boos, food. Obviously mother makes great impact on child.
D:
P: Sweets.
D: Plant feeling?
P: I like to flowering plants. I used to go to nature trip. (show flower).
D: MC Menstrual normal?
P: Yes.
D: Past History?
P: With first delivery, I was in bed for 2-3 months. Child's position was not proper. Though I had delivery, many stitches.
D: Fever?
P: -

D: One question. Suppose you will face that person (culprit), your reaction? Who killed your mother?
P: I will kill him. He stabbed my mother. I will stab him. 40 stabs on neck that showed how cruel he was. They may be stabbed my mother, cutting off somebody's head. 10-39-40.

FOLLOW UP

26-11-2002:
- 90% better.
- Movement in sun - Okay
- No fear if I go out in Sun.
- Before fear if I go in Sun headache will come.
Moods - fresh 10 day I go to school to drop them.
Other change in moods - Reason to be happy. Shift to another room. Enthusiastic to get carpentry work.
Q: Frequency of headache?
P: Everyday hardly 1/ day not there.
D: Emotionally?
P: OK. Not very emotional. Small reasons loose temper. Nowadays cool. I am not agreeing especially with mother. In-law earlier I would be in tears. Now OK.
This time, suddenly she agreed to shift.

D: Tell about period when you were very scared?
P: After that episode - for one month - I was alone in afternoon. I used to literally lock doors and windows [HG] Even if I used to feel somebody is behind / minor noise - I used to get scared - "Who is there behind?" Every small small things used to score me. Look behind.
D: With scary physical symptoms?
P: Heart beats used to be fast. I was not the person who gets scared, even I used to stay alone earlier, but after incident, I used to get scared. If somebody is coming from behind, 'Somebody is keeping watch on you?' Intention to hurt my father, everybody in the house, in chest palpitation - very fast.
D: Any connection with headache?
P: That time, no headaches, but after marriage, headache started. It used to be sudden headaches. Suddenly in morning, headache will start.
D: From behind what's the feeling?
P: Someone will come and hurt you.

27-2-2003:

Last one month, no headache.
+++ in every aspect.

UNDERSTANDING

The way she has described the c/c i. e. Migrain starts at any time of the day. Shooting pain, etc. while anytime. She means suddenly starts and when asked to explain what is 'suddenly starts', she means it never gives symptoms before starting, no signals, starts at any moment.

So, the way she describes c/c i.e. sudden attacks without any aura/signals is sensation of Umbeliferae e.g. Epilepsy without aura is key symptom of Cicula Virosa from same family. She mentions 'shock' and for her shock is extremely unexpected. Even she mentions suddenly shock. The incident of stabbing for her mother - she was preparing tea for the culprits that shows she did not expecting at al.

Afterwards, the effect of incidence on patient was that she got unknown fear that 'Somebody is in dark and can attack you." When question was asked if you face "the culprit what will you do?" She replied, "I'll stab him 40 times." So, what you perceive that you do. Miasm in this case is Malaria because pathology i.e. Migraine attacks occur time to time. It is not steady process. On one side, acute fear is there. Other side she accepts the situation. E.g. police has not yet solved the case but she accepts it.

When she was asked effect of migraine, she replied "she doesn't feel like going out, feels stagnant even with mother-in-law she feels restricted." All these indicate psychotic element in her. So, Malarial Miasm. Umbeliferae family. Remedy was Sumbulus.

1 M was prescribed on 29th October. She did very well with remedy. In fact, she is cured. In November, she had only one attack. [Previously, she used to get it almost daily] i.e. Follow up shows no attacks since then [Latest one on 9-1-2003]. She has no fear now, no fear of mother-in-law, she can go in Sun out and she enjoys life.

• Sensations:From Insight into plants by dr sankaran
• Sudden unexpected violence or attack.
• Accidents.
• Brows, preparing for a blow.
• Riots.
• Stabs, wound.
• Abuse.
  
  Followed by
• Numbness
• Stupefaction
• Dullness
• Sleep
  On the physical level:
• Stabbing
• Lancinating (in Latin means to stab)
• Vertigo
• Fainting
• Hysteria
• Convulsion without aura.

Passive reaction:
Sudden weakness
Deep sleep
Regressed
Paralysis
Relaxation
Stupefaction
Dullness
Active reaction:
Violent
Convulsion
Mania
Furious attack
Fit of emotion
Escape
Compensation
Calmness in a situation where there is violence and sudden unexpected attack.
Without idea of sensation and miasm, it was impossible for me to solve the case.
D/D:
Solanaceae. You get warning of violence and attack. Sensation is that you get terrified.

Interesting Rubrics:
· Memory weakness - loss of