HEADACHE

Dictionary Meaning -
(according to Dorland's pocket medical Dictionary)

Pain In The Head.

Cluster Headache - A Migraine-Like Disorder Marked By Attacks Of Unilateral Intense Pain Over The Eye And Forehead, With Flushing And Watering Of The Eyes And Nose; Attacks Last About An Hour And Occur In Clusters.

Cough Headache - Severe, Stabbing, Bilateral Head Pain Brought On By Coughing Or Some Other Valsalva Maneuver.

Exertional Headache - One Occurring After Exercise.

Histamine Headache - Cluster Headache.

Lumber Puncture Headache - Lumbar Puncture As Part Of The Post-Lumbar Puncture Syndrome.

Migraine Headache - Migraine.

>>  Migraine - A Symptom Complex Of Periodic Headaches, Usually Temporal And Unilateral, Often With Irritability, Nausea, Vomiting, Constipation Or Diarrhea, And Photo Phobia, Preceded By Constriction Of The Cranial Arteries, Often With Resultant Prodromal Sensory, Especially Ocular, Symptoms (Aura), And Commencing With The Vasodilatation That Follows.

Organic Headache - A Headache Due To Intra Cranial Disease Or Other Organic Disease.

Post-Coital Headache - One Occurring During Or After Sexual Activity, Usually In Males.

Primary Headache - One Of The Two Broad Categories Of Headache, Comprising Headaches That Occur Without A Discernible Underlying Cause; It Includes Cluster Headache, Tension Headache, And Migraine.

Secondary Headache - One Of The Two Broad Categories Of Headache, Comprising Headaches Caused By An Underlying Pathologic Condition.

Sick Headache - Migraine.

Tension Headache - A Type Due To Prolonged Overwork, Emotional Strain, Or Both, Affecting Especially The Occipital Region.

Toxic Headache - Headache Caused By Systemic Poisoning Or Certain Illnesses.

Vascular Headache - A Classification For Certain Types Of Headaches, Based On A Proposed Etiology Involving Abnormal Functioning Of The Blood Vessels Or Vascular System Of The Brain; Included Are Migraine, Cluster Headache, Toxic Headache, And Headache Caused By Elevated Blood Pressure.

Pathological Point Of View -

A Headache Or Cephalalgia Is Pain Anywhere In The Region Of The Head Or Neck. It Can Be A Symptom Of A Number Of Different Conditions Of The Head And Neck.

Classification :-

Pathophysiology :-

The Brain Itself Is Not Sensitive To Pain, Because It Lacks Pain Receptors, Also Called Nociceptors. However, Several Areas Of The Head And Neck Do Have Nociceptors, And Can Thus Sense Pain. These Include The Extracranial Arteries, Large Veins, Venous Sinuses, Cranial And Spinal Nerves, Head And Neck Muscles, The Meninges, Parts Of The Brainstem, Eyes, Ears, Teeth And Lining Of The Mouth.

Diagnosis :-

Red Flag	Possible causes	Reason why red flag indicates possible causes	Diagnostic tests
New headache after age 50	Temporal arteritis, mass in brain	Temporal arteritis is an inflammation of vessels close to the temples in older people, which decreases blood flow to the brain and causes pain. May also have tenderness in temples and/or jaw claudication. Some brain cancers are more common in older people.	Erythrocyte sedimentation rate (diagnostic test for temporal arteritis), neuroimaaging
Very sudden onset headache (thunderclap headache)	Brain bleed (subarachnoid hemorrhage, hemorrhage into mass lesion, vascular malformation), pituitary apoplexy, mass (especially in posterior fossa)	A bleed in the brain irritates the meninges which causes pain. Pituitary apoplexy (bleeding or impaired blood supply to the pituitary gland at the base of the brain) is often accompanied by double vision or visual field defects, since the pituitary gland is right next to the optic chiasm (eye nerves).	Neuroimaging, lumbar puncture if computed tomography is negative
Headaches increasing in frequency and severity	Mass, subdural hematoma, medication overuse	As a brain mass gets larger, or a subdural hematoma (blood outside the vessels underneath the dura) it pushes more on surrounding structures causing pain. Medication overuse headaches worsen with more medication taken over time.	Neuroimaging, drug screen
New onset headache in a person with possible HIV or cancer	Meningitis (chronic or carcinomatous),brain abscess including toxoplasmosis,metastasis	People with HIV or cancer are immunosuppressed so are likely to get infections of the meninges or infections in the brain causing abscesses. Cancer can metastasize, or travel through the blood or lymph to other sites in the body.	Neuroimaging, lumbar puncture if neuroimaging is negative
Headache with signs of total body illness (fever, stiff neck, rash)	Meningitis, encephalitis (inflammation of the brain tissue), Lyme disease, collagen vascular disease	A stiff neck, or inability to flex the neck due to pain, indicates inflammation of the meninges. Other signs of systemic illness indicates infection.	Neuroimaging, lumbar puncture, serology (diagnostic blood tests for infections)
Papilledema	brain mass, benign intracranial hypertension (pseudotumor cerebri),meningitis	Increased intracranial pressure pushes on the eyes (from inside the brain) and causes papilledema.	Neuroimaging, lumbar puncture
Headache following head trauma	Brain bleeds (intracranial hemorrhage,subdural hematoma, epidural hematoma), post-traumatic headache	Trauma can cause bleeding in the brain or shake the nerves, causing a post-traumatic headache	Trauma can cause bleeding in the brain or shake the nerves, causing a post-traumatic headache Neuroimaging of brain, skull and possibly cervical spine
Inability to move a limb	Arteriovenous malformation, collagen vascular disease, intracranial mass lesion	Focal neurological signs indicate something is pushing against nerves in the brain responsible for one part of the body	Neuroimaging, blood tests for collagen vascular diseases
Change in personality, consciousness, or mental status	Central nervous system infection,intracranial bleed, mass	Change in mental status indicates a global infection or inflammation of the brain, or a large bleed compressing the brainstem where the consciousness centers lie	Blood tests, lumbar puncture, neuroimaging
Headache triggered by cough, exertion or while engaged in sexual intercourse	Mass lesion, subarachnoid hemorrhage	Coughing and exertion increases the intra cranial pressure, which may cause a vessel to burst, causing a subarachnoid hemorrhage. A mass lesion already increases intracranial pressure, so an additional increase in intracranial pressure from coughing etc. will cause pain.	Neuroimaging, lumbar puncture

Clinical Features	Recommended neuroimaging test
Headache in immunocompromised people (cancer, HIV)	MRI of head with or without contrast
Headache in people older than 60 with suspected temporal arteritis	MRI of head with or without contrast
Headache with suspected meningitis	CT or MRI without contrast
Severe headache in pregnancy	CT or MRI without contrast
Severe unilateral headache caused by possible dissection of carotid and/or arterial arteries	MRI of head with or without contrast, Magnetic Resonance Angiography or Computed Tomography Angiography of head and neck.
Sudden onset headache or worst headache of life	CT of head without contrast, Computed Tomography Angiography of head and neck with contrast, Magnetic Resonance Angiography of head and neck with and without contrast, MRI of head without contrast

Differential diagnosis of headaches

Tension headache	New daily persistent headache	Cluster headache	Migraine
mild to moderate dull or aching pain		severe pain	moderate to severe pain
duration of 30 minutes to several hours	duration of at least four hours daily	duration of 30-minutes to 3 hours	duration of 4 hours to 3 days
	Occur in periods of 15 days a month for three months	may happen multiple times in a day for months	periodic occurrence; several per month to several per year
located as tightness or pressure across head	located on one or both sides of head	located one side of head focused at eye or temple	located on one or both sides of head
	consistent pain	pain describable as sharp or stabbing	pulsating or throbbing pain
no nausea or vomiting			nausea, perhaps with vomiting
no aura	no aura		auras
uncommonly, light sensitivity or noise sensitivity		may be accompanied by running nose, tears, and drooping eyelid, often only on one side	sensitivity to movement, light, and noise
	exacerbated by regular use ofacetaminophen or NSAIDS		may exist with tension headache

 For More Details :-

• http://en.wikipedia.org/wiki/Headache

Management :-

Home Remedies :-

Allopathic Treatment :-

• Most Headaches In General Practice Are Ordinary Tension Headaches And Need Just An Analgesic And May Be A Tranquilliser. 

• Advice Patient To Take Rest In A Dark, Quiet Room. Massage And Press The Scalp Apply Counter Irritants Like Vicks / Amrutanjan To Forehead.

• In Every Patient Of Headache, You Must Test The Following Signs, As Routine:-

• Check B.P. - Control Hypertension If Present. 

• Check Sinus Tenderness Over Maxillary & Frontal Sinuses, And Look For Any Focus Of Infection In Teeth, Tonsils & Ears. 

• Check Tenderness On Nape Of Neck Or Pain On Neck Movements. 

• If Associated Fever, Check For Neck Stiffness. 

• If Eye Is Painful Or Red, Palpate The Eye After Closing The Eyelid. If It Is Firm To Feel, Refer To Ophthalmologist For Glaucoma.

• If Headache Is Recurrent & Chronic :-

•  Check Eyesight First. 

•  Check BP, Sinus Tenderness & Spondilitis As Above. 

•  If It Has Started Following Head Injury, Refer For X-ray Skull & C.T. Scan. 

•  If Patient Is Diabetic, Is He Getting Hypoglycaemia ? 

•  If Headache Is Severe & Progressive, Refer For C.T. Scan. 

•  If There Is Any Neurological Sign As Weakness Of Cranial Nerves Or Limbs, Convulsions Etc. Then Refer Immediately For C.T. Scan & Neurologist's Opinion.

Some Points To Be Kept In Our Mind During Handling The Case Of Headache :- 

• Headache With Fever = Meningitis. First Test For Neck Stiffness. Malarial Fever Also Gives Headache.

• Tension Headache Is The Commonest Headache. It Is More Towards Evening & Patient Feels Better On Pressing Over The Scalp.

• A Young Patient Or Child Complaining Of Repeated Headache Will Usually Have Refractive Error. First Get Eyesight Checked. Particularly Cylindrical Numbers Even When Very Minor, Give Rise To Headaches.

• Headache Due To Alcohol Hangover :-

• Take 2 Glasses Of Water - Plenty Of Water And Fluid Intake. 

• Take Simple Analgesic. 

• Take Fruit Juice, Or Tea Or Coffee With Plenty Sugar ( To Counter Hypoglycaemia ) 

• Have A Full Meal.

Prevention Of Hangover :- 

• Avoid Excess Alcohol. Stay Within Your Limits. Avoid Cocktails. 

• Do Not Drink On Empty Stomach. Eat Something Along. 

• Take A Glass Of Water After Each Drink. 

• Do Not Drink Too Fast.

Migraine :-

Treatment Of Acute Attack :-

• Lie Down In A Dark & Quiet Room. 

• Give Ice Bag Over The Head. 

• Strong Analgesics. 

• NSAIDs.

 Some Points To Be Kept In Our Mind

• Migraine Is Characterised By One Sided Severe Headache Lasting For Several Hours, With Intervals Of Complete Freedom. It Is Associated With Vomiting And Visual Disturbances.

• Vasograin Or Migril Should Be Taken As Soon As Prodromal Symptoms Appear, To Abort The Attack.

• Maximum Dose Of Ergotamine Tartarate Should Never Be Exceeded. i.e. 5 Tabs In A Day And 10 Tabs In A Week.

If Migraine Attacks Are Frequent I.E. More Than 2 Per Month :-

• Avoid Factors Which Precipitate The Attack. E.g. Sleeping Late, Tension, Starvation, Certain Foods Like Chocolate, Cheese, Alcohol. 

•  If Control Is Not Adequate, Add Anti-Depressant.

 Homoeopathic Treatment :-

" One Single Simple Drug Substance In Its Most Suitable Potency, According To Symptom Similarity Based On Totality! "

In Case Of Headache, List Of Useful Remedies (According To REPERTORY

by Oscar E. BOERICKE, M.D.) Are As Below-

HEADACHE (Cephalalgia)

Cause

Altitude high -- Coca.
Bathing -- Ant. c.
Beer -- Rhus. t.
Bright’s disease -- Am. v., Zinc picr.
Candy, sweets -- Ant. c.
Catarrh -- Cepa, Hydr., Merc., Puls., Sticta.

Suppressed -- Bell., Kali bich., Lach.

Coffee -- Arum., Ign., Nux v., Paul.
Constipation -- Aloe, Alum., Bry., Collins., Hydr., Nit. ac., Nux v., O p., Ratanh.
Dancing -- Arg. n.
Diarrhœa alternating -- Aloe, Pod.
Effete matter in system -- Asclep. s.
Emotional disturbances -- Acetan., Arg. n., Cham., Cim., Coff., Epiph., Gels., Ign., Mez., Phos. ac., Picr. ac., Plat., Rhus t., Sil.
Eruptions suppressed -- Ant. c., Psor., Sul.
Eye-strain -- Acetan., Cim., Epiph., Gels., Nat. m., Onosm., Phos. ac., Ruta, Tub.
Fasting -- Ars., Cact., Lach., Lyc., Sil.
Gastralgia alternating or attending -- Bism.
Gastrointestinal derangements -- Ant. c., Bry., Carbo v., Cinch., Ipec., Iris, Nux m., Nux v., Puls., Rham. c., Robin.
Haircut -- Bell., Bry.
Hat, pressure -- Calc. p., Carbo v., Hep., Net. m., Nit. ac.
Hæmorrhage, excesses or vital losses -- Carbo v., Cinch., Ferr., Ferr. pyroph., Phos. ac., Sil.
Hæmorrhoids -- Collins., Nux v.
Ice-water -- Dig.
Influenza -- Camph., Lob. purp.
Ironing -- Bry., Sep.
Lemonade, tea, wine -- Selen.
Liver derangements -- Lept., Nux v., Ptelea.
Lumbago, alternating with it -- Aloe.
Malaria -- Ars., Caps., Ced., Chin. s., Cinch., Cupr. ac., Eup. perf., Gels., Nat. m.Mental exertion or nervous exhaustion -- Acetan., Agar., Anac., Arg. n., Aur. br., Chionanth., Cim., Coff., Epiph., Gels., Ign., Kali p., Mag. p., Nat. c., Niccol., Nux v., Phaseol., Phos. ac., Picr. ac., Sabad., Scutel., Sil., Zinc. m.
Mercury -- Still.
Narcotics, abuse -- Acet. ac.
Over-lifting -- Calc. c.
Perspiration, suppressed -- Asclep. s., Bry.
Riding against wind -- Calc. iod., Kali c.Riding in cars -- Cocc., Graph., Med., Nit. ac.Sexual excitement, weakness -- Cinch., Nux v., Onosm., Phos. ac., Sil.
Sleep

Damp room -- Bry.
Loss -- Cim., Cocc., Nux v.

Spinal disease, chorea -- Agar.
Spirituous liquors -- Agar., Ant. c., Lob. infl., Nux v., Paul., Rhod., Ruta, Zinc. m.Sunlight or heat -- Bell., Cact., Ferr. p., Gels., Glon., Kal., Lach., Nat. c., Nux v., Sang., Stram.
Syphilis -- Ars., Aur. ars., Aur., Sars., Still., Syph.
Tea -- Nux v., Paul., Selen., Thuya.
Tobacco -- Ant. c., Calad., Carb. ac., Gels., Ign., Lob. infl., Nux v.
Traumatism -- Arn., Hyper., Nat. s.
Uremia -- Arn., Bapt., Can. ind., Glon., Hyper., Sang.Uterine disease, reflex -- Aloe, Bell., Cim., Gels., Ign., Puls., Sep., Zinc. p.
Vaccination -- Thuya
Weather changes -- Calc. p., Phyt.

Type

Anemic -- Ars., Calc. p., Cinch., Cycl., Ferr. m., Ferr. p., Ferr. r., Kal., Nat. m., Phos. ac., Zinc. m.
Catarrhal -- Ars., Bell., Bry., Camph., Cepa, Eup. perf., Euphras., Gels., Kali bich., Lyc., Menthol., Merc., Nux v., Puls., Sabad., Sang., Sticta, Sul.
Chronic -- Arg. n., Chin. s., Cocc., Lach., Nat. m., Phos., Plumb., Psor., Sep., Sil., Thuya, Tub., Zinc. m.

Old People -- Bar. c., Calc. p., Iod., Phos.
School girls -- Calc. p., Kali p., Nat. m., Phos. ac., Picr. ac., Psor., Tub., Zinc. m.
Sedentary persons -- Anac., Arg. n., Bry., Nux v.

Climacteric -- Amyl, Cact., Cim., Croc., Cycl., Glon., Lach., Sang., Sul.
Congestive -- Acon., Amyl. Arg. n., Bell., Bry., Cact., Chin. s., Ferr. p., Gels., Glon., Glycerin, Jonosia, Lach., Meli., Nat. m., Nux v., Op., Phaseol., Sang., Sil., Solan. n., Sul., Usnea.,Ver. v.

Passive -- Chin. s., Ferr. p., Ferr. pyroph., Gels., Op., Sil.

Gastric, bilious -- Am. picr., Anac., Arg. n., Bapt., Bry., Cham., Chel., Chionanth., Cycl., Eup. perf., Ipec., Iris, Lob. infl., Merc. s., Nux v., Pod., Puls., Robin., Sang., Strych., Tarax.
Hysterical (clavus) -- Agar., Aquil., Coff., Euonym., Hep., Ign., Kali c., Mag. m., Nat. m., Nux v., Plat., Puls., Thuya.
Menstrual -- Æth., Avena, Bell., Cact., Can. ind., Can. s., Chionanth., Cim., Cinch., Cocc., Croc., Cycl., Ferr. m., Glon., Glycerin, Kali p., Lac d., Lach., Lil. t., Nat. m., Plat. mur., Puls.,Sang., Sep., Ustil., Vib. op., Xanth.
Migraine, megrim, nervous -- Am. c., Am. val., Anac., Anhal., Arg. n., Aspar., Avena, Bell., Bry., Caff. citr., Calc. ac., Calc. c., Can. ind., Carb. ac., Ced., Chionanth., Cim., Cocc.,Coff., Crot. casc., Cycl., Epiph., Gels., Guar., Ign., Indigo, Iris, Kali bich., Kali c., Lac d., Lach., Meli., Menisp., Nat. m., Niccol., Nux v., Onosm., Paul., Plat. mur., Puls., Sang., Saponin,Scutel., Sep., Sil., Spig., Stann., Sul., Tab., Thea, Ther., Verbasc., Xanth., Zinc. sul., Zinc. v., Zizia.
Neuralgic -- Aconitine, Æsc., Arg. n., Ars., Bell., Bism., Ced., Cepa, Chel., Chin. s., Cim., Col., Derris, Gels., Mag. p., Meli., Menthol, Oreodaph., Pall., Phos., Spig., Tar. h., Zinc. v.
Rheumatic, gouty -- Act. spic., Bell., Bry., Calc. c., Colch., Col., Derris, Guaiac., Hep., Ipec., Kali s., Kal., Lyc., Nux v., Phyt., Rhus t., Sep., Sil., Sul.
Uremic -- Arn., Glon., Hyper., Sang.
Utero-ovarian -- Bell., Cim., Gels., Helon., Ign., Jonosia, Lil. t., Plat., Puls., Sep., Zinc.

Location

Frontal -- Acon., Æsc., Alfal., Agar., Ail., Aloe, Am. c., Anac., Antipyr., Arg. n., Ars., Aur., Bell., Bry., Calc. c., Carb. ac., Ced., Cepa, Chin. s., Chionanth., Eup. perf., Euphras., Gels.,Glon., Hydr., Ign., Indol, Iris, Kali bich., Lept., Meli., Menisp., Nat. m., Nux v., Phos., Picr. act., Prun. sp., Ptel., Puls., Robin., Rhus t., Scutel., Sil., Stellar., Sticta, Viola od.

Extending to eyes, root of nose, face, etc. -- Acon., Agar., Aloe, Ars. m., Bad., Bry., Caps., Ced., Cepa, Cereus, Cim., Hep., Ign., Kali iod., Lach., Mag. m., Menthol, Onosm., Plat., Prun. sp., Ptel., Spig., Sticta.
Extending to occiput, nape of neck and aspine -- Bry., Euonym., Gels., Lac d., Menisp., Nux v., Oreodaph., Prun. sp., Sep., Tub.

Occipital -- Æth., Alfal., Anac., Avena, Bry., Camph., Can. ind., Carbo v., Cim., Cocc., Euonym., Eup. perf., Ferr. m., Gels., Gins., Jugl. c., Lac c., Lach., Lecith., Niccol. s., Nux v., Onosm., Oreodaph., Petrol., Phos. act., Picr. ac., Plat. mur., Radium. Rhus gl., Sang., Sep., Sil., Sul., Xanth., Zinc. m.

Extending to eyes and forehead -- Arundo, Bell., Carbo v., Cim., Cinch., Gels., Glycerin, Indol, Lac c., Mag. m., Onosm., Phos. ac., Picr. ac., Rhus r., Sang., Sars., Sil., Spig.

Semilateral (hemicrania) -- Arg. n., Ars., Bell., Bry., Ced., Cham., Coff., col., Cycl, Gins., Glon., Ign., Jonosia, Kali bich., Lach., Nat m., Ol. an., Onosm., Phos., Prun. sp., Puls.,Sang., Sep., Sil., Spig., Stann., Thuya.

Left side -- Nat. m., Nux v., Onosm., Saponin, Spig.Right side -- Ced., Chel., Iris, Kali bich., Radium, Sang., Sil., Tab.

Spinal and cervical -- Bell., Cim., Cocc., Dulc., Gels., Gossyp., Helleb., Nat. m., Nat. s., Niccol. s., Oreodaph., Phos. ac., Picr. ac., Scutel., Sil., Ver. v.
Supraorbital -- Acon., Aloe, Ars., Carb. ac., Ced., Cereus, Chin. s., Cim., Cinnab., Col., Glon., lge., Indol, Iris, Kali bich., Lyc., Meli., Menthol, Nux v., Phell., Puls., viola od.

Left -- Act. spic., Arg. n., Astrag., Bry., Carbo v., Ced., Cocc., Euonym., Menthol, Nux v., Oreodaph., Sapon., Selen., Senec., Spig., Tellur., Xanth.
Right -- Arundo, Bell., Bism., Chel., Iris, Kali bich., Meli., Plat., Sang., Sil.

Sutures, along -- Calc. p.
Temples -- Acon., Anac., Arn., Bell., Bry., Caps., Ced., Carb. ac., Chin. s., Cinch., Epiph., Gels., Glon., Ign., Lach., Naja, Onosm., Oreodaph., Phell., Phos. ac., Plat., Rhus t., Sang.,Senec., Sep., Spig., Stann., Sul. act., Usnea.

Ear to ear -- Antipyr., Calc. ars., Menthol, Pall., Syph.

Vertex (crown of head) -- Alumen, Anac., Act. spic., Ars., Cact., Calc. p., Cim., Cinch., Gels., Glon., Hyper., Lach., Menyanth., Naja, Nux v., Pall., Phell., Phos. ac., Plat., Puls., Radium, Sep., Sul., Ver. a.

Character of pain

Aching, dull -- Acon., Æsc., Alfal., Aloe, Ant. c., Arg. n., Ars., Azar., Bapt., Bell., But. act., Caps., Carb. act., Carbo v., Card. m., Cepa, Cim., Cinch., Cocc., Euonym., Gels., Helleb.,Hydr., Ichthy., Ign., Indol, Iris, Kali bich., Lept., Lil. t., Menthol, Myr., Naja., Nat. ars., Nux v., Nyctanth., Onosm., Oreodaph., Phell., Picr. ac., Plumb. m., Scutel., Sil., Stann., Stellar.Boring, digging -- Arg. n., Asaf., Aur., Bell., Clem., Col., Hep., Nat. s., Sep., Stram.
Bruised, battered, sore -- Arn., Bapt., Bellis., Cinch., Coff., Euonym., Eup. perf., Gels., Guarea, Ign., Ipec., Lyc., Menthol, Nux v., Phell., Phos. ac., Rhus t., Sil., Tab.
Burning, heat -- Acon., Alumen, Apis, Arn., Ars., Aster., Bell., Calc. p., Glon., Helon., Lach., Lil. t., Merc., Ox ac., Phell., Phos., Sil., Tongo, Ver. v., Viola od.
Bursting, splitting -- Acon., Bell., Bry., Cact., Caps., Cinch., Daphne, Gels., Glon., Mag. m., Meli., Nat. m., Nux m., Nux v., Oleand., Puls., Sang., Sep., Solan. lye., Strych., Usnea, Ver. a.
Constrictive, band-like, squeezing -- Acon., Anac., Ant. t., Antipyr., Cact., Carb. ac., Carbo v., Card m., Coca, Cocc., Eup. perf., Gels., Glon., Guano, Iod., Lept., Merc. per.,Merc., Nit. ac., Osm., Plat., Spig., Stann., Sul., Tar. h., Tub.
Distensive, full -- Acon., Amyl., Arg. n., Bapt., Bell., Bov., Bry., Cact., Caps., Chin. ars., Cim., Cinch., Gels., Glon., Glycerin, Kali bich., Menthol, Nux v., Strych., Sul., Ver. v.
Drawing -- Bism., Bry., Caps., Carbo v., Caul., Caust., Cham., Kali c., Nux v.
Excruciating, violent -- Agar., Amyl, Anac., Arg. n., Aur., Bell., Bry., Cim., Cinch., Glon., Kali iod., Meli., Oreodaph., Plat. mur., Sang., Scutel., Sil., Spig., Strych., Zinc. v.
Heaviness -- Acon., Aloe, Arg. n., Bapt., Bar. m., Bell., Bry., Cact., Calc. c., Carbo v., Cocc., Gels., Glon., Glycerin, Hydr., Hyper., Ign., Iris, Lach., Lil. t., Meli., Menyanth., Merc., Nux v., Onosm., Op., Oreodaph., Petrol., Phell., Phos. ac., Phos., Picr. ac., Plat., Puls., Rhus t., Sep., Sul., Ther.
Periodical, intermittent -- Acon., Am. picr., Arg. n., Ars., Bell., Cact., Ced., Chel., Cinch., Eup. perf., Gels., Ign., Kali cy., Mag. m., Niccol., Niccol. s., Sang., Sep., Spig., Tab., Tela ar., Zinc. v.

Alternate days -- Anhal., Cinch.Every third day-seventh day -- Eup. perf.
Every seventh day -- Calc. ars., Sabad., Sang., Sil., Sul.
Every eighth day -- Iris.
Every week or two -- Sul.
Every two-three weeks -- Ferr. m.
Every six weeks -- Mag. m.
Lasting several days -- Tab.
Sun, with increase and decrease of -- Glon., Kal., Nat. c., Nat. m., Sang., Spig., Tab.

Piercing, as from nail -- Agar., Ananth., Aquil., Coff., Hep., Ign., Mag. pol. am., Nux v., Paraf., Ruta, Sil., Thuya, Zinc. v.
Pressing -- Acon., Aloe, Anac., Bell., Bry., Cact., Caps., Carb. ac., Cham., Chel., Chionanth., Cim., Epiph., Eup. perf., Ferr., Glon., Hydroc. ac., Ign., Kali c., Lach., Meli., Menyanth.,Nux v., Onosm., Op., Oreodaph., Petrol., Phos. ac., Plat., Pod., Puls., Rhus t., Sang., Sep., Stann., Sticta, Sul., Sul. ac., Thasp., Ver. a., Zinc. m.

Pincers, or vise [as from] -- Act. spic., Bism., Cact., Cham., Lyc., Menisp., Menyanth., Phos. ac., Plat., Puls., Verbasc., Viola tr.
Asunder -- Arg. n., Asaf., Aur., Bry., Carbo an., Cim., Cinch., Coral., Eriod., Fagop., Menisp., Prun. sp., Ptel., Stront.
Dull as from weight -- Aloe, Alumen, Anac., Cact., Carbo v., Cim., Eup. perf., Hyper., Lach., Menyanth., Naja, Nux v., Op., Petrol., Phell., Phos. ac., Puls., Sep., Sul., Ther.
Small spots, in -- Arg. n., Ign., Kali bich., Plat., Poth., Thuya.

Shifting, shooting, stinging, tearing -- Acon., Æsc., Apis, Arn., Ars., Bell., Caps., Ced., Cim., Cinch., Col., Ign., Iris, Kali bich., Kali c., Lac c., Prun. sp., Puls., Sang., Sil., Spig., Vinca.
Shock (electric) like stabbing -- Apis., Aster., Bell., Can. inc., Cic., Cocc., Glon., Rhodium, Sang., Sep., Tab., Zinc. v.
Stitching, sticking -- Acon., Æsc., Arn., Ars., Bell., Bry., Can. inc., Caps., Cycl., Kali c., Niccol., Puls., Tar. h.
Stupefying -- Arg. n., Bell., Bry., Gels., Glon., Senec., Staph., Syph.
Throbbing, beating, hammering, pulsating -- Acon., Act. epic., Amyl, Arg. n., Ars., Bell., Bry., Cact., Can. inc., Caps., Chin. ars., Chin. s., Cim., Cinch., Croc., Eup. perf., Ferr. m., Ferr. p., Gels., Glon., Glycerin, Hyper., Iris, Lac d., Lach., Lyc., Meli., Nat. m., Nux v., Paul., Psor., Puls., Sang., Sep., Sil., Spig., Sul., Tongo, Ver. v.

Concomitants

Anguish, anxiety -- Acon., Ars., Plat.
Arterial excitement, tension -- Acon., Bell., Glon., Glycerin., Meli., Poth., Usnea, Ver. v.Burning along spine -- Picr. act
Chilliness -- Arg. n., Camph., Lact. v., Mang. m., Puls., Sang., Sil.
Coldness

Back and occiput -- Berb. v.
Head -- Calc. act., Calc. c., Sep., Ver. a.
Hands and feet -- Bell., Calc. c., Ferr. m., Lach., Meli., Menyanth., Naja, Sep., Sul., Ver. a.

Colic -- Aloe, Cocc.
Constipation -- Aloe, Alum., Bry., Euonym., Hydr., Lac d., Niccol., Nux v., Op., Plumb. m.
Coryza -- Agar., Camph., Cepa.
Cough -- Arn., Caps., Lyc.
Delirium -- Agar., Bell., Syph., Ver. a.
Diarrhœa -- Aloe, Cham., Pod., Ver. a.
Drowsiness -- Ail., Ant. t., Branca, Chel., Dub., Gels., Indium, Lept., Myr., Stellar.
Ears

Burning -- Rhus t.
Deafness -- Chin. s., Verbasc.
Roaring -- Aur., Chin. s., Cinch., Ferr. m., Sang., Sulphon.
Stitching -- Caps.

Empty feeling in stomach -- Ign., Kali p., Sep.Excitement, emotional -- Can. inc., Pall.
Excitement, sexual -- Apis, Plat. mur.
Exhaustion, asthenia -- Ars., Aur. br., Cinch., Gels., Ign., Indium, Lac d., Lob. infl., Picr. ac., Sang., Sul.
Eyes

Blindness, or visual disturbances, precede or attend -- Anhal., Bell., Cycl., Epiph., Gels., Ign., Iris, Kali bich., Kali c., Lac c., Lac d., Nat. m., Niccol., Nux v., Picr. ac., Pod., Psor., Sang., Sil., Spig., Ther., Zinc. s.
Enlarged feeling -- Arg. n.
Heaviness -- Aloe.
Heaviness of, and lids -- Bell., Gels.
Injection -- Bell., Meli., Nux v.
Lachrymation -- Chel., Phell., Rhus t., Spig., Taxus.
Soreness, pain -- Aloe, Ced., Cim., Eup. perf., Gels., Homarus, Menthol, Myr., Nat. m., Phell., Scutel., Sil., Spig.Vision returns as headache comes on -- Iris, Lac d., Nat. m.

Face

Flushed, hot -- Acon., Amyl., Bell., Cham., Ferr. p., Gels., Glon., Mag. p., Meli., Naja, Nat. m., Nux v., Pod., Sang., Sep.
Pale -- Acon., Calc. c., Cinch., Ign., Lach., Lob. infl., Meli., Nat. m., Sil., Spig., Tab., Ver. a.

Faintness -- Nux v., Ver. a.
Fever -- Acon., Ars., Bell., Ferr. p.
Flatulence -- Asclep. t., Calc. act., Calc. p., Can. inc., Carbo v., Xanth.
Gastralgia, attending or following -- Bism.
Gastrointestinal derangements -- Agar., Aloe, Arg n., Ars., Bry., Can. inc., Carbo v., Cinch., Iris, Nux v., Pod., Puls.Hair, falling out -- Ant. c., Nit. act., Sil.
Head

Nodding -- Lamium, Sep.
Retracted -- Bell., Cocc., Gossyp.

Heart's action labored -- Lycopus.
Hæmorrhoids -- Nux v.
Hunger -- Anac., Cact., Epiph., Ign., Lyc., Psor.Hypochondrium, right, stitches -- Æsc.
Irritability -- Anac., Bry., Cham., Ign., Nux v.Liver disturbance -- Chel., Jugl. c., Lept., Nux v.
Loquacity -- Can. ind.
Lumbago, alternating -- Aloe.
Mental depression, despondency -- Aloe, Arg. n., Aur., Ign., Indol, Iris, Lac d., Naja, Picr. act., Plumb. m., Puls., Sars., Sep., Zinc. m.
Mental weakness -- Arg. n., Nux v., Sil.
Muscular soreness -- Gels., Rhus t.
Nausea -- Aloe, Ant. c., Ars., Bry., Cocc., Ferr. m., Gels., Indol, Ipec., Iris, Lac c., Lac d., Lob. infl., Lob purp., Naja., Nat. m., Nux v., Paul., Petrol., Puls., Sang., Sep., Sil., Tab.Nodules, gouty of scalp -- Sil.
Nosebleed -- Agar., Amyl, Ant. c., Ham., Meli.Nose, dry, neuralgia -- Dulc.
Numbness -- Chel., Indol, Plat.

Numbness, tingling, of lips, tongue, nose -- Nat. m.

Occipital soreness -- Cim., Sil.
Oversensitiveness -- Ars., Bell., Cham., Cinch., Coff., Ign., Nux v., Sil., Spig., Tela ar.
Pains

Abdomen -- Cina, Col., Ver. a.
Limbs -- Sang.
Lumbar region -- Radium.

Palpitation -- Cact., Spig.
Polyuria -- Asclep. s., Gels., Ign., Lac d., Sang., Scutel., Sil.
Ptyalism -- Fagus., iris.
Respiratory affections -- Lact. v.
Restlessness -- Ars., Helleb., Ign., Pyr., Spig.
Scalp, bruised feeling -- Æsc., Cinch., Col., Sil.
Scotoma -- Aspar.
Sleeplessness -- Coff., Indium, Syph., Zinc. v.
Spasmodic symptoms -- Ign.
Sweat profuse -- Lob. infl., Tab.
Temporal veins engorged -- Carls., Gels.
Thirst -- Pulex.
Tongue coated, fetor oris, etc. -- Calc. ac., Card. m., Euonym., Gymnocl., Puls.Toothache -- Sang.
Trembling all over -- Arg. n., Bor., Gels.Vertigo -- Acon., Agrost., Bry., Chin. s., Cinch., Cocc., Eup. purp., Gels., Glon., Ign., Lept., Lob. purp., Nux v., Pod., Sep., Xanth.
Vomiting -- Arg. n., Ars., Bry., Calc. act., Cham., Cinch., Cocc., Glon., Ipec., Iris, Lac c., Lac d., Lob. infl., Meli., Nat. m., Nux v., Puls., Robin., Sang., Sep., Sil., Tab., Ver. a., Zinc. s.
Yawning -- Kali c., Staph.

Modalities

Aggravation

Drugging, after -- Nux v.
Midnight, after -- Ferr. m.
Afternoon -- Ananth., Bad., Bell., Cycl., Eup. purp., Indol, Lob. infl., Meli., Selen.
Air, open -- Ars., Bov., Branca, Cinch., Cocc., Coff., Mag. m., Nux v., Sep.
Anger -- Nux v.
Ascending -- Ant. c., Bell., But. ac., Calc. c., Conv., Menyanth.Attention, close -- Ign.
Awaking from sleep -- Lach.
Beating time -- Anhal.
Bending head

Backward -- Glon.
Forward -- Bell., Cob.

Closing teeth -- Am. c.
Cold, draft of air -- Ars., Bell., Cinch., Eup. purp., Ferr. p., Ichth., Ign., Iris, Nux v., Rhod., Rhus t., Sil.
Contact, touch -- Bell., Cinch., Ferr. p., Rhus t., Tar. h.Coughing -- Acon., Arn., Bell., Bry., Caps., Carbo v., Iris, Kali c., Nat. m., Nux v., Petrol., Phos., Sep., Sul.
Drinking coffee -- Act. epic., Ign., Nux v.
Drinking milk -- Brom.
Eating -- Am. c., Arn., Ars., Atrop., Bry., Cact., Cocc., Coff., Gels., Ign., Lach., Lyc., Nux v.Evening -- Aur., Caust., Cepa, Cycl., Eup. purp., Indol, Kali s., Puls., Thlaspi.
Exertion, mental or physical -- Aloe., Anac., Arg. n., Cocc., Epiph., Gels., Nat. c., Nux v., Phos. act., Phos., Picr. ac., Sep., Sil., Tub.
Gradually: crescendo, decrescendo -- Plat., Stann.
Hawking -- Conv.
Jar, misstep, etc. -- Aloe, Bell., Bry., Cinch., Crot., Ferr. p., Glon., Lach., Lyc., Menyanth., Rhus t., Sil., Spig., Ther.Left side -- Anac., Ars. m., Brom., Chin. s., Cycl., Epiph., Eup. purp., Lach., Niccol., Oreodaph., Paraf., Sapon., Senec., Sep., Spig., Thuya.
Light -- Bell., Ferr., Lac d., Lyssin, Ign., Kali bich., Kali c., Nux v., Oreodaph., Phell., Sang., Scutel., Sil., Tar. h.
Lying

Lying down -- Ars. m., Bell., Bov., Cinch., Col., Eup. perf., Gels., Glon., Lach., Lye., Rhus t., Sang., Ther.
Back of head, on -- Cocc., Col.
Painful side, on -- Sep.

Menses -- Croc., Lac d., Nat. m., Sep.
Morning -- Æsc., Alum., Am. m., Aspar., Cycl., Hep., Lac d., Myr., Nat. m., Niccol., Nux v., Phos. act., Prod., Sang., Spig., Stellar., Sul.

Awaking, opening eyes -- Bov., Bry., Graph., Nat. m., Nux v., Onosm., Strych., Tab.

Motion -- Acon., Anac., Apis, Bell., Bry., But. ac., Cinch., Cocc., Gels., Glon., Glycerin., Ign., Iris, Lach., Mag. m., Menthol, Nat. m., Nux v., Phos. ac., Ptel., Rhus t., Sep., Sil.,Spig., Stann., Ther.
Motion of eyes -- Bell., Bry., Cim., Col., Cupr. m., Gels., Ichth., Ign., Nux v., Physost., Puls., Rhus t., Spig.
Muscular strain -- Calc. c.
Narcotics -- Coff
Night -- Ars., Aur., Bov., Merc. d., Ptel., Puls., Strych., Sul., Syph., Tar. h.
Noises -- Acon., Ars., Bell., Coff., Ferr. p., Ign., Lac d., Lachnanth., Nit. ac., Nux v., Phell., Phos. ac., Ptel., Sang., Scutel., Sil., Spig., Tab., Tar. h.
Noon -- Chin. s., Sang., Tab.
Nosebleed -- Amyl, Ant. c.
Objects, bright -- Bell., Oreodaph., Phos. ac., Sil., Spig.
Odors -- Coff., Ign., Scutel., Selen.Overheating -- Carbo v., Sil., Thuya.
Pressure -- Diosc., Hep., Lach., Nat. ars., Ptel., Sil.
Riding in cars -- Cocc., Kali c., Petrol.
Right side -- Bell., Bry., Cact., Carb. act., Chel., Crot., Hep., Iris, Lyc., Mez., Sang., Taxus.
Rising in bed -- Bry., Cocc.
Sitting -- Cinch., Rhus t.
Sleep after -- Crot. case., Ign., Lach.Stimulants, abuse -- Ign., Nux v.Stool -- Aloe., Ign., Ox. act
Stooping -- Acon., Ars. m., Bell., Bry., Glon., Ign., Lach., Nux v., Puls., Rhus v., Sep., Sil., Spig., Sul.
Sun -- Bell., Gels., Glon., Kali bich., Lach., Nat. c., Nux v., Sang., Selen., Spig.
Talking -- Cact., Coff., Ign., Mez.
Tobacco -- Carb. act., Gels., Hep., Ign., Lob. infl., Nat. ars.
Warmth in general -- Aloe, Bry., Cepa, Euphras., Glon., Hyper., Led., Niccol., Phos., Puls., Sep.
Water, sight of -- Lyssin.
Weather changes -- Calc. p., Dulc., Guaiac., Phyt., Psor., Rhod., Spig.
Wine -- Nux v., Rhod., Zinc.
Winter -- Aloe, Bism., Carbo v., Nux v., Sabad., Sul.
Working in black -- Ced.

Amelioration

After rising -- Kali p.
Bending head

Backward -- Bell., Murex.
Forward -- Cim., Hyos., Ign.

Closing eyes -- Ant. t., Bell.
Cold in general -- Aloe, Alumen, Ars., Bism., Cepa, Cycl., Ferr p., Lyc., Phos., Poth., Puls., Spig., Tab.Conversation -- Dulc.
Dark room -- Sang., Sil.
Eating -- Alum., Anac., Apium gr., Carls., Chel., Coca, Kali p., Lith. c., Psor.Holding hands near head -- Carbo an., Glon., Petrol., Sul. ac.
Lying -- Anac., Bry., Cinch., Ferr., Gels., Ign., Lach., Mag. m., Nux v., Phos. ac., Sang., Sil., Ther.

Painful side, on -- Calc. ars., Ign.

Head high, with -- Bell., Gels.
Head low, with -- Absinth., Æth.

Menses, during -- Bell., Cepa, Glycerin, Jonosia, Lach., Meli., Zinc. m.
Mental exertion -- Helon., Picr. act
Motion

Gentle -- Cinch., Glon., Helon., Iris, Kali p., Puls.Hard, continued -- Indigo., Rhus t., Sep.

Nosebleed -- Bry., Bufo., Ferr. p., Mag. s., Meli., Psor., Rhus t.
Open air -- Acon., Act. epic., Cepa., Coca., Indol, Jonosia., Puls., Radium, Sep., Thuya.
Partially closing eyes -- Aloe, Coccinel., Oreodaph.
Polyuria -- Acon., Gels., Ign., Phos. ac., Sang., Sil., Ver. a.
Pressure -- Apis, Arg. n., Bell., Bry., Carbo an., Cinch., Col., Gels., Glon., Ign., Indigo, Lac c., Lac d., Mag. m., Mag. p., Menyanth., Nux m., Nux v., Paris, Puls., Sang., Sep., Sil., Spig., Thuya, Ver. a.Raising head -- Sulphon.
Rest, quiet -- Bell., Bry., Cocc., Gels., Lith. c., Menyanth., Nux v., Oreodaph., Puls., Sang., Sil., Spig.
Rubbing -- Indigo, Tar. h.
Semierect Posture -- Bell.
Sleep -- Coccinel., Gels., Nat. m., Sang., Scutel., Sil.
Smoking -- Aran.
Stimulants -- Gels.
Stool and expelling flatus -- Æth., Sang.
Stooping -- Cina, Ign., Menyanth.
Sweating -- Nat. m.
Tea -- Carb. act
Thinking of Pain -- Camph., Helon., Ox. ac.Turning head forward -- Ign.
Uncovering head -- Glon., Lyc.
Warmth in general -- Am. c., Cinch., Col., Ichthy., Mag. p., Nux v., Phos., Rhus t., Sil.Wrapping or bandaging tightly -- Agar., Apis, Arg. n., Bell., Glon., lge., Lac d., Mag. m., Picr. ac., Puls., Sil., Stront.

  For Detail Study Of Above Mentioned Individual Remedy From HOMŒOPATHIC MATERIA MEDICA by William BOERICKE, M.D.:-

•  http://www.homeoint.org/books/boericmm/

Special Thanks To Dipti Varma.

Our Next Topic Is "Hysteria".

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