3/23/10

Patient 1 Migraine
3 Case Histories •  Female 48 yo NAD in history •  Migraines for 20 years •  1/month coincides with ♀
–  Progressive –  Vomiting –  Aura –  Incapacity

•  OCP had nil impact

Patient 1 - Prescription
•  •  •  •  •  •  Vitex agnus-castus 1:3 15ml Zingiber 1:2 5ml Tanacetum parth 1:3 25ml Chamomilla 1:3 25ml Dioscorea 1:3 25ml Humulus 1:3 10ml •  •  •  • 

Patient 1 – Plus 3 Weeks
No migraine On night shift & more prone to attacks Pt would have expected migraine Rx repeated

•  Sig 5ml tds

Patient 1 – Plus 3 Years
•  •  •  •  •  Migraines only 1 per 3-4months No vomiting No incapacitation Regular repeats, compliance good Patient is ward sister

Patient 2
•  Female 56 yo headaches •  Nil ♀ now migraine every 4/52 nausea/ vomiting •  Flushes •  Last ♀ 4/52 spotting full ♀ 6/12

1

3/23/10

Patient 2 - Prescription
•  •  •  •  •  •  Vitex agnus-castus 1:3 Carduus 1:2 Tanacetum parth 1:3 Stachys betonica 1:3 Dioscorea 1:3 Withania 1:3 10ml 25ml 20ml 15ml 20ml 15ml •  •  •  • 

Patient 2 – Plus 3 Weeks
Normally 1-2 migraines/week Approaching ♀ expected migraine Pt would have expected migraine Rx repeated

•  Sig 5ml tds

Patient 2 – Plus 1 Years
•  •  •  •  No migraines No vomiting No incapacitation Regular repeats, compliance good •  •  •  • 

Patient 3
Male 8 yo migraines for 2 years Erratic patterns generally weekly Vomiting GP treatment for 1 year – nil impact

Patient 3 - Prescription
•  Tanacetum parth •  Stachys betonica •  Chamomilla •  Sig 2.5ml tds 1:3 1:3 1:3 20ml 12.5ml 20m

Patient 3 – Plus 3 Weeks
•  Experienced 4-5 mild headaches •  Only one vomiting •  Compliance good

2

3/23/10

Patient 3 – Plus 4 Months
•  •  •  •  •  Unable to attend due to snow No migraines No vomiting No incapacitation Regular repeats, compliance good

Summary
Vitex agnus-castus Zingiber off Tanacetum parthenium Chamomilla recutita Dioscorea villosa Stachys betonica Carduus marinarus Humulus lupulus Withania somnifera Pt 1 X X X X X Pt 2 X X X X X X Pt 3

X X X

X

3

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