Migraine (also known in Hindi as Adha sir ka dard ,Ardhshishi ,Ardhkapari etc.) is a severe, painful headache that can be preceded or accompanied by sensory warning signs such as flashes of light, blind spots, tingling in the arms and legs, nausea, vomiting, and increased sensitivity to light and sound.
The excruciating pain that migraines bring can last for hours or even days.
The exact cause of migraine headaches is unknown; it is thought to be due to abnormal brain activity causing a temporary alteration in the nerve signals, chemicals and blood flow in the brain.
What triggers migraine headaches?
Some people who suffer from migraines can clearly identify triggers or factors that cause the headaches, but many cannot. Potential migraine triggers include:
Allergies and allergic reactions
- Bright lights, loud noises, flickering lights, smoky rooms, temperature changes, strong smells and certain odors or perfumes
- Physical or emotional stress, tension, anxiety, depression, excitement
- Physical triggers such as tiredness, jet lag, exercise
- Changes in sleep patterns or irregular sleep
- Smoking or exposure to smoke
- Skipping meals or fasting causing low blood sugar
- Hormonal triggers such as menstrual cycle fluctuations, birth control pills, menopause
- Tension headaches
- Foods containing tyramine (red wine, aged cheese, smoked fish, chicken livers, figs, and some beans), monosodium glutamate (MSG), or nitrates (like bacon, hot dogs and salami)
- Other foods such as chocolate, nuts, peanut butter, avocado, banana, citrus, onions, dairy products and fermented or pickled foods
- Medication such as sleeping tablets, the contraceptive pill, hormone replacement therapy.
Migraine is more a clinical diagnosis and a diagnosis of exclusion.
The International Headache Society recommends the “5, 4, 3, 2, 1 criteria” to diagnose migraines without aura.
This stands for:
5 or more attacks
4 hours to 3 days in duration
At least 2 of unilateral location, pulsating quality, moderate to severe pain, aggravation by or avoidance of routine physical activity
At least 1 additional symptom such as nausea, vomiting, sensitivity to light, sensitivity to sound.
Treatment of migraine revolves around lifestyle changes and pain alleviation .
Some lifestyle change that may reduce the frequency and intensity of attacks are:
- Getting enough sleep
- Reducing stress
- Drinking plenty of water
- Avoiding certain foods and eating at regular intervals
- Regular physical exercise.
In my clinical practice, I find the constitutional treatment which is formulated differently for every patient after a detailed case history, works best, but some medicines that can help in reducing pains are listed below :
Arg met ,Belladonna ,Bryonia, calc carb ,China ,Cedron, cocculus,Iris ,Gels,Glonoine,Lachesis, Nat mur,Phos ,Sepia, Thuja, Nux vom, Verbascum .