3/23/10

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

Patient 1 - Prescription Patient 1 – Plus 3 Weeks

•  Vitex agnus-castus 1:3 15ml •  No migraine
•  Zingiber 1:2 5ml •  On night shift & more prone to attacks
•  Tanacetum parth 1:3 25ml •  Pt would have expected migraine
•  Chamomilla 1:3 25ml •  Rx repeated
•  Dioscorea 1:3 25ml
•  Humulus 1:3 10ml

•  Sig 5ml tds

Patient 1 – Plus 3 Years Patient 2

•  Migraines only 1 per 3-4months
•  No vomiting
•  No incapacitation
•  Regular repeats, compliance good
•  Patient is ward sister
•  Female 56 yo headaches
•  Nil ♀ now migraine every 4/52 nausea/
vomiting
•  Flushes
•  Last ♀ 4/52 spotting full ♀ 6/12

1
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Patient 2 - Prescription Patient 2 – Plus 3 Weeks

•  Vitex agnus-castus 1:3 10ml •  Normally 1-2 migraines/week
•  Carduus 1:2 25ml •  Approaching ♀ expected migraine
•  Tanacetum parth 1:3 20ml •  Pt would have expected migraine
•  Stachys betonica 1:3 15ml •  Rx repeated
•  Dioscorea 1:3 20ml
•  Withania 1:3 15ml

•  Sig 5ml tds

Patient 2 – Plus 1 Years Patient 3

•  No migraines •  Male 8 yo migraines for 2 years
•  No vomiting •  Erratic patterns generally weekly
•  No incapacitation •  Vomiting
•  Regular repeats, compliance good •  GP treatment for 1 year – nil impact

Patient 3 - Prescription Patient 3 – Plus 3 Weeks

•  Experienced 4-5 mild headaches
•  Tanacetum parth 1:3 20ml •  Only one vomiting
•  Stachys betonica 1:3 12.5ml •  Compliance good
•  Chamomilla 1:3 20m

•  Sig 2.5ml tds

2
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Patient 3 – Plus 4 Months Summary

•  Unable to attend due to snow Pt 1 Pt 2 Pt 3
•  No migraines Vitex agnus-castus X X
Zingiber off X
•  No vomiting
Tanacetum parthenium X X X
•  No incapacitation
Chamomilla recutita X X
•  Regular repeats, compliance good Dioscorea villosa X X
Stachys betonica X X
Carduus marinarus X
Humulus lupulus X
Withania somnifera X