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wrote of 39 yr old women..

Just to back up the idea of the functionality of the migraine..i.e taking the

sufferer completely out of life and allowing breakdown and build up...I get

migraines when things are far too busy (I have been known to spend whole council

meetings like death on the floor)..one of the most useful herbs I have found is

Lavendula..I use the PG in quite high doses..upto 40ml per week..I once managed

to drive to A and E.. only because of the Lavender shifting me far enough

through a migraine...after I have had a migraine I feel fantastic!!

Other common herbs I use for patients are a diffusa//Vib op

(FE)/..with livery things..I must say my migraines are reducing in severity and

occurrence...this is because I am resting more generally and not being forced

into crisis convalescence.

For interest also I frequently rec. manipulation of some kind..many woemn have a

pelvis misalignment/tilt or SI problems which has a knock on effect on the

neck..I find this is more the case when a strong symptom is nausea....

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<Can anyone help me re a patient with chronic migraine 39, had migraines

almost monthly or every 2 weeks since age10 with nausea, vomiting,

dizziness, oversensitivity to noise, colour, smell>and fatigue. She has to

go to bed all day. Now, migraines tend to come>around her period, but not

always.>

Dear

It sounds as though she has migraine without aura - ie no prodromal

symptoms, scotoma etc.

Diet is undoubtedly one trigger factor but so is dieting, fasting, caffeine

and nicotine withdrawal,drugs including painkillers and anti-migraine

medicine, anaemia and low blood sugar.

Structural problems are another possibility. Misalignment of jaw, neck,

spine. TMJ problems can start in childhood with orthodontic treatment.

Chronic teeth-clenching and grinding especially at night upset the balance

of the jaws, set up chronic muscle spasm. In the latter case a dentist can

help with a tooth guard and specific exercises.

There are trigger points you can use as a first-aid measure.

Hormonal surges are another trigger, and I suspect that the premenstrual low

blood sugar may have an effect. Using the contraceptive pill may be a

factor. Vitex can help with hormonal migraine.

Miscellanous triggers include fluorescent lights, VDUs etc; weather changes;

Exercise, Sex, Stress and relase of stress.

Some research has shown that 400 mg of B2 daily helps prevent migraine. B2

energises mitochondria which tend to underperform in between migraine

attacks. (NB must take a Bcomplex daily to prevent B2 induced imbalance of

other Bs). Melatonin has been used to treat migraine - it seems that low

levels lead to more frequent attacks and it's interesting that Tanacetum

parthenum contains melatonin.

A management strategy could evaluate the possible structural problems

(osteopath, dentist); try elimination diet taking out common food triggers

like chocolate, oranges, hard cheese, red wine, pilchards, food additives

etc. If low blood sugar is a likely trigger then eating little and often

could help. Anaemia can be tested for.

As a quick indicator, I ask patients which they would employ to relieve

migraine: a warm pack or a cold pack on the forehead or neck. Depending on

the answer plus other clues from the case history, they are given " cold " or

" hot " herbs.

For example, a first aid prescription to be taken at the first sign of

trouble in one or two 5m doses:

For a cold migraine, relieved by heat, would include circulatory stimulants

like Zingiber; Vibirnum, Anenome pulsatilla, Betonica. A forehead rub of

Rosmarinus essential oil can help.

For a hot migraine, relieved by cold, Tanacetum, Viburnum and Valeriana. A

forehead rub of essential oil of peppermint with a touch of Eucalyptus can

help too.

Tanacetum can be effective as a preventative especially for the " hot " type.

I had great success with a young woman with severe migraines at period time

with 10 gtt Tanacetum once daily. The dose frequency was gradually reduced

over one year to three times a week, twice a week and once a week to nothing

and she has been fine.

Longer term herbal treatment of underlying contributory problems will depend

on what the situation is.

I think that Migraine is multifactorial in origin. Something sets up a

capacity for hypersensitity to stimuli (stress, menstrual cycle), after

which anything that on it's own wouldn't be a problem, suddenly becomes a

trigger. Dr Oliver Sacks wrote a book on the history of Migraine and one

case which intrigued me was of a person with asthma who suffered from

periodic severe migraines. When the migraine was on, he was completely clear

of asthma symptoms and as soon as he was clear of the migraine, the asthma

symptoms returned. I am sure we all have exammples of this kind of periodic

" flip-flop " switch from one condition to another, probably best explained by

energetics.

All the best

Morag Chacksfield BSc, MNIMH

moragchacksfield@...

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Migraine

.. She's 39, had migraines almost monthly or every 2 weeks since age

> 10 with nausea, vomiting, dizziness, oversensitivity to noise, colour,

smell

> and fatigue. She has to go to bed all day. >

> > She's constantly tired at the moment -has family and studies full time,

so

> lots of stress. > > >

>

They may simply be a fatigue problem - I have seen a few people with

migraines in a similar situation - the migraine is telling them to stop, and

then to look after themselves better.It sounds like you're approaching it in

all the right directions, but it may just need more input from her on a

lifestyle basis - much harder to persuade someone to do than take a herbal

mixture!

Good luck and best wishes

Maggie MacMillan

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From Hedley,

Sounds as if the migraines are there waiting and only come up before her

period since that is when any lurking symptom will appear.

You don't say if you have tried Feverfew +/- Skullcap +/- ginger for nausea

at very first signs. In intractable cases add some Alecost - tr available

from Granary.

> Can anyone help me re a patient with chronic migraine? I'm having no

> success after 4 months of Tx and have no previous experience of treating

> migraine. She's 39, had migraines almost monthly or every 2 weeks since age

> 10 with nausea, vomiting, dizziness, oversensitivity to noise, colour, smell

> and fatigue. She has to go to bed all day. Now, migraines tend to come

> around her period, but not always.

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