Chronic Migraine with Emotional Suppression – A Natrum muriaticum Case

Natrum Muriaticum – Clinical Case Example (Vithoulkas Approach)


📌 Case Title

Chronic Migraine with Emotional Suppression – A Natrum muriaticum Case

🧑‍⚕️ Patient Profile

  • Age / Sex: 30-year-old female
  • Occupation: School teacher
  • Build: Thin, delicate
  • Thermal: Chilly
  • Chief Complaints:
    • Chronic migraine (6 years)
    • General weakness and emotional exhaustion

🧠 History of Present Illness

The patient developed migraines after a broken engagement six years ago. Headaches gradually became chronic, occurring 2–3 times per week, worse from:

  • Sun exposure
  • Mental stress
  • Thinking about past events

Pain described as bursting, with desire to lie quietly in a dark room.

🧩 Mental & Emotional Picture (Key to Vithoulkas Analysis)

  • Never cried in front of anyone after the breakup
  • Says: “I don’t like people asking about my feelings”
  • Consolation aggravates – feels worse when sympathized with
  • Dwells continuously on past emotional hurt
  • Avoids close emotional relationships
  • Appears calm, controlled, responsible
  • Internally feels lonely and emotionally wounded

Important statement:
“I have learned to handle everything on my own.”

🩺 Physical Generals

  • Craving for salty food
  • Good appetite but losing weight
  • Dry lips and dry skin
  • Menstrual cycle regular but scanty
  • Easily fatigued

🧪 Diagnosis

  • Chronic migraine with psychosomatic background

🔍 Homoeopathic Analysis (Vithoulkas Method)

Central disturbance:
👉 Suppressed grief from emotional loss

Keynotes identified:

  • Silent suffering
  • Aversion to consolation
  • Dwelling on past
  • Emotional withdrawal
  • Headache from sun
  • Desire for salt
  • Emaciation despite appetite

Miasmatic view:

  • Psoric → Syco-psoric (chronic struggle, internalized pathology)

💊 Prescription

Natrum muriaticum (single remedy, constitutional)

📈 Follow-Up Outcome

  • After 6–8 weeks:
    • Migraine frequency reduced significantly
    • Emotional state softened
    • Patient reported spontaneous emotional release (crying alone)
  • After 4 months:
    • Headaches occasional and mild
    • Improved energy levels
    • Patient expressed readiness to form relationships again

🧠 Vithoulkas Teaching Point

When grief is suppressed and the patient survives by emotional isolation, Natrum muriaticum becomes the simillimum.

✨ Clinical Essence for Blog

This case demonstrates how unexpressed grief, when held silently for years, can manifest as chronic physical illness—and how Natrum muriaticum gently restores emotional flow without forcing expression.


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