LOCATION	SENSATION & PATHOLOGY	A/F & MODALITIES	CONCOMITANTS
Head (bilateral, vertex & temples)	Chronic pressing/tight band-like headache, heaviness, throbbing at times	< Mental exertion, < Screen time, < Stress/anger, < 4-6 PM, < Noise/light, > Dark quiet room, > Pressure/binding head, > Cold applications, since 12 years (daily to alternate days, worse last 5 years)	Irritability, photophobia, phonophobia, nausea, fatigue
Eyes & Neck	Eye strain, neck stiffness	< Reading	Anxiety about vision loss, low mood

Past History: Childhood recurrent headaches treated with painkillers; suppressed nasal allergy with sprays; frequent tension headaches from studies; eye strain from prolonged reading; mild hypertension diagnosed 2 years ago.
Family History: Father has chronic migraine & hypertension. Mother has tension headaches. Brother has cluster headache.
Developmental Landmarks: All milestones were reached at the appropriate age.

A. Physical Characteristics

Appetite: Normal but diminished during headache
Desires: Cold drinks (+++), Salty food (+)
Aversions: Fatty food
Thirst: Increased, for cold water
Elimination:
- Urine: Normal
- Stool: Occasional hard
- Perspiration: Profuse on forehead during pain
Sleep: Disturbed by headache; wakes with heaviness
Thermal State: Hot patient (prefers cool room, uncovers head)

B. Reactions - Physical Factors

Mental General: Irritability, perfectionism, anxiety about health, fear tumor (Grade 3)
Physical General: Hot patient, thirst cold large, desire cold drinks/salt, pressing headache (Grade 3)
Particular: Chronic tension-type headache with band sensation, < exertion/noise/light, > pressure/cold (Grade 2)

Repertory: Kent’s Repertory of Homoeopathic Materia Medica
Reason: Chronic headache with strong Mental Generals (irritability, anxiety, fears) and Physical Generals (thermal, thirst, modalities) dominating; Kent excels in head rubrics for chronic headache.

SR. NO.	SYMPTOMS	RUBRICS WITH SUB-RUBRICS	PAGE NO. (Kent)
1	Irritability	Mind; IRRITABILITY	57
2	Anxiety health	Mind; ANXIETY; health, about	6
3	Fear tumor	Mind; FEAR; cancer, of	42
4	Thirst large cold	Stomach; THIRST; large quantities, for; cold	529
5	Head pain pressing	Head; PAIN; pressing	146
6	< Mental exertion	Head; PAIN; mental exertion, from	143
7	> Pressure	Head; PAIN; pressure amel	145

SR. NO.	REMEDIES	RUBRICS COVERED	TOTAL MARKS
1	Natrum Muriaticum	7/7	21
2	Bryonia Alba	6/7	18
3	Gelsemium	5/7	15

PSORA	SYCOSIS	TUBERCULAR	SYPHILIS
Pressing pain, irritability, hot	Chronic tension, suppression	Family headache issues	Destructive fear tumor

Dominant Miasm: Psora

Provisional Diagnosis: Chronic Headache (tension-type with migraine features)
Differentiation of Remedies: Compared Natrum mur with Bryonia. Bryonia has > absolute rest, < motion; Nat mur matches chronic headache from mental exertion/grief, hot patient, thirst cold large, desire salt, irritability/anxiety, < noise/light, > pressure/dark. Gelsemium more dull heavy headache.
Selection of Remedy (Materia Medica): Natrum Muriaticum matches chronic tension headache with pressing band sensation, < mental exertion/noise/light, > pressure/dark, hot patient, thirst cold large, irritability/anxiety (Ref: Allen’s Keynotes, Boericke).
Selection of Potency: 200C (Chronic headache miasmatic case, sensitive constitution)
Actual Prescription:
- Natrum Muriaticum 200 — single dose (one dose only, wait & watch)
- Placebo — 4 pills twice a day for 8 weeks

DATE	COMPLAINTS	REMEDY	ADVICE
20/07/2026	Frequency reduced 60%, intensity milder, no daily headaches	Placebo	Reduce screen time, regular breaks, stress management
20/11/2026	Headaches rare & mild, energy better, no photophobia	Placebo	Continue lifestyle changes, report triggers