Kent's cases 76: Clinical reminiscences. Headache (sick) Lac-def., Lac-can. Lac defloratum Lac caninum Sulfur

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1886, July 10th-Mrs. R. S., widow, aged thirty-five. "I have had sick
headaches many years."
Had peritonitis, had typhoid fever, and was down in bed four months.
These headaches have been coming ever since, now five years
Headache back of eyes.
Sunlight brings on the headache.
"If I go without eating I have headache."
"If I eat too much I have a headache."
"Excitement brings on the headache."
"I have lain three and four days in a dark room, not able to endure any
light."
Milk brings on the sick headache.
Eating never relieves the headache.
"When sick with typhoid fever I was fed on milk until I vomited whenever
they brought it to my bed."
156
"I am never free from headache, but I am able to be at my desk about one-
half of my time, much of which I suffer intensely." Seldom vomits, but
much nausea.
"When I vomit it is of the food eaten, sour and bitter."
Here are the symptoms. What is the remedy?
It was evident that I had no ordinary case on hand, as two good prescribers
had failed to help and told her so. Many whom I do riot regard as careful
physicians had treated her also.
If the remedy must out, here it is: Lac-def. cm.
July 16th.-She returned. "Just finished one of the most violent headaches
ever had. So sleepy while writing my letters that could hardly hold my eyes
open. Had to quit work two afternoons and go home. I am greatly
discouraged when the headache is on." Sleepy while writing is new. Sac.
lac.
July 23d.-No headache since last call.
July 30th.-A short headache, but feeling better. Lac def. cm. dry, one dose.
August 2d.-Headache came, lasted two days, but has heretofore generally
lasted a week. Improving generally. Lac-def. cm.
August 10th.- Improving.
August 26th.-Improving; has just finished a headache, but went three
weeks.
September 11th.-Headache in two weeks. Symptoms about as usual. Sulph.
cm. one dose.
September 12th.-Headache is on full force, started in left eye, sunlight
makes it worse.
"I felt the headache this time from delaying my dinner." Gnawing, hungry
feeling, not relieved by eating. Everything I eat makes me worse but fish."
Cold brings on headache. Headache worse from weight of hat. This
headache began in left eye and has extended to occiput. "The thought of
milk makes me sick."
157
No palliative was given, but watching the symptoms seemed to be the only
way of finding the remedy.
September 13th.-Reports that the afternoon of yesterday, the 12th,
headache went over to right eye and side of head, but now it is back in my
left eye.
Lac-can. mm. was given, and immediate relief followed, and it was three
months before another headache came, and it was very short and did not
compel her to leave her desk.
February 10th.-She had a slight headache and took another dose of lac-can.
cm.
She has been compelled to lay aside all her clothing and procure larger
size. Can eat anything, and enjoys life like other people.