| Sumario: | A 31-year-old female presented with chronic right-sided migraine since adolescence, markedly worsened after marriage, along with severe primary dysmenorrhea. The headaches were intense, hammering, intolerable, and accompanied by nausea and vomiting. The patient exhibited marked emotional hypersensitivity, intolerance to criticism, intense anger, jealousy, money-orientation, and superiority feelings. Based on detailed constitutional and miasmatic assessment, Platina was prescribed as the constitutional remedy with appropriate acute prescriptions when required. A significant reduction in frequency and intensity of migraine episodes and complete relief from dysmenorrhea were achieved within four months. This case highlights the importance of understanding the patient's mental state, syphilitic miasm, and individual sensitivity in chronic migraine management.
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