Thyroid Disorders

Thyroid disorders are another set of hormonal disorders which can be treated very well by homeopathy.
The literature says and has been seen in experience that constitutional medicine can bring wonderful results bringing the thyroid gland into balance and make a patient live a healthy and happier life without being bothered about the side effects of the hormonal treatment and also without being dependant on the thyroid medicines for life long.
I share 2 cases from my practice which show improvement of thyroid function tests with constitutional line of treatment. The presentation of the case was very different when he first came.
Case 1
Patient came on September 15, 2009. A known case of hypertension which
had come for acute presentation of fissure.
C/O :Pain in stools after defecation since 15 days .Pain remains after stools for 6-
7 hours during which he is unable to concentrate.            I
·         Burning sensation .
·         Pain 3 +
·         bleeding – had one episode of bleeding
·         H/O – similar episode 2-3 times and bleeding in past 8-9 years which has always been aggravated by having non veg,.
·         Hypertension detected since Feb 2009 taking allopathic medicine for same.
B.P was 140/100 mm Hg and immediately started allopathic medicine.
O/E: G.C – Fair
Vitals: normal
P/R : Anal spasm, proctoscopy not possible as pain was very severe, chronic anal
fissure, senitinel tag present.
Was given Aesculus 200, TDS for 2 days. Patient better,’ no bleeding but some
pain remained, the acute ness lessened, pain now lasting only for 1-2 hours, but it
was decided to take the complete case as patient was also hypertensive.
Mental Generals:
Patients as a person: Work stress is tremendous.”If I’m not able to meet deadlines
people would point me out “.Patient was in marketing in Sony and has now shifted
to Honda). Resigned from the past job about 2 months back, I took extra efforts,
wanted to complete the work so that the new team or the existing team doesn’t
have to bother. I should go on a good note, after notice period also they should feel
I was working like a team of ‘Sony’. I work very hard and I’m very systematic, I’m
very organized I can’t hear anything if anybody points me out. I feel very bad .1 say
gently and politely, I make them feel where were wrong but I will tell this politely. I
don’t talk rudely to anybody as I want to keep good relations, I want to keep every-
thing cordial, because I might also need that person after some time.
I’m brand conscious ,I take things as they come but being with a brand is important
for you, for example when I was working in Sony it’s the best brand as far as TV is
concerned and now Honda which is a premium brand in cars. Query :by physician
: does same apply to yourself, Clothing etc.? Answer : Yes, it does, I do prefer
wearing branded clothes especially at work and outside home. 1m still ok with things
but yes I do prefer buying branded gadgets and appliances for home.
I want to be friendly with all ,I want to keep cordial relations as I might need that
person again, the other person might answer back ,abuse ,create a scene, relation
will go bad. I want to get respect because of my nature ,nobody should wish me
because of the fear ,because I don’t want to force anybody to respect me. My first
priority is to keep my family happy ,spend a quality time .AII the things what they
have should be of best quality, be it clothes, interior of the house, eatables, so I
want to earn more .1 would be able to do this only if I’m able to give best in my job.
People will say I’m very quiet, but I feel it’s not like that, its just that I don’t talk
irrelevant. I like to sing .In college also I have been a popular guy. I’m a likeable
personality, I try to disseminate my knowledge, I do not want to keep it to myself.
I can’t say ‘No’ to anybody’ once. I can’t just to keep relation I say ‘yes’ many times.
Everybody should think I’m polite, respectable person. When I go somewhere people
should notice and be happy to see me , people should remember me as a helpful
person.
 
Childhood: Brother was very protective, he would absorb everything for me, I seek
his advice every time ,we used to share everything.
With parents: no fight among us(refers to sibling ), never made me feel that we
have less, I got everything what I asked for, I studied in a good school.:
Relation with Father: very quiet ,not expressive, he keeps things to himself, car-
ing, now I share matters with father as I have to decide for finances etc.
Relation with Mother: not strict sharing ,more with her in childhood, since father
would not talk.
School: 5-6 years, I did top for first initial years of my school, later on I was an
average student, went for marketing, MBA ,MBA was the trend in those days, no
particular reason for why I went for it. At that time and I had no interest in science
so automatically this was the choice, inspite that I had done my graduation in
science. Everybody said no in the initial phase but good part is later I liked it and I
developed my personality so liking for work increased. And then I have decided to
fulfill my desires to achieve comfort for my family by getting best in my job, I have
an aim now which was not defined earlier, if I have to give them everything I have
to be the best.
I wanted a job where every day is a new day which I got here.
Physical generals:
•    Diet: Non – vegetarian
•    Appetite :Good (B.F : cornflakes with milk with banana or toast, Lunch: 1 chapati;
rice, dal, vegetables, Evening: tea 2 cups, snacks in the office,Dinner: 2 chapati,
vegetable, dal
• Craving: non veg, butter chicken 3+, chicken 3+, fish 3+, egg 3+, omlette 3+,
junk food, pastries, patties, sweet, 3+, (gulabjamun).
•  Aversion: bitter gourd, pulses
•   Stool: once in a day, morning, feels like going as soon as gets up, well formed,
no straining on a usual course, pain increasing when has too much of hon veg.
•    Urine: D : N :: 5-6 : 0
•   Perspiration: 3+ if sits withoutA.C .Forehead, pillow gets wet if no fan or A.C, No
smell, no stains
•    Habits: tea, twice a day
•   Sleep: sound, for 7 hours on side, usually left
•   Dream : pleasant of routine work at office or of daughter
•   Thermal reaction: Chilly (Criterions :Bath: warm in winter and rainy season, luke-
warm in summers, Sweater: 2 sweater + coat in dec and jan when cold extreme
,Covering: dec and jan 2 quilts, nov and feb – blanket; In comparison to others:
sensitivity to cold is more, Season : I like winters as i sweat a lot so summers are  very uncomfortable)
Rubrics selected:
What is the basic theme of the patient which I have concluded form the history is
the image consciousness that is he is a good son, a good husband, a good polite
and gentle human being, For being good he has taken efforts to excel in the kind of
job which is otherwise not very suited to his personality. A Marketing job is usually
taken up by people who are outgoing, creative and outspoken and sometimes
needs aggression as in India sales and marketing is a common or very close knit
department as a trend so people responsible for marketing are also answerable for
sales upto a certain extent. Patient-has chosen the job as this was the trend at that
time but then says I changed my personality to suit the job requirement, as he
wants to prove that he has taken the right decisions, but lately he also enjoys his
job, his targets etc. he has to maintain his cool to make sure people like him as a
polite person which he wants from all sectors of his environment. Its his image
consciousness which is the core, I have also seen the silicea people are usually
brand conscious and would always wear branded clothes. This is something seen
in all youngsters of today but in silicea you will find this in middile aged people also.
Not just that they are usually very well dressed, ironed clothes and would be neat
and clean, which will be something visible when they come for consultations. This
patient also presented with such behavior, very courteous, very polite (as he wanted
to be) and well dressed.
Rubrics: Mind ambition increased, competitive.
Mind, conscientious about trifles
Mind, industrious
Mind, quiet disposition
Mind, mental exertion ,aggravation ,fatigue
Mind, elegance
Mind, cautious -anxlous
Mind, anxiety, perspiration during
Rectum pain stool after agg burning
Rectum, pain stool after long lasting
Generals. heat lack of vital heat
Mind diplomatic
Mind selfishness
Prescription
Silicea 200 3 doses, with sac lac B.O for 2 weeks October 8,2009:
Pain 90% »,burning » but + sometimes ,say twice in a week had burning after
stools ,has been more in last 2 days but pain doesn’t last that long.
B.P: 120: 80, taking allopathic also for B.P
Prescription: Repeat: Silicea 200 3 doses ,with sac lac B.O for 2 weeks.
Patient doesn’t come after that ,family comes so we know he didn’t have any at-
tack of fissure, for B.P he is taking allopathic medicine. For one and half years he
in on allopathy for hypertension and no other’ medication he is taking.
Returns on 16 Jan 2011 .
Had been taking B.P medicine since 2009 Cardace H 5 mg 0.0 morning. Since
then but now B. P has shot up to 160/100 and he had lately gained some weight, is
lethargic and has swelling over face, went back to his general physician ,and has
found that blood pressure is much out of control and his thyroid levels have also
raised .His TSH count is 9.6 ,cholesterol is 217, uric acid raised and he wants to
take homeopathy for same ,hasn’t started any allopathic medicine expect Cardace
which he has been taking regularly. He has also been sleepy and lethargic and
especially in the afternoons he is very lethargic, gets severe headaches in be-
tween. Some time was spent with patient and patient was in same mental state so
Silicea was the choice of remedy.
Prescription: Silicea 200 H.S for 2 weeks ,with sac lac B.D for 2 weeks ,I have
given more repetition as I feel that the disease pathology is deeper and patient
susceptibility is low ,therefore I will start with same potency to which he has re-
sponded last time but with more repetition.
Patient is also advised to take a low salt diet and start a physical activity which is
minimum of 5 hours in a week. Stop oily and rich food.
1 February 2011: B.P: 136/70 ,swelling on face much reduced .sleep: refreshed,
afternoon -he is still a little sleepy.
Some improvement seen, so given sac lac for 2 weeks
19 February 2011: Headache no attacks, sleep: sound, refreshed, face swelling
“much better. Sleepiness », laziness ».
Stool: N, B.P: 136: 84
Sac Lac given with Silica given as reserve ,if any problem discuss on phone
March 15, 2011 : Patient’s wife calls for his B.P is very high ,he is out on an official
tour for annual budget meeting .within the city but he is not at home as they have
to stay there. B.P 140/100 .sweling face not there ,no other problem ,he is fresh
and active but B.P is high.
Prescription: Silicea 1 M, 3 doses, asked to check B.Pthree hours after taking one
dose .and if it comes down don’t take the rest otherwise take one dose on each
day and keep me updated every after 121 24 hours .•
Patient informs on phone after 4 days B.P came down to 118/88 within 3 hours of
the dose but patient still took 3 doses for 3 consecutive days.
Takes appointment but comes on April 3 ,2011 ,Allcomplaints better ,B.P 120/80
Asked to repeat his tests :major change: cholesterol: 204 (217 earlier ),uric acid
(normal ),TSH ,6.2 (9.6 earlier on 16 jan)
B.P anyways coming normal since many days. Patient given sac lac with a dose of
Silicea 1 M as reserve.
As I have seen in my experience that hypertensive patients do get their B.P goes
high when under stress ,whatever factor affects them emotionally ,but if given the
dose of the constitutional medicine, the B.P comes down to normal within half an
hour to few hours ,I have tried this in cases and this has worked instead of giving
Rauwolfia Q or any such tincture .1 have found constitutional to be of much help as
B.P rise due to stress is just an acute exacerbation of a chronic disease and not an
acute diseases.
17 May 2011 : B.P 124/80 .feeling lazy .sleep disturbed, stools normal .physical
weakness absent. Pain in heel present
Prescription :S/L bd for 2 weeks
1 june 2011: 118/80 Sleep ok, Stool: normal pain in heel: not significant, Prescrip-
tion: S/LJuly: All well: S/L
August 2011: TSH: 5.4, Rest everything normal as per patient general state stools,
sleep and BP.
8 September 2011 : nose blocked, alternate nose .: pulsatilla 30 ,qid for 2 days
November 2011 :TSH : 6.9,T 3: 3.4,T4: 1.4, no complaints, 8.P: normal, uric acid
: 7.3, fasting: 10, pp :165.
cholesterol: 200. triglycerides : 102, SGOT: 39, SGOT: 102 Silicea 1M, 3 doses
December 6. 2011 : sleep ok ,stool ok kness pain + pain ankles + , Prescription :.
S/L, Patient tapered off the Cardace in last 2 months (allopathic medicine for
hypertension) and now has stopped completely.
December 26: acute attack of cold: Pulsatilla 30 qid for 2 days (on symptom
totality)                ..
January 18.2012: B. P controlled (patient has access at his office so checks his
every alternate day.
Patient reports that earlier with stress his B.P used to shoot up but now he is able
to manage stress better. He is anxious but more calm that earlier and his B.P
remains normal inspite of high workload and targets.     .
Lack of sleep ,as work was more, ankle pain since about a month( has changed
shoe lately). there is also knee pain on walking more: off and on.
Prescription : silicea 1 m : 3 doses in a fortnight
March 22/2012 : feeling ok, stool normal ,ankle pain :2 +, knee pain: absent.got
tests done on feb
12.2012: TSH : 7.5
Weight: 88 kg, 8.P : 130/84
Prescription: Silicea 1 M I 3 Doses every week
April 2012 : puffiness on face, tiredness, sleep: ok, stool: normal, no complaint
.B.P 118/80
Prescription : Silicea 1 M 13 dosesl week
April 25 12012: swelling absent, tiredness absentstool : N ,had an attack of loose
motions was travelling so took allopathy. Prescription: Silicea 1 M ,3 doses l’!’Ieek
May 2012: TSH : 6.8 B.P: 124/68 mmhg
Swelling :absent, tired: stool normal ,knee pain absent ,ankle pain +
Prescription : Silicea 1 m 17 doses bd for 1 week
 
June 6/2012: sleep ok ,diet was very disturbed ,stool: n , knee pain + ,ankle pain
+ .coming again, was better when took the last medicine for 1 st 10 days
Prescription: silicea 1 M ,BD for 2 weeks
June 20 12012 : general ,knee pain ,since 1 week
Ankle pain ,only on much pressure ,only after getting up after long sitting.
Sleep: disturbed ,work stress much ,headache since 2 days, b.p : normal .lack of
sleep since 3 days.
Prescription: silicea 1 M ,bd for 2 weeks
July 8 12012 Knee pain: 20 % better
Ankle pain : only when keeping in one position for long
Sleep: sound
Headache: absent
Stool : had loose stools on 2 occasion( 2 mornings) but settled on its own with
slight change in diet
Prescription : Silicea 1 M BD for 1 week SL : BD for 2 weeks
July 28,2012 :
23rd July report :cholesterol : 169 ,triglycerides : 115, HDL Cholesterol: 40, LDL
Cholesterol: 106, VLDL: 23 HDL: 129 ,TSH : 0.19 .Weight: 88kg
Blud sugar: F :92
Prescription: SL bd for 3 weeks ,as TSH has come verY low
August 15, 2012: all well except ankle pain with stiffness bothering him ,more
when he sits for a long time. TSH : 1.5
BP : 126/76 mmH~l- No medicine ,advised to check for;rSH every month for 2
months and then once is 3 months and thereafter once in 6 months. and check BP
regularly
Terms used: SL: for sac lac
BP : Blood Pressure
Case 2: A female aged 40 years mother of two children consulted for complaint of
scanty menses since 3 months. Earlier there was bleeding 5/30 ,bleeding all 5
days now first and second day 4 and 2 days respectively and from 3rd day onwards
there Is spotting. She has consulted on 19th December 2007.
Lethargy, doesn’t feel like getting up in the morning, has two children, whom she
has to send to school. Sensation of choking in the throat in the morning. Burps in
the morning. Stool: Normal.
She had got her Thyroid levels tested on advice of her general physical and the
reports revealed TSH to be elevated as 7.5.
Appetite: OK
Craving: nothing in particular, prefers salt. not very fond of sweets.
Urine: NAD
Thermal: more towards hot but sensitivity to towards both temperature.
Now this is a very different example as he we have not gone much into the details as
the circumstances didn’t permit. The patient has come to show her daughter but has
to reach back home well in time as mother in law is alone and needs to be given food
on time. Its one of the occasions where patient is desperate for treatment but cannot
give much history. In a usual cincumstance I would rather refuse treatment if we feel
patient is not willing to give time as patient has to accept how important it is to give a
homeopathic history. But we had the history of mother to some extent from the history
of her daughter whom we had treated for enuresis. The pregnancy history of mother
had revealed that there was much change in the circumstance in her life after her
marriage as her mother in law was very strict and dominating in contrast to her
loving parents and she used to feel very sad and low and unloved all during her
pregnancy. We asked about the circumstances at home now and more of her
emotional state and she revealed that she felt very suppressed and anger inside but
could not do anything as her mother in law was very manipulative. She (MIL )was
confined to her seat most of the day because of her deformities due to arthritis and
would dictate each and everything and not appreciate any effort taken by daughter
in law. Patient is a house wife and MA in English, she is happy being at home but
says atleast deserves some appreciation for what she does. She is ok not being
working, nor has she thought about it but she never thought’ inspite of doing so
much, the behavior she will receive at home will be such, Husband was caring (a
calcarea personality-was given calcarea for his hypertension) but would not say or
do much about these aspects in the house but would prefer to keep quiet.
She said she felt suffocated inside these days but could not say anything as if she says ,
her mother in law would start shouting saying that because lam so unwell you take
advantage and you have no regard for elders and would start crying and this would
create a scene in the house. So as to avoid this situation she would keep quite.
Seeing the emotional state being the same as during pregnancy (the daughter had
improved very well on Natrum Mur for her enuresis and recurrent cold where history
was more based on mother’s pregnancy state as the girl was very small and was
unwell since birth), we gave Natrum Mur. 200 on 19 ,20 and 21 st December 2008
and repeated dose on 5, 6 and T” January 2008 seeing the general requirement.
Follow up was done on phone.
On 24th jan 2008: she says she felt much better in terms of active and general well being.
Lethargy was better and she was able toget up and carry out her daily chores. SIL for 2
weeks. On January 26 ,herTSH report revealed T3: 2.3 .T4: 0.97 and TSH : 5.6.
Medicine repeated in 7 doses every month in February and March. Her water retention
and periods were normalized by March. In second week of April she was given 3
doses of Natrum Muriaticum 200 twice a day as she was again getting lethargy and
tiredness. May 18th 2008 report revealed TSH to be within limits 4.79.
Patient stopped medication after that. She was also advised to express herself and
not keep her emotions suppressed. Husband was also advised to give a balanced
approachto both wife and mother. He did agree that there was injust in the house at
times and that he needs to look into that. In 2011 again she reported with similar
complaints and got her TSH levels checked herself. It was 7.01 She needed a
repetition of Natrum Muriaticum 1 M occasionally once in 2 months, as once she
would be better she would stop informing and would ask only if she developed any
symptoms and after few doses and repetitions she would get better. She was very
non compliance in getting test done and once symtoms regress she’would not do
any test. In 2011 she was given Natrum Mur off and on, repeated once in 3 months,
for complaints of amenorrhoa ‘on 2 occasions (basically delayed for 1 week and 15
days on another occasion). She also got right frozen shoulder in august which was
helped by Bryonia and later resolved by Natrum mur 1 m for 2 weeks alternatively.
On much insistence when she came in 2012 she got her TSH done and it was within
normal limits. She has been on no medication since then and reports she is normal
,much stable emotionally and healthy overall. We get the report as she asks for
medicines for her family or comes with children for treatment in between.
Source: Kent Memorial Lectures 1012