Toxicity of Hypothyroidism Managed by Homoeopathy- An Evidence Base Case
Report
Abstract: “Thyroid ” is a hormonal disorder,maintained and managed with homoeopathy a multifactorial variation of metabolic changes.
Keyword: Homoeopathy,hormonal disorder,thyroid.
Introduction : “Thyroid ” an important endocrine gland that manage with energy disturbance of metabolism resulting from defect in triiodothyronin (T3),Thyroxin(T4) seceretion ,thyroxin action,or both regulated by TSH.
Case Study:
A 30 year female suffering from weakness & hairfall, reported the following complaint…..
| Ph.No: | OPD NO :2130/2425 |
| Name: Ruby Verma | Date:08/11/2021 |
| Age:30 | Sex:Female |
| Religion: Hindu | Occupation: SERVICE |
| Address:11 saniya nagar,dindoli, surat 394210 | Dr’s Name : Rajesh Pathak |
Presenting Complaints : ( Including L,S,M & C)
- K/C/O Hypothyroidism since 2021
- Patient is an allopathic treatment but no relief
| LOCATION | SENSATION | MODALITY | CONCOMITANT |
| Generalities Glands,Thyroid | weakness enervation |
<Before menses >Not specific | HairfallHeadache,Weakness;back |
History of Present Illness in Chronological Order : (With Associated Complaints )
- Patient having complained of frequent repeated weakness & heaviness in voice since 6 years
- irregular menses with Pain and headache especially before menses.
- c/o – weakness since childhood occasionally but aggravated more from 4 years as soon as she became pregnant.
Past History of Illness and Treatment
(1) H/O VACCINATION Allergy: No any
(2) H/O ILLNESS & TREATMENT Drug Reaction: No any reaction
| DiseasesSuffered From | Approximate Age | Duration | Treatment | Whether Completely Recovered |
| Malnutrition |
Age : 3 years | 10 years | Nutrition Tab ironhalf daily | NO |
Family History:
| NO. | Relationship | Health/illness | Alive/Dead |
| 1 | Mother | Healthy | Alive |
| 2 | Father | Healthy | Alive |
| 3 | Sister | Healthy | Alive |
| 4 | Brother | Healthy | Alive |
Personal History
| Thermal state: chilly (intolerance to cold)Bath: hot water fan : all season | Perspiration (including any specific odour & stain): Generalized odour: not specific stain: not specific |
| Appetite : Normal regularly she is taking breakfast/lunch/dinner | Diet (veg / Non veg): veg |
| Desire : not specific | Aversion: not specific |
| Thirst : thirsty 1liter to 1.5 litters /day | Urine: 3 to 4 / day Night 3 timesDay 3 times |
| Bowels : Regular | Habits / Addiction: no any |
| Sleep ( including position ) : sound but due to cough waking and then breathlessness start | Dreams: not specific |
Menstrual History Not Applied
Patient As A Person:
(In Pt.’s own word, attendant statement, physician’s observation and conclusion)
- Pure clinical Drug providing approach (Aphorism 71 to 80)
General Physical Examination:
| Built: well built | Throat: NAD | Nails: NAD |
| Head: NAD | Ear: NAD | Extremities: NAD |
| Mouth: NAD | Eyes: NAD | Lymph glands: NAD |
| Tongue: NAD | Skin: NAD | |
| Teeth: NAD | Nose: NAD | |
| Gums: NAD | Hair: NAD |
Vital Examination
| BP: 120/80 mm hg | Temp : 98.4 F |
| Pulse: 72/min | RR : 22/min |
| SPO2 : 99 % | RBS: 110 mg/dl |
Systemic Examination ( Of Concerned System Under I,P,P,& A)
| SYSTEM |
INSPECTION | PALPATION | PERCUSSION | AUSCULTATION |
| CVS | NAD | NAD | NAD | S1 & S2+ |
| Respiratory system |
B/L Symmetrical chest | centrally located Trachea | Resonant note present | AIR ENTRY- BL CLEAR |
| GIT |
NAD | NAD | NAD | Bowel sound + |
| CNS |
Conscious | Normal Reflex | NAD | NAD |
Totality of Symptoms
| No. | SYMPTOMS |
| 1. | Generalities,gland,thyroid |
| 2. | Female sexual system,complain following menses,weakness profound |
| 3. | Locomotor system,weakness,back |
| 4. | Head headache concomitant,hairfalling |
| 5. | Modality aggravation,menses,before |
Analysis & Evaluation of Symptoms :
| No. | SYMTOMS | TYPE |
| 1 | Generalities,glands,thyroid | General symptoms |
| 2 | Female sexual system ,complain following menses,weakness profound | Physical particular |
| 3 | Locomotor system,weakness,back | Physical particular |
| 4 | HEAD.,headache,concomitant hair falling | concomitant |
| 5 | Modality,aggravation,menses,before | Modality |
Conversion of Symptoms To Rubrics
| NO. | RUBRICS | CHAPTER/ SECTION | PAGE NO. |
| 1. | Generalities,Glands,thyroid | Generalities | 1016 |
| 2. | Female sexual system,complain following menses | Female sexual system | 855 |
| 3. | Locomotor system,weakness of back | Locomotor system | 914 |
| 4. | Head,headache,concomitant hairfalling out | Head | 687 |
| 5. | Modality aggravation menses before | Modality | 1028 |
Miasmatic Assessment :
Psora Syocotic
Repertorial Totality :
Done on repertorial table as per rubric arrangements of w. boerick
Repertorial Result With : ( Name Of Repertory)
W. BOERICKE
Pathological Investigation :
1.TSH
2 .Hb
Radiology Investigation :
NAD
Provisional Diagnosis :
Hypothyroidism
Differential Diagnosises :
Hypothyroidism,weakness,autoimmune disease
Final Dignosis :
Hypothyroidism
Group of Drugs / Selection Of Similimum & Strategy Of Treatment :
1. Calcarea carb 4/10
2. Ammonium carb 3/6
3. Kali carb 3/7
4. Phos 3/6
5. Silicia 3/7
Prescription :
1. Calcarea carb 0/1 watery frequent repetition for 15 days
2. SL.4 pills for 30 days
Management of The Case :
Follow-Up
| DATE | FOLLOW-UP | PRESCRIPTION |
| 23/11/2021 | 1.No weakness 2. Hairfall decreased 3. menses regular 4. Appetite : good 5. sleep ; Good 6. Thirst : Increased |
Sac lac 4 pills OD for 30 days |
| 23/12/2021 | 1. 2. 3. No constipation 4. Appetite: good 5. Thirst : Good 6. Sleep : Good |
Sac lac 4 pills tds for 30 days |
| 23/01/2022 | 1. No any complain 2. Better 3. Stool : soft 4. Appetite : good 5. Sleep : good 6. Thirst : Good |
Sac lac 4 pills OD for 30 days and still continue on and off calcarea carb 0/1 infrequent doses……..up to now & still on observation and sl…. |
| 21/02/2022 | All complains better ,tsh report near normal limits. | |
| Result : Recovered , patient was advised to continue the medicine as conservative and precautionary measures |
BEFORE TREATMENT
AFTER TREATMENT
Bibliography
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