Introduction
Dr.Kumaravel
is a lecturer in Department of pathology, R.V.S. Homoeopathic
Medical College, Coimbatore. He had presented many scientific
papers and here he presents a case of hypothyroidism responded
well to his treatment. He has presented evidence based investigation
reports.
A
female aged 27 years who belongs to Hindu community and hailing
from Tirupur presented with the complaints of
- Weight gain since 4 months
- General weakness since 4 months
- Increased sleep since 4 months
The
patient gained weight since 4 months. She suddenly gained her
weight around 8kg/month. She also had weakness of the body, could
not do the routine work and always feel tiredness and sleepy mood.
She also presented with the complaints she had puffiness of face,
which increased in daytime. No significant history of suggestive
Diabetes mellitus, Hypertension, Bronchial asthma, Tuberculosis
and similar complaints.
She
got married at the age of 23 yrs. It was non-consanguineous marriage.
Father is having Tuberculosis.
Mental Generals:
- Sensitive3-mentally as well as physically
- Desire company>consolation
Physical Generals:
Appetite - poor
since 4 months
Perspiration - profuse,
no stain often offensive.
Thirst - Increased
for cold water
Motion - Regular
2 times/day
Urine - Regular
4-5 times/day
Desire - Cold
things +++, juicy things, ice cream, Vegetables
Aversion - Fish
Menses - Regular,
Menarche at 13 yrs 27 days cycle /5days /bright-red without
clot, Menses - Occasionally
back ache during menses,profuse bleeding for 5 days since
4 Menses - months,
No other discharge.
Sleep - Good.
6-8 hrs, lying always in left side (Now increased since 4
months)
Dreams - Fearful
dreams++,
Dreams - Natural
dreams+++(river, mountain etc)
General Physical Examination:
Patient is conscious and sitting
comfortably in bed. Appearance-Moderately built & moderately
nourished white patches on the neck
Oral hygiene - Good
Pallor+++
Vital Signs:
Temp - A
febrile
Pulse - 62/min,
B.P - 160/90mmHg
R.R - 19/min
Systematic Examination:
R.S. - Normal
vesicular breath sound no added sound
C.V.S.
- S1,S2 heard
Systolic
murmur in mitral area
Abdomen - No
tenderness
Throat - No
swelling
CNS - Decreased
reflex in elbow, knee jerks
Investigation:
The THYROID FUNCTION TEST
Suggests:
Date : 30-03-2005 (Normal
Values)
Serum T3 : 0.15ng/ml (0.45-1.37ng/ml)
Serum T4 : 1.08
ug/dl (4.5-12.0ug/dl)
Serum TSH : 115uIU/ml (0.49-4067UlU/ml)
Refer
Plate I
From this observation, the patient
complaints diagnosed to be HYPOTHYROIDISM.
First Prescription
30.03.05
I prescribed Phos 200 1P early morning on 30-03-2005
which is followed with placebo for 1 month
Follow Up 1
30.04.05
Better
1. Phos 200 1P
2. SLP Powder 14P * 15 days
Follow Up 2
16.05.05
Better
1. Phos 200 1P
2. SLP Powder 14P * 15 days
Follow Up 3
03.06.05
Investigation Done
(Normal Values)
Serum T3 :
0.62ng/ml
(0.45-1.37 ng/ml)
Serum T4 :
5.14ug/dl
(4.5-12.0 ug/dl)
Serum TSH :
2.78UlU/ml
(0.49-4.67ulU/ml)
Refer Plate II
Phos200 1P
1. SLPowder 14P for fifteen days
No complaints. The patient feels happy.
