Introduction:

     Thyroid disorders are very common in our day-to-day practise. Homoeopathy has proved its efficacy in permanent recovery in thyroid disorders and many cases had escaped from knife. Here Dr.R.Gnanasambandam, a best clinician and research scholar, having twenty years experience, presents two excellent cases treated with anti sycotic drugs from his case file.

     A Girl aged 19 years consulted me for her Thyroid enlargement; She opened the door and sat on the stool with great restlessness. Her face was very anxious; Her eyes were rolling and not fixed in one place. Her eyes were protruded; Sweating had drenched her dress even though she was under cool blow of an air conditioner.

     “She has swelling in the neck; I took her to my family doctor; she had advised me to undergo operation. Being an young girl: I am quite scared about surgery, we were advised by my neighbour that Homoeopathy has solutions!” Her mother reported.

     She placed the investigation reports on thyroid profile and other prescriptions. Her picture had given me a clear case of Thyrotoxicosis and firmly confirmed by the thyroid profile and thyroid scan reports.

     Initially she developed swelling in the neck her periods showed irregularity with changes in flow. She had Palpitation with tremor, which was worse from exertion and anxiet . She was comfortable on rest. Her burning pain in the region of the stomach was triggered by tension, spicy food and excitement; better with cold foods, Ice cream.

     She also had hair loss since three years, which was worse while combing and after head bath; she lost her weight about five to eight kg. Her appetite was increased: She drank more cold water: Her scalp sweats profusely with smells, sweetish; Her sleep was disturbed and she talks in sleep. Desires for sweet, spicy and aversion to meat. Her B.P was 130/80 mm of Hg and pulse rate was 120/Minute. Auscultation perceived as Tachycardia.

     Mental, intellectual state of mind is irritable, quarrelsome by temperament, always hurry at her work, anxious, very sensitive and emotional, weeps easily, very moody and changes frequently, suspicious, and absent minded and Music unbearable; worse her tremor, Fixed ideas that she would be having cancer, since her grandma had similar swelling and her aunt died of carcinoma uterus.

     She had been vaccinated for chicken pox in childhood: Had fever with cold nearly 15 times from child hood, suffered with acute tonsillitis: Had warts on the dorsum of her feet, cured with homoeopathic medicines, Frequent urinary complaints with burning.

Thyroid profile showing elevated Thyroid hormones with very low level in TSH indicating the hyperactivity. Date of reading; 08.08.1998
The zooming portion showing the thyroids scan impressing Goiter
TSH was very low and T3, T4, levels were very high: Her thyroid scan Mild increase in the size of both lobes of thyroid.
Prescription	07.01.2000
R/x • Thuja lm o.d/ 6 days • Pl pills / 15 days A photograph was taken before treatment.
Follow Up1	22.01.2000
Appetite increased J Sweating J Anxiety K Emaciation ++ Swelling ++ R/x • Thuja lm o.d/ 6 days • Pl pills / 15 days
Follow Up2	07.02.2000
General condition better Swelling ++ Palpitation + Eyes bulging++ Even though there was improvement in general condition. Palpitation is distress to the patient R/x • Iodium 6 BID/15 days
Follow Up3	08.03.2000
Better. Improving R/x • Iodium 6 BID/15 days
Follow Up4	10.04.2000
Swelling neck K A photograph was taken. R/x • Thuja lm o.d/ 6 days • Pl pills/15 days
Follow Up5	25.04.2000
No palpitation Anxiety better Swelling reduced
The blood report shows normal levels of the thyroid hormones. Dated 26.04.2000
She was put on again for three months and discontinued.      She was all right; no complaints.      She confesses, here      ”No trembling; no short temper; Now my thirst feeling and hunger have gone; I don’t have the feeling of thyroid problem and doubt whether I ever had it before!      Normally I can’t speak like this. Now I am speaking. I can’t even write my exams. Within 10 minutes of entering the exam hall itself I start trembling and feel like getting unconscious. And now I don’t have these problems. I am writing my exams well and also expecting 60% - 70%”
Observation and inference:      In this case Thuja was remedy on the following points. Anti sycotic, scrofulous diathesis, Genetic predisposition and sycotic mind. Iodium was considered as indicated, as the symptoms – Ravenous hunger, emaciation, anxiety, Palpitation with specific action on goiter and exophthalmia.
Case 2: Hypothyroidism with Goitre
A patient is working as a junior assistant in a soap company, aged 35 years consulted me for her hypothyroidism. She developed sudden swelling in the neck region; drawing the attention of her colleagues and parents. Her mental and physical make up changed by becoming quarrelsome with every body for unknown cause, obesity with great drowsiness. Then she had irregular periods.      She developed all the features of Hypothyroidism such as drowsiness, Hair loss, Puffiness of face found in the mornings; Hoarseness of voice worsen by cold drinks. Pain in all joints, migrating aggravated by movements. Headache was worse on exposure to sun.      She was taken to a Hospital, the endocrinologist advised her to under go screening for thyroid functions. The blood test revealed primary hypothyroidism and she was put on hormone replacement therapy. She continued for a year. Finally she was dissatisfied with hormone therapy and chosen homoeopathic treatment as an alternative for her troubles.      As a person she craves sweets, sweats armpits with yellow stains; had frequent urinary complaints, vaccinated, tendency to catch cold, very anxious and sensitive patient. Her aunt had a similar problem
TSH is abnormally elevated due the stimulation of pituitary Gland. The low levels in thyroid secretions shows malfunctioning of thyroid Gland.
Here the TSH is abnormally elevated due to the stimulation of pituitary Gland. The low levels in thyroid secretions shows malfunctioning of thyroid Gland. A classical case of primary Hypothyroidism.
A photograph was taken before treatment.
Prescription	30.01.2002
R/x • Thuja lm /OD/ 6 days • Pl pills /15 days
Follow Up1	26.02.2002
Drowsiness ++ Period postponed R/x • Thuja lm /OD/ 6 days • Pl pills /15 days
Follow Up2	13.03.2002
Hair loss ++ R/x • Iodium 6 b.i.d/ 15 days
Follow Up3	27.03.2002
Hair loss ++ Swelling + Obesity ++ R/x • Thuja lm /OD/ 6 days • Fucus ves Q /10/drops/t.d.s/ 15 days
Follow Up4	01.05.2002
Hair fall better Swelling better R/x • Thuja lm /OD/ 6 days • Fucus ves Q /10/drops/t.d.s/ 15 days
Follow Up5	22.05.2002
Periods regular. Feels better.
Thyroid profile showing normal secretions of Thyroid and pituitary.
A photograph was taken after treatment.
Better with all complaints treatment stopped Observation:      In this case Thuja was indicated remedy on the following points.      Anti sycotic – King, Obese, short , Sweat armpits, stains yellow , Scrofulous diathesis, Genetic predisposition.      Iodium and Fucus ves were prescribed on the basis of pathological and organopathic affinity of the drugs. Inference:      The relative value of pathology in homoeopathic prescribing with respect to selection of the remedy is that the pathogenesis of the drug is marked with destruction on thyroid had expressed by sycotic miasm with an exhibition of psoric tendencies etc. It has proved beneficial to the patient and relieved of his complaints.