Visual Corner
 
A Case of Adenomatous Goitre
 
Dr. Girish
 

Dr. Girish Gupta, B. Sc., B.H.M.S.,
GCCHR
B – 1/16, Sector A, Kapoorthala, Aliganj,
Lucknow - 226 024
Phone : 2376868, 2386565
EML : gcchr_1@rediffmail.com
URL : www.gcchr.com

Introduction:
     Dr.Girish Gupta, recipient of many national and international awards, also a member of Central council for Research in Homoeopathy had contributed many cases with evidence-based documentations. Here we give a case of adenomatous goitre presented by him. He has a scientific approach with determination to do “Something Significant” and redefine Homoeopathy on modern scientific lines. This case has been treated recently and he shares his experience with all.

     A forty nine year old male patient presented a hard swelling in the anterior aspect of neck since 9 months. The swelling gradually increased in size and pressure effect made swallowing process very difficult. He had Pain and stiffness of nape of neck and right shoulder radiating to right upper limb with cracking sound neck. The patient was already investigated at Department of Radio diagnosis, King George Medical University, Lucknow and was diagnosed of having Adenomatous Thyroid Nodule.

Patient narrated of being in stress and remained in grief when he lost his mother and sister–in–law within 15 days two years back. He had homoeopathic cervical spondylosis one year back without relief. Blood pressure: 110/78 mm of Hg.

MENTALS:–
AILMENT (CAUSATION) : from death of relative (mother and sister–in–law)

FEAR : of disease being incurable, of cancer and of misfortune

DESIRE : for company

AVERSION : to conversation

AMELIORATION : from consolation

TEMPERAMENT : Revengeful, Offended easily, Brooding, Fastidious, Extroverted, Optimist, Sympathetic, Sentimental

BEHAVIOUR : Tendency to get angry easily

MOOD : Weeping, tearful disposition, Remorse

GENERALITIES:–
DESIRE : Salty things

THIRST : Average (4–5 glasses/day in winter)

PERSPIRATION : Profuse especially on face in summer

THERMAL REACTION : Chilly

SLEEP : Normal

Rubrics for Repertorisation


RESULT OF REPERTORISATION:–

First prescription                    20.2.2007

Rx
Calcarea carbonicum 1000/3 doses at 10–10–10 minutes interval
followed by Placebo for 4 weeks

Follow up –1                    25.3.2007

Hard nodular swelling anterior aspect of neck, dysphagia reduced. Pain and stiffness nape of neck and right shoulder remained as such.
Rx
Placebo was repeated for 4 weeks

Follow up –2                    5.3.2007

No further reduction in hard nodular swelling anterior aspect of neck and dysphagia. Pain and stiffness nape of neck and right shoulder remained as such.
Rx
Calcarea carbonicum 1000/3 doses at 10–10–10 minutes interval
was repeated followed by Placebo for 4 weeks





Follow up –3                    24.6.2007

Hard nodular swelling anterior aspect of neck markedly reduced. No dysphagia was reported by the patient. Pain and stiffness nape of neck and right shoulder much reduced.

The Photographs taken during the treatment are published at the back wrapper. The investigation details are given as Plate I and Plate II

INFERENCE:
The hard nodular swelling anterior aspect of neck markedly reduced as evident from the photograph although the ultrasonography of neck revealed some remnants of Adenomatous goitre in the thyroid after 4 months of homoeopathic treatment. The patient was advised to return for regular follow up till complete remission is evident in the ultrasonography.