Repertorium Acquired Hypothyroidism:

[Dr. Rajneesh K. Sharma]

Acquired Hypothyroidism

Hypothyroidism

Diminished production of thyroid hormone (Psora/Syphilis), leading to clinical manifestations of thyroid insufficiency, including low metabolic rate (Psora), tendency to weight gain (Psora/Sycosis), somnolence (Pseudopsora) and sometimes myxedema (Sycosis). It may be congenital and secondary or acquired.

Syn: athyrea.

Congenital hypothyroidism

Lack of thyroid secretion since infancy (Psora).

Secondary/Acquired hypothyroidism

Deficient functioning of the thyroid gland due to some causes other than thyroid. Onset may be very insidious.

Aetiology

Primary

Iodine deficiency. (causam diceret)

Autoimmune (Hashimoto's) thyroiditis. (Syphilis)

Thyroid surgery. (causam diceret)

Following irradiation to neck (e.g. craniospinal irradiation, total body irradiation). (Causa occasionalis/tolle causam/causam diceret)

Radioiodine therapy. (tolle causam)

Antithyroid drugs (e.g. carbimazole). (tolle causam)

Goitrogens. (tolle causam)

Secondary and tertiary

Craniopharyngioma (Psora/Sycosis/Syphilis) and other tumours (Psora/Sycosis/Syphilis) impinging on the hypothalamic - pituitary axis. (tolle causam)

Neurosurgery. (tolle causam).

Cranial irradiation. (tolle causam).

Iodine deficiency

The most common worldwide cause of hypothyroidism, but it more commonly results in euthyroid goiter (Sycosis).

Autoimmune (Hashimoto's) thyroiditis

This is the most common cause of acquired hypothyroidism more common in girls (adolescence)/may be a family history. Presentation may be with goitre (Psora/Sycosis) with compensated hypothyroidism (Psora) or with decompensated hypothyroidism (Syphilis) with goitre or an atrophic gland (Syphilis). Autoantibodies (Pseudopsora/Syphilis) are present in 95% of cases. Autoimmune thyroiditis (Psuedopsora/Sycosis) may be associated with other autoimmune diseases, such as diabetes mellitus (Pseudopsora) and Addison's disease (Psuedopsora/Syphilis), as well as with skin disorders, such as alopecia areata (Pseudopsora/Syphilis) and vitiligo (Pseudopsora).

Miscellaneous causes

Including the hypothalamic - pituitary disorders in which other anterior pituitary hormone deficiencies (Psora/Syphilis) will almost invariably be present. Dietary goitrogens, such as iodide, cabbage and soya beans, have been reported to cause hypothyroidism.

Clinical features

History

Weight gain (Psora/Sycosis).

Tiredness (Psora/Pseudopsora/Sycosis/Syphilis).

Constipation (Psora/Pseudopsora/Sycosis/Syphilis).

Cold intolerance (Psora/Sycosis).

Slowing of linear growth ± short stature (Psora/Syphilis).

Poor school performance (Syphilis).

Delayed puberty (occasionally precocious puberty) (Psora/Syphilis).

Menstrual irregularity (Psora/Pseudopsora).

Presence of other autoimmune disorders (Psora/Syphilis).

History of slipped femoral epiphysis (Tolle causum).

Family history of thyroid or other autoimmune disorders (Tolle causum).

Signs

Myxoedematous facies (Sycosis).

Short stature (Psora/Syphilis).

Goitre (Psora/Sycosis).

Obesity (Psora/Sycosis).

Dry skin (Psora/Sycosis).

Increase in body hair (Sycosis).

Pallor (Psora/Pseudopsora/Syphilis).

Vitiligo (Pseudopsora).

Proximal muscle weakness (Psora/Pseudopsora/Sycosis/Syphilis).

Delayed relaxation of ankle reflexes (Psora/Syphilis).

Delayed puberty (occasionally precocious puberty) (Psora/Syphilis).

The goitre is usually diffuse and non-tender but may be nodular and is occasionally tender. Usually puberty is delayed, but occasionally cross-stimulation of FSH and LH by TRH may lead to incomplete sexual precocity with enlarged ovaries on ultrasound scan in girls and testicular enlargement in boys.

Investigations

These depend on the cause of the hypothyroidism.

FT4 (or T4) and TSH measurement.

Thyroid peroxidase (TPO) antibodies should always be measured.

Bone age x ray to show delay.

If there is no goitre and the autoantibody screen is negative then an isotope scan should be performed to exclude a late presentation of thyroid dysgenesis.

Inappropriately low or normal TSH values in the face of a low FT4 (or T4) suggests pituitary or hypothalamic disease which can be further investigated with the TRH test.

Proven secondary and tertiary hypothyroidism should be investigated by further anterior pituitary testing and by magnetic resonance imaging (MRI).

Treatment

Homoeopathic remedies in decreasing order of generalized repertorization of common symptoms and signs of Secondary Hypothyroidism:

Nat-m. Calc. Phos. Sep. Sil. Rhus-t. Sulph. Con. Lyc. Ferr-met. Puls. Caust. Nat-c. Thyroid. Bar-c. Graph. Merc. Ars. Apis. Am-c. Calc-p. Staph. Ign. Mag-c. Nux-v. Bry. Thuja. Arg-n. Iod. Kali-c. Lach Dig. Petr. Dulc. Plb-met. Acon. Arn. Bell. Carb-v. Cocc. Hyos. Kali-bi. Ph-ac. Spig. Verat-a. Calc-s. Op etc.

Short Repertory of Acquired Hypothyroidism

EXTERNAL THROAT – GOITRE: adren. Ail. aloe am-c. am-m. Ambr. Apis ars-i. Aur-i. aur-s. Aur. Bad. bell. brass-o. Brom. calc-br. Calc-f. Calc-i. Calc-s. calc-sil. CALC. Carb-an. Carbn-s. Caust. Cist. con. crot-c. dig. echi. Ferr-i. Ferr-met. Fl-ac. form. fuc. Glon. Graph. hall ham. Hep. Hydr. Ign. IOD. iris jab. kali-bi. kali-c. Kali-i. lac-c. Lach. lap-a. Lyc. Lycps-v. mag-br. mag-c. mag-p.

mang--met. marb-w. Merc-i-f. Merc-i-r. merc. Nat-c. NAT-M. Nat-p. Nat-s. nux-v. ol-j. petr. Phos. Plat-met. podo. sec. Sep. Sil. SPONG. staph. stram. stroph-h. sul-i. sulph. syc. tab. Tarent. Thyr. Thyroiod. Tub. urt-u. vip. zinc-i.

FEMALE GENITALIA/SEX: MENSES: delayed in girls, first menses: Abrom-a. acon. agn. alet. am-c. ant-c. apis aur-s. Aur. Bar-c. bar-m. bry. Calc-p. calc-s. Calc. Carbn-s. castm. caul. CAUST. chel. cic. cimic. cocc. Con. croc. cupr-met. dam. dig. dros. dulc. Ferr-met. GRAPH. guaj. Ham. helon. hyos. KALI-C. Kali-p. kali-perm. lac-d. lach. lith-f. Lyc. Mag-c. mag-m. Mang. merc. nat-lac.

NAT-M. Petr. phos. polyg-h. PULS. sabad. Sabin. sang. sars. SENEC. Sep. sil. spig. staph. stram. stront-c. Sulph. Tub. valer. verat. vib. Zinc-met.

MENSES – irregular: abrom-a-r. abrom-a. alco. alum-p. am-c. Ambr. ammc. Apis apoc. aran. ARG-N. Art-v. aur-m-n. aur-s. Bell. Benz-ac. beryl-m. beryl. Brucel. bry. buni-o. calc-i. calc-p. calc-s. calc-sil. Calc. Carb-ac. carbn-s. caul. Caust. chel. Chlol. chr-m. Cimic. Cinnm. Cocc. Con. cortico. cortiso. crot-h. cur. cycl. Dig. dys. ferr-p. ferr-met. flav. Foll. glycyr-g. Graph. guaj. ham. hyos. hypoth. Ign. inul. Iod. Ip. Iris joan. Kali-ar. kali-bi. kali-p. Kreos. Lac-d. Lach. lil-t. lith-c. lith-f. Lyc. mag-c. mag-m. mag-s. Manc. merc. mosch. Murx. Nat-c. nat-m. nicc. Nit-ac. nit-s-d. NUX-M. Nux-v. oena. Ol-j. op. ovi-p. phos. Phys. pip-n. pisc. pitu-a. plb. puls. rad-br. ruta sabad. sanic. SEC. Senec. Sep. Sil. sol-ecl. spect. Staph. Sul-i. Sulph. tab. Ter. thuj. trios. Tub. ust. verat. vesp. xan.

GENERALS: GROWTH: complaints of growth process: bar-c. calc-p. calc. ph-ac. phos. sil. Thyr.

HEAT: lack of vital heat: acetan. Acon. adam. Aesc. Aeth. Agar. agn. aids. allox. Alum-p. Alum. ALUMN. am-br. Am-c. am-m. am-n. ambr. anac. Androc. ang. anh. Ant-c. ant-t. Anth. Apis apoc. aral. aran-ix. ARAN. Arg-met. Arg-n. arist-cl. ARN. ars-h. Ars-i. ars-s-f. Ars. Asar. atha. Aur-m-n. aur-s. Aur-met. Bamb-a. BAR-C. Bar-m. bar-s. bell. Bit-ar. Bor-ac. borx. bov. Brom. Bry. bufo Buteo-j. buth-a. cact. cadm-s. calad. CALC-AR. Calc-f. CALC-P. Calc-s. calc-sil. CALC. calen. camph-mbr. CAMPH. cann-xyz. Caps. CARB-AN. Carb-v. carbn-dox. carbn-o. Carbn-s. cartl-s. Caul. CAUST. cham. Chel. Chin. chlor. chloram. chlorpr. choc. Chol. chord-umb. cic. Cimic. Cinnb. CIST. cob-n. coc-c. Cocc. Colch. coli. Con. cory. croc. CROT-C. cupr-act. cupr. cycl. cystein-l. cyt-l. dicha. Dig. Dros. DULC. Elaps erech. esp-g. eucal. eucol. Eup-per. euph. euphr. Ferr-ar. ferr-p. FERR. fum. galla-q-r. gamb. Gels. ger-i. germ-met. gink-b. glycyr-g. GRAPH. Guaj. haliae-lc. hed. hell. helo-s. HELO. HEP. heroin. hippoc-k. hir. hydr-ac. Hydrog. Hyos. hyper. ign. ina-i. Ip. Jatr-c. KALI-AR. KALI-BI. kali-br. KALI-C. kali-chl. kali-cy. kali-m. kali-n. KALI-P. kali-perm. kali-sil. Kalm. Kreos. lac-ac. Lac-c. Lac-d. lac-h. Lach. lachn. lat-m. Laur. lavand-a. LED. limest-b. lina. luf-op. luna Lyc. lycps-v. Mag-c. mag-m. MAG-P. mag-s. malar. Mang. marb-w. Med. meli. meny. Merc-c. merc-cy. Merc. Mez. Moni. Mosch. mur-ac. musca-d. Naja Nat-ar. nat-c. Nat-m. Nat-p. NAT-S. Nat-sil. neon nep. NIT-AC. Nux-m. NUX-V. Ol-j. olib-sac. OLND. op. orot-ac. ox-ac. par. penic. perh. Petr. PH-AC. phasco-ci. PHOS. pieri-b. plac-s. Plat-met. Plb-met. positr. PSOR. Puls. PYROG. Ran-b. Rhod. RHUS-T. ribo. Rumx. Sabad. SABIN. sal-fr. sanic. sapin. sarcol-ac. saroth. sars. sec. Senec. Sep. SIL. sinus. spect. Spig. spong. SQUIL. Stann. Staph. stram. Stront-c. suis-em. suis-pan. Sul-ac. Sulph. Sumb. symph. Tab. TARAX. Tarent. TEUCR. thal. Ther. Thuj. thyr. tub-sp. Tub. ulm-c. urol-h. v-a-b. vac. valer. ven-m. verat. Viol-t. vip-a. vip. x-ray zinc-p. zinc-met.

INJURIES: Bones; fractures of: acon. ang. Arn. asaf. asar. bell-p-sp. bell-p. bry. Calc-f. calc-p. calc. Calen. CARB-AC. con. cortico. cortiso. croc. dulc. Eup-per. ferr. hecla hep. HYPER. iod. kali-i. led. lyc. nit-ac. Petr. Ph-ac. phos. Puls. ran-b. rhus-t. rob. RUTA Sil. SPIG. staph. stront-c. Sul-ac. sulph. Symph. valer. vanil.

INJURIES: Muscles, of: arn. calc. calen. nat-c. nat-m. phos. RHUS-T.

MYXEDEMA: Ars. cortico. dor. penic. prim-o. sulfa. Thyr.

OBESITY: Acon. adam. adon. agar. ail. alco. all-s. Am-br. Am-c. am-caust. am-f. Am-m. ambr. ANAC. Ang. Ant-c. ant-t. apis aq-mar. aran-ix. Arg-n. arist-cl. arn. Ars. Asaf. aur-m. aur-s. Aur-met. bac. bar-br. bar-c. bar-i. bar-met. Bell. berb. bism-sn. blatta-o. borx. brom. bry. bufo calad. calc-act. Calc-ar. calc-caust. calc-lac. calc-m. calc-met. calc-o. Calc-p. calc-s. CALC. Calo. camph. canth. CAPS. carb-v. carc. Carl. caust. cham. chin. chlorpr. chr-m. chr-met. chr-s. cic. cimic. cinnb. clem. Coc-c. coca cocc. coloc. con. cortiso. Croc. crot-h. Cupr-met. cyna. dig. dulc. Elaps euph. euphr. falco-pe. ferr-i. Ferr-n. FERR-met. Fuc. gamb. gink-b. glycyr-g. GRAPH. guaj. hafn-met. hell. Hura Hyos. ign. iod. ip. irid-met. Kali-bi. kali-br. Kali-c. kali-met. kola lac-c. Lac-d. lac-h. lach.

lanth-met. laur. lith-c. lith-f. lith-i. lith-met. lith-p. lith-s. lob-e. lob. Lyc. lycpr. mag-c. Mag-n. mag-p. mang-act. Mang-n. med. merc-d. merc-i-f. merc. moly-met. mur-ac. nat-ar. nat-c. NAT-M.

nicc-met. nicc-s. Nitro. nux-m. nux-v. olnd. op. osm-met. ozone pert-vc. Phos. PHYT. pitu-a. plat-met. plb-m. plb-p. plb-met. positr. Puls. rauw. rhen-met. rheum rhus-t. rumx. ruta sabad. sabal sacch. sars. sel. seneg. sep. sil. spig. spong. staph. stram. stront-c. stroph-h. Sulph. tant-met. thal-met. thuj. Thyr. Thyroiod. tung-met. tus-fr. valer. vanil. verat. viol-o. Zinc-n.

PUBERTY delayed: bar-c. rhod.

REFLEXES diminished: alum. arg-n. cur. germ-met. kali-br. oena. op. phys. plb-met.

WEAKNESS - Muscular: acet-ac. acon. agar. Agath-a. Alet. alum. alumn. am-c. am-caust. am-m. anac. anh. ant-c. Ant-t. Apis apoc. arg-n. arn. ars. asaf. aur-met. BAR-C. bar-m. bell. berb. borx. both-ax. both. Bov. bry. bung-fa. Calc. Camph. cann-xyz. canth. Carb-ac. Carb-v. caust. cham. Chin. Chlol. cimic. clem. cocc. colch. coll. Con. cortico. Croc. crot-c. crot-h. Cupr-met. dendr-pol. Dig. dioxi. dros. Dulc. elaps euphr. ferr-m. ferr-p. Ferr-met. GELS. germ-met. graph. guaj. Hell. helon. hep. hydr. hyos. ign. iod. ix. kali-bi. kali-br. kali-c. kali-hp. kali-n. kali-p. kalm. kola laur. Led. lob. Luff-o. Lyc. m-arct. macro. mag-c. mag-m. mag-p. mang. meny. MERC-C. merc. mez. mur-ac. naja Nat-c. NAT-M. NIT-AC. Nux-m. nux-v. olnd. onos. Op. pall. petr. ph-ac. phos. phys. physal-al. PIC-AC. pip-m. Plat-met. plb-act. Plb-met. puls. rad-br. rheum Rhod. RHUS-T. Ruta sabad. sarcol-ac. sec. Seneg. senn. Sep. Sil. sin-n. spartin-s. spig. stann-met. stram. stront-c. stry-p. Stry. sul-ac. Sulph. symph. tab. ter. thuj. thyr. verat-v. Verat. zinc-met.

WEAKNESS: abies-c. abies-n. abrom-a. abrot. absin. Acet-ac. Acetan. achy. acon-c. acon-f. Acon. adam. adlu. Adon. adox. adren. aesc-g. aesc. Aeth. aether agar-cpn. agar-em. agar-pa. Agar-ph. agar-pr. agar-st. agar. agath-a. agav-t. Agn. aids. ail. alco. Alet. alf. all-c. all-s. allox. aln. Aloe alst-s. alst. alum-p. alum-sil. Alum. alumn. am-br. AM-C. am-caust. am-m. Ambr. Aml-ns. ammc. amor-r. amph. amyg. ANAC. Anag. anan. ancis-p. androc. Ang. anil. Ant-ar. Ant-c. ant-m. ant-o. ANT-T. anth. anthraci. anthraco. anthraq. Antip. aphis APIS apoc-a. apoc. apom. aq-mar. aq-pet. ara-maca. aral. aran-sc. Aran. arg-cy. ARG-MET. Arg-n. arist-cl. ARN. ars-h. ars-i. Ars-met. ars-s-f. ars-s-r. ARS. arum-d. arum-i. arum-m. arum-t. asaf. asar. asc-t. asim. aspar. astac. aster. atha. atra-r. atro.

aur-ar. aur-fu. aur-m-n. Aur-m. aur-s. Aur-met. Aven. bac. bacls-7. Bals-p. BAPT. bar-act. BAR-C. bar-i. Bar-m. bar-ox-suc. bart. bell-p-sp. bell-p. bell. ben-n. ben. Benz-ac. berb. berbin. beryl. bism-o. Bism. Bit-ar. Bol-la. bol-s. borx. Both. bov. brach. brass-n-o. BROM. bruc. brucel. brucin. Bry. bufo bung-fa. buni-o. buth-a. Cact. cadm-met. cadm-s. cain. caj. calad. calc-ar. calc-caust. calc-hp. CALC-I. calc-lac. calc-m. calc-met. calc-p. calc-s. calc-sil. CALC. Camph. cann-i. cann-s. Canth. canthin. caps. car. CARB-AC. Carb-an. carb-v. carbn-chl. carbn-h. carbn-o. Carbn-s. carc. card-m. Carl. cartl-s. casc. cass. cassia-s. castm. castn-v. Caul. Caust. cedr. cench. cent. cere-b. cerv. Cham. chap. CHEL. chelo. Chim. CHIN. chinin-ar. Chinin-fcit. CHININ-S. chion. chir-fl. chlam-tr. chlf. chlol. chloram. chlorpr. choc. chord-umb. chr-ac. Cic. cich. cimic. cimx. Cina cinnb. cinnm. cist. cit-l. cit-v. Clem. Cloth. cob-n. cob. coc-c. COCA Cocc. coch. cod. Coff. COLCH. colchin. Coli. coll. coloc. colocin. colum-p. com. CON. conin-br. conin. conv. cop. cor-r. cordyc. corian-s. corn-a. corn. cortico. cortiso. cot. crat. croc. Crot-c. Crot-h. Crot-t. cub. culx. cupr-act. Cupr-ar. cupr-s.

Cupr-met. cur. Cycl. cyn-d. cypr. cypra-eg. cystein-l. cyt-l. Daph. dendr-pol. der. dicha. DIG. Digin. digox. dios. dip. diph. diphtox. dirc. dor. Dros. dubo-m. Dulc. Echi. elaps elat. ephe-si. equis-h. erig. ery-a. ery-m. eryt-j. esch. eucal. eug. eup-per. eup-pur. euph-a. euph-c. euph-hy. euph-ip. euph. euphr. eupi. fab. fago. fagu. ferr-ar. FERR-I. FERR-M. ferr-ma. Ferr-p. ferr-pic. ferr. fic-m. fic-r. fil. Fl-ac. flor-p. Form. frag. franz. Fum. fuma-ac. gad. gal-ac. galeg. galin. galla-q-r. Gamb. gard-j. gast. GELS. gent-l. gent-q. germ-met. get. gink-b. gins. glon. glyc. Glycyr-g. goss. gran. Granit-m. GRAPH. grat. guaj. guan. guar. guare. haem. haliae-lc. Hall. Ham. hed. hedeo. hell-o. Hell. helo-s. helo. helodr-cal. helon. HEP. hera. heroin. hip-ac. Hipp. hippoc-k. hir. hist. home. hura Hydr-ac. Hydr. Hydrc. Hydrog. hydroph. HYOS. hyosin. Hyper. iber. Ign. ind. indg. IOD. Ip. Irid-met. iris jab. jal. jasm. jatr-c. jug-c. jug-r. juni-v. KALI-AR. Kali-bi. Kali-br. KALI-C. kali-chl. kali-cy. KALI-FCY. Kali-i. kali-m. kali-n. kali-ox. KALI-P. kali-perm. kali-s. kali-sil. kali-sula. kali-t. KALM. ketogl-ac. kino kiss. kola kou. kreos. kres. lac-ac. Lac-c. Lac-d. lac-del. lac-h. Lac-leo. LACH. lachn. lact. lam. lap-la. lapa. lat-h. lat-k. lat-m. LAUR. LEC. led. lepi. lept. lev. lil-s. lil-t. lim. limest-b. lina. linu-c. lipp. lith-c. lith-chl. lob-c. lob-p. lob-s. lob. lobin. Lol. loxo-lae. loxo-recl. luf-op. LUNA Lyc. lycps-v. lyss. m-ambo. m-arct. m-aust. macro. mag-c. mag-f. mag-m. Mag-p. mag-s. magn-gr. maland. malar. manc. mand. mang-o. mang-p. mang-met. MED. mela. melal-alt. meli. menis. meny. meph. merc-br. MERC-C. MERC-CY. merc-d. merc-i-f. merc-i-r. merc-k-i. merc-meth. merc-ns. merc-sul. MERC. merl. methys. mez. mill. mim-p. mit. moly-met. Mom-b. Moni. morph. mosch. MUR-AC. murx. musca-d. mygal. Myric. nabal. naja napht. narcin. narz. nat-ar. Nat-c. Nat-chl. nat-f. NAT-HCHLS. nat-lac. NAT-M. nat-n. NAT-P. NAT-S. Nat-sal. nat-sil. nat-sula. nauf-helv-li. nep. nept-m. nicc-met. nicc-s. nicc-met. nicot. nid. nig-s. NIT-AC. nit-m-ac. nit-s-d. nitro-o. nuph. Nux-m. Nux-v. oci-sa. oena. okou. ol-an. Ol-j. Olib-sac. OLND. onos. op. opun-v. orch. orig. orni. orot-ac. osm. ost. osteo-a. Ox-ac. oxal-a. oxyg. ozone paeon. pall-met. palo. pana. par. parathyr. parth. paull. ped. penic. perh. pert. petr-ra. Petr. PH-AC. phal. phel. PHOS. Phys. physal-al. Phyt.

PIC-AC. pilo. pimp. pin-con. pip-m. pitu-gl. pitu-p. pitu. pix plac-s. plan. Plat-met. plb-chr. PLB-met. plect. plumbg. plut-n. pneu. podo. polyg-h. polyp-p. polys. pop. Positr. Prim-o. Propr. prun-p. psil. PSOR. ptel. puls-n. Puls. pulx. Pycnop-sa. pyrid. pyrog. pyrus querc-r. rad-br. ran-a. RAN-B. ran-s. Raph. rat. rham-f. rheum rhod. rhodi. rhus-g. RHUS-T. Rhus-v. ribo. ric. Rob. Rosm. rumx-act. Rumx. ruta Sabad. sabal sabin. sacch-a. sacch. sal-fr. salin. samb-c. samb. Sang. sanguis-s. Sanic. santin. sapin. Sarcol-ac. saroth. sarr. Sars. scarl. Scor. scroph-n. scut. SEC. SEL. senec. Seneg. senn. SEP. sieg. SIL. silphu. sin-n. sinus. sium sol-mm. sol-ni. sol-t-ae. sol-t. solid. solin. SPECT. sphing. spig. spira. spirae. Spong. SQUIL. STANN-met. STAPH. staphycoc. Stict. still. Stram. stront-c. stroph-h. stry-p. stry. suis-pan. SUL-AC. sul-h. sul-i. sulfa. Sulfon. sulfonam. SULPH. sumb. suprar. symph. syph. syzyg. TAB. tanac. tang. tann-ac. taosc. tarax. tarent-c. TARENT. tart-ac. tax. techn. Tell. TER. tere-ch. teucr. thal-xyz. thal. thea Ther. thiop. thres-a. Thuj. thymol. thyr. til. tox-th. toxo-g. trach. tril-p. tritic-vg. trom. tub-d. tub-r. tub-sp. TUB. tus-p. uncar-tom. upa. uran-met. uran-n. urea ust. uva v-a-b. vac. valer. vanil. ven-m. verat-v. VERAT. verb. verin. vesp. vib. vichy-g. vinc. viol-o. viol-t. vip-a-c. vip-a. vip-d. vip. visc. voes. wies. wildb. wye. x-ray xan. Zinc-ar. zinc-m. zinc-o. zinc-p. Zinc-pic. zinc-s. Zinc-met. zing. ziz.

MIND: DULLNESS: studying: aeth. Agar. agn. anac. aq-mar. ars. bar-c. calc-p. calc. carb-v. caust. con. hell. luf-op. mag-p. nat-m. nux-v. olnd. ph-ac. phos.

RECTUM – CONSTIPATION: abies-c. abies-n. abrom-a. Abrot. acet-ac. acon. adeps-s. Aesc-g. AESC. Aeth. Agar. agav-a. Agn. aids. ail. alet. allox. Aloe alum-p. alum-sil. ALUM. Alumin-p. Alumin-s. ALUMIN. ALUMN. Am-c. Am-m. Ambr. ammc. amp. amph. Anac. anan. anders. androc. Ang. ant-c. ant-t. anth. anthraq. APIS aq-mar. Arg-met. Arg-n. arge-pl. arist-cl. arn. Ars-i. ARS. arund. asaf. asar. asc-c. asc-t. aster. aur-ar. aur-i. Aur-m-n. aur-m. aur-s. Aur. bacls-7. bad. bapt. Bar-c. bar-i. Bar-m. bar-ox-suc. bar-s. bell. Berb. bit-ar. bol-la. borx. botul. bov. brach. brass-n-o.

bros-gau. brucel. BRY. bung-fa. Cact. cadm-met. Caesal-b. calad. calc-f. calc-i. Calc-p. Calc-s. calc-sil. CALC. camph. cann-s. canth. caps. Carb-ac. Carb-an. Carb-v. carbn-dox. CARBN-S. carc. Card-m. carl. carneg-g. cartl-s. cas-s. casc. cassia-s. caul. CAUST. cham. Chel. Chim. Chin. chinin-ar. chinin-s. chion. chlam-tr. chord-umb. chr-ac. cic. cimx. cina CLEM. cob-n. Coca COCC. COFF. colch. coli. COLL. Coloc. CON. Cop. cor-r. cortiso. Croc. Crot-c. Crot-h. crot-t. cub. cuph. cupr-met. cycl. cystein-l. Daph. Dig. Dios. diphtox. dol. dream-p. dros. Dulc. dys. Elaps ery-a. eug. euon. eup-per. euph. euphr. falco-pe. Fel. Ferr-ar. Ferr-i. ferr-p. Ferr. fic-c. Fl-ac. flor-p. Form. friedr. fuma-ac. gaert. gal-ac. galeoc-c-h. galla-q-r. Gamb. gels. ger-i. germ-met. Glyc. granit-m. GRAPH. Grat. Guaj. guat. haliae-lc. ham. hed. hedy. Hell. helodr-cal. hep. hippoz. hir. Hydr. Hydrc. hydrog. hydroph. hyos. Hyper. Ign. Ind. Iod. irid-met. Iris ix. jab. jac-c. Jatr-c. Kali-ar. Kali-bi. Kali-br. Kali-c. Kali-chl. Kali-i. kali-m. kali-n. kali-p. Kali-s. kali-sil. ketogl-ac. kola Kreos. lac-ac. LAC-D. lac-del. lac-f. lac-h. lac-leo. LACH. lact-v. lat-h. lat-m. Laur. led. Lept. Lil-t. limest-b. luf-op. luna LYC. lycps-v. m-ambo. m-arct. Mag-c. MAG-M. mag-s. malar. Manc. mand. mang. marb-w. med. melal-alt. meli. Meny. merc-c. Merc-i-f. Merc. MEZ. mim-p. mom-f. Moni. morg-g. Morg-p. morg. morph. Mosch. mucs-nas. Mur-ac. murx. Musa. musca-d. myric. nabal. nad. naja Nat-ar. Nat-c. nat-f. NAT-M. nat-ox. nat-p. nat-pyru. nat-s. nat-sil. neon nept-m. nicc-met. nicc-s. nicc. nicotam. NIT-AC.

nit-m-ac. Nux-m. NUX-V. nyct. oci-sa. OENA. olib-sac. olnd. oncor-t. OP. oscilloc. osm. Ox-ac. oxal-a. ozone paeon. pall-met. par. paraf. parathyr. pegan-ha. petr-ra. petr. ph-ac. phasco-ci. PHOS. phys. Phyt. pin-con. pitu-gl. plac-s. plac. PLAT-met. Plb-act. PLB-met. pneu. Podo. polys. positr. pot-e. propr. prot. Psor. Ptel. Puls. Pyrog. querc-r. ran-b. Raph. Rat. rham-cal. rheum rhod. Rhus-g. rhus-t. rob. RUTA Sabad. Sabin. sal-fr. sang. Sanguis-s. SANIC. saroth. Sars. Sec. secret. Sel. Seneg. senn. SEP. sil-mar. SIL. silphu. sinus. sol sol-ecl. spect. spig. Spong. squil. Stann. STAPH. STRAM. streptoc. stront-c. STRY. succ-ac. suis-em. suis-hep. suis-pan. Sul-ac. sul-i. sulfa. SULPH. sumb. suprar. syc. Sym-r. syph. Tab. tann-ac. Tarent. tax-br. tax. tela tell. Ter. tetox. thal-s. thal-xyz. Ther. thiam. THUJ. thymul. tril-p. Trios. tritic-vg. tub-m. Tub. urt-u. ust. v-a-b. vanil. vario. ven-m. VERAT. Verb. vero-o. vesp. Vib. viol-o. viol-t. visc. zinc-fcy. zinc-m. zinc-p. ZINC-met.

SKIN – DRY: acon-f. Acon. aeth. agar. alum-p. alum-sil. Alum. Alumin-s. Am-c. ambr. ant-c. Ant-t. Anthraci. anthraq. Apis arg-met. arg-n. arizon-l. Arn. Ars-i. ARS. asaf. bapt. bar-c. bar-m. bar-ox-suc. BELL. Bism. borx. bov. brass-n-o. BRY. bufo cain. Calad. calc-i. calc-s. calc-sil. CALC. Camph. Cann-s. canth. carb-an. Carb-v. Carbn-s. caust. CHAM. Chel. CHIN. Chinin-ar. choc. cina clem. cocc. Coff. COLCH. coli. coloc. con. convo-s. cortico. cortiso. Crot-h. cygn-be. cypra-eg. diph. DULC. EUP-PER. falco-pe. ferr-ar. ferr-i. ferr-p. Ferr. fic-m. fl-ac. gels. gink-b. Graph. guat. hell. hep. Hydr-ac. hydrc. Hyos. ign. Iod. Ip. ix. jab. KALI-AR. kali-bi. KALI-C. kali-i. kali-m. kali-n. kali-p. kali-s. kali-sil. ketogl-ac. kreos. Lach. lap-la. laur. lavand-a. LED. limest-b. Lith-c. loxo-recl. LYC. m-ambo. m-aust. Mag-c. mag-m. maland. malar. mang-p. mang-met. meli. menis. merc-c. Merc. mez. mim-p. mosch. mur-ac. Nat-ar. Nat-c. Nat-m. nat-p. nat-s. nat-sil. Nit-ac. nit-s-d. NUX-M. nux-v. olib-sac. OLND. oncor-t. OP. pant-ac. par. parth. petr-ra. PETR. Ph-ac. PHOS. Phyt. pilo. pitu-p. Plat-met. PLB-met. plut-n. polyg-h. positr. Psor. ptel. Puls. rad-br. ran-b. ran-s. rauw. rhod. Rhus-t. ribo. rumx. ruta Sabad. sacch. sal-al. sal-fr. samb. sang. sanguis-s. sanic. sars. SEC. sel. SENEG. Sep. SIL. Skook. spig. Spong. Squil. Staph. STRAM. stront-c. sul-ac. sul-i. SULPH. Sumb. tab.

tell-met. TEUCR. thal-xyz. thuj. thyr. tril-p. tritic-vg. tub-m. tub-r. tub. uran-n. ust. v-a-b. vac. valer. vanil. vario. Verat. VERB. vero-o. Viol-o. viol-t. visc. vit-b-x. zinc-met.

SKIN: HAIR: growth of hair; excessive: carb-v. carc. cortiso. med. nat-m. puls. rauw. SEP. sulph. thuj. thyr.

VITILIGO: alum. ant-t. ars-s-f. ars. calc. cob-n. cob. ign. kres. merc. moly-met. nat-c. nat-caust. nat-m. oxyg. ozone phos. pitu-a. pitu-gl. pitu-p. sep. sil. stann-met. thuj.

[Lipika Chakraborty]

The Role of Pulsatilla nigricans in Hypothyroidism

Hypothyroidism is one of the burning health issues in India. Hypothyroidism is a condition in which the body lacks sufficient Thyroid hormone. Since the main purpose of thyroid hormone is to “run the body’s metabolism,” it is understandable that people will have symptoms associated with a slow metabolism with this disorder. In fact 50% of women and10% of male may have some degree of thyroid hormone deficiency nowadays. Hypothyroidism is more common and millions of people are currently hypothyroid and don’t know it is present in the pre-clinical state. Thus the functional changes start in the body and by the time they reach the doctor, the structural changes are already fully established. Their daily quality of life, work performance and economic productivity suffers

Incidence and prevalence of the disease : Recent studies suggest that one out of ten people are suffering with the disease in India . It is found in adolescence of both the sexes. As age progresses, hypothyroidism is common particularly in women and those of older age. Middle age males are also suffering with the disease. The female to male ratio in a 40 million Indian population is 5:1

Causes of Hypothyroidism

There are mainly two common causes of hypothyroidism.

1^st inflammation of the thyroid gland either previously or currently suffering with the condition, which leaves a large percentage of the cells of the thyroid damaged or totally dead and incapable of producing sufficient hormone

The second cause of thyroid gland failure is called Chronic Auto Immune Thyroiditis or Hashimoto’s thyroiditis, a form of thyroid inflammation caused by damage to the thyroid tissue. Damage occurs because Immune cells which usually fight infection and colds attack the body’s own thyroid tissue instead.

2^nd major cause is the broad category of “medical treatments.”

1) SURGERY-Removal of the thyroid gland so the total number of thyroid producing cells left within the body are not enough to meet the needs of the body for thyroid hormone. Thus the patient will develop hypothyroidism. This is usually done with the thyroid cancer cases.

2) RADIOACTIVE IODINE THERAPY

3) SECONDARY HYPOTHYROIDISM – Eg. diseases of pituitary gland or hypothalamus may cause thyroid hormone deficiency

CERTAIN MEDICINES may also cause hypothyroidism. A medicine called lithium used to treat psychiatric disorders has been known to cause hypothyroidism.

ANTI-HYPERTHYROID MEDICINES – Treating hyperthyroidism with anti-thyroid medicine can also cause a shift from hyperthyroidism to hypothyroidism.

UNDER ACTIVE GLANDS- Some people may be born with an underactive thyroid.

PREGNANCY: Sometimes hypothyroidism develops during pregnancy, a common condition of women under stress and gives a signal to the patient for the later development of the disease

OTHER CAUSES: Iodine deficiency is the most common cause of hypothyroidism worldwide. Once researchers realized this, health authorities around the world began adding iodine to table salt. As I have treated more than 1500 thyroid patients in my college OPD and also in my personal clinic for more than 20yrs, I found the unnecessary intake of iodine in a patient stimulates the gland and patients develops an artificial disease.

It was found that from 1997 onwards the government of India under WHO guidelines had introduced Iodized Table Salt as compulsory in daily food. This strategy was effective in correcting iodine deficiency. But it had an unanticipated and undesired effect. In countries where iodine has been added to table salt, the rates of autoimmune thyroid disease have risen. This was even personally also observed by me in different cases of hypothyroid where I substituted plain sea salt or rock salt. Most all of the patients showed significant improvement in the disease state.

Research has proved that restricting intake of iodine can reverse hypothyroidism. In one study, 78% of patients with Hashimoto’s regained normal thyroid function with iodine restriction alone.

Why does this happen? It happens because increased iodine intake, especially in supplement form, can increase the autoimmune attack on the thyroid. Iodine reduces the activity of an enzyme called thyroid peroxidase (= tpo). Tpo is required for proper thyroid hormone production.

Symptoms of Hypothyroidism

Fatigue

Weakness

Weight gain or increased difficulty losing weight

Coarse, dry hair

Dry, rough pale skin

Hair fall in bunches

Cold intolerance can’t tolerate cold temperatures like those around them

Muscle cramps and frequent muscle pains

Constipation

Depression – Leading to PSYCOLOGICAL DISORDER , MOOD SWING ETC

Irritability

Memory loss

Abnormal menstrual cycles

Decreased libido

Homoeopathic Medicines due to their infinitesimal light isotopic forms are capable of penetrating the Hypothalamus-Pituitary Axis. Homeopathic remedies have the power to reverse the functional and immune disturbances of the thyroid gland.

Homeopathic Medicines Most often Used In Hypothyroidism

Bar-c.

Bromium

Calc-i.

Iodum

Kali-c.

Lyc.

Nat-m.

Phos.

Sep.

Sil.

Spong.

Sulph.

Thuj.

I would now like to discuss a group of cases which I had treated with Puls. as a constitutional as well as an intercurrent remedy. As per the literature of homoeopathy not much emphasis is put on the role of Puls. in the treatment of hypo-thyroidism. During the adolescent period of a girl the hormonal changes occur. The role of Puls. also has the same effect as a drug, on a girl of that age. It stabilises the hormonal disturbance and thus I found that adolescent ypothyroihhh hypothyroidism can be controlled excellently with the drug.

In this context I have treated around 200 cases of Hypthyroidism where I found excellent results with the drug. symptoms like, irregular menses, profuse menses, mood swings, gain in weight, irritability etc. can be controlled very nicely with Puls. I remember a case of adolescent thyroid which came from Vidisha a small town in Madhya Pradesh where I had treated a girl with Nat-m. 10M followed by Puls. 10M. Her hypothyroid was cured completely. The Gynaecologist nearby asked her to enquire which steroid I had used for the patient. I said point blank that we in Homoeopathy have no steroids.

For the process of treatment many times it happens that after giving a drug, if there is amenorrhoea, which is a very common problem ,the patient starts bleeding profusely and after certain periods if the TSH level is checked it becomes normal. My personal experience also shows that we should not use any remedy to stop the menses as it is a process of elimination and any sort of interference can totally reverse the case. Use only food supplements for the patient instead.

Another vulnerable age group of women suffering from this disease, are those pre-menopausal women, from 35yrs – 45yrs of age. I have experience with middle aged women and men as I have being treating 60% of them with Puls. Nat-m. Lyc. Calc. Lach. as constitutional remedies and Thyroidinum, Iodium, Bromium as intercurrent remedies. I’ve used Sulphur to end the treatment as an antipsoric remedy to prevent recurrence.

Among these remedies, Pulsatilla played a major role in the treatment of the disease. I have treated nearly 150 patients with Puls. as a constitutional as well as intercurrent remedy.

Here we find mostly family tension, nuclear family work load, severe suppression at the emotional level, as well as weeping disposition, memory loss, mood swings and suppressed menses as presenting complaints. In women, decreased libido is a common factor along with the other constitutional symptoms.

The mood swings , weeping disposition, headache, GIT disturbance as well as diarrhea, decreased libido, weight gain, brooding thoughts and thirstlessness are excellently taken care by the drug.

Natural Food or Habits for Thyroid Problems

1. Eat Sea Vegetables 2x a Week –Sea vegetables are a good natural source of iodine to support the thyroid.

2. Don’t eat soya foods and cruciferous vegetables if you have thyroid issues. Raw cruciferous vegetables may not be the best choice. Like cabbage, brussels sprouts, broccoli and cauliflower, they contain chemicals that may disrupt the thyroid if consumed in large quantities.

3. We already know about the connection between cell phones and brain tumors. But this little radiation machine that you hold up to your ear is awfully close to your thyroid gland as well. A good alternative is to get a headset to use while speaking on the phone.

4. Do Yoga and Meditation

The yoga Asanas can stimulate and support the entire endocrine system. The sarvangasana is especially beneficial for stimulating the thyroid gland.

CONCLUSION

I have found Pulsatilla to be one of the best polychrest remedies to treat thyroid patients specially hypothyroid females (and some males).

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