FROM THE HISTORY1
Goiter was first described in China in 2700 BC. Da Vinci described thyroid as a thing that is designed to fill empty spaces in the neck. According to Parry – thyroid works as a buffer to protect the brain from surges in blood flow. Roman physicians have reported thyroid enlargement as a sign of puberty. In 500 AD Abdul Kasan Kelebis Abis performed the first goiter excision in Baghdad, the procedure remained unknown. In 1200s AD advancements in goiter procedures included applying hot irons through the skin and slowly withdrawing them at right angles. The remaining mass or pedicled tissue was excised. Patients were tied to the table and held down to prevent unwanted movement, but most died from haemorrhage or sepsis. In 1646 AD Wilhelm Fabricus performed a thyroidectomy with standard surgical scalpels, for which he was imprisoned. In 1656 thyroid was first identified by the anatomist Thomas Wharton. In 1808 AD Guillaume Dupuytren performed a total thyroidectomy, but the patient died postoperatively of “shock”. In 1820 AD Johann Straub and Francois Coindet found that use of seaweed (iodine) reduced goiter size and vascularity. In 1830 AD Graves and von Basedow describe a toxic goiter condition they referred to as “Merseburg Triad” – goiter, exopthalmos, and palpitations. In 1866, Samuel David Gross said, “If a surgeon should be so foolhardy as to undertake it [thyroidectomy] … every step of the way will be environed with difficulty, every stroke of his knife will be followed by a torrent of blood, and lucky will it be for him if his victim lives long enough to enable him to finish his horrid butchery.” In 1883, Theodor Kocher while addressing the German Medical Congress stated, “The thyroid gland in fact had a function”. In the same year Kocher’s performed a retrospective review on 5000 career thyroidectomies. The thyroxine was discovered somewhere in 19th century and a remarkable turning point started with this in management of thyroid disorders by allopathic counterparts.
REFERENCES FROM THE LITERATURE2
The homoeopathic literature is loaded with vast examples of thyroid diseases and their cure with homoeopathy. It was the insight of our great masters that they have so beautifully described thyroid related disorders and their management in Homoeopathy. In his great work, Master Samuel Hahnemann has quoted, “What action is exerted on the skin by certain diseases of the glands with an internal secretion (thyroid gland, ovaries, testicles, supra-renal capsules, pituitary gland, etc.) must remain reserved for future research. So much, however, is established to-day to prove that some of these disturbances (Addison’s disease) cause considerable alterations of the skin.” Below are some of the references from the history regarding thyroid disorders and their Homoeopathic cure.
CASE STUDIES PRESENTED SO FAR2
- Journal of Homoeopathic Clinics, Vol 3, Sep N’1, Case 458, 1869-1870: A 19 years old female with large swelling of the thyroid gland was treated with Bromine 3, several times a day following by Calc Carb 3 and was relieved in three weeks of time.
- International Hanhnemannian Association 1902: A case of thyrotoxicosis was treated by Homoeopathically chosen remedies: China, Lach., Sul.
- Clinical Illustrations Homoeopathician (A Journal Of Pure Homoeopathy) 1914: presented 3 cases of thyroid enlargement with thyroid dysfunction and were reported cured by Iodum and Baryta carb.
- International Hahnemannian Association 1919: “Our knowledge of the endocrine remedies is as yet in a formative stage, but the therapeutic use of the ductless glands is steadily growing. We know more of the thyroid gland and of its therapeutic applications, than of any of the other ductless glands.” There is also a case presented which was treated using 2x and 3x trituration of thyroidinum.
- International Foundation for Homoeopathy: Case Conference Proceedings 1995: A case of primary hypothyroidism aged 30 female was presented by Dr. George Guess.
- Master F. J. , 1995: A case of a lady aged 51 years with migraine of 15 years standing, hypothyroidism since 10 years and leucoderma since 5 years and a diagnosed as a case of Hypothyroidism was given Staphisgaria.
REFERENECES FROM MATERIA MEDICA2
- Blackwood A. L. Manual of materia medica therapeutics: “A normal thyroid has much to do with the function of the ovaries; with a hypothyroid condition, although the ovaries and uterus are normal, menstruation may not appear and the patient becomes obese, the skin dry; should the pituitary show disturbance, the skin will be moist and soft”.
- American Homoeopath described the concept of Hypothyroidism, cancer and clinical depression.
- Boericke W. Pocket manual of homoeopathic materia medica: Kali Carb: “Pain in small spot on left side Hypothyroidism”. Thryroidinum: “Marked sensitiveness to cold, Hypothyroidism after acute diseases, i.e. weakness.
- Grand George D. The spirit of homoeopathic medicines: “At times the remedy is suggested by hypertrophied glands or the beginning of goiter. Homeopathic treatment will remedy a slight disorder in the glandular system, but when the disorder is too great, hormonal treatment will be necessary.
- Lesser O. Textbook of Homoeopathic Materia Medica: “If the alkali and earthy alkali metals, Na, K, Mg, Ca, as cations determine the drug picture, then they shape it as hydrogenoid, cold, sensitive to cold, relaxed torpid lymphatic constitutional types stigmatized along the side of the parasympathetic system. Seen from an endocrine side, they tend toward the hypothyroid side, the function of the lymphocytic apparatus (thymus) is increased.”
- Master F. J. The bed side Organon of Medicine: “Never give thyroidinum as a routine or specific for all patients who come with thyroid problem.”
REFERENCES FROM REPERTORY3
There are 32 references in the forms of rubrics and subrubrics given in Synthesis treaure edition. Whereas Kent’s repertory, Murphy repertory and Complete repertory consists of 9, 13 and 37 rubrics in relation to thyroid and other rubrics and vice versa respectively.
The thyroid gland starts developing by 3-4 weeks of gestation, appearing as an epithelial proliferation in the floor of the pharynx. Follicles of the thyroid begin to make colloid in the by 12th week of gestation and thus contribute in development of physical and neurological features. Failure of synthesis of hormones and TSH by thyroid gland may result in arrested or abnormal growth of the fetus. At birth, a cold-stimulated short-lived TSH surge is observed, followed by a TSH decrease until day 3 or 4 of life by T4 feedback inhibition.