Clinical Cases

A Case of Autoimmune Thyroiditis

Postpartum thyroiditis Picture
Written by Gaurang Gaikwad

Dr. Gaurang Gaikwad presents a case of autoimmune thyroiditis in A woman of 37.

Autoimmune thyroiditis, (or Chronic Autoimmune thyroiditis), is a chronic disease in which the body interprets the thyroid glands and its hormone products T3, T4 and TSH as threats, therefore producing special antibodies that target the thyroid’s cells, thereby destroying them.

Specialists separate autoimmune thyroiditis into two clinical categories.

  1. If goiters are present, it is understood as Hashimotos thyroiditis
  2. If the thyroid is atrophic, and does not present goiters, it is called atrophic thyroiditis.

It can also refer to Graves Disease


This is a 37 year old woman diagnosed three months ago with Auto Immune Thyroiditis with swelling throat (goiter). Difficulty swallowing and wow feverish feeling constantly, with mild body ache. On detailed case taking the following individual Symptoms were found:

She can’t tolerate heat – in fact she gets sudden warm waves all over her body with perspiration followed by chilliness.

Since last month or so she feels very sleepy and wants to lie down and sleep all the time. She feels very lethargic and feels like stretching all the time. She doesn’t have the energy to work and wants to lie down, cant tolerate household work., Agg being and working in the kitchen.  Needs to be in open air, cant be in closed environment . She has become very emotional and sensitive especially about what people say or do. Her husband has been diagnosed of psoriatic arthropathy . Thinking about it affects her and she gets very emotional about it.

She feels very anxious and insecure thinking about the future.

Cant tolerate warmth. Desire for sweets, aversion to spicy. Sleep is often non- refreshing.  Excessive sweat on slightest exertion.


I study the case in depth and depending on the type of case – I choose the approach.  The approach I chose here is one of generalization.  Hence the Phatak / Boger repertory would be the best one. Often in these type of cases when generals are more prominent – I would use Phatak’s Repertory.

ON REPERTORISING Exclusively with PHATAK Repertory

On Studying material medica:


Anxiety as if something might happen



One Dose every month for 6 months

First month follow up:

Swelling – Pain reduced by 50 %

Heat waves – were still there but reduced

Need for open air has increased

Sleep is still not refreshing

Feels tired when she gets up in the  morning

Appetite is still Low

Heat agg her state in general

Mental anxiety is a bit less, although still there.

(no allopathic medicines were taken )

Follow Up after 6 Months

The scan reports showed normal.

Her hot flushes have reduced by 90 %

Perspiration and chilliness has almost become normal

Sleep has become much more refreshing compared to before

No dreams

Appetite has improved

Her state of mind has become more relaxed and calmer compared to before


I see many cases of Hypothyroidism / Hyperthyroidism in practice, and have seen that even in these cases we need to study the individual characteristic

symptoms.  Depending on the type of the case we have choose the correct approach. I was reminded of the need for flexibility and broadening my vision.

About the author

Gaurang Gaikwad

He has been working for ‘the other song’ academy and with Dr. Rajan Sankaran who has inspired and mentored him. He has worked on Dr. Sankaran’s books including Synergy in Homeopathy, Synergy Synopsis, From Similia to Synergy, and The Art of Follow Up. He has been working with Dr. Sankaran in his private clinic and also his own private clinic in Dadar, Shivaji Park, Mumbai. He has been closely associated with Dr Sunirmal Sarkar and compiled his book – Just You See on Dr. Sarkar’s experience. Dr. Gaikwad has been invited to Europe to teach classical homeopathy and repertory. He has done extensive clinical research in thyroid cases and written 6 books: Psyche of Homeopathy for Beginners, Homeopathic Approach on Thyroid Disorders, Art of Repertorisation, How to Use BBCR - Phatak’s Repertory, Understanding Mind Rubrics, MM of Nosodes and Sarcodes He is current working on 2 Books, on mind rubrics and how to use different repertories in practice.

1 Comment

  • Does it mean that we have a thyroidis problem when we have the goiter. I have a goiter since one month. I have taken Thuja ( 30+200+1M) 3 months ago and Kali Carb (30+200) 5 months ago. Since Kali Carb intake my body gets very hot during exertion and even in winter I have to undress and walk with a summer t-shirt. Then I get sick. During the physical efforts, my heart beats very quickly, I get a burning and hurting sensation in my lungs and I feel like I will vomit if I dont stop for a while. My energy level has dropped a lot after Kali Carb and it is not getting better even now after 5 months. IS it possible that I got a autoimune thyroidis with Kali ? My homeopath doesn’t tell me anything about it, and I am worried.

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