Tuesday, March 5, 2013

Thyroidinum - A forgotten medicine


THYROIDINUM – A MUCH NEGLECTED HOMEOPATHIC MEDICINE.

Dr Suriyakhatun Osman MBBCh, MFHom (UK)

Introduction

I first became interested in Thyroidinum when an online friend sent me a scanned copy of an out of print book by Ghosh  (has been reprinted since then by BJain) that described the sarcodes and nosodes and his experience with it. I noted some characteristic symptoms and found success in cases which would have otherwise been a lot more difficult to treat. I am sharing the key characteristics of Thyroidinum in this article. Studying the thyroid hormone thyroxin as part of physiology and thyroid deficiency in pathology adds a depth of understanding of the wide yet specific range of action of Thyroidinum.  Thyroidinum is usually used as an intercurrent and will move a case towards cure or make the case clearer when it is indicated. In many cases, it is what is needed to complete the cure. I also had a opportunity to treat family members that seemed to have some pathology in the thyroid function and saw first-hand all the symptoms related to this medicine. I will relate about them in the case histories section.

Preparation:

A Sarcode, trituration of the fresh thyroid gland of sheep or calf, attenuation of a liquid extract of the gland.

Historical Background

Most sarcodes are not as well known as Thyroidinum and this is because a preparation of sheep thyroid was administered subcutaneously to patients by doctors starting in 1882 when it was introduced as a treatment for myxoedema . Overdoses resulted in side effects which are well documented by Clarke and first reported in the journal Homeopathic World.


Seat of action

The effects on the body would correspond with the actions of the thyroid hormone hence it is not surprising that the areas affected are the thyroid gland, eyes, hair, skin, and muscles. The mind symptoms are also seen in patients with hyperthyroid states such as restlessness and mania as well as the low states of stupor and apathy.
seat of action 


Characteristics
Thyroidinum has some characteristics which are hard to miss if one is aware of them.  In times when there is a demand for energy and the body fails in its function, thyroidinum is often indicated. Headaches and spasmodic conditions which occur during times of high demand call for thyroidinum. These conditions include adolescence, menstruation, coitus, pregnancy, lactation and menopause.
In all of the conditions requiring thyroidinum, the edema will be noticed. In allergies, the patient is puffed up, and the mucous membrane edematous. In skin conditions, itching is predominant and scratching brings about edema. Urticaria triggered by cold will also look puffed up. As in cases of myxoedema, there is a non-pitting edema which could also have a rash as well, a condition known as brawny edema.
Headaches and spasms occurring during periods of high energy demand point to thyroidinum. This will be made clearer in the case examples. Spasms and rigidity come hand in hand.
As in thyroid dysfunction, a deficiency at birth produces symptoms and signs of cretinism and in the adult signs and symptoms of myxeodema with weight gain, low energy and cold intolerence. Hence cachexia and obesity may call for thyroidinum when the symptoms match.
Affections of the heart are due to the muscles of the heart weakening. The thenar and hypothenar eminences of the palms are a good place to look, to see if thyroidinum is indicated. While the thyroid hormone may be normal, the atrophy indicates thyroidinum . The patient will complain of a weak grip of the hands.
Menstrual dysfunction, dysmenorrheas, fibroid tumours and ovarian cysts may all point to a prescription of thyroidinum.

characteristic symptoms 




metabolic conditions 

Specific indications

  •  New borns with vomiting and jaundice or diarrhea especially born of mothers who were physically ill during pregnancy
  •  During pregnancy;   Eclampsia in pregnancy with convulsions and edema
  • After pregnancy; Diarrhea turning chronic, more indicated if there is edema and weight loss
  •  Ailments during dentition
  •  Malnourished children and failure to thrive as a adjunctive treatment
  •  Ailments before menses
  •   Ailments after coition including headaches cramps convulsions
  •  Allergic conditions during periods of high metabolic demand accompanied by edema and angioedema
  •   Headaches of various causes: wakes up with a headache

 Modalities and Aggravations
Typically, a patient requiring thyroidinum will have aggravations by cold weather or applications as well as aggravation by exertion.

Cases cured or ameliorated by Thyroidinum
A lot more could have been said about thyroidinum and all the side effects of overdose could be mentioned but it has all been documented in Clarkes Dictionary of Materia Medica, under Thyroidinum and Ghosh has also gone into details of its indications so for this article I will instead note down the cases which did well on Thyroidinum in my own practice.

An epileptic child
A chubby child of 12 was brought to see me by her mother, she had been diagnosed with epilepsy and the symptoms were worse when the weather was cold and wet. The fits occurred during sleep.
There was nothing in her symptoms except aggravation by cold that would lead me to prescribe Thyroidinum, I instead found this in her family history.

  • Her mother had atrophy of both thenar and hypothenar eminences and while she was not hyperthyroid, the condition was cured within 3 months of prescribing Thyroidinum
  • Her uncle had Thyrotoxicosis with heart involvement
  • Another aunt had a fibroid uterus.
All of these cases would have had indications for thyroidinum.  I eventually treated the aunt who was cured from menorrhagia and dysmenorrhea and she was well enough not to undergo hysterectomy although the fibroid did not shrink fully.
As for the girl, while she improved considerably on the first prescription of Bufo, the cure came after a prescription of Thyroidinum.

 Headache after coitus

A 30 year old woman came complaining of headache after coitus, this case was cured with Thyroidinum 30c, 5 doses

Eczema of the whole body

A 5 year old child who had eczema soon after birth was brought to see me. She was a quiet child who spent all her energy scratching.  I treated her for more than 6 months and at one point the mother reported she was quite naughty. I thought that it was because the energy to be her real self had come back since she did not spend all her energy scratching.  Among the remedies she had were tuberculinum and thyroidinum because of the aggravation by cold. I did not see her for the next 5 years but the mother came to see me about another daughter and reported that this girl was not only the healthiest of her children but also the brightest and tallest.

Vasomotor rhinitis with allergic sinusitis and headache
A 28 year old lady with symptoms of vasomotor rhinitis, with edema of the mucous membrane accompanied by headaches did well on Nux Vomica but the condition kept lingering over a few weeks until it was discovered that she used to get urticaria which looked edematous and the appearance of the mucous membrane was noted. The itching accompanying the rhinitis also pointed to Thyroidinum which was given with clearing up of the rhinitis and headache within 24 hours. After giving her the thyroidinum I realised I should have thought about it earlier since she worked in a demanding profession and was stressed from her job..a metabolic high demand situation!

Compare with the following remedies:

  •    Iodum which is an important component of the thyroid hormone has many of the symptoms of Thyroidinum but Iodum is aggravated by heat
  •    Arsenicum Album has a complementary relationship and has been known to cure myxoedema and psoriasis when characteristics match
  •      Bacillinum: Cases needing thyroidinum are frequently easily infected with the TB bacillus and thyroidinum is frequently needed to complete the actions after Bacillinum in PTB
  •    Lachesis : wakes up with a headache

Conclusion
This article does not record all of the symptoms and indications for thyroidinum since it has been better stated in several books including the two that I have referred to earlier that is:
1.       Clinical Experience with Some Rare Nosodes, Thyroidinum, page 1 -27: by Ghosh S.K.
2.       A dictionary of practical materia medica , Volume 3 page 1437-1443: By John Henry Clarke
Instead, I have attempted to make it easier to spot cases in which there is a possibility that a prescription of Thyroidinum could help in the healing.

27 comments:

  1. Thanks for this Suriya . I used this remedy fairly recently with a patient on medication for hyperthyroid who wanted to get pregnant but not while she had this condition. The remedy cured, she came off the medication but still couldn't get pregnant until we used Liz Lalor's protocol for a month. She is due in April. Rochelle M

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  2. Hi Rochelle thanks for the feedback. Thyroidinum usually moves a case then you have to look for the next remedy which by then becomes much clearer

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  3. Thanks for the excellent article.
    V T Yekkirala

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  4. Hi Suriya. I am currently on 150mg of Thyroxin (I've been taking it for 4 years now). It was prescribed after thyroid resection (it happened to be thyroid cancer). Unfortunately I experience many of the side effects of the high dosage of Thyroxin. Especially in the afternoons I feel heaviness in the heart area, sometimes high palpitation and I feel very tired and melancholic (I used to be very energetic before). I am really looking for a way to decrease the dosage of Thyroxin and was advised by a friend that Thyroidinum could be really good in my case. Would you be able to help me with that?

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  5. Thyroidinum would indeed help with the side effects. With resection you cannot stop of course. You could try different doses and at different intervals. I suggest you seek out a homeopath to help you with it. Usually after a few doses you feel better and you stop the remedy and restart when you feel the symptoms start up.

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    Replies
    1. Thank you very much!
      Do you know how can I find one in my area that specialises in thyroid problems?

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  6. Thyroidinum would indeed help with the side effects. With resection you cannot stop of course. You could try different doses and at different intervals. I suggest you seek out a homeopath to help you with it. Usually after a few doses you feel better and you stop the remedy and restart when you feel the symptoms start up.

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  7. Veseselina, I have no idea where you are located but I am sure you can find a homeopath to help you. Homeopaths do not really focus on treating one organ, they usually treat the whole person but there are some who are better at treating endocrine problems

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  8. Dear mam,

    Thanks for sharing the above experiences.
    With your success rate with thyroid treatment I was hoping you could help me too.
    I'm on thyroxine since last 5 years on 100 mg every morning.
    Initially my tsh was 12.8 with a swelling in the left goitre however with continuous thyroxine it came within control.
    However I'm uneasy with thyroxine and want to get rid of thyroxine.. Hate being dependant on the medicine. If I don't hv it one day I feel swollen, depressed and lazy.
    My symptoms also include frequent pain in leg joints specially at night. Frequent thirst and get nervous easily. I read lot of reviews on thyrodinum medicine and decided to give it a shot with thyroxine. I've been taking thyrodinium 6x 200 for last few weeks twice a day, I miss my thyroxine once in a while.. Not sure if its tge right one for me but I immediately feel uplifted after having it.. So thought I should continue until I get some help from a homeopath. Would appreciate if you could help my case and advise me medicines accordingly. Thanks

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  9. Salam Pn.Suriya..Do you have any clinic around cyberjaya/putrajaya? would like to meet you personally regarding papillary thyroid ca. I really need lots of advice regarding to this matter. Thank you - nurul fasya

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    Replies
    1. Yes, I have home office in Cyberjaya. Please call my clinic for appointment 063842200

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  10. Yes I have a home office in Cyberjaya, I do see patients there . Write to me at suriya.osman@gmail.com

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  11. Dear Divya,
    are you in India, I suggest you see a homeopath.Your problems are easily resolvable via a proper homeopathic management

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  12. Hello Doctor,
    I had pcos before my puberty & insulin resistance as well. I had cold hands & feet, feeling cold all the time, extremely dry skin, low libido, gaining weight without eating much & even after exercising regularly. After my son's birth, my pcos lessened & i started taking herbal remedy for better blood sugar control. It has helped me a lot, but no weight loss. Latest ultrasound showed normal & no ovarian cysts. All this time i am eating low carb, almost no sugar or high glycemic foods. My diet & exercise has always been good.
    My naturopath wants me to start Armour thyroid & i am extremely scared to start it. I have made a lot of efforts to keep my weight down & to eat an extremely healthy diet. My Tsh is 2.4. He has started me on herbal thyroid support, adrenal support, Vit C, Vitamin D & Omega 3 ( almost 15 pills altogether per day)
    Can i take throidinum? what potency? & for how long? Pls help me.

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  13. Yes it is worth a try. Thyroidinum 30c for 5 days every month . Try it for 3 months and check your fsh again

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  14. ASAK, I suffer from Hypothyroid, and my TSH level is 6.75, and my doctor started me on Synthroid 25mcg. I also suffer from depression. Would Thyroidinum help and if so in what potency? Mateen

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    Replies
    1. Maybe yes, please consult a homeopath

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  15. hello doctor,
    i am suffering from hypothyroid since 5 yrs and used to take 50 mcg eltroxin which is raised to 100mcg last year as tsh reached 20.
    now iam taking 100 mcg eltroxin and thyroidium 6x daily yet symptoms are not going away tiredness,pain, palpitation etc .
    I seeked help from a homeopathy doc he is giving me medicine but has not disclosed the name after taking it symptoms are still same but body temp. has increased .
    please suggest what should i do.
    thank u

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  16. Hello Doctor,
    My wife 27 years old having Shoulder pain since 5 months intially started with right shoulder then after on both shoulders. We have consulted one Orthopadic doc and as per his advice some blood test has been done and in the Report:- Thyroid -9.2, ESR-28,Vit D-64. Then Ortho suggest Thronorm 25mcg for thyroid, E Cod Plus, Antarth Cap and one Oinment for Pain relief with hot fermentation. Now its more than one month passed and there is no relief in Shoulder pain then he has suggest for X-Ray and report gives- Shoulder Impingement where Shoulder plate touches the Rotator Cuff and then he is suggesting to go for Ultrasound Therapy from Physiotherapy. Now i am in worried that whether he is advicing for right direction or else does there any medicine in Homeopathy for treatment of TSH-9.2 , ESR-28 & Vit D insufficiency and also for Shoulder Impingement Pain. Also please tell me can i take Thyrodinum 30 along with Alopathy medicine Thyronorm 25 mcg.

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  17. Hello Dr.
    I am having hypo and hyper thyroid,should i start taking homoeopathic medicine trituration tablets thyroidinum 3x. how much dose should i take per day.

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  18. Hi Dr. Osman,
    Thank you for such a good article. I just purchased Thyroidinum 6C and would like to know the proper dosage to begin. I'm 67 years old and overweight with type 2 Diabetes. Thank you.

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  19. Hi my age is 28 / female and my t4 is 12.2 and tsh is 8.5...but recently I have done a ultrasonography and the uterus was found bulky with heterogeneous echotexture and a fibroid. Consulted a homeopathy doc and he prescribed me thyroidinum 3x for thyroid and along with it Calcarea iod 3X twice daily 2tabs and fraxinus amer mther 15 drops at bed time...my weight is around 82-83 kgs and height is 5'7".plz suggest wheather any changes are req or nt...so that I can do accordingly. ..the course is still on and it been 5months now....what should I do?

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  20. does the thyroidinum make u loss weight i am an obesity person

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