Project Description

This is a clinical report of Grave’s disease treatment. According to classical homeopathic principles using mental, general and particular symptoms – including symptoms just prior to, during and after the onset of the illness. Some long term “constitutional” symptoms were also considered. Symptom onset occurred in relation to the problems in her personal life with Husband. Started with Natrum Muriaticum 200C and Pulsatilla 30 (given on the symptom of weeping tendency while explaining her symptoms) provided immediate but short term symptomatic relief. Through the initial two months of treatment, appropriate potencies were empirically evaluated and thyroid function improved. Free T4 dropped from four times the upper limit of normal to the high normal range, and excess gland reduced. Over the course of a year 10M potency was most frequently used.
GRAVES DISEASE PRESENTATION A 32 year old female with a clear diagnosis of Grave’s disease presents in thyroid storm with Free T4 three times upper limit of normal, and a TSH of 009. Thyroid US reveals diffuse heterogeneity and multiple nodules. I-123 scan is consistent with diffuse toxic goiter. The patient refused thyroid ablation with I-131, surgery and methimazole due to fear of side effects. INITIAL SYMPTOMS AND SIGNS: The patient began having symptoms several months prior to presentation in the office with trembling of the limbs, heart palpitations, flushes of heat, insomnia, increased apatite, tinnitus, insomnia and anxiety. She lost 16kgs despite food intake. Her blood pressure, normally low, was 130/90 with a tachycardia of 130. The consulting endocrinologist felt she was in serious crises and recommended a starting dose of 60 mg of methimazole. The patient refused. CASE REPETORIZATION The case was repertorized according to classical homeopathic principles using mental, general and particular symptoms with attention to symptoms just prior to, during and after the onset of the illness. Some long term “constitutional” symptoms were also considered. Of characteristic interest was the fact that symptom onset occurred in relation to the loss of a relative. COURSE OF TREATMENT The patient had immediate yet short lived symptomatic relief with Natrum Muriaticum, 200C, repeated as needed. Subsequently, she used potencies of 1M, 10M and started with Pulsatills 30 and she used potencies 200, 1M, 10M. Initially, regardless of potency choice, relief tended to be no greater than eight to 10 hours, even with a 10M potency. RESULTS Over a period of three months, FreeT4 dropped to the high normal range. TSH rose to .02 to .06 consistently. The patient moved on to 50M potencies to treat the condition. Tinnitus, hypertension and weight loss have resolved at this point and patient is back to her pre-treatment weight. Thyroid examination revealed a much shrunken gland compared to the intake visit. Most recent BP reading was 120/70 with a pulse of 90. Over approximately the next year of treatment on the same remedy, the MM dose became the most frequently used. Her TSH was still low at .01 to .10, however, free T4 values moved into the normal range and free T3 values into the boarder-line, high normal range.
CONCLUSION: Given many cases in the literature of successful treatment for hyperthyroidism with classical homeopathy.