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Thyroidinum compiled and edited by Dr. Suriyakhatun Osman

In allopathy we know its indications, ie: cretinism and myxoedaema both of which are deficiencies of the thyroid hormone. Typical symptoms are mental dullness, slowness, coldness and intolerant of cold as well as dryness and a non pitting oedema. In the chills there is stunted growth, typical tongue too large look and delayed milestones, in very bad cases failure to thrive as well as mental retardation. These would therefore be pretty obvious indications for thyroidinum. An important point raised by Ghosh: Conditions which point to a loss of balance in the human economy due to strain during some particular period of development, due to climatic variations or to some other mental and emotional factors is an indication for Thyroidinum.

Where the condition is connected with a want of metabolic nervous or vascular adjustment or a combination of some or all of them.

Thyroidinum may cure the symptoms or it may serve as the reactive agent where the other well indicated remedies were not able to by themselves to bring about a cure! Caution. Not to be used in febrile conditions -use after- long after! Pointers to indications

Chilly patient but not always so. Opposite may be true. i.e. both the pictures of hypo and hyperthyroid.

Puffiness of face and angioneurotic oedema or urticaria on and off.

Sexual overindulgence is considered to be causal factor in this remedy.

Aggravation from cold water is a keynote.

Infancy and childhood

New born babies with convulsions when it is not due to trauma during delivery and not attended by a rise in temperature.

Convulsion of babies born of mum suffering from eclampsia..toxaemia of pregnancy ,nervous and metabolic disorders when the cause is obscure. It may improve a status epilepticus but is not the only remedy needed.

Vomiting and jaundice with any disease especially if chronic is a keynote. Vomiting of newborn after second and third day seemingly causeless, not related to birth trauma, projectile vomiting. Any slowness or imbalance in development. eg. a child with loss of voice which the author on a hunch concluded was due to vocal chord underdevelopment, which happened during cold season and did not respond to rhus tox responded to thyroidinum 30, 3 doses every 12 hrs.

Other indications:

Chronic diarrhea and obstinate diarrhea in uderdeveloped children.

Appetite may be excessive or waning, associated vomiting stools very watery may be

offensive.

Menstruatation and its concommitant symptoms

This is where thyroidinum is extremely useful, Aggravation of symptoms during menses in a

chilly patient along with the other symptoms would be a good indicator. eg joint pain

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agggravated during menses, headache which comes on during menses, especially if patient

is prone to puffiness of face and angioedema.

Disorders of menses could be scanty irregular flow but also the opposite ie menorrhagia when

the indicated remedy fails to produce a permanent effect. Also in childbirth when the lochia

exceeds it usual time.

Other endocrinal imbalance

Complex endocrinal imbalance with ammenorhea may need thyroidinum along with

tubeculinum. Ghosh recommends thyroidinum 3x and the tub very high.

In menopause, thyroidinum is like Lacheses in a patient with the right keynotes.

Another example:

18 year old newly married lady developed convulsions towards the end of coition. The author

concluded it was due to her defective functional response to stimuli. He probably had other factors to

consider which he had not stated here but I found this information very useful in treating a case of a

patient, a woman who had a headache which came on during coition. She had become extra chilly

lately, had very dry skin and aggravated in her symptoms near and during her menses. T hyroidinum

10c given a few times decreased her chilliness and stopped her headaches and even helped her

menstrual symptoms. She needed other remedies too, this was a very complex case. ( Suriya’s case)

In pregnancy and lactation, Ghosh said, it is to be remembered that pregnancy is a state of

enhanceed metabolism and maladjustments. It is one of the preeminent medicenes for early abortion

and the tendency to premature labour when the cause is not of mechanical origin.. Ghosh has placed

it along with other antisyphilitic remedies which prevent repeated abortions. It also controls slow

oozing in threatened abortion.

[I am wondering if he means of blood or leaking liquor].He says that if the cause is obscure, it

indicates thyroidinum.

Difficult conception with endometritis and menstrual diorders of the type mentioned previously.

Uterine inertia causing difficult labour in hysterical patients with feeble nervous makeup. Ghosh used

it to rpprevent uterine inertia in primapara by giving it in 30c once a week in the last month of

pregnancy.

Toxaemia of pregnancy or preeclampsia, with the modality : fits aggravated by cold or patient feels

chilly before the attack.. In well developed cases Ghosh mentions Cuprum aceticum,

Oenanthe,crocus, Tarentula Hispanica etc.

Also indicated as a reactive remedy when the respiratory rate is high or there is respiratory spasm.

Also useful in after effects of the attack.

Mental disturbances and hysterical spasms during pregnancy, he recomemmends it high.

Puerpeurium For hypoinvolution of the uterus,irregular bleeding on and off lingering and I might add

that the patient is chilly! Intractable diarrhea during this time. with oedema and anarsarca. Puerpureal

insanity, worth considering when indicated remedies fail!

Not to forget the numerous troubles of babies born of toxaemic mums.

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Allergy and vasomotor disturbances.

Allergy as we understand it is a defective and perverted functional nervous and vasomotor reaction

eiher of certain organs or of the patient in general.With respect to endogenous or exogenous proteins,

atmospheric changes, mental states etc. Ghosh says Thyroidinum has an all pervading influence on

the numerous manifestations of allergy! He says that thyroidinum in potencies above 30c is one of the

main remedies to cope with acute symptoms of vasomotor disturbance and to change the constitiution

as to adjust the system to minimise such a reaction later on.

Note that the cases requiring thyroidinum aggravates during the menses, aggravates cold, and I might

add, aggravated pregnancy. Ghosh says that while we have a lot of remedies that cover allergies,

allergic manifestations are not covered well by our remedies, if they are based on symptoms. My own

observation is, in times of increased growth and other stressful conditions such as exams, pregnancy

and lactation, some individuals get an enlarged thyroid gland, what we call a physiological goitre! My

observation is that such people may benefit with thyroidinum, whatever other remedies they may

need.

Tuberculinum, medorrhinum psorinum and sulphur are the other useful remedies in allergies.

In case of rhinitis with oedema of the mucous membrane a condition frequently referred to as

vasomotor rhinitis and which frequently leads to nasal polyps with thier typical pale edematous polyps

also where the nose is completely obstructed by oedema. Thyroidinum is the author’s sheet anchor.

He notes That carduus mar is indicated when the allergy is associated with gastrointestinal disorder

indicating a bad liver.this is to be given low ie 3x or 6x.( I think in this case it acts as an organ

stimulator for the liver)

Dypsnea

Thyroidinum is a remedy for dypsnea complicating various diseases or conditions inflammatory

affection of the bronchi but, it is not an infection.

Allergic asthma, it is to be most thought of.

Urticaria and angioneurotic oedema:

Ghosh says it is almost specific for both the affections which are very important manifestations of

vasomotor imbalance in allergiea. Itching is more prominent than burning, the more edematous the

wheals the more indicated.

The urticaria of angioedema is relieved by heat or in hot weather and is brought on by cold!

Conjunctivitis with chemosis and very great itching during change of season or connected with

vasomotor troubles will yield to thyroidinum much faster than to the indicated remdies. Very great

itching in the rectum or in other mucous membranes shlould always remind of the possibility of

Thyroidinum acting favourably along with the other manifestations.

Eczema

1. Thyroidinum is indicated in such cases with itching exudating eruptions which do not respond to

indicated remedies, roughness of palms or other places caused by chronic skin diseases.

2. Recurrent vascular dilatation with oedema redness and heat.

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3. Itching of mucocutaneous junctions sucy as rectum, nose, mucous surfaces such as eyes,thin

skinned areas scuh as ears.itch may be accompanies with exudation. Intractable cases of exudation

and itch behind the ears.

4. A history of the allergic form of asthma

5. History of food allergies especially those which cause eczema of the face and extremities

Vasomotor manifestations

Vertigo, headache nausea and weakness and paralysis of various description particularly those

affected by weather changes.

Suriya’s cases:

In a case of an inherited thyroid dyscrasia , brother has thyrotoxicosis, patient has wasting of the

thenar and hypothenar eminences of the palms with associated tremors and weakness but T4 andT3

are normal. Daughter gets epilepsy with weight gain. All of them benefited from thyroidinum. The

daughter's epilepsy is gone, among remedies she had were Calcarea iodatum, Bufo and Thyroidinum.

I also ended up treating two more female members of the same family who each had uterine

fibromas. I cannot help thinking all are related in some way to a thyroid dyscrasia.

Ghosh says he has used thyroidinum in cases of gastritis even when it is not associated with any

inflammation but is related to allergy and symptoms are affected by weather changes.

Mental troubles which may need thyroidinum are those in which there is a history of the characteristic

allergies and vasomotor changes as well as affection by weather but Ghosh says thyroidinum in high

potency is perhaps the best remedy regardless of nature and character.

Diabetes

It is one of the most important remedies in Diabetes Mellitus for cases when symptoms appear with

great rapidity and extreme weakness. Also when the diabetes appears after the cessation or the

suppression of allergic manifestations which were coming on periodically. In cases suffering from

severe stress for a long time and then subsequently develop diabetes. Other remedies to be thought

of are acid phos, acid picric, silica and tubeculinum. Thyroidinum may have to be repeated and it

bears repetition well.

When a patient who under stress develops an enlarged thyroid gland, what we call a physiological

goitre, it is enough indication to me that the patient's thyroid is needing help and that help can be

gained by giving thyroidinum. I have found that this physiological goitre runs in families some times

this family have a lot of allergies in them. Perhaps a dose or two of thyroidinum will help along a cure!

A tendency to be sluggish along with low energy and weight gain and intolerance of cold are

indicators of a sluggish thyroid function.

This concludes my summary of Ghosh's article on thyroidinum.

Ghosh’s book on sarcodes is currently out of print! I think it should be more widely known!