A CASE REPORT OF HYPOTHYROIDISM TREATED WITH

INDIVIDUALISED HOMOEOPATHIC MEDICINE

1. Dr. Subhashis Pramanik *
Post graduate trainee, Dept. of Case taking and repertory
Mahesh Bhattacharyya Homoeopathic Medical College and Hospital
Dr. B. N. Chakrabarty Sarani, Howrah, West Bengal-711104
2. Dr. Trishita Basu
Lecturer, Dept. of Homoeopathic Materia medica
Mahesh Bhattacharyya Homoeopathic Medical College and Hospital
Dr. B. N. Chakrabarty Sarani, Howrah, West Bengal-711104
3. Dr. Mehadi Arif Billah
Post graduate trainee, Dept. of Homoeopathic Materia medica
National Institute of Homoeopathy
GE Block, Sector-III, Kolkata, West Bengal-700106
*Correspondence author.
Correspondence- drsubhashispramanik@gmail.com
Abstract:
This case report describes a 35 years old woman who suffered with hypothyroidism and
came for homoeopathic treatment. In this case, we adopted Dr. Kent’s method as the patient
displayed characteristic mental as well as physical general symptoms.[1] Through proper case
taking we analysed and evaluate the case and select the medicine Pulsatilla nigricans 0/1-0/6
with taking help from Kent’s repertory.[2] After taking medicine the patient gradually
improved and after six months of treatment the patient’s blood report of TSH, T3, T4 found
within normal limit as well as mentally and physically patient became healthy. This case report
showing the importance of case analysis and evaluation as an integral step after case taking and
administration medicine maintaining the law principles of homoeopathy are the only way to
cure the suffering of humanity. It also highlights the role of homeopathy in cases of endocrinal
disorders with out making any drug dependency and any adverse effect.
Keywords: Hypothyroidism, Individualised homoeopathic medicine, Pulsatilla nigricans,
Kent’s method.
Introduction: Hypothyroidism is a one of the most common disease of modern days. At
present thyroid disease is the second most common endocrine disorder in India after diabetes
mellitus. Common causes of hypothyroidism are iodine deficiency, autoimmune disease such
as Hashimoto’s thyroiditis, surgical removal of the thyroid and radiation therapy etc. [3]
Symptoms of hypothyroidism include cold intolerance, weight gain, fatigue, infertility and
menstrual abnormalities.[4] The prevalence of primary hypothyroidism is 1:100 but increases
to 5:100 if patients with subclinical hypothyroidism are included. It occurs more in females; the
female, male ratio is approximately 6:1. [3] The main line of treatment of allopathic system of
medicine is to provide synthetic product of thyroid hormone for lifelong of the patient. Here,
homoeopathy system of medicine makes a very good result in the patient suffering from
hypothyroidism.
CASE REPORT:
A female Hindu, married patient age 35 complaining of slight swelling of thyroid gland
which is non tender, along with it the patient was suffering with menstrual irregularity of
polymenorrhoea and cold intolerance, lethargy etc. since about last 3 months.
HISTORY:
History of present complaint:
In this case, the patient was previously treated by an allopathic physician for other illness. As
per her doctor advice, she had blood reported and the doctor said that she was suffering from
hypothyroidism. Knowing the drug dependency of modern system of medicine, the patient
wishes to treat herself in homoeopathy and came to us. Since last 3 months patient was
suffering from menstrual irregularities of early and profuse appearance of menses, chilliness,
lethargy etc.
Past history:
Patient had a history of chicken pox at the age of 12 years. She also had history of tinea
curis at the age of the age of 30 years which was treated with allopathic medication and
ointment. And also, history of appendisectomy at the age of 19 yrs.
Family history:
Family history revealed type-2 diabetes mellitus of her father and hypertension of her mother.
Gynaecological and obstetrical history:
Menstrual history revealed she have irregular, early menses of 15-20 days interval. Duration
of menstruation of 5-6 days with profuse flow of blackish blood. Menarche at the age of
15yrs.There was no concomitant symptoms before, during and after menses. The patient had no
issue.
GENERALITIES OF THE PATIENT:
Physical general:
In her physical general she had desire for fried, spicy food, meat, sour but also intolerance of
fatty food, milk causes dyspepsia. She had very less thirst of about 1 litre water taken daily.
Sleep of the patient was sound but during sleep patient is preferring to high pillow under head.
Patient was thermally chilly but preferred open air.
Mental General:
In mental general, the patient was mild, gentle. She was weeping easily. Prefer company.
CLINICAL FINDINGS:
General Examination
Pallor- mild
Blood Pressure- 110/78 mmHg
Pulse Rate – 76/min
Respiratory Rate – 18/min
Local examination:
On examination of thyroid gland was slightly swelled up both sides symmetrically. Thyroid
swelling visible without hyperextended neck. On palpation the surface was smooth, no
tenderness present.
INVESTIGATION:
Thyroid Profile Test (TFT)
1. At baseline (20.03.2020) - FT3-0.87 ng/ml, FT4- 6,37 ug/dl, TSH-16.82 uIU/ml (Fig 2 A)
2. After treatment (27.11.2020) - FT3-1.11 ng/ml, FT4- 6.9ug/dl, TSH-3.57uIU/ml (Fig 2 C)
Diagnosis was confirmed by symptomatology and TSH report; TSH report showed high value
of 16.82µIU/ml.[5]
Considering the above symptomatology and miasmatic background of the case, the medicine
was selected and it was also consulted with systematic repertorization by Kent’s repertory
using Hompath software (Zomeo 3.0).
The following rubrics were selected for repertorization.[fig-1]
 MIND, MILDNESS
 MIND, WEEPING, tearful mood, etc.
 MIND, COMPANY, desire for
 STOMACH, DESIRE, fried food
 STOMACH, DESIRE, meat
 STOMACH, DESIRE, sour
 GENERALITIES, FOOD, fat agg.
 GENERALITIES, FOOD, milk agg.
 STOMACH, THIRSTLESS
 GENERALITIES, COLD in general agg.
 GENITALIA- FEMALE, MENSES, delayed in girls, first menses
 Fig-1
FOLLOW UP AND OUTCOMES:
Date of first and follow up Indications for
visits prescription/ totality
23/03/2020 Reportorial totality
LMP-10/03/2020
20/04/2020 Thyroid gland enlargement
persists as same, weakness
was reduced, appetite, thirst
were slightly increased.
Menses was same as before.
LMP-30/03/2020
19/05/2020 Thyroid gland enlargement
persists as same, weakness
was reduced, appetite, thirst
also slightly increased. Other
generalities were with in
normal limit. Menses was
same as before for 8days.
LMP-10/05/2020
22/06/2020 Thyroid gland enlargement
was decreasing in size.
Appetite, thirst also slightly
increased.
Other generalities were with
in normal limit.
Menses- the amount of flow
Medicine with repetition
and dose
Pulsatilla 0/1
14doses on alternate day
alternated with placebo for
1month
Pulsatilla 0/2
14doses on alternate day
alternated with placebo for
1month
Pulsatilla 0/3
14doses on alternate day
alternated with placebo for
1month
Pulsatilla 0/4
14doses on alternate day
alternated with placebo for
1month
 was reduced than before.
LMP-05/06/2020

22/07/2020 Thyroid gland enlargement Pulsatilla 0/5

was decreasing in size. 14doses on alternate day
Appetite, thirst were slightly alternated with placebo for
increased. 1month
Sleep was disturbed for last
few days due to familial
tension.
Menses was same as before.
LMP-30/03/2020

21/08/2020 Thyroid gland was almost Pulsatilla 0/6

looking normal in size, 14doses on alternate day
Generalities were normal. alternated with placebo for
Menses was almost normal 1month
with moderate amount of
flow for 6 days.
LMP-16/08/2020

21/09/2020 Thyroid gland was almost Placebo for 28 days.

looking normal in size,
Generalities were normal.
Menses was almost normal
with moderate amount of
flow.
LMP-12/09/2020
Thyroid profile was within
normal limit on 11/09/2020.
[Fig-2B]
 Fig-2A. Fig-2B
CONCLUSION: In homoeopathy we treat the patient as a whole not by the name of the
disease. We consider the patient symptom above that those of the disease symptoms where to
find a perfect similimum in order to cure the case considering the totality of symptoms and
miasmatic background of the case of disease. We have to treat each and every case on the basis
of individuality of the patient. After the selection of the medicine, we should have to consider
the dose and potency of the selected medicine on the basis of laws and principles of
Homoeopathy as given by our Masters. Above all homoeopathy can cure these kinds of
endocrinal disorders naturally, permanently, gently and also rapidly.
DECLARATION OF PATIENT CONSENT: The authors declare that they have obtained
consent form from patient for publication of clinical information blinding the identity of
individuals.
REFERENCES:
1. Kent, J.T. (James Tyler), Lectures on homoeopathic philosophy, Bjain publishers pvt.
Ltd., New Delhi, reprint edition, 2017
2. Kent J.T., Repertory of the homoeopathic materia medica, sixth American edition,8th
impression, New Delhi, B. Jain Publishers,2019
3. Stuart H R, Ian D P, Mark W J, Richard P H, Davidson’s principles and practice of
medicine, 23rd ed, Elsevier,2018
4. Anthony Fauci S, Dennis Kasper L, Stephen Hauser L, et al. Harrison’s Principles of
Internal Medicine.20th Edition, The McGraw-Hill Companies, Inc., New York 2015;
II:2692-2698.
5. Barrett, Kim E, and William F. Ganong, Ganong's Review of Medical Physiology, New
York, McGraw-Hill Medical, 2012. Print. Turabian (6th ed.).