Case Report of Subclinical Hypothyroidism Treated with Individualised Homoeopathic Medicine

Abstract

Subclinical hypothyroidism is a condition characterized by elevated thyroid-stimulating hormone (TSH) levels with normal free T4 and T3 levels. Thyroid disorders are among the most prevalent endocrine disorders worldwide, second only to diabetes mellitus. Due to mild thyroid hormone deficiency, patients with subclinical hypothyroidism may be managed by a well selected individualised homeopathic medicine.

Case Summary: A 28-year-old female presented with menstrual irregularity ,hair fall and facial acne. An individualized homeopathic treatment was prescribed based on her symptoms. Significant recovery was observed, with TSH levels returning to the normal range after treatment. The outcome was assessed by comparing TSH levels before and after the intervention.

This case highlights the potential of homeopathic medicine in managing subclinical hypothyroidism.

CASE: A 28 year old women from a middle socio economic status family reported to the outpatient department of government homoeopathic medical college, Bhopal on 26 august 2024.

Presenting Complaints

1. Complaint of early and profuse menses for 6 months.
2. Complaint of severe hair-fall for 4 months.
3. Complaint of numerous, tiny facial acne for 3 months.

History of Presenting Complaints

1. The patient attained menarche at the age of 13 and the menstrual cycle was regular. But now the patient has been presenting with early and profuse menses since 6 months.

Cycle- irregular, once in 20 days, 6/20 day cycle

Nature of flow- Profuse, 6-7 pads/1^st day

Nature of blood- Dark red, no clots, not offensive

There are no other associated complaints.

LMP –15 /08/2024(PLMP- 26/07/2024)

2. Complaint of hair-fall since 4 months. There is no dandruff, no itching.
3. Complaint of numerous, tiny facial acne for 3 months.
4. Dullness ,litharge and sleepiness feeling all time
5. Desire of salt and salty food 

Menstrual History

LMP- 15 /08/2024(PLMP- 26/07/2024)

• Cycle- irregular, once in 20 days, 6/20 day cycle
• Nature of flow- Profuse, 6-7 pads/1^st day
• Nature of blood- Dark red, no clots, not offensive
• There is no dysmenorrhoea.

Mental Generals

• Very much conscious about her facial acnes (about her looks)
• WEEPING, tearful mood 
• Sensitive to opinion of others
• Fearful very much ,fear of impending diseases
• Mental or physical inactivity or insensibility. Sluggishness, lethargy, apathetic.

Clinical Findings

Physical examination reveals normal blood pressure-110/70mmHg, normal pulse rate (74 bpm), dry skin on both the forearms, mild pallor, no pretibial edema, no swelling in the neck region, no lymphadenopathy and no tenderness in the neck region.

Diagnosis: Subclinical hypothyroidism

Investigations: Done on 24/08/2024

• TSH: 6.11uIU/ml
• Total-T3: 83.27ng/dl
• Total-T4: 6.40/dl(Fig 1 A)

Rubric And Repertorisation

1. Mind- Fear-disease, of impending
2. Mind-Sensitive-opinion of others; to the
3. Mind- delusion- wretched, she looks
4. Female genitalia/Sex-Menses-copious
5. Generals-Food and drinks-salt-desire
6. Generals-Hypothyroidism

Basis of Prescription: The above mentioned rubrics were taken for repertorisation. After repertorisation and in consultation with materia medica Natrum mur was selected.

FIRST PRESCRIPTION ON 26.08.2024
The patient was advised to take Natrum mur200 twice a day, for 3 days followed by placebo twice a day for 2 weeks.

SECOND PRESCRIPTION ON 20/09/2024

Patient is better than before, dullness gone, acne also disappear

Rx Natrum mur 1M once in a dasy ,for 2 days followed by placebo twice a day for 2 weeks 

THIRD PRESCRIPTION ON   19/11/2024

Patients menstrual cycle is regular now , no acne and hair fall also improved

After treatment (22.11.2020) 

TSH-3.52uIU/ml 

Total T3-1.01 ng/ml, 

Total T4- 6.94ug/dl, (Fig 2 C)

                                                      (Fig 1 C )

                                                        (fig 2 C)

Conclusion
Thus, this case shows the scope of homoeopathy in treatment of subclinical hypothyroidism. Individualised holistic treatment approach gives a good result to sub-clinical hypothyroid cases.

Declaration of Patient Consent
Patient consent was taken for images and clinical information to be reported for this article.

References

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DR. JHALAK JAIN
PG scholar, Department of Homeopathic Materia Medica

Under the guidance 0f 

DR.SHOBHANA SHUKLA 

(HOD of Dept of Homeopathic Materia Medica)
GHMC BHOPAL (M.P.)