May 2014|Vol 11|Iss5

A case of Goitre


This evidence based study is presented here to understand the miasmatic understanding in a case treated at AKP Homoeopathic Clinical Research Center by renowned Homoeopath Dr R Gnanasambandam He can be contacted at No.6, Lloyd's II Lane, Royapettah, Chennai-600014, Ph:044-28113300


      A female aged 38 years presented with swelling in the neck since two years. She has undergone routine checkup which revealed colloidal goiter and had Homoeopathic treatment for a month. The further study has revealed Solitary nodular goitre and opted again for Homoeopathic treatment with us.

Past History
H/o fits in childhood
H/o Anaemia
H/o Chicken pox in childhood.

Treatment History

     She took homoeopathic treatment for thyroid swelling for one month. On routine check up her Thyroid studies were normal. The USG neck has revealed Solitary colloidal nodular goiter with enlarged right lobe of thyroid, left lobe and isthumus are normal in size and echotexture. FNAC shows relative cell change

Family History

     Maternal grandmother- Goitre.
     Family history of Diabetes and High Blood pressure

Physical Generals

Complexion – Medium
Stature - Normal
Frame - Medium
Appetite - Normal
Thirst - Normal
Stool - Normal
Urine - Normal
Sweat - Normal
Sleep - Normal
Food Type - Non Vegetarian
Desires for sweet
Has the habit of taking tea and coffee

Mental Generals

     Mental, intellectual state of mind is anxious, very sensitive and emotional, very moody and changes frequently, depressed easily

Menstrual History

     Menstruating, Menarche at the age of 13th year.
     Periods are regular,1-5 days,27 to 28 days cycle.

Obstetric History

     Married, Has 1 son. Normal delivery.
     History of abortion 2 times


     The USG neck dated 10th Oct 2012 has revealed enlarged right lobe of thyroid, left lobe and isthumus are normal in size and echotexture. Has 1.6 x 2.7 x 3.5 cms iso to hyperechoic nodule with hyperechoic halo in right lobe sowing peripheral and internal vascularity. (Refer Plate Before)


Evaluation and Analysis

• Swelling in the neck
• Anxious, very sensitive and emotional
• Very moody and changes frequently, depressed easily
• History of goiter for maternal grandmother
• Desires for sweet
• Solitary colloidal nodular goitre

Diagnosis of Miasm


Diagnosis of the disease


Diagnosis of the remedy

     Thuja 1M

First Prescription               08/12/12

     Thuja 1M tds
     PL BD for 30 days

Follow ups


     A simple understanding on the portrait of the disease picture, evaluating with drug picture , understanding the miasmatic background of the disease would bring radical cure in many ailments