1. PRESENTATION BY:
DR. ANJU JETHANI MD(Hom)
Senior Medical Officer (Homoeopathy), Medical
Center, High Court of Delhi,
Dept. of AYUSH, Govt. of NCT of Delhi.
Senior Lecturer, Dept. of Organon of Medicine, NHMC
& Hospital, Govt. of NCT of Delhi
LEARNING
THYROIDINUM
THROUGH A CASE OF
ADHD
2. PATIENT IS MORE
THAN REPOSITORY OF
A DISEASE….
PATIENT EXHIBITS
SICKNESS THROUGH
HIS INDIVIDUALISTIC
SHADES OF MORBID
EXPRESSION
3. Basis of individualization: CASE
PERCEIVING
CASE PERCEIVING
IS ARTISTIC
ENTRAPPING
EXPRESSION OF
SELF OF AN
INDIVIDUAL
BEYOND THE
REALM OF HIS
CASE
PERCEIVING
IS NOT
MECHANICAL
NOTING &
RECORDING
COMPLAINTS OF
THE PATIENT
5. CASE PERCEIVING: LUCID &
SIMPLE
CASE PERCEIVING STARTS
THE MOMENT PATIENT
ENTERS AND YOU
OBSERVE HIM MOST
CAREFULLY.
6. ‘…….. In order accurately to perceive
what is to be observed in patients, we
should direct all our thoughts upon the
matter we have in hand, come out of
ourselves, as it were, and fasten
ourselves, so to speak, with all our
powers of concentration upon it, in
order that nothing that is actually
present, that has to do with the
subject, and that can be ascertained by
all the senses, may escape us.’
SAMUEL HAHNEMANN: THE MEDICAL
OBSERVER
Lesser writings of Hahnemann
8. CASE OF ADHD
ON OBSERVATION (§6, 90)
A 6 year old male child with fair complexion and
red lips presented with combined type of
ADHD.
Features s/o ADHD were noticed around 2-3
years of age with marked restlessness, very
easy distractibility and striking lack of
perceptions of impending dangers.
9. CASE OF ADHD
STRICKING LACK OF PERCEPTION OF
DANGER
IMPAIRMENT OF BASIC SURVIVAL INSTINCT
IMPORTANCE OF INTRA-UTERINE HISTORY
10. INTRA-UTERINE HISTORY
• The INTRA-UTERINE history revealed marked
hyperemesis during entire 9 months. Had
developed severe cough for which she took
only home remedies. Cough subsided
immediately after delivery.
• It also revealed H/o constant stress of mother
which started during early months of
pregnancy – feeling of anger due lack of moral
support and unco-operative attitude of inlaws.
11. CASE ANALYSIS: IMPORTANCE OF ACCESSORY
CIRCUMSTANCES (§5)
Mental stress during early months
of pregnancy
Dynamic influence on the organ-system
which begins developing in the most initial
period of organogenesis – the central
nervous system
13. CIPHERING OF SYMPTOMS
This had taken a toll on psyche of
mother, so much so that she did not
want to have a child
DYNAMIC MANIFESTATION OF
COUGHING UP AND THROWING
OFF THE OFFSPRING
14. CASE ANALYSIS:
CIPHERING OF SYMPTOMS
• The intra-uterine tendency to ‘THROW
UP’ in form of hyperemesis and cough
was interpreted as somatic
manifestation of her deep subtle desire
to ‘THROW UP’ the foetus. The
emotional drain on the system with lack
of catharsis and resultant suppressed
anger was manifested by the child in his
misdirected bursts of energy.
15. • The child was born full term LSCS with mild
IUGR.
• DEVELOPMENTAL MILESTONES: WALKING
DELAYED
SIGNIFICANT aSPECT OF CASE
Stunted development –
physical SPHERE
16. STUNTED DEVELOPMENT – EMOTIONAL
SPHERE
• IMPAIRED SENSE OF PERCEIVING DANGER.
• LACK OF MORAL CONDUCT
17. SIGNIFICANT ASPECT OF CASE
• H/o chicken pox (well erupted) at age
of 2 years.
• Desire salty and paneer
• DESIRE SLEEP ON ABDOMEN
• Family history of CAD, DM &
Hypertension
18. PLEASURE OF PRESCRIBING:
BEYOND THE
REALM OF DISEASE
‘If the physician clearly perceives what is
to be cured in diseases, that is to say, in
every individual case of disease
(knowledge of disease,
indication),………...’
§ 3 – Organon of the Art of Healing
19. PLEASURE OF PRESCRIBING
KNOWLEDGE OF DISEASE
• INTRA-UTERINEREPRESSED
ENERGYLEADINGTOADHD.
• STUNTEDMETABOLISM/
DEVELOPMENT(PHYSICALLY
ANDEMOTIONALLY)
INDICATIONS
• DESIRETOSLEEP
ONABDOMEN
• REDLIPS
20. PLEASURE OF PRESCRIBING:
CIPHERING OF SYMPTOMS (§7)
• INTRA-UTERINE STRESS with maladaptive
ontogenic development leading to STUNTED
GROWTH
• Red lips
• Desire to sleep on abdomen
21. CASE ANALYSIS
The understanding of case in terms of
intra-uterine effect of deep seated
emotional trauma resulting in
affection of Central Nervous system
& Stunted metabolism with
concomitance of red lips and desire to
sleep on abdomen pointed to the
remedy THYROIDINUM
22. PATHOPHYSIOLOGY OF
THYROID GLAND
• THYROID GLAND IS THE GLAND OF
METABOLISM.
• ITSHYPO&HYPER-SECRETIONRESULTSIN
DEFICIENT & INCREASED GROWTH
RESPECTIVELY
23. Due reference to works of Dr. Boger,
Dr. Clarke and Prof. L.M. Khan made
me understand the importance of
Thyroidinum in the effects on Central
nervous system with its importance
in metabolic sphere as perceived
through STUNTED DEVELOPMENT
and the concomitant symptoms.
24. CASE FOLLOW UP
• Thyroidinum was prescribed in 200
potency in infrequent doses.
• SIGNIFICANTLY, the child, now a 9 year
old child has become more settled and
most importantly now involves himself in
more constructive daily activities.
26. Stott, D.H. “Evidence for a congenital factor in maladjustment and
delinquency”, American Journal of Psychiatry
MENTAL STRESS DURING PREGNANCY
D.H. Stott in a series of papers has showed
that psychological stress during pregnancy
may predispose the child to react in an
undesirable way to subsequent adverse
environment and so predispose to behavioral
problems and in particular to juvenile
delinquency.
27. The University of California have found that using mobile phone while
pregnant could cause behavioural and emotional problems in children
The study of more than 13,000
children found that pregnant
women using the handsets
just two or three times a day
was enough to raise the risk
of their babies developing
hyperactivity and difficulties
with conduct, emotions and
relationships by the time they
reached school age.
