Iodum: It is the head remedy for goitre and is indicated in spare dark,
active patients. It should be given in IM dilution. Marked hardness with
sensation of constriction. Hypertrophy of two lobes, tumour becoming
more swollen and painful at each return of menses. Glandular increase
in size, especially right side, soft and without any fluctuation. Non-
lobulated tumour in interior and medium portion of the size as large as
a child's head, rosy red, heavy in weight and soft is cured by this
remedy. Patient is thin but eats heartily. Goitre soft with heat and rapid
pulse. The Iodum patients are depressed, low spirited, and suicidal.
Bromium: When Iodium in IM dilution fails, this remedy should be
tried in high dilutions, viz. IM. Enlargement of glands with softness.
Cannot lie on right side because of palpitation. The patient is light
complexioned, scrofulous and is buoyant and cheerful.
Lycopodium: On right side, tense, smooth, shining appearance with
feeling of constriction in tumour although not very large.
Natrum Mur: In early stages. Patient is afraid of thunder storm. Afraid
to be alone at night. Heart rate slows down when using stethoscope
and accelerates when the pulse rate is counted. Exophthalmic goitre
with emaciation, weakness, trembling, palpitation, thirst, nervous
irritability and sleeplessness.
Lachesis: Slight tremor with hot flushes. Awakening from sleep
with palpitation and hot feeling. This remedy is also thought of during
early stages.
Fucus Ves: Give in mother tincture in drop doses. This is a stock
remedy for goitre. Indigestion, flatulency and constipation are most
common.
Calcarea Carb: In simple goitres in fat persons with sweating on the
head and neck. It may be given in 200 dilution every two hours six
times daily until improvement starts.
Adrenalin: Exophthalmic goitre, with quick pulse, rapid heart action
and dyspnoea. Eye balls protruding and throbbing of the arteries a t the
back of the neck. Adrenalin may be given in 200 or IM dilution. If this
fails, try Cactus.
Thyroidinum: This may be tried if Iod, and Bromium fail. Give 3X or
6X trituration.
Spongia: Painful goitre. Asthma with amenorrhoea. Pain on
swallowing. Goitre in inhabitant s of valleys. It has the complexion and glandular enlargement of Bromium and the mental anxiety and low
vitality of Iodum.
Ferrum Met: Exophthalmic goitre, especially after suppression of
menses.
Lapis Albus: Scrofulous enlargement of glands. Goitre with burning
and stinging pain in breasts, stomach and uterus.
Lycopus Virg: Exophthalmic goitre with heart trouble &
breathlessness.
Ignatia: When there is pain in goitre in nervous patients.