GOITRE OR DERBYSHIRE NECK.- An enlargement of the thyroid gland which lies in front and at the side of the wind-pipe about midway between the “Adam’s apple” and the top of the breast-bone. The appearance is easily recognised and is sometimes called “Full- throat” The affection is commonly met with among the inhabitants of limestone mountain countries as the Derbyshire hills and the Dolomite mountains. In Switzerland the affection is accompanied with defects of mental development and the state is called cretinism. There is a variety of Goitre called “Exophthalmic” in which there is abnormal prominence of the eyes and violent action of the heart with hypertrophy.
General Treatment.-If possible a change of residences should be obtained; and if that is not possible means must be taken to avoid drinking the water of the district. A dry locality with plenty of sunshine is the best. Generous diet, including abundance of fresh milk and red meat, and warm clothing are necessary.
Medicines.-(Three and four times a day.)
Spongia I.
-In the majority of cases. In exophthalmic cases where there is much palpitation of the heart.
Calcarea c. 6.
-Scrofulous patients, chilly, cold, damp feet.
BEll. 3.
-Acute cases, flushed face, headache.
Spigel. 3.
-Exophthalmic goitre when Spongia is not sufficient. The special tissue-remedy Thyroidin, is often of great service, but this should only be used under medical advice.
