1. I think that the opotherapic remedies should in numerous cases complement the homoeopathic treatment.
2. In some morbid cases they are to be used systematically.
Their use in convenient doses- often weaker than what is used classically, but however material-help to obtain results more rapid than by the homoeopathic treatment alone.
There is then according to the doses used, stimulation or regulation of the deficient gland or functionally troubled.
It is to be noted that endocrinal syndromes observed is often confounded with some essential syndromes of our ground remedies. The reflection of these syndromes on the glands force us to say that the incriminated gland-in its opotherapic form-is complementary of this medicine, and there is every interest of the patient to receive the one and the other, in convenient dose or dilution.
3. The remedies that we use very often are:
The Pituitary (anterior lobe). In amenorrhoea and in hypermenorrhoea associated or not with the thyroid and the ovary in adenoidian states in very weak doses or in dilution (Baryta type) in children of Calcarea fluorica type (material dose Ogr. 0.5 to Ogr. 30) in the incontinence of urines etc.
The Suprarenal-We use it frequently in Sepia type asthenic, with bronze colour of the skin (cortico-suprarenal Ogr. 05 to Ogr. 30 daily) and the results are generally very favourable. (Medicines frequently independent of Sepia: Kali carbonicum, Nux vomica, Calcarea phosphorica, Tuberculinum plus Lueticum etc.) In YOUNG BOYS NOT DEVELOPED ENOUGH FROM THE POINT OF VIEW OF SEX, fat, soft with very little accentuated traits, we give it concurrently with Hypophyse (anterior lobe), orchitic extract and thyroide (with as homoeopathic medicines: Pulsatilla, Graphites, Natrum muriaticum, Tuberculines).
In this regard we have some cases where the physical appearance, the mentality have undergone within a few months a very deep modifications, due to the treatment by endocrines.
In retarded children, specially in school, soft, always inattentive, we give some similar compounds and Baryta carbonica 30 and M. Tuberculines plus Lueticum, sometimes Medorrhinum.
ORCHITIC EXTRACT: In persons who have undergone a nervous over work, and have some symptoms of asthenia, but not more than 2 to 3 doses a week (Ogr 01 Ogr 05) combined or not with suprarenal, in the same doses. (Homoeopathic medicines that are very often indicated are: Nux Vomica 30, Kali Phosphoricum 6 and sometimes Silicea 30 Thuja 200, and according to Fortier-Bernoville Serum de Vincent 200).
In old persons we have very good results in weak doses of 1mlg, once or twice a week.
We often add Total hypophyse and Thyroid in the same dose, once a week (each separately). (Homoeopathic medicines that are frequently used: Silicea 6, Arnica 30, Sumbul 6, Baryta carbonica 30 etc.)
5. The doses are to be used according to a very wide gamut.
When the Stimulating action is sought for, one should take recourse to Physiological doses, the minimum dose no doubt but however material dose. The optimum dose is to be found out by groping.
When Regulating effect is sought for in glandular perturbation having tendency to hyperfunction, one should use weal doses, sometimes infinitesimal, very rarely in dilutions.
Finally Checking and regulating action at the same time can be obtained by using more or less high dilutions of the same glands or some of their compounds (Thyroxine, Adrenaline, Folliculine etc.)
The dilutions used are prepared according to the method of Korsakoff. (Single phial system)
Let us indicate in this regard the importance of the dynamisation (and of the method of dynamisation used). The action and the duration are very unequal according to the stock and the method of the preparation of the medicine.
7. The existing relations between the syndromes of endocrines and the syndromes of the constitutional medicines should be specially studied, and here we are only giving a sketch:
Let us note: Sepia-Hypersuprarenal type, thyroid unstable, hepatic insufficiency.
Pulsatilla-Classical type. Glandular instability, with predominant instability of the thyroid and of the ovary (insufficiency)
Baryta carbonica-Functional troubles of the ant pituitary with instability of the Thyroid (insufficiency)
Graphites-Genital insufficiency, thyroid and renal insufficiency.
Lycopodium-Supradrenalian troubles. Hepatic and renal insufficiency, uraemia.
Silicea-(some Silicea types). Hypocrinic with nervous erethism.
Sulphur-(some Sulphur types) Hypercrinic (thyroid and suprarenal).
Iodium, Lachesis etc-Hyperthyroidism etc.
Some general symptoms of incomplete insufficiency of Thyroid.
General characteristics: Hydrogenoid or Carbo-nitrogenoid constitution of Grauvogl. Tendency to swelling, oedema and obesity.
Lowering down of the basal metabolism and insufficiency of the thermogenesis, whence chilliness and torpidity.
Troubles of the extremities and phaneras.
Tendency to articular and cutaneous affections.
Retarded development (psychic, skeletal, laryngeal, uterine etc. Early senility. Tendency to sclerosis.
Mind: Somnolence, apathy, fear of physical and mental effort. Depressed, sad, full of tears, sometimes irritable. Uncontrolled laughing and weeping. Mental instability (Pulsatilla, Ignatia). Difficulty to fix the attention, weakness of the memory, of the will, childishness (Baryta carbonica, Calcarea phosphorica).
Head: Morning headache. Periodic migraines. Ophthalmic migraines, (Thuja)
Face: Pale, swollen. Sometimes congestive patches in the middle of the cheek. The tail of the brows are absent (Thuja).
Nose: Tendency to adenoid vegetations (Baryta carbonica, Calcarea phosphorica).
Eyes: Myopia. Tendency to cataract (Calcarea fluorica)
Mouth Retarded dentition (Calcareac). Early caries of teeth.
Stomach: Anorexia, nausea; vomiting. Dislike for the meat. Mental anorexia.
Intestine: Atonic constipation because of insufficient intestinal secretion and by insufficient peristaltic contraction.
Liver: Hepatic insufficiency, particularly troubles in the metabolism of albuminoids, whence disliking for meat.
Circulatory apparatus: Hypotension (except in nephro-sclerosis). Small slow pulse. Tendency to syncope.
Augmentation of the coagulability of the blood.
Urinary apparatus: Renal insufficiency (Natrum muriaticum, Graphites). Tendency to albuminuria. Albuminuria with great oedema, without azotemia.
Genital apparatus: Late appearance of the first menses, infantile uterus.
Menses, insufficient, irregular, painful with weakness, headache, loss of appetite (Pulsatilla type)
Very early menstruation, haemorrhagic, before time, prolonged with clots (Thuja type).
Tendency to fibromas, myomas, tumors of the breast.
Tendency to the prolapsus of the uterus, to abortion in the third month.
In men, retarded sexual development, cryptorrhidia. Diminution of sexual appetite with great weakness.
Extremities: Troubles of peripheral circulation. Cold, humid extremities. Acrocyanosis. Tendency to frost bite, to cracks, to repeated abscesses etc. (pulsatilla, Petroleum, Agaricus).
Hyperhydrosis of the soles (Silicea, Thuja, Calcarea carbonica) Pale swellings, coldness of the lower limbs, appearing and disappearing. Quinck’s oedema.
Muscular pains, articular pains, Chronic rheumatism
(thyroidian rheumatism of Leopold Levy) with tendency to ankylosis and to deformations (Rhus tox, Calcarea fluorica, Sulphur, Phosphorus, Argentum nitricum etc.)
Skin: Dry, unhealthy, cold Ichthyosis.
Fleeting cutaneous infiltration.
Tendency to foetid sweats. Seborrhoea
Growth, warts naevi.
Psoriasis, Herpes, Eczema.
Honey like eruptions, pruriginous (Rhus tox, Graphites, Mezereum) Pelade.
Phaneras: Brittle nails with streaks (Thuja, Silicea, Calcarea fluorica etc.) Baldness, or premature falling of hairs.
Counter Indications According to the allopaths: —-Non-compensated cardiopathies.
—Tuberculosis with fever.
—Complete Basedow’s disease and in pure forms of hyperthyroidia (without concomitant hypothyroidia).
Those who do not admit of the dilutions, should keep these points in mind.
Our preparations of diluted thyroid, widens the field of the therapeutics by thyroid in most of the cases reserved by the official school.
Let us note however that the persons suffering from tuberculosis are particularly sensitive to the treatment by thyroid. So one must be very cautious where with other therapeutic there is the necessary to use the thyroid in lower dilutions.
General Symptoms of Hyperthyroidia.
(dysthyroidias with predominating hyperthyroidia)
General characteristics Oxygenoid constitution of Grauvogl. High basal metabolism.
Loquacity, violence of language.
Generally lean. Restless activity, hastiness.
Nervousness. Palpitations at night. Gushes of heat.
Incomplete Basedowian characteristics (tachycardia, exophthalmia, trembling).
Very impressionable. Changing mood. Excessive, paradoxal, fantastic character. Imaginative.
Nervous system Emotivity. Phases of excitation and depression alternate Anxiety. Restless sleep. Dreams.
Tendency to tremblings.
Predominance of sympathetic phenomena: tachycardia, protruding eyes, brilliant, dilated pupils; oculo-cardiac reflex absent or inverse; vaso-motor troubles; sudden redness, sometimes circumscribed, sensation of heat, of burning, gushes of heat; mouth, mucous dry. Some symptoms of vagotonia alternate frequently such as: profuse sweat, diarrhoeas etc.
Early baldness. Heat after emotions, after meals, before menses. Periodical migraine.
Eyes: Brilliant, expressive, protruding, nystagmatic movements, the eyes are near to one another (Lueticum)
Bulimia, hunger pains (Iodium, Natrum muriaticum, Sulphur, Sulphur iodatum)
Abundant diarrhoea, serous, in the morning, without any apparent cause (Sulphur)
Spasmodic type of constipation (Lachesis)
Hepatic instability, parallel to thyroid instability, with congestive forms, particularly during menopause. (Pende, L.. Levi)
Circulatory apparatus Vascular Erethism. Tendency to tachycardia.
Violent palpitations specially at night, aggravated by effort, by emotions.
Arterial tension sometimes increased.
Delay in the coagulation of blood: tendency to haemorrhages, epistaxis purpura etc.
Respiratory apparatus Dry cough, fatiguing, without expectoration. Huskiness because of the congestion of the vocal cord. (Lachesis)
Respiratory spasms. Sneezing. Nasal asthma. Bronchial asthma (Lachesis) frequent, Respiratory movements superficial, obliging the patient to take from time to time deep respiration (Ignatia, Lachesis).
Weakness of the renal function.
Renal instability parallel with unstable thyroid.
Troubles of nitrogen metabolism.
Troubled menstruation. Menses generally very short lasting or even suppressed.
Reactional thyroid phenomena, following accidental amenorrhoea, operatory or physiological (menopause) (Actea racemosa, Lachesis, Sulphur) or following sudden suppression of lactation (Bryonia).
Articular and muscular pains. Rachialgia.
Heat in the extremities. Tendency to tremblings.
Hot sweat, itching (Sulphur)
Gushes of heat. Hyperesthesia to heat (Iodum, Sulphur, Lachesis)
POSOLOGY, THE USE OF DILUTIONS
As regards the instability of the functions of the thyroid, the more the hyperthyroidism is marked the more weak should be the dose of thyroid.
In light forms, it is often the case of a lean, nervous, exuberant sometimes febrile subjects, who are very prompt to think, and act; their stature is high, the hair system is very much developed the brows are thick. The eyes are brilliant and full of life. Great appetite.
These persons more than others will be subject to some troubles of hyperthyroidia, specially the women in the premenstrual period or at menopause.
In men a regularising action may be obtained by fractions of a milligramme (1/10 to 1/100), but one should sometimes take the help of dilutions 6, 30 and also to homoeopathic medicines symptomatically indicated (Iodium sulphur iodatum, Calcarea phosphorica, Nux vomica, Tuberculine etc.)
In predisposed women. (Calcarea fluorica type) th dysthyroidian reactions may be exaggerated very easily.
In oligomenorrhoea (pre-menstrual period) after a ovariotomy, during the period of menopause, in a word, whenever ovarian check is not sufficient or is wanting is found the sympathetic troubles accompany the hyperthyroidian reaction: nervousness, logorrhoea violence restlessness, insomnia, gushes of heat, etc In all these cases, even in weak dose, the thyroid should not be advised.
On the contrary, we have had the occasion to see the very favourable action of Thyroid 200, used in these states.
Lachesis 200, Sulphur 200, Ignatia 30, sometimes Iodium 30 are the most indicated remedies.
In children very often is seen some forms of instability with predominates of hyperthyroidia, but they are not very often understood by the doctor as well as by the parents, who see exuberance of life and of health there, where there is a serious glandular trouble.
These children are always restless, can be taught only with difficulty, whose very imaginative mind cannot be fixed to anything, do not listen to anything, but speak, cry and becomes restless disturbing his entourage.
The pulse is generally rapid and the sleep is restless. Variable appetite sometimes excessive. There may be chilliness frostbite which are the concomitant symptoms of hyperthyroidia.
On the contrary the cheeks, the ears have red patches, of Sulphur type, but the colour is very different from cyanosis of Pulsatilla (sign of hypothyroidism).
In a word there are mentally unstable persons, have unstable glandular functions of the type of hypothyroidia.
In these children the thyroid will be administered in minimum doses (1/10) of a milligramme to 5 milligrams very often.) but the doses and the repetition should be decided by experiments according to the method of Leopold Levy.
This treatment brings an incontestable state of equilibrium but Chamomilla 30, sometimes Tarentula 6-30, Argentum nitricum 6- 30. Zincum nitricum 6-30, should be used as auxiliaries.
An intercalating dose of Silicea M is always indicated.