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.
Head.
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)
Digestive apparatus.
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)
Liver
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).
Urinary apparatus
Weakness of the renal function.
Renal instability parallel with unstable thyroid.
Troubles of nitrogen metabolism.
Genital apparatus.
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).
Extremities.
Articular and muscular pains. Rachialgia.
Heat in the extremities. Tendency to tremblings.
Skin
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.