Exophthalmic Goitre

Abstract

As regards treatment of exophthalmic goitre the symptomatic treatment of this disease generally resorted to, compromises the chances of the patient's recovery leaving unassailed the prin cipal cause of the disease.Many patients are subjected to thyroidec tomy entailing risks, and morbid after effectq who could be cured by medical treatment, and the latter aim to remove the primary cause of the disease, and its morbid effects.The remote result of surgical treatment would be greatly unproved, were removal of the primary cause of the disease, and its morbid e.ffecta first ensured.Probably all cases of exophthalmic goitre are due primarily to some toxin originating from some pathological process in one or more organs either tonsils, gums, sinuses, nose nasopharynx, teetn, stomach, intestine, genito -urinary organs, nervous system etc.It is even said treat trie cases due to emotional stress have as their primary cause, toxic wastes formed in the cerebrospinal neurons subjected to stress cnolin, phosphoric acid, and particularly neurin, a highly poisonous waste product.These poisons by exciting trie thyroid apparatus to supranormal activity, owing to the active part taken by this apparatus in the defensive functions, cause it to secrete excessively, thus producing an additional toxicosi's. Tne thyroid autocoid particularly when produced in excess, taking part also in tissue katabolism breaks down fats including fatty bodies in nr-re and brain cells, thus accounting for the striking nervous phenomena of this disease. Fxopntrialmic goitre thus becomes the product of a vièious circle in which three tonics may take part, the primary causative poison wnich excites trie thyroid apparatus, excess of the thyroid autocoid as a second poison, excess of katabolic wastes due to the auto - cold as the third poison.Timely removal of the disorder which produces the primary causative poison by arresting the excessive thyroid activity will thus prevent this triple toxicosis, and cure the disease.Treatment must aim at removal of the effects of tige poisons to insure cure, dropping symptomatic treatment as an empirical method unworthy of modern science.