According to the clinical manifestations, it can be divided into the following types:
(1) Qi stagnation and phlegm coagulation type:
This type is more common in the early or recovery period of hyperthyroidism, mainly manifested as swelling in front of the neck, moxibustion-like throat stalk, chest tightness and shortness of breath, fullness in both sides, irritability, insomnia, reduced diet or nausea, loose stool, red tongue, white and greasy fur and slippery pulse. The treatment should be soothing the liver and relieving depression, resolving phlegm and eliminating phlegm. The prescription first uses Chaihu Shugan Powder and Erchen Decoction. Medicinal Bupleurum, Fructus Aurantii, Radix Paeoniae Alba, Rhizoma Cyperi, Radix Paeoniae Rubra, Radix Angelicae Sinensis, Rhizoma Pinelliae Preparata, Pericarpium Citri Tangerinae, Poria, Radix Glycyrrhizae Preparata, etc. If chest tightness, hypochondriac hey; Atractylodes macrocephala, Chinese yam, lentils, etc. Used for abdominal distension in loose stool.
(2) Excess of liver fire:
This type is more common. It is characterized by swelling in front of the neck, protruding eyes, bright eyes, restlessness, impatience and irritability, aversion to heat and sweating, red face and bitter taste, thirst and polydipsia, palpitation and insomnia, trembling fingers, red tongue with yellow fur and rapid pulse. It is appropriate to treat liver-clearing and fire-purging, and eliminate scabies. The prescription is Longdan Xiegan Decoction and Zhizi Qinggan Decoction, and the drugs are Gentiana macrophylla, Gardenia, Scutellaria baicalensis, Bupleurum, Radix Rehmanniae, Radix Paeoniae Alba, Poria, Cortex Moutan, Radix Angelicae Sinensis and Glycyrrhizae. Gaza ginseng, Scrophularia, Ophiopogon japonicus, pollen, etc. Nourishing yin and promoting fluid production, if the disease hurts the yin for a long time, the mouth is bitter and dry, and the tongue is red and less fluid; For hyperhidrosis, add sword yin such as floating wheat and Schisandra chinensis to stop sweating; For those who are upset and insomnia, add Ziziphus Spinosae Semen and Yeteng to nourish the heart and soothe the nerves.
(3) Yin deficiency and excessive fire type:
This type is the most common. It is characterized by swelling or swelling in front of the neck, dizziness, palpitation and insomnia, impatience, irritability, restlessness, dreaminess, overeating, emaciation, sweating, sudden eyes and shaking hands, little or thin yellow-red tongue coating, rapid pulse, or string. It is advisable to nourish yin and reduce fire, and eliminate scabies. The prescription is Tianwang Buxin Dan, which is used for Radix Pseudostellariae, Radix Scrophulariae, Radix Rehmanniae, Radix Ophiopogonis, Fructus Schisandrae, Poria, Semen Ziziphi Spinosae, Scutellariae Radix, Gardenia, Cortex Moutan, Radix Angelicae Sinensis and Glycyrrhrizae Radix. If yin deficiency, add Lycium barbarum, Polygonum multiflorum, tortoise plastron, etc. For exophthalmos and shaking hands, Uncaria rhynchophylla, Tribulus terrestris and Radix Paeoniae Alba are added to calm the liver and calm the wind, or they are combined with Dading Zhu Feng for treatment. If the boils last for a long time, Prunella vulgaris and Fritillaria thunbergii are added to dissipate phlegm.
(4) Deficiency of both qi and yin:
This type is common in patients with chronic diseases. It is characterized by mental fatigue, dry mouth and throat, shortness of breath and sweating, five vexations, heavy limbs, dizziness and insomnia, palpitation and forgetfulness, less thinking, red tongue, thin and white fur and weak pulse. Treatment principle: supplementing qi and nourishing yin, dispersing stagnation and eliminating malnutrition. The formula of Shenmai Powder is Radix Pseudostellariae, Radix Codonopsis, Rhizoma Atractylodis Macrocephalae, Poria, Radix Ophiopogonis, Fructus Schisandrae Chinensis, Radix Rehmanniae, Eclipta prostrata, Radix Paeoniae Alba, Fritillaria thunbergii, Radix Salviae Miltiorrhizae, Radix Angelicae Sinensis and Radix Glycyrrhizae Preparata. If shortness of breath and fatigue are obvious, add Astragalus to supplement the middle energizer; If the stool is rotten, add yam, coix seed and fried lentils. Strengthening the spleen and infiltrating dampness; For patients with obvious yin deficiency, Radix Scrophulariae, Fructus Ligustri Lucidi and Carapax et Plastrum Testudinis are added to nourish yin and promote fluid production.
=
The main cause of hyperthyroidism is immune disorder and multiple system syndrome caused by neuropsychiatric factors. According to the theory of traditional Chinese medicine, the onset of hyperthyroidism is directly related to emotion and physique (it can also be said that it is directly related to liver, kidney, heart and spleen).
Emotional factors mentioned in TCM refer to: sudden severe mental trauma or long-term depression, mental depression, and dissatisfaction with seven emotions, which leads to liver depression and qi stagnation, which turns into fire, and fire rushes with qi. Patients show symptoms such as impatience, redness, bitter taste, dry throat, dizziness, dizziness, etc. If the liver fire burns the stomach yin vigorously, the stomach fire accumulates to eliminate the valley, and the patient is hungry, then the patient has an increase in appetite and stool frequency; Spleen is the foundation of nurture. If the temper is weak and the muscles of the limbs are not adequately nourished, they will show emaciation and fatigue. Liver and kidney are homologous, so yin deficiency of liver and kidney will lead to male nocturnal emission and even impotence. If you are worried for a long time, you will feel sad, heart and kidney yin deficiency, out of control, palpitation, palpitation, insomnia, dreaminess and other symptoms; Physical factors refer to yin deficiency, especially lesbians, because women who are developing, pregnant and nursing are weak. Once depressed, they will easily turn into fire, and excessive liver fire will burn yin and hurt blood, which will easily lead to illness.
Traditional Chinese medicine surgery classifies this disease as "gall tumor", and its etiology lies in deficiency of body yin, deficiency of kidney yin, lack of water and gloomy liver. On this basis, he suffered from emotional disorder and mental trauma again. Traditional Chinese medicine recognizes the influence of emotional and spiritual factors on hyperthyroidism. Emotional depression, liver depression into fire, if the original constitution is liver and kidney yin deficiency, it is easier to turn the fluid into phlegm, stagnate in the meridians, and form a gall tumor. Traditional Chinese medicine believes that due to the exhaustion of seven emotions, liver qi stagnates and qi stagnates into fire. In short, the patient's qi stagnation turns into fire, the semen is phlegm, and the phlegm gas is blocked in front of the neck, which is caused by swelling; When phlegm and qi condense in the eyes, the eyeballs will protrude.
Elemental body refers to the constitution born in youth or caused by some reason. For example, congenital genetic defects, or (acquired) childhood serious illness, can not be adjusted in time, resulting in difficult changes in visceral function defects, thus forming a long-term physique, which is called "vegetarian body" in Chinese medicine. The manifestations of vegetarians can be divided into yin deficiency, yang deficiency and qi deficiency. Answer supplementary Chinese medicine treatment
Hyperthyroidism lies in the neck. Clinically, there are symptoms such as neck swelling, fear of sweating, palpitation and upset, relieving hunger, impatience and irritability, trembling fingers and tongue, emaciation and so on. It is a complex pathological process in which many zang-fu organs are ill and many pathogenesis coexist. Treatment is often through soothing the liver and regulating qi, clearing the liver and purging fire, strengthening the spleen and resolving phlegm, nourishing yin and reducing fire, nourishing liver and kidney, calming the heart and calming the nerves, resolving phlegm and resolving hard mass, promoting blood circulation and removing blood stasis. Traditional Chinese medicine believes that the etiology of this disease is closely related to emotion and physique. Due to long-term mental depression or sudden severe mental trauma, the excretion function of the liver is abnormal, and the liver is depressed and qi stagnation can't move body fluids, which condense into phlegm. Phlegm and qi stagnate for a long time, and the operation of qi and blood is blocked. Qi stagnation and blood stasis, phlegm and blood stasis, boils become hard, and the condition is aggravated. Stagnation of liver qi turns into fire for a long time, and liver fire is vigorous. When attacking the leader, you will see impatience and irritability, blushing, bitter mouth and dry throat, dizziness and rapid pulse. Excessive fire is easy to consume body fluid, injure yin and burn stomach yin. Yin hurts heat, and heat makes you hungry. Liver hyperactivity attacks the spleen, and the spleen loses its health, while loose stool is emaciated, tired and weak. Excessive fire disturbs the heart, the heart yin is insufficient, and the mind is uneasy, and then symptoms such as palpitation, irritability, sweating and rapid pulse can be seen. Blood is stored in the liver, which is connected with pulse movement, which controls menstruation. If the liver is depressed and qi stagnates, women will have irregular menstruation, less menstrual flow or amenorrhea. Deficiency of kidney yin and water without wood lead to loss of liver yin, hyperactivity of liver yang, and internal movement of liver wind, which leads to tremors of hands and tongue. Yin deficiency of liver and kidney, excessive fire, nocturnal emission disorder, male nocturnal emission and even impotence. Yin deficiency leads to internal heat, so fear of heat, low fever, red tongue and rapid pulse are seen. Or factor body yin deficiency, when encountering qi depression, it is easy to turn into fire, liver fire is vigorous, and it is easy to hurt yin. Therefore, the above lesions are not easy to recover. Because chong ren belongs to liver, female development, pregnancy and lactation, it is physiologically related to qi and blood of liver meridian. At this time, if the liver meridian is out of balance with qi and blood, it will easily cause diseases such as qi stagnation, liver fire or qi stagnation and blood stasis. Because of the deficiency of both qi and yin after delivery, if there is depressed fire, it is easy to hurt yin, so it is more common in young and middle-aged women. At the beginning of the disease, the pathological factors are qi depression, liver fire, phlegm coagulation, blood stasis, and qi depression comes first; Chronic diseases belong to deficiency, mainly yin deficiency, and the lesions involve liver, kidney, heart and spleen.
=
Hyperthyroidism belongs to the category of scabies in traditional Chinese medicine. Contemporary physicians sum up the changes of the pathogenesis of hyperthyroidism in time, re-evaluate the value of various syndrome differentiation, and think that the evolution of hyperthyroidism syndrome types has regularity: in the early stage of onset, liver depression and phlegm are more common, and evil is the main factor; In the middle stage, qi consumption hurts yin, phlegm coagulates and silts, and excess and deficiency are mixed; In the later stage, the deficiency is accompanied by excess, mainly due to yin deficiency and excessive fire. If syndrome differentiation and classification can be carried out accurately, satisfactory clinical results will be achieved. Clinical syndrome differentiation can be divided into three types:
Syndrome of stagnation of liver-qi and phlegm
Main symptoms: depression, chest tightness, hypochondriasis, dysphagia, loss of appetite, emaciation and fatigue, thin stool, prominent eyes, goiter, light and fat tongue, or teeth marks, thin white or greasy fur, and thin or slippery pulse.
Treatment: soothing the liver and relieving depression, eliminating dampness and resolving phlegm, softening hardness and eliminating furuncle.
Prescription: Xiaoyao Powder and Liujunzi Decoction. Medicinal Bupleurum, Angelica sinensis, Atractylodes macrocephala, Poria, Pinellia Preparata, Pericarpium Citri Tangerinae, Rhizoma Cyperi, Radix Paeoniae Alba, Tribulus terrestris, Prunella vulgaris, Semen Sinapis Albae, etc. can supplement deficiency of both qi and yin and phlegm and blood stasis.
Main symptoms: emaciation, mental fatigue, sweating due to fear of heat, palpitation, soreness of waist and knees, goiter, dark red tongue, thin yellow fur and thready pulse.
Treatment: Yiqi Yangyin, Huoxue Huatan.
Prescription: Shengmai Powder combined with Xuefu Zhuyu Decoction, medicinal Radix Codonopsis, Radix Ophiopogonis, Fructus Schisandrae Chinensis, Radix Rehmanniae, Rhizoma Pinelliae Preparata, Pericarpium Citri Tangerinae, Radix Paeoniae Rubra, Radix Astragali, Rhizoma Sparganii and raw oyster.
Yin deficiency and hyperactivity of fire type
Main symptoms: upset, insomnia, palpitation, backache and fatigue, red face and red eyes; Finger tremor, overeating, hunger, thirst, emaciation, red or light tongue, and thready or thready pulse.
Treatment: supplementing qi and nourishing yin, nourishing yin and suppressing yang.
Prescription: Radix Astragali, Radix Codonopsis, Radix Rehmanniae, Fructus Lycii, Radix Polygoni Multiflori Preparata, Rhizoma Dioscoreae, Carapax et Plastrum Testudinis, Radix Paeoniae Alba, Carapax Trionycis, Prunella vulgaris, Rhizoma Cyperi, etc.
White mustard seed is added to those with obvious goiter; Palpitation and insomnia Jia Yuanzhi, a spiritual magnet; Tremor of hands and mother-of-pearl and Uncaria rhynchophylla; Gypsum Fibrosum and Rhizoma Anemarrhenae are added for patients with stomach heat and hunger; Trichosanthes root, Ophiopogon japonicus, Scrophularia etc.
It is difficult for hyperthyroidism patients to suddenly restore healthy qi, and it is also difficult to get rid of phlegm and blood stasis for a long time, so it often takes a long time! -Take medicine to get the full effect.