Hyperthyroidism
Hyperthyroidism is a condition in which overactivity of the thyroid gland itself increases the synthesis and secretion of thyroid hormones, resulting in thyrotoxicosis. Excess thyroid hormone in the circulation can increase the excitability of the nervous, circulatory, and digestive systems and accelerate metabolism. It is a common endocrine disorder in clinical practice.
TCM Pattern Differentiation and Medication Reference
|Common Symptoms
Clinical description:
Enlargement at the front of the neck, soft and distended; chest and flank discomfort or pain associated with emotional state; white, greasy tongue coating; wiry, slippery pulse
Plain-language explanation:
- The front of the neck may be enlarged and feel somewhat soft and distended to the touch.
- There may be a feeling of discomfort, dull pain, or pressure in the chest and flanks.
- Symptoms may be related to emotional fluctuations and may worsen or ease as mood changes.
- The tongue coating is white and sticky or greasy, and may look thick and greasy.
- The pulse feels taut and slippery when pressed, like a tightened string with a smooth quality.
|Treatment Approach
Clinical description:
Regulate qi and relieve constraint; transform phlegm and reduce goiter
Plain-language explanation:
- May help regulate the flow of qi and ease constraint, reducing discomfort such as chest tightness, flank distension, low mood, or belching and difficulty releasing gas.
- May help transform phlegm and disperse goiter, reducing manifestations such as a lump in the throat, enlargement at the front of the neck, or difficulty swallowing.
|Related Products
The products listed below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
|Common Symptoms
Clinical description:
A lump at the front of the neck that is hard and persistent; thin white or white, greasy tongue coating; wiry or choppy pulse
Plain-language explanation:
- There is a lump at the front of the neck.
- It feels relatively hard to the touch.
- It persists for a long time without subsiding.
- The tongue coating is thin and white, or white and greasy.
- The pulse feels taut or rough and uneven when palpated.
|Treatment Approach
Clinical description:
Regulate qi and invigorate blood; transform phlegm and reduce goiter
Plain-language explanation:
- May help regulate qi and promote blood circulation, easing discomfort such as fullness in the chest and flanks, abdominal pain, or bruising.
- May help transform phlegm and disperse goiter, reducing manifestations such as a lump in the throat, enlargement at the front of the neck, or difficulty swallowing.
|Related Products
The products listed below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
|Common Symptoms
Clinical description:
Enlargement at the front of the neck, irritability, hand tremor, protruding eyes, red tongue, thin yellow coating, wiry pulse
Plain-language explanation:
- The front of the neck is noticeably enlarged and appears swollen and broad.
- Irritability and anger may arise easily, with frequent restlessness.
- Both hands may shake involuntarily, making it difficult to hold objects steadily.
- The eyeballs protrude forward, giving the eyes a prominent appearance.
- The tongue appears red or bright red.
- The tongue coating is thin and somewhat yellow, lightly covering the tongue.
- The pulse feels taut like a string when pressed.
|Treatment Approach
Clinical description:
Clear and drain liver fire
Plain-language explanation:
- May help clear excess heat associated with the liver in TCM, easing discomfort such as dizziness, red eyes, bitter taste in the mouth, dry throat, or irritability.
|Related Products
The products listed below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
|Common Symptoms
Clinical description:
Soft goiter with gradual onset and long course; restlessness, poor sleep, hand tremor, dry eyes, fatigue, red tongue body with trembling, wiry, fine, rapid pulse
Plain-language explanation:
- A lump at the front of the neck feels relatively soft.
- The condition begins gradually, with symptoms developing slowly.
- The course is prolonged, and symptoms may persist for a long time without readily improving.
- There may be inner restlessness and emotional fluctuations.
- Sleep may be reduced, with difficulty falling asleep and poor rest at night.
- Both hands may shake involuntarily, especially when holding objects.
- The eyes may feel dry and lacking in moisture, with little relief from blinking.
- The body may feel easily fatigued and lacking in energy.
- The tongue may appear somewhat red or bright red.
- The tongue may tremble slightly, especially when extended.
- The pulse is fine, somewhat rapid, and taut, with a quality like a stretched string.
|Treatment Approach
Clinical description:
Nourish yin essence; calm the mind and soften the Liver
Plain-language explanation:
- May help nourish yin essence in the body, easing discomfort such as dry mouth and tongue, heat in the palms and soles, or low energy.
- May help calm the mind and soothe Liver qi, easing manifestations such as restlessness, irritability, insomnia, vivid dreams, or emotional instability.
|Related Products
The products listed below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
References
- Writing Group for the Guidelines for the Diagnosis and Treatment of Thyroid Diseases in China, Chinese Society of Endocrinology. Guidelines for the Diagnosis and Treatment of Thyroid Diseases in China—Hyperthyroidism[J]. Chinese Journal of Internal Medicine, 2007, 46(10): 876-882.
- Ye Lifang, Wang Xu. Progress in the TCM treatment of hyperthyroidism[J]. Gansu Journal of Traditional Chinese Medicine, 2004, 17(1): 3-6.
- Cheng Yu. A preliminary study of pattern differentiation and treatment in hyperthyroidism[D]. Beijing: Beijing University of Chinese Medicine, 2011.
- Sun Fenglei, Cheng Yichun. Clinical and experimental study of Xiaoying Tablets for the treatment of hyperthyroidism[J]. Journal of Shandong University of Traditional Chinese Medicine, 1998, 22(3): 206-210.
- Tao Dongqing, Chen Ruquan. Clinical study of Xiaoying Jiakang Tablets for the treatment of hyperthyroidism[J]. Information on Traditional Chinese Medicine, 2005, 22(1): 36-38.
- Yang Yuehua. Clinical study of Langhuan Jiakangling Decoction (Pills) for hyperthyroidism[D]. Wuhan: Hubei College of Traditional Chinese Medicine, 2005.
- Chinese Pharmacopoeia Commission. Pharmacopoeia of the People’s Republic of China, Volume III[S]. Beijing: China Medical Science Press, 2010.
- National Essential Medicines List. National Essential Medicines List: Section on Medicines for Primary Healthcare Institutions (2009 Edition)[M]. Beijing: China Legal Publishing House, 2009: 4-5.