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Goiter

Accumulation of Phlegm and Qi Stagnation

Clinical Manifestations

  • Swelling of thyroid, which is soft without pain
  • Sense of obstruction in throat
  • Chest constriction and hypochondriac distending pain
  • Irritability
  • T: Greasy white coat
  • P: Wiry and slippery

Etiology

  • Stress leads to Qi stagnation leading to impairment of body fluid metabolism, leading to phlegm congealing in throat.

Formula

  • Ban Xia Hou Po Tang + Hai Zao and Kun Bu

Qi and Blood Stagnation

Clinical Manifestations

  • Tumors or cancer of the thyroid gland developing from accumulation of Phlegm and Qi stagnation (see above)
  • Swelling is harder than simple phlegm and Qi stagnation
  • More defined pain and sense of obstruction effecting ability to breath and/or swallow.
  • Chest constriction and hypochondriac distending pain
  • Irritability
  • T: Dark purple
  • P: Deep and choppy

Etiology

  • Prolonged Qi stagnation with phlegm leads to hardening of the phlegm leading to tumor formation

Formula

  • Ban Xia Hou Po Tang + Blood activators such as E Zhu, San Leng, Dan Shen, Ru Xiang, Mo Yo and anti-cancer herbs

Yin Deficiency of the Heart and Liver

Clinical Manifestations

  • Typical hyperthyroidism, swollen thyroid, though not hard
  • Palpitations, insomnia, nervous, trembling
  • Easily sweats, shortness of breath, irritability,
  • Dizziness/vertigo
  • Dry eyes, hot flashes, night sweats
  • Nocturnal emissions, premature ejaculation
  • Irregular menstruation
  • T: Red with scanty coat
  • P: Wiry and rapid, or thready and rapid

Treatment principle

  • Tonify Yin and clear fire

Formulas

  • Suan Zao Ren Tang
  • Zhi Bai Di Huang Wan
  • Tian Wang Bu Xin Dan
  • Yi Guan Jian

 


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