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Goiter
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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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