HYPOTHYROIDISM

Clinical Manifestations
  • Fatigue
  • Constipation
  • Bradycardia
  • Delayed return of deep reflexes
  • Weakness
  • Menorrhagia
  • Intolerance of cold
  • Hoarseness
  • Dry, puffy, cold, yellow skin
  • T: Swollen and thick
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Curls up a lot
  • Doesn't like to talk
  • Tired (disoriented)
  • Fatigue
  • Constant somnolence
  • Sleeping with the knees drawn up to the chest
  • Generalized edema
  • No spirit
  • Dull Shen
  • Cold extremities
  • Aching and heaviness in the extremities
  • Diarrhea or loose stools or undigested food
  • Clear, frequent urine
  • Nocturia
  • Oliguria
  • Lower back pain
  • Maybe nausea (wants to vomit but can't)
  • Abdominal pain which is relieved by warmth and pressure
  • No thirst
  • Cough with thin, watery mucus
  • Likes warm drinks
  • Severe edema in chest
  • Palpitations
  • Dizziness
  • T: Pale, swollen and moist
  • C: White and greasy
  • P: Deep and weak or Slow, deep and weak
Treatment Principle
  • Restore Yang
  • Reverse inward energy
  • Expel Cold
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and deficient
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools
  • containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold
  • sensations (pain is relieved by warmth)
  • Cold limbs
  • Feeling chilled
  • Mental fatigue
  • Maybe scanty urine with edema (SP
  • Xu Edema)
  • Maybe clear, watery vaginal discharge
  • T: Pale
  • C: Thin and white
  • P: Deep and weak
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Chronic, intermittent, dull abdominal pain which is better with warmth and pressure and ingesting warm fluids
  • Waxy, pale or sallow lusterless complexion
  • Anorexia (maybe with vomiting)
  • Easily satiated
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations relieved by warmth
  • Intolerance of Cold
  • Cold limbs
  • Feeling chilled
  • Lethargy
  • Fatigue
  • Mental fatigue
  • Depression
  • Low spirits
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale maybe swollen
  • C: White or Thin and white or White and greasy
  • P: Deep, thready and forceless or Deep and weak or Thready and weak
Treatment Principle
  • Warm the Middle Jiao
  • Strengthen the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Intermittent abdominal and gastric fullness and distention after eating
  • Vomiting of partially undigested food about 12 hours after eating which relieves the discomfort
  • The vomitus is relatively inoffensivewith clearly identifiable food and possibly watery mucus-like material
  • Waxy, pale complexion
  • Anorexia
  • Weight loss
  • Emaciation
  • Loose stools or
  • Diarrhea
  • Fatigue
  • Weakness
  • Listlessness
  • Increased desire to sleep
  • Cold abdomen
  • Cold extremities
  • Intolerance of Cold
  • T: Pale and swollen
  • C: White
  • P: Thready, deep and weak
Treatment Principle
  • Warm and strengthen the Spleen and Stomach
  • Harmonize the Stomach
  • Descend Qi
Herb Formulas
  • Ding Kou Li Zhong Wan modified
  • With Qi Stagnation: Ding Xiang Tou Ge San
  • With Kidney Yang Deficiency: Fu Zi Li Zhong Wan  modified
  • For severe, resistant or unresponsive cases with Phlegm Accumulation: Xuan Fu Dai Zhe Tang
  • Chinese Patent Medicines:
    For Spleen Yang Deficiency with Cold: Fu Zi Li Zhong Wan
    For Spleen Yang Deficiency: Li Zhong Wan
    For Spleen Qi Deficiency: Xiang Sha Liu Jun Zi Wan
    For Kidney Yang Deficiency: Jin Gui Shen Qi Wan combined with one of the above formulas
Points
Clinical Manifestations
  • Cold feeling
  • Slowness
  • Cold limbs
  • Tiredness
  • Edema
  • Pale complexion
  • Puffy face
  • Puffiness under the eyes
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to cold
  • Pale face or
  • Sallow complexion
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dry skin
  • Amenorrhea
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations (pain is relieved by warmth)
  • Mental fatigue
  • Weakness
  • Dislike of speaking
  • Palpitations
  • Maybe scanty urine with edema (Spleen Deficiency Edema)
  • Maybe clear, watery vaginal discharge
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale
  • P: Slow or Choppy
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Edema in limbs, especially lower limbs
  • Maybe anasarca
  • Maybe abdominal distention
  • Loose stools
  • Physical and mental fatigue
  • T: Pale
  • C: White and moist
  • P: Soft and even
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Benefit Qi
  • Move water
Herb Formulas
Points
Clinical Manifestations
  • Shallow, rapid respiration
  • Palpitations
  • Cold limbs and body
  • Facial and ankle edema
  • Scanty urine
  • Sometimes cyanosis
  • Fatigue
  • Lethargy
  • Shortness of breath
  • Aversion to Cold
  • Maybe chest pain
  • Maybe diarrhea
  • Maybe vomiting
  • Low grade fever
  • T: Pale, moist and swollen
  • C: White
  • P: Deep and minute
Treatment Principle
  • Warm and Tonify Heart and Kidney Yang
Herb Formulas
Points

Clinical Manifestations
  • Tiredness
  • Afternoon fever
  • Night sweats
  • Low back pain
  • Dizziness
  • Tinnitus
  • Hand tremors
  • Blurred vision
  • Dry throat
  • Cold feet
  • Frequent urination
  • T: Red or pink
  • C: None
  • P: Floating and empty
Treatment Principle
  • Nourish Yin
  • Strengthen Yang
  • Strengthen the Liver and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm and Reinforce Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature
  • ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock
  • crow" diarrhea
  • Edema of whole body particularly at and below the waist
  • Pitting edema
  • Low back pain, aching and heaviness
  • Abdominal distention with full sensations
  • Oliguria
  • Cold limbs
  • Face gray and congested or pale
  • Feeling nervous and cold with mental
  • weariness
  • T: Pale and swollen
  • C: Thin, white or Thick, white and
  • sticky
  • P: Deep and thready
  • Severe cases:
    Ascites
    Edema of scrotum
Treatment Principle
  • Warm Yang
  • Promote urination
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Tinnitus
  • Night sweats
  • Perspiration
  • Nervousness
  • Muscular flaccidity
  • Fatigue
  • Mood swings
  • Amenorrhea
  • Irregular menstruation
  • Hot flashes
  • Cold feet
  • Lassitude
  • Frequent, clear urine
  • Irritability
  • Headache
  • Palpitations
  • Insomnia
  • Emaciation
  • Weakness
  • Spermatorrhea
  • Blurred vision
  • Aching and weak low back and knees
  • Daybreak diarrhea
  • Weight loss
  • Nocturnal emissions
  • T: Pink or Pale
  • C: White or None
  • P: Thready and frail or Deep, slow and weak
Treatment Principle
  • Replenish Kidney Yin and Yang
  • Nourish Jing and Blood
Herb Formulas
Points
Clinical Manifestations
  • Feeling chilled
  • Aversion to cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Rescue Yang
  • Warm the San Jiao
  • Disperse Internal Cold
Herb Formulas
Points
Clinical Manifestations
  • Tiredness
  • Weakness
  • Aversion to speaking
  • Slowness
  • Palpitations
  • Sallow complexion
  • Loose stools
  • Dry skin
  • Amenorrhea
  • Cold Limbs
  • T: Pale
  • P: Weak
Treatment Principle
  • Tonify Qi
  • Nourish Blood
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Heavy and painful lower back
  • Dream-disturbed sleep
  • General weakness
  • Lack of interest in food or drink
  • Fever
  • Night sweats
  • Seminal emission
  • Forgetfulness
  • Toothache
  • Dizziness
  • Gum swelling
  • General pitted edema which is worse in the lower body
  • Vaginal discharge
  • Discharge of rice-water like urination without dysuria
  • Aversion to Cold
  • Impotence
  • Decreased libido
  • Emaciation
  • Loose teeth
  • Signs of premature aging
  • Abdominal Cold
  • Easily frightened
  • T: Pale or Pale and thick
  • C: Smooth and white
  • P: Moderate and weak or Deep and weak
Treatment Principle
  • Tonify the Spleen and Kidneys
  • Nourish the Heart
  • Enrich the Yin
  • Nourish the Blood and Yang
  • Augment Qi
Herb Formulas
Points
Clinical Manifestations
  • Mild persistent uterine bleeding
  • Irregular menstruation (either early or late)
  • Prolonged menstruation
  • Skipped period
  • Metrorrhagia
  • Extended or continuous menstrual flow
  • Pain
  • Lower abdominal distention
  • Lower abdominal Cold
  • Lower abdominal pain
  • Infertility
  • Dry lips
  • Dry mouth
  • Spermatorrhea
  • Pale complexion
  • Leukorrhea
  • Amenorrhea
  • Bleeding between periods
  • Low grade fever at dusk
  • Irritability
  • Five sole Heat
  • No desire to drink
  • Distending breast pain
  • Low back coldness and pain
  • Loose stools
  • Cold limbs
  • Aversion to Cold
  • T: Purple with petechiae
  • P: Thready and choppy
Treatment Principle
  • Warm the menses
  • Regulate menstruation
  • Dispel Cold
  • Warm the channels
  • Nourish the Blood
  • Dispel Blood Stasis
Herb Formulas
Points