HASHIMOTO'S THYROIDITIS

Clinical Manifestations
  • Autoimmune thyroiditis leading to hypothyroidism
  • Slowly developing persistent inflammation of the thyroid
  • Decreased gland function
  • Primarily in women
  • Generally a family history of the disease
  • Intolerance to Cold
  • Weight gain
  • Fatigue
  • Constipation
  • Enlarged neck or
  • Goiter
  • Joint pain
  • Facial edema
  • There may be signs of hyperthyroidism in the early stages
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Cold hands and feet
  • Obesity
  • Puffy edema
  • A Pale face
  • A tendency toward loose stools
  • T: Thick and pale with teethmarks on the edges
  • C: Thin and white
  • P: Weak or Soggy
Treatment Principle
  • Supplement the Center
  • Boost Qi
Herb Formulas
Points
Clinical Manifestations
  • Lymph adenoid goiter
  • Fatigue
  • Cold hands and feet
  • Obesity
  • Puffy edema
  • Pale face
  • Loose stools
  • Dizziness
  • Tinnitus
  • Decreased sexual desire
  • Impotence
  • Sterility
  • Menstrual irregularity
  • Infertility
  • Low back pain and weakness
  • Knee pain and weakness
  • Nocturnal polyuria
  • Fear of cold
  • Colder feet than hands
  • T: Thick, pale with teeth marks
  • C: Thin white
  • P: Weak or Soggy
Treatment Principle
  • Strengthen the Middle
  • Tonify Qi
  • Supplement the Kidneys
  • Tonify Yang
Herb Formulas
Points
Clinical Manifestations
  • Cardiac effusion
  • Heart palpitations
  • An empty sensation in the Heart
  • Shortness of breath
  • Maybe chest oppression or pain
  • Aversion to Cold
  • Cold extremities
  • A pale and puffy face
  • Apathy
  • Mental slowness
  • Fatigue
  • Dizziness
  • Tinnitus
  • Weak limbs
  • Hypersomnia
  • T: Pale
  • C: Thin and white
  • P:Deep, slow and weak or Tight or Regularly intermittent
Treatment Principle
  • Tonify the Heart and Kidneys
  • Warm Yang
Herb Formulas
Points
Clinical Manifestations
  • Swollen lumps in the front of the throat which are soft and painless
  • A swollen feeling in the front of the throat or
  • A plum pit sensation in the back of the throat
  • A tendency towards anger
  • Chest oppression
  • Sighing
  • Possible chest or flank pain
  • T: Normal or Dusky
  • C: White and greasy
  • P: Wiry
Treatment Principle
  • Rectify Qi
  • Soothe Stagnation
  • Transform Phlegm
  • Scatter nodulation
Herb Formulas
Points
Clinical Manifestations
  • Pain in the lower abdomen and pelvic region
  • Spotting between periods or before periods
  • Abdominal swelling
  • Low back pain
  • Sometimes no symptoms at all
  • Periods that are either heavy or scanty, with light-colored, watery menses
  • Infertility
  • Sometimes no symptoms at all
  • A preference for warmth
  • Feels better with pressure on the abdomen or
  • Dislikes pressure
  • Large clots
  • Fatigue
  • Bloating
  • Soft bowel movements
  • A pale complexion
  • Lethargy
  • Headaches
  • Low grade fevers
  • Depression
  • Anxiety
  • T: Pale and Swollen with teethmarks and/or Purple
  • C: White
  • P: Deep, thin and weak or Thin, soft and weak
Treatment Principle
  • Tonify Qi
  • Invigorate the Blood
Herb Formulas
Points
Clinical Manifestations
  • Chronic cough or
  • Dry cough
  • Insomnia
  • Night sweats
  • Spontaneous perspiration
  • Weakness
  • Palpitations
  • Shortness of breath
  • Fever
  • Irritability
  • T: Red and dry or Red and swollen
  • C: Little or None
  • P: Thready and weak
Treatment Principle
  • Tonify Qi
  • Nourish Yin
Herb Formulas
Points
Clinical Manifestations
  • Facial color dark and dull
  • Emaciation
  • Sides and ribs distended on both sides (maybe with sharp pain)
  • Enlargement of Liver and Spleen
  • Suffocating sensation in chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Dark purple (maybe purple spots on edge of tongue)
  • C: Normal
  • P: Wiry, choppy and slow
Treatment Principle
  • Move Qi
  • Invigorate the Blood
  • Dispel Stasis
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Watery stools with undigested food
  • Lower back pain
  • Weakness of the lower extremities
  • A cold sensation in the lower half of the body
  • Tenseness in the lower abdomen
  • Pain and cramps in the lower abdomen
  • Panting and irritability to the point of having difficulty lying down
  • Will breathe most comfortably while leaning against something
  • Nocturia
  • May be numbness in the lower abdomen
  • Urinary difficulty with edema or Spasmodic pain in the lower abdomen
  • Excessive urination
  • If severe, may be incontinence of urine
  • May have persistent diarrhea
  • Dysuria
  • May have flushed face (Yang floating upward)
  • Thirst with frequent, copious urination (Xiao Ke)
  • Fatigue (severe)
  • May have severe perspiration (Yang floating upward)
  • Constipation
  • Lassitude
  • Pale face
  • Edema of the face and feet
  • Severe edema of the legs (may prevent walking)
  • Maybe cough
  • Maybe asthma
  • T: Pale, may be swollen
  • C: Thin, white and moist
  • P: Deep, Deep and thready and/or Weak and slow
Treatment Principle
  • Warm and Tonify Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • Localized painful swellings without a head that bleed into the surrounding tissues and do not affect the color or texture of the skin
  • The swellings are not hot to the touch
  • No thirst
  • Swollen and painful joints
  • Wasting of the muscles of the thigh and calf
  • T: Very pale or Pale-pink
  • C: White
  • P: Thready and forceless or Deep and slow
Treatment Principle
  • Warm the Yang
  • Tonify the Blood
  • Disperse Cold
  • Eliminate Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Goiter
  • Irritability
  • Palpitations
  • Anxiety
  • Fatigue
  • Insomnia
  • Very restless sleep
  • Inability to think or concentrate even for short periods
  • Nocturnal emissions
  • Forgetfulness
  • Dry stools
  • Mouth sores
  • Tongue sores
  • Low grade afternoon fever
  • Dream disturbed sleep
  • Night sweats
  • Constipation
  • T: Red
  • C: Little
  • P: Rapid or Thready and rapid
Treatment Principle
  • Enrich the Yin
Herb Formulas
Points
Clinical Manifestations
  • Hard goiter like a stone which is immovable
  • May move slightly when swallowing
  • Goiter is heavy and dense
  • Goiter is large
  • Irregular surface
  • May be aching and pain
  • Hoarse voice
  • T: Normal
  • C: Thin and white
  • P: Wiry and maybe choppy
Treatment Principle
  • Invigorate the Blood
  • Transform Stasis
  • Soften the hardness
  • Scatter nodulation
Herb Formulas
Points