HYPERTHROIDISM (GRAVE'S-BASEDOW'S DISEASE)

Clinical Manifestations
  • Feeling of a lump in the throat
  • The lump is soft and becomes larger or smaller according to the emotional situation
  • The edges are indistinct
  • Possible nodulations on the thyroid gland
  • Possible exophthalmia
  • Sensation of distention in the eyes
  • Oppressive feeling in the chest and hypochondrium
  • Difficulty swallowing
Herb Formulas
Points
Clinical Manifestations
  • Feeling of a lump in the throat
  • The lump is soft and becomes larger or smaller according to the emotional situation
  • The edges are indistinct
  • Possible nodulations on the thyroid gland
  • Possible exophthalmia
  • Sensation of distention in the eyes
  • Oppressive feeling in the chest and hypochondrium
  • Difficulty swallowing
  • Constipation
  • Dry stools that cannot easily be expelled, even with purgatives
  • Thirst
  • Distention and fullness of the epigastrium and abdomen
  • Dry mouth
  • Dry lips
  • T: Red, dry and thin
  • C: Little or None or thin and yellow or Burnt and yellow
  • P: Thready and slightly rapid or weak and forceless
Herb Formulas
Points
Clinical Manifestations
  • Spasms
  • Tics
  • Fullness and distention in the chest
  • Irritability
  • Occasional fright palpitations
  • Urinary difficulty
  • Constipation
  • Delirious speech
  • Insomnia
  • Subcardiac distention
  • Palpitations at the abdomen
  • Melancholia
  • Fear
  • Agitation
  • Unsteadiness
  • Tends toward mania and convulsions
  • Tends toward fatigue and clumsiness of limbs
  • Dysuria
  • Excitability
  • Dizziness
  • Anxiety
  • Tinnitus
  • Deafness
  • Profuse expectoration of Phlegm
  • Bitter taste in the mouth
  • Palpitations
  • Pale face
  • Oliguria
  • A sensation of extreme heaviness of the body
  • Fatigue
  • Inability to rotate the trunk
  • Difficulty moving the body
  • T: Red
  • C: Slippery
  • P: Wiry and rapid
Treatment Principle
  • Harmonize the Shao Yang
  • Unblock the three Yang Stages
  • Calm the Liver
  • Transform Phlegm
  • Sedate and calm the Spirit
  • Alleviate spasms
Herb Formulas
Points
Clinical Manifestations
  • Calcaneus pain
  • May be bone spur
  • Unproductive cough or
  • Scanty, sticky phlegm or
  • Sometimes blood-streaked sputum
  • Dry mouth
  • Dry throat
  • Low back and knees sore and weak
  • "Steaming Bone" tidal fever
  • Night sweats
  • Malar flush
  • Maybe hoarse voice
  • Maybe pain in shin, foot, and heel
  • Spermatorrhea
  • Irregular menses
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Lungs and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Feeling of a lump in the throat
  • The lump is soft and becomes larger or smaller according to the emotional situation
  • The edges are indistinct
  • Possible nodulations on the thyroid gland
  • One or both sides may be involved
  • Possible exophthalmia
  • Sensation of distention in the eyes
  • Oppressive feeling in the chest and hypochondrium
  • Difficulty swallowing
  • Depression
  • Frequent suspicion
  • Perspiration
  • Irritability
  • Easily angered
  • A tendency to taciturnity
  • Chest oppression
  • Chest pain and fullness
  • Palpitations
  • Frequent sighing
  • Loose stools
  • Irregular menstruation
  • Pre-menstrual tension
  • Nausea
  • Vomiting
  • Loose stools
  • Weakness
  • Tremors
  • T: Pale or dusky
  • C: White or Greasy white
  • P: Wiry or Smooth and soft or Wiry and slippery or Wiry and thready
Treatment Principle
  • Soothe the Liver
  • Move Qi
  • Tonify Spleen Qi
  • Soften masses
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Toothache
  • Loose teeth
  • Bleeding gums
  • Frontal headache
  • Irritability
  • Fever
  • Thirst with a desire to drink cold beverages
  • Epistaxis
  • Dysphoria
  • Excess hunger
  • Hemoptysis
  • Dry throat
  • Hematemesis
  • Restlessness
  • Warm sensations
  • T: Red and dry
  • C: White or Yellow and dry
  • P: Superficial, full, slippery, deficient and large or Gigantic and rapid or Rapid
Treatment Principle
  • Drain Heat from the Stomach
  • Replenish Yin
Herb Formulas
Points
Clinical Manifestations
  • Dry throat
  • Thirst
  • Hacking cough with scanty sputum
  • Low grade fever
  • Epigastric pain
  • T: Red
  • C: Little, maybe dry
  • P: Thready and rapid
Treatment Principle
  • Clear and Nourish the Lungs and Stomach
  • Generate Fluids
  • Moisten Dryness
Herb Formulas
Points
Clinical Manifestations
  • Epigastric focal distention
  • Fullness and tightness with very slight or no pain
  • Dry heaves
  • Vomiting
  • Borborygmus
  • Diarrhea
  • Anorexia
  • Stomach pain
  • Abdominal pain
  • Subcardiac distention
  • Heartburn
  • Resistance below the Heart
  • Soft epigastrium
  • Nausea
  • Ascites
  • Gurgling sounds
  • T: Normal or with a red tip
  • C: Thin, yellow and greasy
  • P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle
  • Harmonize the Stomach
  • Descend Rebellious Qi
  • Disperse clumping
  • Eliminate focal distention due to Cold and Heat factors
Herb Formulas
Points
Clinical Manifestations
  • Ulceration, erosion, and pain of mouth and tongue
  • Thirst with a desire for cold drinks
  • Irritability, irascibility
  • Feeling of Heat and disturbance in Heart
  • Insomnia
  • Flushed face
  • Bitter taste in mouth
  • T: Red tip, ulcers especially on tip
  • P: Shi and rapid
Treatment Principle
  • Clear Heart
  • Cool Fire
Herb Formulas
Points
Clinical Manifestations
  • Neck enlargement
  • Exophthalmos
  • Dizziness
  • Tremor of the hands
  • Red face
  • Anxiety
  • Easily angered
  • Palpitations
  • Shortness of breath
  • Insomnia
  • Perspiration
  • Excess appetite
  • T: Red
  • C: Yellow
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Relieve Fire
  • Resolve Phlegm
  • Soften masses
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Anxiety
  • Apprehension
  • Constant worry
  • Poor concentration
  • Irritability
  • Restless sleep
  • Insomnia
  • Dizziness
  • Emaciation
  • Shortness of breath
  • Constipation
  • Dry mouth and throat
  • Numbness
  • Dry cough
  • Cough with little or no sputum
  • Cough with blood streaked sputum
  • Spontaneous perspiration
  • Night sweats
  • Five Sole Heat due to stress
  • Early menses
  • Restlessness
  • Dry tongue
  • Pale copious menstrual flow
  • Weakness
  • Memory loss
  • Excess dreams
  • Fright
  • Physical and mental fatigue
  • Dry, hard stool
  • Coarse skin
  • Dry throat
  • Weakness
  • A skinny appearance
  • A pale complexion
  • T: Pale and shiny or Red
  • C: Thin and white or None
  • P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid
Treatment Principle
  • Augment Qi
  • Nourish Yin and Blood
  • Restores the Pulse
  • Calm the Shen
Herb Formulas
  • Zhi Gan Cao Tang
  • Chinese Patent Medicines:
    Jian Nao Wan
    Bai Zi Yang Xin Wan
    Ding Xin Wan
    Yang Xin Ning Shen Wan
    Bu Nan Wan
    An Shen Bu Xin Wan
Points
Clinical Manifestations
  • Palpitations, easily brought on by fright
  • Startles easily
  • Irritability
  • Insomnia
  • Much dreaming
  • Waking with palpitations or panic attacks and anxiety
  • Poor memory
  • Poor concentration
  • Low grade fever
  • Night sweats
  • Five Sole Heat
  • Restlessness
  • A dry mouth and throat
  • Thirst
  • Dizziness
  • Tinnitus
  • Malar flush
  • Low back pain
  • Dry stools or
  • Constipation
  • Possible mouth or tongue ulcers
  • T: Red, dry
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Clear Heart
  • Nourish Heart Yin
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Irritability
  • Easily startled
  • Insomnia
  • Much dreaming
  • Poor memory
  • Low grade fever
  • Night sweats
  • Five sole heat
  • Restlessness
  • Dry mouth
  • Thirst
  • Dry throat
  • Malar flush
  • T: Red, dry
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Clear Heart
  • Regulate Liver Qi
  • Nourish Yin
Herb Formulas
Points
Clinical Manifestations
  • Heart palpitations
  • Restlessness
  • Insomnia with dream-disturbed sleep
  • Dizziness
  • Forgetfulness
  • Depression
  • Maybe grief with easy crying
  • Maybe emotional disturbances
  • Irregular menstruation
  • T: Red tip
  • C:Scanty
  • P: Thready and rapid
Treatment Principle
  • Nourish Kidney Yin
  • Reduce Heart Fire
  • Calm the mind
Herb Formulas
Points
Clinical Manifestations
  • Anxiety
  • Panic attacks
  • Easily startled or frightened
  • Irritability
  • Restlessness
  • Palpitations
  • Fatigue
  • Insomnia often waking to anxiety or panic
  • Very restless sleep
  • Nightmares
  • Inability to think or concentrate even for short periods
  • Nocturnal emissions
  • Forgetfulness
  • Dry stools
  • Dry mouth and throat
  • Mouth sores
  • Tongue sores
  • Low grade afternoon fever
  • Dream disturbed sleep
  • Dizziness
  • Light-headedness
  • Night sweats
  • Five Sole Heat
  • Tinnitus
  • Constipation
  • Low back pain
  • T: Red
  • C: Little
  • P: Rapid or Thready and rapid
Treatment Principle
  • Enrich the Yin
  • Nourish the Blood
  • TonifY the Heart
  • Calm the Shen
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Goiter
  • The lump is small or large, relatively soft with a slow onset.
  • Palpitations
  • Restlessness
  • Anxiety
  • Fidgeting
  • Hypochondriac pain
  • Insomnia
  • Afternoon fever
  • Night sweats
  • Hand tremors
  • Dry eyes
  • Dry mouth
  • Blurred vision
  • Tiredness
  • T: Red
  • C: Little or none
  • P: Floating and empty, relatively overflowing on left cun or Thready and rapid
Treatment Principle
  • Nourish Yin
  • Nourish the Heart and Liver
  • Nourish Liver Blood
  • Calm the mind
  • Soften the Liver
  • Resolve Phlegm
  • Soften hardness
  • Dissolve the goiter
Herb Formulas
Points
Clinical Manifestations
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Regulate Liver Qi
Herb Formulas
Points
Clinical Manifestations
  • Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down.
  • This sensation becomes more prominent during emotional upset and subsides when relaxed
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest and hypochondrium
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Hypochondriac pain
  • Coughing with profuse phlegm
  • Vomiting
  • Difficulty swallowing
  • A delicate constitution
  • A tendency towards fatigue
  • Palpitations
  • Abdominal distention
  • Muscular and skin flaccidity
  • Fear
  • Edema
  • Asthma
  • Insomnia
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle
  • Spread Qi
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Marked goiter which is soft without pain
  • Possible nodulations
  • Possible exophthalmos
  • Emotional tension
  • Severe, splitting headaches with dizziness
  • Head distention
  • Sudden tinnitus or deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irritability
  • Fidgeting
  • Impetuosity
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst with profuse drinking
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • Aversion to heat
  • Trembling hands
  • Trembling tongue
  • Palpitations
  • Insomnia
  • Aversion to Heat
  • Profuse sweating
  • Hungers easily with increased food intake
  • T: Red or Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Shi and rapid
Treatment Principle
  • Clear the Liver
  • Drain Fire
  • Resolve Phlegm
  • Scatter nodulation
Herb Formulas
Points
Clinical Manifestations
  • Dizziness and vertigo to the point of falling over
  • Headache with a drawing sensation
  • Numbness and tremor of limbs
  • Twitching and involuntary writhing of hands and feet
  • Dysphasia
  • Unsteady gait
  • Sudden loss of consciousness
  • Tongue stiffness with aphasia
  • Facial paralysis
  • Hemiplegia
  • T: Red
  • P: Thready and wiry
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Low-grade fever
  • unilateral or bilateral swollen and bulging eyes
  • Fatigue
  • Weight loss
  • Perspiration
  • Increased blood pressure
  • Marked goiter which is soft without pain
  • Possible nodulations
  • Possible exophthalmos
  • Emotional tension
  • Severe, splitting headaches with dizziness
  • Head distention
  • Sudden tinnitus or deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irritability
  • Fidgeting
  • Irascibility with violent angry outbursts
  • Impetuosity
  • Dry mouth
  • Bitter taste in mouth
  • Thirst with profuse drinking
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • Aversion to heat
  • Trembling hands
  • Trembling tongue
  • Palpitations
  • Insomnia
  • Aversion to Heat
  • Profuse sweating
  • Hungers easily with increased food intake
  • T: Red or Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Excess and rapid
Treatment Principle
  • Clear the Liver
  • Drain Fire
  • Resolve Phlegm
  • Scatter nodulation
Herb Formulas
Points
Clinical Manifestations
  • Goiter
  • Possible nodulations
  • Possible exophthalmos
  • Tension around the eyes
  • Severe, splitting headaches
  • Aversion to heat
  • Restlessness
  • Hot flashes
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome)
  • Weakness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five sole heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Palpitations
  • Excess dreams
  • Stools difficult to pass
  • Sudden tinnitus or deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Increased food intake
  • Emaciation
  • Constipation or dry stools
  • Maybe rib pain
  • Spermatorrhea
  • Irregular menses or
  • Scanty menses or
  • Amenorrhea
  • Vaginal discharge
  • T: Red or Red tip and edges
  • C: None or Thick, yellow, dry and rough
  • P: Thready and rapid or Wiry, Shi and Rapid
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Yang
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before the eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • A quick temper
  • Poor memory
  • Frightens easily
  • Insomnia with difficulty falling asleep or frequent waking
  • Much dreaming
  • Restless sleep
  • Maybe talking during sleep
  • Severe: Sleep walking
  • Tinnitus
  • Waking with a dry throat or thirst
  • Palpitations
  • Numbness of the limbs
  • Light menses or
  • Amenorrhea
  • Late menses
  • T: Red and dry
  • C: Little or None
  • P: Wiry or Thready and rapid
Treatment Principle
  • Nourish the Liver
  • Reinforce the Blood
  • Nourish Yin
  • Calm the Hun
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Goiter
  • Possible nodulations
  • Possible exophthalmos
  • Tension around the eyes
  • Severe, splitting headaches
  • Aversion to heat
  • Restlessness
  • Hot flashes
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome),
  • Weakness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five sole heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Palpitations
  • Excess dreams
  • Stools difficult to pass
  • Sudden tinnitus or deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Increased food intake
  • Emaciation
  • Constipation or dry stools
  • Maybe rib pain
  • Spermatorrhea
  • Irregular menses or
  • Scanty menses or
  • Amenorrhea
  • Vaginal discharge
  • T: Red or Red tip and edges
  • C: None or Thick, yellow, dry and rough
  • P: Thready and rapid or Wiry, Shi and Rapid
Treatment Principle
  • Nourish Yin
  • Subdue Yang
  • Transform Phlegm
  • Scatter nodulation
Herb Formulas
Points
Clinical Manifestations
  • Muscle spasms
  • Feverishness
  • Bruxism
  • Palpitations
  • Anxiety
  • Fever and chills
  • Alternating chills and fever
  • Spitting of sputum or saliva
  • Abdominal distention
  • Reduced appetite
  • Restless sleep
  • Nervousness
  • Rigidity and pain of the neck and head
  • Opisthotonos
  • Numbness of the limbs
  • Vertigo
  • Dizziness
  • Hemiplegia
  • Irritability
  • Insomnia
  • Clenching or grinding of teeth
  • Easily frightened
  • Restlessness
Treatment Principle
  • Calm the Liver
  • Regulate the Liver Qi and Blood
  • Dispel Heat
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of low back
  • Spermatorrhea or premature ejaculation
  • Aching in bones
  • Aching in leg and heel
  • Dry mouth
  • Thirst
  • Night sweats
  • Five sole heat
  • Malar flush
  • Low grade fever in the afternoon
  • Dry throat, maybe recurrent sore throat
  • Dry stools and / or constipation
  • Urine short and red
  • Heightened libido
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Kidney Yin
Herb Formulas
  • Liu Wei Di Huang Wan
  • Zuo Gui Wan  modified
  • Chinese Patent Medicines:
    Liu Wei Di Huang Wan

    He Che Da Zao Wan
    With Deficient Heat: Zhi Bai Di Huang Wan
    With tinnitus: Er Ming Zuo Ci Wan
    With visual disturbances: Ming Mu Di Huang Wan
    With Liver and Kidney Yin Deficiency: Qi Ju Di Huang Wan
Points
Clinical Manifestations
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of the low back
  • Spermatorrhea or
  • Premature ejaculation
  • Aching in the bones
  • Aching in the leg and heel
  • Dry mouth
  • Thirst
  • Night sweats
  • Five Sole Heat
  • Malar flush
  • Low grade fever in the afternoon
  • Dry throat, maybe recurrent sore throat
  • Dry stools and/or
  • Constipation
  • Urine short and red
  • Heightened libido
  • If Heart Fire also Flares:
    Insomnia
    Frequent dreams
    Palpitations
  • If Liver Yang also Rises:
    Dizziness
    Blurred vision
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Subdue Fire
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of low back
  • Spermatorrhea or premature ejaculation
  • Aching in bones
  • Aching in leg and heel
  • Dry mouth
  • Thirst
  • Night sweats
  • Five sole heat
  • Malar flush
  • Low grade fever in the afternoon
  • Dry throat, maybe recurrent sore throat
  • Dry stools and / or constipation
  • Urine short and re
  • Heightened libido
  • Toothache
  • Loose teeth
  • Bleeding gums
  • Frontal headache
  • Irritability
  • Fever
  • Thirst with a desire to drink cold beverages
  • Epistaxis
  • Hemoptysis
  • Dry throat
  • Hematemesis
  • Restlessness
  • T: Red and dry
  • C: White or Yellow and dry
  • P: Superficial, full, slippery, deficient and large or Gigantic and rapid or Rapid
Treatment Principle
  • Drain Heat from the Stomach
  • Replenish Yin
Herb Formulas
Points
Clinical Manifestations
  • Over excitement
  • Restlessness
  • Aversion to heat
  • Profuse sweat
  • Polyphagia
  • Weight loss
  • Severe palpitations
  • Exophthalmos
  • Irritability
  • Hectic fever
  • Progressive emaciation
  • Thyroid enlargement
  • Dream disturbed sleep
  • Pantalgia, aggravated at night
  • Congestive Heart failure
  • Paroxysmal arrhythmia
  • Weight loss
  • Chronic diarrhea
  • Long-standing low grade fever
  • T: Deep red, thin
  • C: Scanty
  • P: Thready and rapid
Treatment Principle
  • Nourish the Kidneys and Liver
  • Purge Fire
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Low back, knees and legs painful and weak
  • Foot pain
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Diminished hearing
  • Five sole Heat
  • Chronic dry, sore throat
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Dizziness
  • Muscular weakness
  • Dry skin
  • Deafness
  • Steaming bones
  • Tidal fevers
  • Loose teeth
  • Dripping urine
  • Thirst
  • Dry tongue
  • Numbness and weakness at the waist and knees
  • Heel pain
  • Dry mouth
  • Blurred vision
  • Hemoptysis
  • Asthma
  • Hot flashes
  • Nocturnal emissions
  • Urinary incontinence
  • Spontaneous and nocturnal emissions
  • Night sweats
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Enrich Yin
  • Astringe and Nourish the Essence of the Liver and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome)
  • Weakness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five sole heat
  • Low-grade fever
  • Night sweats
  • Dry mouth
  • Irritability
  • Insomnia or
  • Light sleep
  • Tremors
  • Emaciation
  • Stools difficult to pass
  • Constipation
  • Spermatorrhea
  • Irregular menses or
  • Scanty menses or
  • Amenorrhea
  • Vaginal discharge
  • Insomnia with much dreaming
  • Premature ejaculation
  • Palpitations
  • Legs weak
  • Tidal fever
  • Dry mouth
  • Urine short and red
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear Heat from the Heart, Liver and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Neck enlargement
  • Exophthalmia
  • Lassitude
  • Fatigue
  • Shortness of breath
  • Dizziness
  • Tinnitus
  • Palpitations
  • Emaciation
  • Lack of strength
  • Dry, rough eyes
  • Possible distended feeling in eyes
  • A pale, lusterless face
  • Possible malar flush
  • Restless
  • Insomnia
  • Poor memory
  • Hand tremors
  • Dry, parched throat
  • Tasteless feeling in the mouth
  • Low back and knee soreness and
  • Weakness
  • Low grade fever
  • Five sole heat
  • Maybe profuse perspiration
  • Possible tremors of the hands and tongue
  • Scanty fluid intake
  • Abdominal distention after meal
  • Loose stools
  • T: Red
  • C: Thin or Peeled
  • P: Empty and rapid or Thready and rapid
Treatment Principle
  • Strengthen Qi
  • Nourish Yin
  • Relieve perspiration
Herb Formulas
Points
Clinical Manifestations
  • Numbness and weakness of the extremities
  • Feeling of a lump in the throat
  • The lump is soft and becomes larger or smaller according to the emotional situation
  • A somber, pale, white or sallow and lusterless facial complexion
  • Pale lips and nails
  • Fatigue
  • Lassitude
  • Weakness
  • Aversion to Cold
  • Disinclination to speak
  • Stiffness of the neck and back
  • Difficulty moving
  • Spontaneous cool perspiration
  • Dizziness
  • Insomnia
  • Blurred vision
  • Loose stools
  • Maybe edema
  • T: Thick and pale or Thick and dark with teethmarks or petechiae
  • C: Thin
  • P: Thready or Thready and weak
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
  • Extinguish Wind
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Goiter in the front of the neck which is soft and not painful
  • Enlarged thyroid gland
  • Maybe nodulations on the thyroid gland
  • Irritability
  • Depression
  • Frequent suspicion
  • Frequent sighing
  • A quick temper
  • A tendency toward taciturnity
  • Feeling of oppression in the chest
  • Rib and flank pain
  • Plum-seed Qi Stagnation
  • Maybe exophthalmia or
  • A sense of distention in the eyes
  • T: Red or Pale red
  • C: Thin and greasy
  • P: Wiry and Slippery-wiry
Treatment Principle
  • Resolve phlegm
  • Regulate Qi circulation
  • Soothe the Liver
  • Resolve nodulations
Herb Formulas
Points
Clinical Manifestations
  • Neck enlargement
  • Exophthalmos
  • Dizziness
  • Tremor of the hands
  • Red face
  • Anxiety
  • Easily angered
  • Palpitations
  • Shortness of breath
  • Insomnia
  • Perspiration
  • Excess appetite
  • T: Red
  • C: Yellow
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Relieve Fire
  • Resolve Phlegm
  • Soften masses
Herb Formulas
Points
Clinical Manifestations
  • The lump is small or large and relatively soft with a slow onset
  • Palpitations
  • Insomnia
  • Afternoon fever
  • Night sweats
  • Hand tremors
  • Constipation
  • Urine short and red
  • Heightened libido
  • Blurred vision
  • Pain that is fixed, stabbing and /or severe or
  • Dry eyes
  • Blurred vision
  • Tiredness
  • T: Red
  • C: Little or none
  • P: Floating and empty, relatively overflowing on left cun
Treatment Principle
  • Nourish Yin and Blood
  • Circulate Qi
  • Invigorate the Blood
  • Resolve Phlegm
  • Eliminate nodulations
Herb Formulas
Points
Clinical Manifestations
  • Neck swelling
  • The lump is a hard nodular mass that is immovable and grows rapidly
  • The lumps have an irregular surface
  • The lump may move slightly when swallowing
  • The skin over the mass is dark and painful
  • A feeling of chest oppression
  • Palpitations
  • Shortness of breath
  • Exophthalmos
  • Irascibility
  • Insomnia
  • Anxiety
  • Hoarse voice
  • T: Swollen and purple
  • C: Sticky
  • P: Wiry and/or choppy or Wiry and Rolling
Treatment Principle
  • Regulate Qi
  • Invigorate Blood
  • Eliminate Stasis
  • Resolve Phlegm
  • Soften hardness
  • Dissolve goiter
Herb Formulas
Points
Clinical Manifestations
  • Cervical nodules
  • Dry throat
  • Dry mouth
  • Bitter taste in mouth
  • T: Red
  • C: Dry and yellow
  • P: Rapid and Wiry or Slippery
Treatment Principle
  • Clear Fire
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Marked emotional changes and behavior
  • Irritability
  • A feeling of Qi rushing upward
  • Red eyes
  • Headache - lasts all day
  • Tinnitus
  • Palpitations
  • Insomnia
  • Hot flushes
  • Anorexia
  • A feeling of distention and oppression below the Heart
  • Abdominal bloating
  • Muscle spasms in the shoulders, neck and back
  • Dizziness
  • Vertigo
  • T: Red edges
  • C: Greasy
  • P: Soft and wiry and maybe rapid
Treatment Principle
  • Clear Heat from the Liver channel
  • Descend Liver Yang
  • Extinguish Liver Wind
  • Transform Phlegm
  • Strengthen the Spleen
  • Enrich fluids
Herb Formulas
Points
Clinical Manifestations
  • Mild or severe tremors of the head and extremities
  • Sometimes the tremors can be stopped by conscious effort
  • Fullness and stiffness of the chest and epigastrium
  • A dry mouth
  • Dizziness
  • Vertigo
  • Sweating
  • Yellow Phlegm
  • A tendency toward obesity
  • T: Normal or Red
  • C: Greasy and yellow
  • P: Wiry, slippery and rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Extinguish Wind
Herb Formulas
  • Dao Tan Tangmodified
  • With severe Phlegm, Heat and tremors: Cui Gan Wan
  • Chinese Patent Medicines:
    An Gong Niu Huang Wan
    Wan Shi Niu Huang Qing Xin Wan

    Hu Po Bao Long Wan
Points
Clinical Manifestations
  • Abdominal distension
  • Poor appetite
  • Edema
  • Chest and hypochondriac distension
  • Dizziness
  • Nausea and vomiting
  • Thirst but doesn't wish to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of breath
  • T: Pink
  • C: Thick, slippery
  • P: Slippery and full and maybe wiry
Treatment Principle
  • Eliminate Dampness
  • Resolve Phlegm
Herb Formulas
Points