The Treatment of Modern Western - Biblio.nhat-nam.ru

HASHIMOTO’S THYROIDITIS 265ANALYSIS OF FORMULA: Zhe Bei Mu, Fu Ling, Hai Zao, LaiFu Zi, and Kun Bu all transform phlegm. In addition, ZheBei Mu, Hai Zao, and Kun Bu soften the hard and scatternodulation. Qing Pi and Yu Jin rectify the qi and resolvedepression. Dang Gui, Dan Shen, Chuan Xiong, Yu Jin, SanLeng, and E Zhu quicken the blood and transform stasis. Inaddition, San Leng and E Zhu disperse concretions.ADDITIONS & SUBTRACTIONS: If enduring depression hastransformed heat, add 18 grams of Xuan Shen (RadixScrophulariae), 15 grams each of Xia Ku Cao (SpicaPrunellae) and Zhi Mu (Rhizoma Anemarrhenae), and 12grams of Dan Pi (Cortex Moutan).ACUPUNCTURE & MOXIBUSTION: He Gu (LI 4), San YinJiao (Sp 6), Tian Ding (LI 17), Tian Rong (SI 17), Tian Tu(CV 22)ANALYSIS OF FORMULA: Draining He Gu and San Yin Jiaomoves the qi, quickens the blood, and transforms stasis.Draining Tian Ding, Tian Rong, and Tian Tu softens thehard, scatters nodulation, and treats goiter.ADDITIONS & SUBTRACTIONS: Please see the precedingpatterns.REMARKS1. The most common presentation in Western middle-agedfemales with this condition is a combination of liver depressionand spleen vacuity. If qi vacuity has reached yang, thereis spleen-kidney yang vacuity. If qi stagnation has damagedthe blood, there is blood stasis. If there are palpable lumps inthe throat or a sensation of phlegm in the back of the throat,there is phlegm.2. Although most of the signs and symptoms of this conditionpertain to a yang qi vacuity, since there is liver depression,there is also often depressive heat.3. Women with spleen-kidney yang vacuity and liver depressiontend to be infertile due to a luteal phase deficiencyand/or endometriosis. If there is phlegm nodulation, theremay be polycystic ovaries as well as fibrocystic breast disease.4. This condition usually responds well to Chinese medicaltreatment.5. Because the spleen typically plays a central role in the diseasemechanisms of this condition, attention to proper dietis usually quite important. This means eating warm, easy-todigestfoods. However, because many real-life cases are complicatedby damp, depressive, or vacuity heat, it is usuallyalso important to eat a clear bland diet.6. Taking one’s basal body temperature every morning for atleast three days in a row is an easy way of determining thelikelihood of hypothyroidism. If the BBT is consistentlybelow 97.5 o F, this suggests a thyroid problem. Typically, thelower the BBT, the greater the degree of hypothyroidism.Menstruating women should not take their BBT during thefirst several days of menstruation nor at midcycle duringovulation.7. The patterns presented above cover all forms of hypothyroidism,whether due to autoimmune thyroiditis or not.