Senile Hyperthyroidism

Liver And Kidney Yin Deficiency With Fire Flaring

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	Liu Wei Di Huang Wan + Long Dan Xie Gan Tang Zi Shui Qing Gan Yin Chronic hyperthyroidism: He Che Da Zao Wan
Points	REN-4, UB-13, UB-23, DU-4, KI-1, ST-28, LU-5, LIV-2

Yang Impairment Affecting Yin (Apathetic Hyperthyroidism)

Clinical Manifestations	Apathy Depression Slow reactions Lethargy Wan, sallow complexion Dry, cold skin with corrugation Absence of exophthalmos Dull look in the eyes Slight thyroid enlargement often with nodes Thin muscles Slightly or moderately rapid pulse often accompanied by Heart failure and auricular fibrillation Indistinct but definite abnormal change of thyroid function Set facial expression Lassitude Somnolence Loose stool T: Deep red C: Little or none P: Thin and weak
Treatment Principle	Nourish Qi Restore Yang Nourish Yin Dredge the channels
Herb Formulas	Shen Fu Tang + Sheng Mai San
Points	Moxa: REN-4, REN-6, DU-4, UB-23 Needle: ST-36, REN-12, KI-1, KI-3, SP-10, UB-15, ST-28, LIV-2