Hyperthyroid #3

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Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Spica Prunellae	Xia Ku Cao	15g	Brightens the eyes, Clears Heat, Clears the Liver, Dissipates nodules. With Chai Hu, for neck nodules due to Liver Qi Stagnation.
Concha Ostreae	Mu Li	12g	Anchors Floating Yang, Benefits Yin, Dissipates nodules, Settles and calms the Spirit, Softens hardness.
Bul. Fritillariae Thunbergii	Zhe Bei Mu	12g	Clears Heat, transforms Phlegm and dissipates nodules.
Poria	Fu Ling	12g	Harmonizes the Middle Jiao, Promotes urination, Resolves Dampness, Strengthens the Spleen, Transforms Phlegm.
Rx. Bupleuri	Chai Hu	9g	Reduces fever, Resolves Shao Yang disorders, Spreads Liver Qi and relieves Stagnation. With Bai Shao, for vertigo, dizziness, thoracic and costal pain, and menstrual irregularity due to Liver Qi Stagnation. With Dang Shen, Bai Shao, and Bai Zhu, fortifies Qi.
Rx. Codonopsis	Dang Shen	9g	Tonifies the Middle Jiao and tonifies Qi. With Bai Zhu, for Spleen Qi Deficiency with anorexia, loose stools and vomiting.
Rz. Atractylodis Macrocephalae	Bai Zhu	9g	Tonifies the Spleen, tonifies Qi and dries Dampness.
Rx. Angelicae Sinensis	Dang Gui	9g	Invigorates and harmonizes Blood, Reduces swelling, Regulates menses, Tonifies Blood. With Bai Shao, regulates and harmonizes Qi and Blood.
Rx. Paeoniae Alba	Bai Shao	9g	Calms Liver Yang, Nourishes Blood, Regulates menstruation. With Chai Hu, for flank pain due to Liver Qi Stagnation.
Thallus Eckloniae	Hai Zao	9g	Clears Heat, resolves Phlegm and softens Phlegm nodules. With Gan Cao, for goiter and scrofula.
Rz. Pinelliae Preparatum	Zhi Ban Xia	9g	Dissipates nodules, Dries Dampness, Harmonizes the Stomach, Transforms Phlegm. With Chen Pi, for epigastric and abdominal distention or pain due to disharmony of the Stomach Qi. With Zhe Bei Mu, for scrofula
Per. Citri Reticulatae	Chen Pi	6g	Adjusts the Middle, Dries Dampness, Regulates Qi, Tonifies the Spleen, Transforms Phlegm.
Rx. Glycyrrhizae	Gan Cao	6g	Moderates and harmonizes the effects of the other herbs.
Fr. Zizyphi Jujube	Da Zao	3g	Moderates and harmonizes the harsh properties of other herbs.
Rz. Zingiberis Recens	Sheng Jiang	3g	Reduces the toxicity of other herbs.

Formula Actions

• Spreads the Liver
• Rectifies Qi
• Transforms Phlegm
• Dissipates nodulations

Syndromes

• Liver Qi Stagnation with Phlegm

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 Depression Frequent suspicion Irritability Easily angered

A tendency to taciturnity Chest oppression Frequent sighing Loose stools Irregular menstruation Pre-menstrual tension Nausea T: Pale or dusky Vomiting Loose stools Weakness C: White or greasy white P: Wiry or Smooth and soft or wiry and slippery

Treats

Hyperthyroidism

Contraindications And Herb/Drug Interactions

Notes

Modifications

For depressive Heat:		For damaged Stomach fluids due to Heat:
+ 15g Rx. Scrophulariae	Xuan Shen	+ 12g Rx. Ophiopogonis	Mai Men Dong
+ 12g Rx. Scutellariae	Huang Qin	+ 12g Rx. Trichosanthis	Tian Hua Fen
For vexation, agitation and Heart palpitations:		For insomnia:
+ 12g Fossilia Ossis Mastodi	Long Gu	12g Cx. Albiziae	He Huan Pi
+ 3-6g Rz. Coptidis	Huang Lian	+ 12g Caul. Polygoni Multiflori	Ye Jiao Teng
For leukopenia:		+ 12g Sm. Zizyphi Spinosae	Suan Zao Ren
+ 15g Rx. Astragali	Huang Qi	+ 20g Rx. Astragali	Huang Qi
+ 15g Caul. Spatholobi	Ji Xue Teng	For aversion to Heat with sweating:
+ 9g Gel. Cornu Cervi	Lu Jiao Jiao	+ 9g Fr. Gardeniae	Zhi Zi
For tremors of the hands or fingers:		+ 9g Rx. Salviae Miltiorrhizae	Dan Shen
+ 15g Bombyx Batryticatus	Jiang Can	For severe goiter:
+ 15g Periostracum Cicadae	Chan Tui	+ 9g Rz. Dioscoreae Bulbiferae	Huang Yao Zi
For loose stools:		+ 9g Rz. Sparganii	San Leng
+ More Rx. Codonopsis	Dang Shen	+ 9g Rz. Curcuma	E Zhu
+ More Rz. Atractylodis	Bai Zhu	For Blood Deficiency:
+ More Poria	Fu Ling	+ 9g Rx. Angelicae Sinensis	Dang Gui
+ More Per. Citri Reticulatae	Chen Pi	+ 9g Rx. Salviae Miltiorrhizae	Dan Shen
For increased appetite:		For a sensation of throat obstruction:
+ 15g Gypsum	Shi Gao	+ 12g Rz. Belamcandae	She Gan
+ 9g Rz. Anemarrhenae	Zhi Mu	For severe Liver Qi Stagnation:
+ 6g Per Citri Reticulatae Viride	Qing Pi