Hyperthyroid #4

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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.
Rx. Scrophulariae	Xuan Shen	15g	Clears Heat, cools the Blood, nourishes Yin, softens hardness and dissipates nodules. With Mu Li and Zhe Bei Mu, for scrofula, goiter, and other nodules due to Phlegm.
Rx. Rehmanniae	Sheng Di Huang	12g	Clears Heat, Cools the Blood, Nourishes Yin and generates fluids
Concha Ostreae	Mu Li	12g	Anchors Floating Yang, Benefits Yin, Dissipates nodules, Settles and calms the Spirit, Softens hardness.
Fossilia Ossis Mastodi	Long Gu	12g	Settles and calms the Spirit, calms the Liver, anchors and preserves Floating Yang and prevents leakage of fluids.
Rz. Pinelliae Preparata	Zhi Ban Xia	12g	Dries Dampness, transforms Phlegm and descends Rebellious Qi. With Chen Pi, for epigastric and abdominal distention or pain due to disharmony of the Stomach Qi. With Zhe Bei Mu, for scrofula.
Bul. Fritillariae Thunbergii	Zhe Bei Mu	12g	Clears Heat, transforms Phlegm and dissipates nodules.
Poria	Fu Ling	12g	Harmonizes the Middle Jiao and transforms Phlegm, Promotes urination, Resolves Dampness, Strengthens the Spleen. With Ban Xia, expels Phlegm and stops nausea and vomiting. With Ban Xia and Chen Pi, for nausea, vomiting, chest fullness and distention, and anorexia due to congested fluids.
Rx. Bupleuri	Chai Hu	9g	Reduces fever, Resolves Shao Yang disorders, Spreads Liver Qi and relieves Stagnation.
Rx. Angelicae Sinensis	Dang Gui Wei	9g	Invigorates and harmonizes Blood, Reduces swelling, Regulates menses, Tonifies Blood.
Rx. Scutellariae	Huang Qin	9g	Clears Lung Heat, Detoxifies and calms ascending Liver Yang, Drains Fire, Dries Dampness. With Xia Ku Cao, for dizziness and headache due to extreme rebellion of Liver Fire.
Fr. Gardeniae	Zhi Zi	9g	Clears Heat and reduces Fire.
Thallus Eckloniae	Kun Bu	9g	Resolves Phlegm, softens Phlegm nodules, clears Heat, promotes urination and reduces swelling. With Hai Zao, for goiter and scrofula.
Hb. Sargassii	Hai Zao	9g	Clears Heat, resolves Phlegm and softens Phlegm nodules. With Gan Cao, for goiter and 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.

Formula Actions

• Clears the Liver
• Drains Fire
• Transforms Phlegm
• Scatters nodulations

Syndromes

• Liver Fire with Phlegm

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 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

Treats

Hyperthyroidism

Contraindications And Herb/Drug Interactions

Notes

Modifications

For Stomach Heat with Spleen Deficiency:		For Stomach Heat with Spleen Deficiency with Phlegm:
- Rx. Scutellariae	Huang Qin	- Rx. Scutellariae	Huang Qin
- Fr. Gardeniae	Zhi Zi	- Fr. Gardeniae	Zhi Zi
- Rx. Bupleuri	Chai Hu	- Rx. Bupleuri	Chai Hu
- Rx. Rehmanniae	Sheng Di Huang	- Rx. Rehmanniae	Sheng Di Huang
- Rx. Angelicae Sinensis (tails)	Dang Gui Wei	- Rx. Angelicae Sinensis (tails)	Dang Gui Wei
+ 30g Gypsum Fibrosum	Shi Gao	+ 30g Gypsum Fibrosum	Shi Gao
+ 12gRz. Anemarrhenae	Zhi Mu	+ 12gRz. Anemarrhenae	Zhi Mu
+ 9g Rz. Atractylodis Macrocephalae	Bai Zhu	+ 9g Rz. Atractylodis Macrocephalae	Bai Zhu
+ 9g Rx. Codonopsis	Dang Shen	+ 9g Rx. Codonopsis	Dang Shen
+ 6g Rx. Aucklandiae	Mu Xiang	+ 6g Rx. Aucklandiae	Mu Xiang
For severe goiter:		+ 15g Rx. Scrophulariae	Xuan Shen
+ 9g Rz. Dioscoreae	Huang Yao Zi	For hand shaking and trembling:
+ 9g Rz. Sparganii	San Leng	+ 15g Concha Haliotidis	Shi Jue Ming
+ 9g Rz. Curcumae	E Zhu	+ 9g Ram Uncariae cum Uncis	Gou Teng
For insomnia, irritability, tension and impetuosity:		+ 9g Rx. Paeoniae Alba	Bai Shao
+ 12g Cortex Albizzia	He Huan Pi	For fatigue:
+ 12g Caul. Polygoni Multiflori	Ye Jiao Teng	+ 20g Rx. Astragali	Huang Qi
+ 12g Sm. Zizyphi Spinosae	Suan Zao Ren	For increased appetite due to Stomach Heat:
For a sensation of throat obstruction:		+ 9g Rz. Anemarrhenae	Zhi Mu
+ 12g Rz. Belamcandae	She Gan	For loose stools due to Spleen Deficiency:
For thirst with profuse drinking:		+ 12g Rx. Codonopsis	Dang Shen
+ 12g Tub. Ophiopogonis	Mai Men Dong	+ 12g Rz. Atractylodis Macrocephalae	Bai Zhu
+ 12g Rx. Trichosanthis	Tian Hua Fen	For profuse sweating:
For pain and distention in the eyes:		+ 15g Sm Tritici Levis	Fu Xiao Mai
+ 15g Rx. Angelicae Dahuricae	Bai Zhi	+ 15g Fr. Schisandrae	Wu Wei Zi
+ 15g Fr. Lycii	Gou Qi Zi
+ 9g Rz. Acori Tatarinowii	Shi Chang Pu
+ 9g Fr. Tribuli	Bai Ji Li