Main types of treatment
1, heart-liver yin deficiency type:
When the heart and liver are full of heat, it will burn yin and hurt body fluid; When the heart and liver are yin-deficient, they will suffer from insomnia, dizziness and sweating due to heat. Take Qu Ze, Tiantu, Tian Rong, Yifeng, Hegu and Zusanli, and chill with acupoints to nourish the heart, liver and yin, and point the sword at the thyroid gland to chill.
2, liver and stomach fire type:
When the liver is depressed and the fire is strong, you will feel hungry, impatient and irritable. Take Tiantu, Tian Rong, Zending, Hegu and Zusanli, and chill with acupoints to clear the liver and stomach fire, and grasp the thyroid gland with grasping method 10 times, and the sword refers to the thyroid gland chills.
3. Qi stagnation and phlegm resistance type:
The liver governs the release of qi, and it is fond of strangeness and aversion to depression, and scabies is caused by phlegm for a long time. It can be used for treating protrusion, zenith, Zusanli and hurricane. Acupoint method is used to remove cold, so as to regulate the liver and spleen, relieve depression and dissipate stagnation; grasping method is used to aim at thyroid gland 10 times, and guiding method is used to guide the whole body, so as to dredge meridians, resolve phlegm and dissipate stagnation, and eliminate miasma. Before hyperthyroidism treatment.
Treatment includes guidance.
(1) General handling:
People who are emotionally unstable and easily nervous can take some sedatives, such as diazepam and hypnotics. People with palpitation and tachycardia can use propranolol, aminoacylpropranolol and other drugs; Ensure adequate rest; Increase nutrition; Nutrition includes sugar, protein, fat and vitamins. , higher than normal people.
(2) antithyroid drug therapy:
Thiourea antithyroid drugs, such as methyl or propyl thiouracil, tabazole and hyperthyroidism, are mainly used. Other antithyroid drugs such as lithium carbonate and potassium perchlorate are rarely used. Indications: ① toxic diffuse goiter with mild illness and small thyroid gland; ② Under 20 years old; ③ preoperative preparation; ④ Thyroid recurred after operation and could not be treated with isotope 13 1 iodine; ⑤ As an adjuvant therapy of isotope 13 1 iodine therapy.
(3) Indications for thyroid surgery:
① Toxic diffuse moderate and severe goiter, which is ineffective after long-term drug treatment; ② The thyroid gland is very large and has symptoms of oppression; ③ Retrosternal thyroid; ④ Toxic nodular goiter; ⑤ Toxic thyroid adenoma.
(4) Indications of isotope 13 1 iodine therapy:
① Toxic diffuse moderate goiter, over 30 years old; ② allergic to antithyroid drugs or ineffective treatment; ② Unwilling to have surgery or relapse after operation; ④ Toxic thyroid adenoma.
(5) TCM treatment: This disease is mostly caused by yin deficiency and liver depression, hyperactivity of liver yang and loss of heart yin. The treatment principle is nourishing yin, calming the liver and suppressing yang, nourishing blood and calming the nerves. In recent years, Chinese medicine containing iodine has been rarely used, because long-term intake of iodine aggravates hyperthyroidism and treatment is difficult to control.
Traditional Chinese medicine treatment method
First, the white tiger soup and the white ground yellow soup:
Decocting Gypsum Fibrosum to obtain Rhizoma Anemarrhenae, Radix Glycyrrhizae, Radix Rehmanniae, Rhizoma Dioscoreae, Radix Pseudostellariae, Corni Fructus, Radix Ophiopogonis, Concha Ostreae, Fructus Schisandrae Chinensis, Radix Scrophulariae, Rhizoma Cyperi and Cortex Moutan. Decoct with water, one dose per day. For patients with hyperthyroidism, it has the effects of nourishing yin, purging fire, softening and resolving hard mass. It is more suitable for hyperthyroidism patients with head movement due to yin deficiency, red face, palpitation, hyperhidrosis, impatience and irritability, anorexia and emaciation, red tongue with yellow coating and rapid pulse.
Second, Huangqi Shengmai Decoction and Qiju Dihuang Decoction:
Radix Astragali, Radix Codonopsis, Radix Ophiopogonis, Fructus Schisandrae Chinensis, Fructus Lycii, Radix Rehmanniae, Rhizoma Dioscoreae, Fructus Corni, Radix Paeoniae Alba, Rhizoma Cyperi, Radix Polygoni Multiflori Preparata, Concha Ostreae and Radix Glycyrrhizae. Decoct with water, daily 1 dose. This has the effects of benefiting qi and nourishing yin, calming the liver and suppressing yang. It is generally suitable for hyperthyroidism patients with palpitation, fear of heat and excessive sweating, emaciation, fatigue, soreness of waist and knees, thin yellow tongue coating and rapid pulse.
At present, the methods for treating Graves' disease are as follows
Radioiodine therapy is commonly known as iodine 13 1 therapy. Antithyroid drug therapy. Methimazole (MMI) and propylthiouracil (PTU) are commonly used in surgical treatment. Beta blockers improve the symptoms of hyperthyroidism. Once the diagnosis of hyperthyroidism is confirmed, beta blockers should be used to improve symptoms regardless of the cause of hyperthyroidism. But beta blockers can only improve symptoms. If you want to lower the thyroid hormone in your blood. Beta blockers are powerless. Well, the first three treatments can lower thyroid hormones in the blood. As far as these three treatment methods are concerned, antithyroid drug therapy is the most common choice in China at present. However, it is foolish to treat antithyroid drugs as the first choice for radical cure.