Hypothyroidism often occurs when there is an inadequate secretion of thyroid hormones, resulting in a slowing down of the body’s metabolism. While low production of these hormones results in Hypothyroidism. The most common type of inflammation of the thyroid gland failure is autoimmune thyroiditis, a form of thyroid inflammation caused by the patient’s own immune system. Autoimmune thyroiditis accounting about 96% of Hypothyroidism. This disease can occur in all ages, mostly common seen in female.
Treatment options involve Thyroid hormone replacement therapy. Taking L-T4 for hormone replacement can cause other side effect. Recent reach on age over 60s with Hyperthyroidism they are frequent presentation is with atrial fibrillation, people can experience the sensation of chest pain, breathlessness, heart palpitation causing Angina Pectoris. Even though using hormone replacement, considering the pathology of hypothyroidism can injuring the internal organs like heart failure, kidney dysfunction and brain damage.
Liver Qi stagnation, spleen Qi deficiency
Hypothyroidism may correspond to exhaustion (Xu Lao) or oedema in Chinese Medicine.
Clinical manifestations of hypothyroidism earlier stages of symptoms can be seen in female patients of emotional depression, slight breathlessness sadness, lump in the throat, oligomenorrhoea, dry, flaky skin and puffy face, puffy eyes, tiredness, weight gain, constipation, pale tongue, white coating, wiry and weak- deep – slow pulse. In TCM can be defined as Liver- Qi stagnation, Spleen-Qi deficiency and phlegm. Often seen clients with medical history of emotional sadness, work with pressure, mental restlessness.
At this stage the treatment principle will be sooth the Liver, move Qi, tonify Spleen Qi, resolve Phlegm, and soften masses. Herbal medicine can be prescribed with ‘XIAO YAO SAN’, if weaken with spleen Qi then the herbal medicine can combine with ‘SEN LING BAI ZHU SAN’; for feeling of oppression of the chest, the herbal medicine can be modified with the addition of herbs like (He Huan, Yu Jin); with difficulty in swallowing, feeling of a lump in the throat, the herbal medicine can be modified with the addition of herbs like (Chen Pi, Xia Ku Cao, Mu Li). Liver Qi stagnation can be seen as the root causing the disease, so to moves Qi of the Heart and Liver with clear the soul and bright spirit.
spleen Qi deficiency, Qi and Blood Deficiency
Spleen functions to perform the digestion, absorption and transmission of nutrient substance. Spleen is considered to be the main Zang organ for the manufacture of Qi and Blood. The main symptoms can be seen as cold feeling of 4 limbs, puffy face and under eyes and neck, weight gain, bloated, dry flaky skin, thin and brittle fingernails, tiredness, poor memory, constipation, tongue pale and swollen, pulse weak-deep-slow. Female often experience irregular bleeding, with anaemia. In TCM theory it can be define as spleen dysfunction, when spleen Qi deficiency it failed to confining the blood circulating in the blood vessels; this lead to blood ‘overflowing’, combine with damp retention such symptoms as oedema, phlegm and swollen of the thyroid gland.
This symptoms can prescribed with Chinese Herbal Medication ‘Jia Wei Bu Zhong Yi Qi Tang’. Adding addition herbs like (Yuan Zhi, Shu Di, Fu Shen, Long Yan Rou) for boosting blood deficiency; severe condition of Qi and blood deficiency recommend use Chinese Herbal Medication of ‘Ba Zhen Tang Hu Zai’. Depends on person condition for speed up blood circulation purpose add additional herbs like (Chuan Qiong, Mu Dan Pi, Wang Bu Liu Xing); to resolve phlegm or dissolve masses add additional herbs like (Chuan Bei Mu, Chen Pi); to dissolve damp retention can add additional herbs like (Cang Zhu, Ze Xie, Yi Yi Ren); to deflame thyroid gland can add additional herbs like (San Leng, Er Zhu, Xia Ku Cao, Mu Li).
spleen and kidney Yang deficiency, Water retention
The symptoms may vary from mild to severe, and at this stage the pathology of the hypothyroidism can be complicated. In TCM theory causing body organs disease has the root lead to severe kidney yang deficiency. Kidney plays an extremely important role in regulating the distribution of body fluid and water metabolism and excretion. Kidney Yang warms and promotes the functions of Zang-Fu organs and tissues. Kidney Yin and Kidney Yang both restrict and promote each other in the human body so as to maintain a dynamic physiological balance. If this balance is disrupted, pathological changes will manifest such as: puffy and swollen body surface, joint or muscle pain, slow reflexes, poor memory, constipation, pale tongue, weak deep pulse, classified as Spleen and Kidney- Yang deficiency in TCM.
This is a server stage of Hypothyroidism, can be seen significant of Qi and Blood deficiency, clinical manifested as inflammation of the thyroid gland, causing dysfunction of the patient’s own autoimmune system.
This symptoms can prescribed with Chinese Herbal Medication ‘Jin Kui Shen Qi Wan’; for patients with Spleen and Kidney- Yang deficiency manifesting on weight loss, tiredness, feeling cold and pain in abdomen and lower back, oedema, lose appetite, bloated, poor digestion or abnormal urination will occur. Tongue pale and swollen, pulse weak-deep-slow. The treatment principle include nourish Kidney, add additional herbs like (Huang Qi Tang, Wu Pi Yin).
Heart and Kidney Yang deficiency with clinical manifestations like palpitation, suppression in the chest, tiredness, desire to lie down, pale face and dark lips, abnormal urination, tongue purple colour, white and slippery, pulse weak-deep-slow. Treatment principle warm Heart Yang, tonify kidney Qi. Add additional (Lin Gui Zhu Gan Tang). For cold Limbs and add (Xian Ling Pi), according to ‘Zhang Jing Yue' Theory adding (Huang Jing, Gou Qi) is nourishes kidney Yang in order to maintain the thyroid function to a normal level.