Hyperthyroidism introduce Hyperthyroidism
(referred to as the disease" hyperthyroidism
"), because Thyroid
One of the most common endocrine hormone secretion caused by the disease. In clinical Goiter
, Hyperthyroidism appetite
Weight loss, Tachycardia
And emotional, afraid of hot sweat, tremor
The main symptoms and exophthalmos. In women, the incidence rate is very high, in recent years, seems to be a growing trend, the exact cause is unknown. modern Western Medicine
There are some limitations in the treatment, and adverse reactions and side effects. hyperthyroidism
A disease with Chinese Medicine Gall disease
The worry wart"," Gas gall
"Very similar. The Sui Dynasty " Source
"Pointed out:" the gall, worry the day kyu gas, drinking water sediment, with the gas into the sand pulse
The neck of." To clarify the occurrence and gall Emotional injuries
Soil and related factors. Tang dynasty Sun Simiao
In " Emergency prescriptions
"Introduces the treatment prescription of goiter and moxibustion. The Song Dynasty, " Shengji Zonglu
"Pointed out:" in the gall of many people have been chaste, more than man Gui Yuan worry." We observed the incidence of this disease has the characteristics of more women than men. The Qing Dynasty " Miscellaneous origin of rhino candle
"That is the occurrence of gall and blood stagnation. Since the TCM treatment still has certain guiding significance. In 1934 appeared the acupuncture treatment of this disease. From 50 to 60s have been useful traditional Chinese medicine
In the clinical observation report, but in the case of the main treatment tendency In the Qing Dynasty
The heat of stomach and gallbladder. In 70s to strengthen the research on the treatment of this disease, and that liver phlegm, Qi and nourish yin, pay attention to the use of kelp, seaweed
, Old man's beard
Iodine rich drug etc.. Since 80s, with the Hyperthyroidism
In deepening the understanding of the syndrome differentiation is becoming more and more perfect, the side treatment also increased. Especially in the practice, iodine has not lasting remission duration, easy recurrence and aggravation of the shortcomings, so since the middle of 80s, gradually break through the traditional treatment hyperthyroidism
The use of water iodine
Abundant traditional Chinese medicine
. Recently some statistics and analysis of the current traditional Chinese medicine
The results showed that the drug, less iodine had the highest efficiency. hyperthyroidism
With exophthalmos is a difficult problem in the treatment, at present advocate from the liver, the liver eyesight, Nourishing yin and clearing heat
There are people in the law; Qi
Treatment of liver in the prescription, pay attention to the use of Guizhi, received good curative effect. It is worth mentioning that, in the past 10 years, the acupuncture treatment of this disease has obtained satisfactory results, both in clinical and Research on the principle, have gained great progress, application of water needle and acupuncture, body acupuncture, needle, acupoint stimulation, and achieved good results. by hyperthyroidism
The treatment has opened up a new field. According to the collected effect analysis of 30 articles, the treatment of 1707 cases, 714 cases were cured, 468 cases markedly effective, 423 cases effective, 102 cases ineffective, the total effective rate was 94%.
In recent years, made a lot of achievements in the research of mechanism. Based on hyperthyroidism Kidney yin deficiency
The activity of RK cells in peripheral blood of patients with syndrome differentiation, changes in plasma cAMP content type relationship, Yinxuyangkang
The relationship between pathogenesis and changes of hair trace elements, Yin Huo Wang observed in patients with urinary hydroxyproline displacement, and to clarify the biochemical basis of different syndromes. Of the patients after acupuncture the blood rheology, cardiovascular function, hormone metabolism, microcirculation and endocrine function influence also made a systematic observation, confirmed that acupuncture is mainly to achieve the purpose of treatment by regulating the function of the endocrine system.
Through a large number of clinical practice, the consensus is that, Hyperthyroidism
The etiology is mainly Emotional injuries
And physical factors, improper diet and water. The stagnation of liver qi, Blood running
Arrhythmia, phlegm coagulation, accumulation of the neck is hyperthyroidism
The basic pathogenesis. Hyperthyroidism
In the repletion, characterized by the real. sputum
Eating disorders or because of inappropriate water and soil, effects of spleen and stomach, spleen, poly sputum, complex due to stagnation of liver qi, Blood running
Poor, phlegm and stagnation, stagnation in the neck and gall swelling. evil
Long Yu anger anger, emotional discomfort, caused by stagnation of liver qi, body fluid is not delivered, condensed into phlegm, gas exchange resistance gradually becomes Hyperthyroidism
In. If Qi long, or with ferrite Yin, easy to fire and anger hyperactivity tendency; if phlegm and time, Blood running
Arrhythmia caused by qi stagnation and blood stasis, can make. Gall swelling
Hyperactivity of liver fire, burnt burning Haoshang liver, yin and blood, and the women, belt, tire, production, milk and other features are also prone to Yin blood deficiency, Yin Huo Wang of the body; and because of "excessive fire consuming Qi", as a result of the fire. Qi
The card. The etiology and pathogenesis are often interrelated.
Hyperthyroidism Complication Hyperthyroidism
Without proper treatment, long-term control, which may cause many complications:
- Heart failure
The long-term treatment, finally will lead to sustained and rapid heartbeat, atrial fibrillation, cause Heart failure
The muscle lesions Hyperthyroidism
Because, quick metabolism, energy consumption, may cause Muscle atrophy
That cause muscle weakness, especially proximal muscles (e.g. thigh, arm).
That will increase bone metabolism, so come down for a long time will cause osteoporosis. If a child Hyperthyroidism
No treatment will cause X leg (knee cannot bear the weight of collision).
The skin lesions
Rough skin, no flexibility, especially the skin of the feet.
The changes in the eye
Proptosis, eyelid cap, may cause Corneal
The injured, visually impaired. Or because the eye muscle enlargement of optic nerve compression, resulting in loss of vision. Hyperthyroidism
(referred to as hyperthyroidism
) is caused by a variety of reasons thyroid hormone
Hypersecretion to a common group Endocrine disease
. The main clinical manifestations are: eating, weight loss, fear heat, Hyperhidrosis
Palpitation, excited, Metabolic syndrome
The nerves and blood vessels, increased excitability, and different degree Goiter
And, good hand eye protrusion, shin Vascular murmur
As the characteristics, serious can appear hyperthyroidism
The dangerous phase, coma and even dangerous very life. According to the different causes can be divided into several types, of which the most common is diffuse Thyroid
, Graves disease accounted for about all 90%, incidence of both men and women, but to see more young women. The proportion of men and women: 1:4-6.
On the literature and can be categorized into the following four types: Liver phlegm evil
Irritable, irritability, chest discomfort, Insomnia
Tremor of fingers, Goiter
, eye soreness, exophthalmos can not be completely closed. Red tongue
, moss thin white or light yellow, pulse string slide. Anger replete
Red Red eyes
Irritability, Dry mouth
Bitter taste, Headache and dizziness
, Hyperthyroidism appetite
Or, skin itching, limb tremor, exophthalmos, Goiter
. Red tongue
Yellow moss, pulse a few strings. Yin Huo Wang Polyorexia
Red face, thin, evil heat irritability, five upset hot, dry mouth and throat, dry eyes, eye swelling, insomnia and dreaminess, limb tremor, palpitation, visible Thyroid
Arsine, exophthalmos. Red tongue
Moss, yellow, pulse string breakdown. Qi Palpitation and shortness of breath
Fatigue, sweating, dizziness, insomnia, diarrhea, body weight, depression good hand tremors have sorrow, Thyroid
Arsine, exophthalmos and other symptoms. Red tongue, little coating, thready pulse number or knot generation.
In addition to the above four types, there are clinical Liver blood deficiency
, Spleen Deficiency Hyperactivity of liver
, Liver stomach Wang
, Liver and kidney yin deficiency
, Heart and lung deficiency two
Hyperthyroidism Effect of standard
Chinese medicine treatment hyperthyroidism
The evaluation standard is not completely consistent. According to the following: Cure：
The clinical symptoms disappeared, Thyroid
Goiter, exophthalmos and related signs of normal thyroid function returned to normal. Effective:
The clinical symptoms disappeared, Thyroid
Goiter, exophthalmos and related symptoms significantly reduced, normal thyroid function tests. Effective:
The clinical symptoms improved obviously, Thyroid
Arsine, exophthalmos and related symptoms were alleviated, thyroid function tests improved. Invalid:
After 2 months of treatment, the clinical symptoms and signs of improvement, no change in T3, T4, Thyroid
Check no change.
Hyperthyroidism Typing Treatment Liver phlegm evil
Treatment: Shuganjieyu, Xiaoying Broken gas
Prescription: Old man's beard
15 grams, 25 grams of sea pumice, sea clam powder 15 grams, Costus root 7.5 grams, 15 grams of vinegar Sanleng, zedoary 15 grams, 10 grams of dried tangerine peel, rhubarb 7.5 grams, 25 grams of raw oysters, Self-heal
25 grams, 25 grams of Radix rhapontici.
Add: blood plus angelica, Salvia miltiorrhiza
Leukopenia with Huangqi, Caulis Spatholobi
And antler glue; laryngeal obstruction and qi stagnation is very green and Belamcanda chinensis; and Lindera aggregata; even more heat with figwort, rehmannia root, Phellodendron; Yin Huo wangka; palpitation significantly jujube, polygala.
Usage: daily 1 agent, water decoction, taking 2 times. Anger filled
Treatment: Qinggan Xiehuo, Sanjie xiaoying.
25 grams, 15 grams of figwort, Rehmannia 15 grams, 15 grams of kelp, seaweed
15 grams of forsythia, 15 grams, 24 grams of raw oysters.
Add: handshaken was added White peony
, mother of pearl, Uncaria; anger hyperactivity and coptis root, gardenia; gastropyretic Sheng added gypsum, anemarrhena; Goiter
With a gun was bead, fried Fructus Trichosanthis, Rhizoma Curcumae; dry mouth was red tongue Shaojin plus Radix Ophiopogonis, Radix trichosanthis; hyperhidrosis with floating wheat, Schisandra chinensis.
Usage: daily 1 agent, water decoction, taking 2 times. Yin Huo Wang
Treatment: Nourishing Yin, ruanjiansanjie.
Prescription: 15 grams 15 grams of Anemarrhena, phellodendron, Rehmannia 24 grams, 15 grams of yam, Poria 15 grams, Paeonol
12 grams, 30 grams of mulberry, White peony
24 grams, Self-heal
30 grams, 30 grams of oyster, Old man's beard
15 grams of Paris, 15 grams, 15 grams scrophulariaceae.
Add and subtract: Yin deficiency vertigo
plus Fruit of Chinese wolfberry
Back to the ball, Polygonum multiflorum; Gen prominent cassia, semen celosiae; Palpitation and insomnia
Three, Schisandra, jujube plus sweating thirsty upset with raw Longmu; ebony, Dendrobium; hyperactivity of liver Yang and mother of pearl, uncaria; Goiter
Plus Loulu, pangolin scales, cuttlebone; leukopenia and Polygonum cuspidatum, Tortoise shell
Usage: daily 1 agent, water decoction, taking 2 times. Qi
Methods: Yiqi Yangyin Sanjie, Qi ping.
Prescription: Astragalus 15 grams, 12 grams of raw, White peony
Angelica 12 grams, 9 grams, Salvia miltiorrhiza
12 grams, 18 grams of 12 grams of Radix Scrophulariae, Old man's beard
9 grams, jujube 12 grams, 30 grams of raw oysters.
Add: dizzinesspius medlar, chrysanthemum; Kidney yin deficiency
plus Tortoise shell
, turtle shell, mother of Pearl; trapped waist limb soft and dangshen, Chinese yam; month low Codonopsis, Atractylodes, loose stools and false to yam, rehmannia, Radix ophiopogonis; Qi spontaneous perspiration
plus White peony
Usage: decoction, 1 dose daily, 2 times service.
Effect: according to the classification and treatment prescription. hyperthyroidism
In 323 cases, 117 cases were cured, 103 cases markedly effective, 77 cases effective, 26 cases ineffective, the total effective rate was 91.9%.
Hyperthyroidism Special treatment
Composition: dangshen 15 grams, 15 grams of Astragalus, Rehmannia 12 grams, 12 grams, Tortoise shell
Yam 10 grams, 12 grams, 10 grams of Rhizoma cyperi, Self-heal
15 grams of 9 White peony
Add: spleen deficiency loss, reduce the dosage or drug plus nourishing Yin, white atractylodes rhizome, tangerine peel, Qu Jian; exophthalmos swelling plus medlar, white mustard, Euphorbia helioscopia, concha Arcae; night sleep not Angus Suanzaoren; play with dragon, Polygala palpitation.
Usage: decoction, 1 dose daily, 2 times service.
Curative effect: 56 cases were treated with above. 18 cases were cured, 10 cases markedly effective, 26 cases effective, 2 cases ineffective, the total effective rate was 96.4%.
Composition: 1 recipe: guizhi, White peony
Peach kernel, red peony root, bupleurum 10 grams, dragonbones honey, raw oysters, coix seed 20 grams, 9 grams of licorice root, pinellia, Poria 12 grams, peel 6 grams, ginger 2, 3 red dates.
II: fuling, Paeonol
, gardenia, cassia twig, Fritillaria 10 grams, dragonbones, oyster each 20 grams, 15 grams of trichosanthin, Self-heal
12 grams, White peony
Angelica 9 grams, 8 grams, 6 grams of green.
Add and subtract: Goiter
Clear of flavoring, Self-heal
Fritillaria, ophiopogon root, figwort, upset; add lotus.
Usage: the 1 recipe for heart and liver fire or stomach heat toxin Yin deficiency and yang hyperactivity syndrome
II applies to the heart; Kidney yin deficiency
Stomach yin deficiency or loss. Daily 1 agent, water decoction, taking 2 times.
Effect: a total of 30 cases, 16 cases were cured, 13 cases effective, 1 cases ineffective, the total effective rate was 96.7%.
Composition: Radix scrophulariae, White peony
, rehmannia, angelica, Poria 12 grams, Cornus officinalis, Fritillaria, green tangerine peel, Sanleng and Ezhu each 9 grams, 20 grams of raw oysters, Self-heal
15 grams, 12 grams of concha arcae.
Add: deficiency to peel, orange peel, dangshen, astragalus, Atractylodes and exophthalmos; semen Celosiae significantly, chrysanthemum, Che Qianzi; TCM with pollen, Rhizoma Anemarrhenae, gypsum, Pueraria
Reuse, rehmannia, Chinese yam; Palpitation and insomnia
The heavier with red ochre, Polygonum multiflorum, semen Ziziphi Spinosae, mother of pearl.
Usage: decoction, 1 dose daily, 2 times service.
Effect: with the above 110 patients were treated, and were a total of 98 cases were cured, 9 cases effective, 3 cases ineffective, the total effective rate was 97.3%.
Composition: Radix Pseudostellariae, oyster each 30 grams, 10 grams of ophiopogon root, figwort, rehmannia, clam shell 15 grams, Dendrobium, zhejiang, Self-heal
Each 12 grams. Add and subtract: Goiter
There were added Salvia miltiorrhiza
Mountain arrowhead added Shichangpu; exophthalmos; sweat and palpitation with cinnabar very floating wheat.
Usage: daily 1 agent, water decoction, taking 2 times.
Effect: with the above 40 patients were treated, 24 cases were cured, 9 cases markedly effective, 7 cases improved, the total effective rate was 100%.
Composition: Bupleurum 10 grams, Radix Scutellariae, pinellia, iron fall, Uncaria 15 grams each, keel, oysters, gypsum 30 grams, Pueraria
20 grams, 10 grams of silkworm, cinnabar 3 grams, 5 grams of licorice.
Add: Constipation with rhubarb.
Usage: daily 1 agent, water decoction, taking 2 times. We must adhere to the principle of taking 1 to 3 months, should not arbitrarily change the prescription.
Effect: with the above 100 patients were treated, 50 cases were markedly effective, 41 cases effective, 9 cases ineffective, the total effective rate was 91%.
Composition: orange, Sanleng 100 grams, pinellia, poria, seaweed
Kelp, Calcined oyster
And each 150 grams of fritillaria, Self-heal
200 grams, Old man's beard
50 grams, 50 grams of licorice, amber 10 grams, 10 grams of cinnabar.
Usage: medicine research to fine, refining honey for the pills, each pill weighs 15 grams. 2 times a day, 1 pills each time.
Effect: with the above 125 patients were treated, 65 cases were cured, 24 cases markedly effective, 23 cases improved, 13 cases ineffective, the total effective rate was 89.6%.
Form； White peony
, ebony, papaya, Adenophora, ophiopogon root, Dendrobium, lentils, lotus 10 grams, bupleurum root, mulberry leaf, Montenegro
Gardenia 6 grams.
Add: bulging eyes, eyes with prominent white caltrop, cassia, chongweizi; Thyroid
Hard swelling plus Rhizoma pleionis, raw oysters; heart rate increased obviously with semen Ziziphi Spinosae, dragon's teeth.
Usage: water decoction, daily 1 agent, cent is taken 2 times. After a stable condition, prepared according to the prescription into pills, each pill weighs 9 grams, and take 1 pills preparation.
Curative effect: 60 cases were treated with above. 28 cases were cured, 10 cases markedly effective, 19 cases effective, 3 cases ineffective, the total effective rate was 95%.
Composition: Calcined keel, Calcined oyster
Yam, Eclipta, Self-heal
Purple Salvia miltiorrhiza
Each 15 grams.
Usage: daily 1 agent, water decoction, taking 2 times, 1 months for a course of treatment. Or made into tablets, each O.25 grams, 7 tablets each time, 3 times a day orally.
Curative effect: 41 cases were treated with above. 5 cases were cured, 12 cases markedly effective, 18 cases effective, 6 cases ineffective, the total effective rate was 85.4%.
Composition: raw oysters, Self-heal
Each 30 grams, like shellfish, Old man's beard
Each 10 grams, white peony root, figwort, rehmannia and ophiopogon 15 grams, long 9 grams, 5 grams of licorice.
Add: Qi significantly bupleurum, Radix Curcumae; mother of Pearl and even palpitations, Salvia miltiorrhiza
Sweating; plus Schisandra; hand tremor and anger hyperactivity with Uncaria; gardenia, gentian; Goiter
With hard and Sanleng, bryozoatum; Shanjia; even with exophthalmos paris rhizome, Oldenlandia diffusa.
Usage: daily 1 agent, water decoction, taking 2 times.
Curative effect: 42 cases were treated with above. 18 cases were cured, 12 cases markedly effective, 9 cases effective, 3 cases ineffective, the total effective rate was 92.9%.
Composition: Astragalus, Codonopsis, Radix ophiopogonis, White peony
Each 15 grams, students, Salvia miltiorrhiza
Each 30 grams, raw oysters, perilla, Schisandra, Cyperus rotundus each 10 grams, 6 grams of white mustard.
Usage: Top paste, 1 tablespoon each time, 3 times a day, a course of 3 months.
Effect: the results above were treated 50 cases of the disease, symptoms and signs: remission rate of 91%.
Hyperthyroidism case records of Chinese medicine
Yu x, female, 43 years old. Patient" hyperthyroidism
"In 7 years, had 40% iodine absorption test for 3 hours, 24 hours by 54%, with western medicine in treating the symptoms. In two outstanding, Thyroid
Arsine, emaciated, Polyorexia
Irritability, fatigue, palpitations, tremor hands, afraid of hot, easy to sweat. The pulse count (120 bpm), Red tongue
Tender. this Qi
Therefore, phlegm and qi stagnation, treated by supplementing qi and nourishing Yin, and phlegm method.
Prescription: Astragalus 15 grams, 12 grams of Radix Codonopsis, Radix 12 grams, 12 grams of raw yam, 12 grams, 12 grams, Tortoise shell
12 grams, 12 grams Biejia, Prunella 30 grams, 12 grams of Cyperus rotundus. Take 14 agent.
Take over after the symptoms improved, especially in the heart palpitations, tremor improved speed, both before the law, it make a new start again even in. After 10 months of treatment, fatigue, hunger and exophthalmos, Goiter
Other symptoms disappeared. The iodine absorption test of 3 hours and 6.3% hours, 24 and 18.9% have been transferred to normal. 6 years of follow-up, body fat, energy is vibration, no bad feeling after the return to work.
According to the:" hyperthyroidism
Is a traditional Chinese medicine "" Gall
"And" In the fire
"The scope of general use of phlegm, softening and gall dissipation method to treat, the effect is often unsatisfactory. The old summer through careful diagnosis because of fatigue, sweating, think of Qi deficiency; Dry mouth
Tired, hot, palpitations, tremor, hunger is yindeficiency; Thyroid
Phlegm and qi stagnation and swollen mass, so we can Qi and nourish yin, phlegm and dredging for treatment with gas. If the patient thin stool 3 times a day or more, to reduce medicine such as students, Shouwu, plus normal stool to be white atractylodes rhizome, tangerine peel, drug treatment.
Hyperthyroidism Drug law
We will in 25 case more than 20 cases, drug efficacy of literature in more than 80% data were summed up, nearly 100 of drugs were used when used and more commonly used 40 aftertaste, is the most used Ruanjiansanjie, nourishing Yin drugs; followed by liver qi stagnation, cold and hot serum Qi and spleen nourishing yin; promoting blood circulation and removing blood stasis and cold heat and other drugs also accounted for a certain proportion. In addition to traditional medicine Old man's beard
Outside, kelp, seaweed
Such as phlegm knot, scattered gall cover tumor medicine, has few applications. Prompt hyperthyroidism
Certificate of drug use in ruanjiansanjie, Qi and phlegm
Yin Qi as the drug of choice, hard texture and swollen gall nodules, add blood stasis.
Hyperthyroidism Other therapies acupuncture
1. body acupuncture
Acupoints: the main point: a. Gas gall
. B. Tianzhu
A.: Yindeficiency distribution Between the
, The door of God
With Qi and yin deficiency; neiguan, Zusanli
, Guan yuan
, According to the sea
. B. Cuanzhu
, Yang white
. Gas gall
Location: the equivalent point Tiantu point
The degree is slightly out of people.
upper Tianzhu point
Location: Tianzhu points straight up 5 points.
Operation: the main points and first points for the group hyperthyroidism
The high cycle power and high metabolism symptoms; second groups for endocrine exophthalmos. Each with 3 to 4 points, Gas gall
Point the needle, the needle body at an angle of 45 degrees, sting Gland
More than 1/2, then in 1 on both sides of the puncture needle; limb points with twirling and Lifting thrusting reinforcement
On; Tianzhu point
To the tip, Nose
70 degrees of internal oblique, the needle 1.3 to 1.5 inches, with Xu Xu into the way, to reach the needle eye area; Cuanzhu
Yang white, three pin tripleneedling, through to Yuyao
That was the needle for 30 minutes every day or every other day, 1 times, 50 times for a course of treatment.
Effect: a total of 51 cases, including 33 cases of Yindeficiency, deficiency of 18 cases, 22 cases were markedly effective, 17 cases effective, 12 cases ineffective, the total effective rate was 76.5%. The other treatment hyperthyroidism
Exophthalmos in 76 eyes, 16 eyes were cured, markedly effective in 8 eyes, 26 eyes, 26 eyes were invalid, the total effective rate was 65.8%.
2 body acupuncture
Acupoints: the main point: Renying point
. Acupoints: with exophthalmos Sizhukong
, cuanzhu, Jingming
With palpitation; Neiguan; high metabolic syndrome with zusanli, The door of God
Operation: Acupuncture Renying point
You can choose one of the best cut point according to the swollen glands, no matter where the needle prick into the needle must be stabbed arsine large gland or nodules centre. The interpolation technique reducing sting after 6 times that inserted the needle, commonly used acupoints Reinforcing reducing
No needle, not strong.
Curative effect: treatment of 112 cases were used, 72 cases were cured, 30 cases markedly effective in 10 cases, the total efficiency of 100%.
, Body column
Operation: Using Direct moxibustion
(7 cones per point), fire (fire needle and moxibustion acupoint trumpet flat 1 ~ 2 times), pressing moxibustion moxa (every point 5 ~ 7 strong) three treatment methods.
Curative effect: treatment of 30 cases were used, 4 cases were cured, 11 cases of significant cases, 15 cases improved, the total efficiency of 100%.
The point for laser irradiation
Acupoints: the main point: the futu. Acupoints: Germain
Operation: low power helium neon laser treatment instrument (wavelength 632A, power 25MW). Laser irradiation points, the main points of each 5 to 7 minutes, with points every 3 to 5 minutes each side, 10 times for a course of treatment.
Curative effect: treatment of 14 cases were used, 6 cases were cured, 6 cases markedly effective in 2 cases, the total effective rate was 100%. Prescription
Chinese herbal medicine composition: acid buckwheat Ling and poultry tracheal preparations.
Usage: each oral 4 ~ 5, 3 ~ 4 times a day, 15 days a course of treatment, continuous treatment of 3 ~ 4.
Effect: with the above 90 patients were treated, 45 cases were cured, 25 cases markedly effective, 15 cases effective, 5 cases ineffective, the total effective rate was 94.4%.
Hyperthyroidism Other measures
General measures: early treatment, proper rest and supportive therapy. Explain the comfort, relieve nervous tension, avoid mood swings.
Surgical treatment: when the medication is not obvious, Subtotal thyroidectomy
That is one of the effective treatment, but must pay attention to the surgical indications, contraindications and complications.
Hyperthyroidism Hyperthyroid heart disease
16 to 73 years may be the pathogenesis, incidence of a disease hyperthyroidism
In 13.4% ~ 21.8%, often occurs in hyperthyroidism after 2 to 3 years, in addition to the typical clinical manifestations of hyperthyroidism. electrocardiogram
Often Sinus tachycardia
, Atrial fibrillation
, Atrial flutter
, Atrioventricular block
, Premature ventricular contraction
, myocardial damage
and Myocardial hypertrophy
Etc.. The expansion of the heart
A Aortic valve
Type, or left and right heart enlargement. hyperthyroidism
After cure heart disease can be improved, and the disease often myocarditis
Coronary heart disease, Rheumatic heart disease
And other The expansion of the heart
Differential diagnosis of diseases.
Hyperthyroidism Thyrotoxic periodic paralysis
The disease occurs in young male body, often with Thyrotoxic myopathy
Mixed, Thyrotoxic myopathy
The normal serum potassium, abnormal EMG, and hyperthyroidism Periodic paralysis
The blood potassium <3.5mmol/L, Department of potassium metabolism;
The potassium distribution: abnormal glucose increases by extracellular potassium shift into cells;
The increased excitability of the central nervous system, promote insulin release increased after vagus nerve can promote further abnormal distribution of potassium;
The increase of IATS, LATS-P, immune factors can induce T3 and T4 levels of thyroid hormone, promote low potassium levels;
The hyperadrenergic state can promote potassium levels decline and occurrence of hyperthyroidism Periodic paralysis
. This type of Bartter syndrome
(Bartters syndrome), familial Periodic paralysis
Myasthenia gravis and drug-induced hypokalemia identification.
Hyperthyroidism Hyperthyroidism crisis type
The incidence hyperthyroidism
From 1% to 2%, the elderly were more common, often with infection, trauma, surgery, childbirth, overwork, sudden withdrawal, Drug reaction
And other relevant factors and pathogenesis of hyperthyroidism, resulting in increased sympathetic nerve activity and strengthen the function of crisis. Pre crisis fever can be above 39 degrees, the pulse rate is up to 120 ~ 160 /min, restless, Loss of appetite
, nausea and vomiting, diarrhea, sweating, lethargy, trance, more than half the development to coma and coma. Coma patients there is very dangerous crisis. The increase of white blood cell, Abnormal liver function
GPT, GOT, such as red, bile can increase dehydration, can, Hypotension
And electrolyte disorder, Acid poisoning
, and heart failure pulmonary edema
Etc.. Serum T3, T4, FT3 and FT4 can be increased, the mortality rate is higher, the local must be timely rescue.