Goiter

Question 1

What is Goiter also referred to as?

Answer 1

Ying Disease

Question 2

_________ refers to disorders clinically characterized by enlarged lumps located bilaterally around the neck

Answer 2

Goiter

Question 3

What are some Western Medical Dx for Goiter?

Answer 3

Hyperthyroidism, Thyroiditis, and Thyroid Cancer

Question 4

What are the 3 etiologies + pathogenesis of Goitre?

Answer 4

Improper Diet-
Causing dampness + phelgm

Emotional disturbance-
Causing LR + HT Qi Stagnation

Constitiuional factors
Consuming of Yin + Blood

Question 5

What is the differentiation of Goiter + Scrofula?

Answer 5

Goiter usualy produces a larger lump anterior to the jugular region

Scrofula produces pea-sized lumbs on both sides of the nexk or below the jaw

Question 6

The following are patterns of ______?

Qi Stagnation w/ Phlegm Retention
Mixture of Phlegm + Blood Stasis
Hyperactivity of Liver Fire
HT + LR Yin Xu

Answer 6

Goiter

Question 7

The following are S/sx of Goiter due to _______?

Enlarged soft lumps, without pain, distension of neck, chest tightness, frequent sighing, wander pain in chest + lateral coastal region, changes with emotions
T: Red edges
P: Wiry

Answer 7

Qi Stagnation w/ Phlegm Retention

Question 8

The following are S/sx of Goiter due to _______?

Enlarged lump w/ hard/nodular feeling, chronic, chest tightness, poor appetite
T: Dark purple w/ greasy coating
P: Choppy

Answer 8

Mixture of Phlegm + Blood Stasis

Question 9

The following are S/sx of Goiter due to _______?

Mild or moderate swelling in neck, restlessness, fever, agitated, sweating, trembling of fingers, red face, bitter taste in the mouth, protrusion of eyeballs
T: Red w/ yellow coating
P: Rapid + Wiry

Answer 9

Hyperactivity of Liver Fire

Question 10

The following are S/sx of Goiter due to _______?

Different-sized lumps, slow onset, palpitations, restlessness, poor sleep, sweating, trembling of fingers, dry eyes, blurry vision, lassitude
T: Red w/ scanty coating
P: Rapid + Thready

Answer 10

HT + LR Yin Xu

Question 11

Main treatment points for Goiter

Answer 11

SJ-13: Empiric point for Goiter
LI-17: Local point
REN-22: Resume Qi Dynamic
LI-4: Moves Qi
ST-36: Tonifys Qi

Question 12

Supplementary treatment points for Goiter

Answer 12

LR Qi Stagnation-
REN-17 + LR-3

Palpitation-
PC-6 + HT-7

Protrusion of eyeball-
SJ-23 + BL-2 + BL-1 + GB-20

Irritability, Anixiety + Sweating-
KI-7 + SP-6 + LR-2