Hypothyroidism/Hyperthyroidism Flashcards
What are the 4 patterns to hypothyroidism
Kidney/Sp Yang Deficiency
Heart and Kid Yang deficiency
Qi and Blood Deficiency
Yin and Yang Deficiency
How would you differentiate between Kidney and Ht yang Deficiency and Kidney and Spleen Yang deficiency
Kid/Ht Yang Deficiency:
Intolerance to cold, fatigue and PALPITATIONS
OPPRESSION SENSATION AND PAIN IN THE CHEST, SOB, EDEMA
insomnlence, soreness and weakness on the lumbar region and knee
kidney and spleen yang deficiency
intolerance to cold, COLD LIMBS, fatigue, insomnnnlence, EDMA ON THE FACE AND EYELIDS, POOR APPETITE, SCANTY AND WITHERED BODY HAIR, POOR MEMORY, DIZZINESS, BLURRED VISION, weakness and soreness in the lumbar region, TINNITUS, DEAFNESS, IMPOTENCES, IRREGULAR MENSTRUATION, weight gain
CV4, 14, BL20, 23, CV4, ST36,40
Spleen and Kidney Yang Deficiency
List the patterns for Hyperthyroidism
Liver Qi stagnation with retention of phlegm \
Hyperactivity of Liver Fire
Deficient Fire
Qi and Yin Xu
List the main symptoms for Liver Qi Stagnation with retention of Phlegm
Goiter swelling in the front of the neck
Soft and not painful
possible nodulations on the thyroid gland
Primary reason for hypothyroidism?
Thyroid gland fail to produce T3, T4 hormone
secondary reason for hypothyroidism
The gland is normal, but the function of the hypothalamus and pituitary gland is low, therefore failing to produce sufficient hormone to stimulate the thyroid gland
What are the signs and symptoms of hypothyroidism Skin Mental Cardiovascular Muscles/Joints Digestive system
Skin - Pale/swallow, rough, dry, thick, scaly or cold skin, nails will break easily, body, loss of body hair
Males: loss of facial hair
Mental - Decrease in intelligences/understanding, sensory
organs and reflexes
Cardiovascular: Increase in heart size, decrease in heart rate, heart disease
Blood system: moderate anemia, low temperate, intolerant to cold, hardly sweating, drowsy, pale/puffy complexion
Face: Dull/less facial expressions, big tongue/lips, low voice, lack of hair, loss of eyebrow on the left side
Muscles/joints: Achy muscles, soft muscles, joint pain
Digestive system: gassy, bloated or constipated, poor appetite
what aricular points would you use?
Endocrine, thyroid, subcortex, SJ
Hypothyroid Education
- During treatment - include iodine salt in diet
- Medication (synthyroid)
- Skin is not as sensitive ( when using TDP/moxa use your own hand to help determine the heat)
- regulate diet, avoid cold foods, increase raw foods
- keep warm, prevent infections/trauma
What are the clinical features of hyperthyroidism?
-Hyper metabolism: sweating, intolerance to heat, red skin, moist/warm skin, sweating in the armpit, groin, chest, low grade fever
- Thyroid storm - sudden release of T3-T4 accompanied with high fever, can cause death, increase in heart rate, palpitations, increase in appetite, fatigue, emotional, poor concentration, irritability, manic and violence
Tongue: red and shaking
Hands: trembling
Temperature in the mouth: 36.5 - 37.5
Local: Swollen gland, enlargement of thyroid gland -diffuse, soft and bilateral, palpable when swallowing
- Exophthalmus/Proptosis
- Sexual dysfunction, in male - development of breast, impairment of reproductive system
What are the etiology of hyperthyroidism?
Mental injury/illness
Constitutional weakness
improper diet
Why would it be a good idea to test for the level of T3 and T4?
The TSH level does not determine if the thyroid gland is working efficiently
What diseases should we differentiate when working with individuals with hyperthyroidism?
Neurosis - does not show symptoms of hyper metabolism but shows nightsweats and palpitations
T.B - Occurs in the lungs, needs x ray
Cancer - esp in elderly patients, due to rapid weight loss
POT for early stage of hyperthyroidism
Clear deficient fire and nourish yin
Move blood and dispel nodule
