| This study is from the project of Beijing Medicine Research and Development Fund "The Summarisation of Syndrome Differentiation Standard and Diagnosis and Treat Techniques of Hyperthyroidism"(No.SF-2007-Ⅱ-09).Background:Hyperthyroidism means a group of thyroid disease showed high functional status, which is characterized by high metabolic, increasing both in basal metabolic and the sympathetic nervous system.Mainly as diffuse swelling of thyroid, including exophthalmos sign, high metabolic syndrome, characteristic lesions and thyroid limb diseases. In recent years,its incidence has been increasing, TCM treatments of hyperthyroidism have gotten many good effects. Since syndromes are the basis of the TCM,the idea of disease-and-syndrome in the current is better than western medical treatment in different ways such as improving symptoms,or regulating the immune, etc. In case of that,organize,observation and analysis the treatment programs and efficacy of hyperthyroidism in disease-and-syndrome way could provide a reliable basis for serching a effective way to shorten the course of treatment, reduce the side effects and the relapse rate.ObjectiverThrough analysis the literatures of recent years,wish that I could find out the laws between the syndromes and TCM.Combined with the experiences of professor Ni Qing,hope that can provide a reference for clinical medicine.Methods:1.Literature evaluation:Analysis the literatures of Chinese medicine treatment which are working on hyperthyroidism in recent15years, studying how they work in the disease-and-syndrome way.2. Lessons learned:Statistical analysis the data of patients with hyperthyroidism in professor Ni Qing’s out-patient in order to learn professor Ni Qing’s academic experiences.3.Clinical research:Analysis the data of patients with hyperthyroidism who came to professor Ni Qing’s out-patient between november2009to april2012.Conclusion:1.Literature evaluation:Results of clinical type:hyperactivity of fire due to yin deficiency(69.4%), deficiency of both vital energy and yin(22.9%), deficiency of both yin and yang (6.9%). Algae, kelp, oyster, cyperus, prunella, scrophulariaceae are Iodine-containing medicines. Trichosanthes,poria,white peony, rhizome of chuanxiong, oyster, salvia, tribulus terrestris, uncaria, mother of pearl can deal with exophthalmos, trichosanthes, rhizome of chuanxiong, angelica, red peony, turmeric, pinellia, algae, hill arrowhead, dandelion, raw oysters, mustard seed, bulbifera, curcuma, triangular can deal with goiter.2.Lessons learned:There were60kinds of clinical symptoms In patients with hyperthyroidism, palpitations128(61.8%),fatigue104(50.2%), hyperhidrosis100(48.3%), eye swelling92(44.4%), insomnia87(42%), loose stools81(39.1%), irritability70(33.8%).Through statistical of clinical data,TCM is effective on the improvement of the symptoms and test indicator. |