Subacute Thyroiditis Hyperthyroidism Period Of Tcm Syndrome Characteristics

Subacute thyroiditis (subacute thyroiditis) is a spontaneous ease inflammation of the thyroid, The early typical clinical manifestation of the thyroid on is pain and involves to the pharynx, ear, and different degrees of fever. Iodine uptake rates is very low.The primarily treatment in Western medicine is adrenal corticosteroid, but the disease is easy to relapse after you stop the treatment. According to its characteristics and clinical manifestations, traditional Chinese medicine think it belongs to the category of’Ying Carbuncles","Adam’s Apple Carbuncles","gall tumors","gall swelling". In the treatment of diseases Chinese medicine is more advantage.Not only because it can significantly reduce the clinical symptoms and shorten the course, but also because the lower reactions, lower recurrence rate. Now there is no uniform standards in TCM.Objective:In the study,I preliminary study the TCM symptoms distribution in the acute stage of subacute thyroiditis (in one month), and approach to the relationship between thyroid hormone and symptoms, to guide the treatment of the disease in traditional Chinese medicine.Methods:(1) In the study I selected60patients of Subacute thyroiditis (i n the acute stage) treatmented in Eastern Hospital of Beijing traditional C hinese medicine University, from January2002to March2013.(2) According to the relevant standard, I setted the "questionnaire of subacute thyroiditis in TCM syndrome "to collect the patient’s information, and entered to the computer SPSS database.(3) I used SPSS17.0software to frequency analyze an d cluster analyze. First on I obtained the various outcome measures freque ncies; and thenused frequency analysis and cluster analysis to study the di stribution of signs and symptoms and conclude the investigation of the synd rome. Last I used the rank sum test to compared the symptoms’extent, and f urtherly used the T test to compared the size of thyroid function, blood se dimentat ion.Results:①Everybody will have this disease, but30-50young and middle-aged women, is more easier to get. And the female incidence is four times than that of men.②Before the onset of1-2weeks, most of the patients has a history of upper respiratory tract infect ion, so the main factor of is virus infect ion,.but the people who is easy to emotional has a high incidence.③The acute common symptoms of the disease are:Fever; Goiter, mass toughness; thyroid site pain, and radiation to the jaw, ear; Lack of power, thirsty. Common tongue, pulse condition are tongue red, moss thin yellow, pulse string and number.④By the method of system clustering,I get two syndrome types:heat toxin and blood stasis tyPe and liver fire, the first type is heat toxin and blood stasis. Compareing the Two groups of pat ients’thyroid symptoms such as tenderness, fever, we got that the heat toxin and blood stasis group are more serious than liver fire group in the syndrome of thyroid tenderness and fever (P<0.05). SO the thyroid level of pain and fever can evaluate the severity of patients’ illnesses. Compareing the two groups of laboratory index,ESR of the heat toxin and blood stasis group Is obviously higher than that of liver fire group (p<0.05). It suggests that the ESR levels can be used as evaluating indieator of the disease’s severity. FT3, FT4, FT3and FT4and TSH in the two groups has no statistical difference, therefore, these thyroid hormone can’t seen as evaluation index of the disease. The WBC is no statistical difference,so it suggests the disease’s main factor of is virus infection.⑤Common traditional Chinese medicine (TCM) treatment is qing rejiedu, hua tansanjie, such as honeysuckle, forsythia, folium isatidis, selfheal, zhejiang fritillary, radix scrophulariae, etc. heat toxin and blood stasis type used qingrejiedu to treat, andliver fire shuganqingre, xiehuosanjiE。Conclusion:There are two syndrome types in the acute phase of subacute thyroiditis:heat toxin and blood stasis tyPe and liver fire, and the heat toxin and blood stasis tyPe is more; In the acute stage of subacute Thyroiditis, thyroid degrees of pain and fever can evaluate the severity of patients’ illnesses. ESR levels can be used as subacute thyroiditis acute phase of tradi t ional Chinese medicine’s reference indicators, and serum thyroid hormone levels can’t be the evaluation index of the disease’s severity.