Oksana Nachataia. Thyrotoxicosis. A universal prescription for excess syndromes.

Dear colleagues! I continue the analysis of the experience of Professor Tianjin University Wei Yu Qi. (1939-2014). It is interesting that such elder and very experienced practitioners are always perceived in China as a certain truth in the last resort. That is, of course, not quite the last one, as these people are not immune from mistakes. But very close to that. Such people are few, they are known all over the region, it is always difficult to get the meeting with them due the big queue, although they often work in ordinary people’s clinics. This is such a feature of China. If you ask, what specialization does this “patriarch” have, that you often listen the word “general”, that is, in general, a specialist in the human body. Their experience is often precious in some matters. And now I would like to say a few words on yours judgment regarding the treatment of thyrotoxicosis. As is known, thyrotoxicosis is a common disease in modern practice. And this is exactly the case in which Chinese medicine can show its strengths. A well-known variant of the integrative approach, namely, the “decomposition” of western nosology into TCM syndromes, certainly applies to thyrotoxicosis. But the pathogenesis of this disease has its own peculiarities, which make it possible to partially alleviate the task of the doctor, especially at the initial stages of this disease. Professor Wei successfully used these features in his practice, objectifying the results by laboratory research. As is known, the main criterion – an increase in thyroid function, can exist within several nosological forms of Western Medicine. And always, according to Chinese medicine, in the initial stages of the disease, there are three main components of pathogenesis, namely, the syndromes of qi stagnation, stagnation of phlegm and liver and heart fire syndrome. Each of them can be expressed in different degrees, but, nevertheless, they all are present. If the stasis of blood is added to these three syndromes, then the condition becomes dangerous in terms of development of oncology. If at this stage the disease is not cured (even with benign flow), then gradually, the body is depleted, fire and heat burn normal fluids and yin, and the disease passes into the second phase with a predominance of deficit syndromes, in particular a deficiency of yin kidneys, liver and heart , depletion of liquids, heat (xu re) and so on. Here I would like to touch on the first phase of the development of the disease associated with excess syndromes. The causes are well known, so immediately I would like to draw attention to the symptoms. Irritability, excitability and insomnia come to the fore, the spirit of the heart goes out of control. Objectively persistent tachycardia is determined. There is a feeling of heat, sweating, there may be a subfibrility. In the neck, there may be discomfort and distension, as well as in the chest and sides. A very red tip is characteristic of the tongue. If even thyroid hormone levels are normal, but such a set of symptoms is present, then in the future one can expect the development of thyrotoxicosis, especially if there are provoking factors in the lifestyle. This is certainly chronic stress, a fast change of climate, especially from the cold to the very sunny and hot in the combination with the flu “wind and heat,” the abuse of hot, spicy foods and alcohol.

Professor Wei used this universal recipe, of course, with small modifications in each case. This recipe is well combined with the use of beta-blockers and soothing medicines. Statistics of the results have not been carried out, but this recipe seems to be interesting in terms of carrying out the research, since it harmoniously covers all the pathologies in the primary syndrome.

The doses are indicated for double digestion, that is, preparing the decoction for two or three days of intake. The basis of the recipe is the formula “Xiao Yao San”, to which ingredients that cool and move the blood, tropic to the liver and heart – yu jin, dan shen and chi shao are added. The key ingredients that determine the effect of the recipe as a whole are xia ku cao, xuan shen, bei mu (here are two kinds of bei mu are used). All three plants have a tropism to the throat and thyroid gland at the expense of tropism to the corresponding meridians.  Xia ku cao works very well with thyrotoxicosis, as it removes the fire of the liver and cleans the heat at the top. Moreover, due to the dispelling properties of all three ingredients, they are widely used to treat any accumulation of heat, phlegm and seals in this area, particularly with lymphadenitis. Niu bang zi further enhances the effect of the recipe due to its driving properties and cooling character. Hai zao, kun bu, mu li dissolve phlegm and seals, bo he and ju hua soothe the liver, remove heat at the top, improve the state of the eyes. The combination of “chi bai shao” cools the liver and saves yin. The combination of zhi qiao + bai shao, being a part of the recipe “Si ni san”, normalizes the movement of qi, harmonizes vegetative innervation (from the standpoint of modern medicine).

Chai hu – 10, Yu jin – 10, Chi shao – 15, Xia ku cao – 15, Bai shao – 10, Bai zhu – 10, Bo he – 10, Zhi qiao – 10, Niu bang zi – 10, Hai zao – 10, Kun bu – 10, Mu li – 20, Zhe bei mu – 10, Chuan bei mu – 10, Xuan shen – 15, Ju hua – 10, Dan shen – 15, Sha ren – 10, Sheng jiang – 3.