Hipertiroidismo

Small Animal – Alternative Medicine
HYPERTHYROIDISM - TCM APPROACH (+ PC 6 and HT 7- for palpitations and

insomnia)
Mary S. Battistella, DVM, CVA (+ CV 12 + ST 44- increased appetite)
Wayside Animal Hospital
Alexander City, AL Herb Formula: Xiao Chai Hu Tang + Xiao Yao San with
additions and subtractions
Hyperthyroidism in Western medicine is characterized by
hypermetabolism and elevated serum levels of free thyroid Liver Fire Blazing Pattern
hormones. Common symptoms and signs are goiter, Symptoms: Marked goiter, irritability, red gums and eyes,
tachycardia, tremors, palpitations, nervousness, increased dizziness, tinnitus, heart palpitations, insomnia, dread of
activity, increased appetite, weight loss, insomnia, weakness, heat, rapid hungering with increased food intake, oral thirst
fatigue, increased frequency of bowel movements. We most with profuse drinking; red tongue with yellow fur, and a wiry,
commonly see hyperthyroidism in the aging cat with rapid pulse.
symptoms possibly including musculoskeletal cachexia,
myocardial hypertrophy and hypertension, gastrointestinal Treatment: Clear the Liver and drain fire, transform phlegm
decreased transit time, malabsorption, and hepatocellular and scatter nodulation.
damage, a high GFR, mimicking chronic renal failure,
decreased urine concentrating ability, nervous, and Acupuncture: LIV 2 + GB 34 – clear the Liver and drain
behavioral changes.1 the fire, rectify the qi and resolve depression
TH 13 – courses and frees the flow of the
TCM PATHOPHYSIOLOGY three burners of the SJ
The mechanisms of this disease are closely related to the SI 16 + LI17 + SI 17 + CV 22 – transform
liver. Mostly it is caused by internal damage by External phlegm, soften the hard, scatter nodulation
Pathogenic Factors, unregulated eating, aging, and chronic (+ ST 36 – for SP qi deficiency with fatigue
disease. If Liver depression occurs and remains for some and loose stools.)
time, the qi mechanism may become depressed and (+ PC 6 and HT 7- for palpitations and
stagnant. Then dampness and phlegm may congeal and insomnia)
bind. It is also possible for enduring depression to transform (+ CV 12 + ST 44- increased appetite)
into fire. If phlegm is drafted up to the heart by depressive
heat, the heart orifices may be confounded by phlegm and Herbal Formula: Long Dan Xie Gan Tang with additions &
the heart spirit may be harassed by fire (tachycardia, subtractions
restlessness, and palpitations). If depressive heat or fire If there is excess ST heat and the SP is weak and deficient,
endures, they may burn and damage the yin fluids, thus replace Long Dan Xie Gan Tang with: Bai Hu Jia Ren Shen
resulting in a yin deficiency with fire, causing tremors and Tang plus Xiang Sha Liu Jun Zi Tang with additions
shaking from LIV heat stirring up wind and to LIV-KI yin not
nourishing the sinews. Strong heat or fire will also damage qi, KI and LIV Yin Deficiency, Yin Deficiency Fire and
causing qi and yin both to become deficient. If LIV fire attacks Qi Stagnation
the ST, the ST may become hot, causing excessive appetite Symptoms: Heart palpitations, restlessness, dread of heat,
and rapid hungering. If the LIV attacks the SP, the SP tinnitus, low back and knee soreness, increased food intake
becomes deficient and weak, causing weakness, fatigue, and but emaciation, lack of strength, dry mouth; red tongue with
loose stools. Though the LIV is typically the center of the scanty fur, fine, rapid pulse.
disease mechanisms associated with the production of all the
clinical manifestations of the disease, it also involves the HT, Treatment: Nourish Yin and subdue Yang; transform phlegm
ST, SP and KI.2 and scatter nodulation.
TCM DISEASE PATTERNS Acupuncture: LIV 3- levels the LIV, subdue yang
Qi Stagnation and Phlegm Stagnation HT 7- nourish heart and quiet spirit
Symptoms: Goiter swelling which is soft and not painful, KI 7- nourish LI yin
emotional depression, irritability, easily angered, chest TH 13 – Courses and frees the flow of the
tightness; a pale red tongue with thin, slimy fur, a wiry and three burners of the SJ
slippery pulse. SI 16+ LI 17 + SI 17 + ST 9- transform
phlegm
Treatment: Smooth the Liver and rectify qi, transform phlegm (+ ST 36 – for SP qi deficiency with fatigue
and scatter nodulation. and loose stools.)
(+ PC 6 and HT 7- for palpitations and
Acupuncture: LIV 3- rectify the qi and resolve depression insomnia)
ST 40- transform phlegm (+ CV 12 + ST 44- increased appetite)
SI 16, LI 17, SI 17, CV 22- soften the hard
and scatter nodulation Herb formulas: Tian Wan Bu Xin Wan & Yi Guan Jian with
TH 13- courses and frees the flow of the additions and subtractions.
three burners of the San Jiao and disperses
goiter qi. QI and Yin Deficiency Pattern
(+ ST 36 – for SP qi deficiency with fatigue Symptoms: fatigue, shortness of breath, dizziness, tinnitus,
and loose stools.) heart palpitations, emaciation, lack of strength, pale mucous
membranes, back and knee soreness, tongue tremors,
5
The North American Veterinary Conference – 2005 Proceedings
abdominal distention afte eating, loose stools; red tongue 2. During the initial stage of this disease, LIV depression
with peeled fur, a weak, rapid pulse. and phlegm nodulation is the most common pattern.
Treatment usually involves moving LIV qi. During the
Treatment: Nourish Yin and boost the qi middle stage, the emphasis is usually on clearing the LIV
and draining heat. At this stage the disease is mostly in
Acupuncture: BL 15 + BL 18 + BL23- nourish the yin of the LIV, HT and ST. During the latter stage of the
the HT, LIV, and KI disease, the emphasis is mostly on supplementing qi and
BL 20- fortify the SP and boost qi yin deficiencies. At this stage the disease is primarily in
TH 13 – Courses and frees the flow of the the LIV, HT, SP, and KI.
three burners of the SJ 3. When Huang Qi is used in heavy doses (25-50 gm) it can
SI 16+ LI 17 + SI 17 - transform phlegm lower T3 & T4 and effectively treat hyperthyroidism.
(+ ST 36 – for SP qi deficiency with fatigue Rhizoma Dioscorea (Huang Yao Zi) is another important
and loose stools.) medicinal for hyperthyroidism, however, its dose should
(+ PC 6 and HT 7- for palpitations and not exceed 10gm and should only be used for a limited
insomnia) time due to its hepatotoxicity.
(+ CV 12 + ST 44- increased appetite) 4. Modern formulas for complex multipattern presentations:
(+ KI 7- marked LIV-KI yin deficiency) Ping Ying Fu Fang
(+ HT 7- marked HT yin def) Yin blood deficiency with qi and blood stagnation and
phlegm nodulation
Herb Formula: Jia Kang Zhong Fang Jia Kang Ping
Additions include: Shan Yao Dioscorea 9gm Qi and Yin deficiency with phlegm nodulation
Xuan Shen Scrophularia 9gm Jia Kang Jian Tang
Mu Li Concha 30gm Qi and Yin deficiency with LIV depression
transforming heat and phlegm nodulation.2
REMARKS
1. The disease mechanisms of this condition are a REFERENCES
combination of deficiency and excess. The root 1. The 5 Minute Veterinary Consult Canine and Feline,
deficiencies are mainly yin, qi, and if severe, yang. The Tilley, Larry P., Smith, Francis W K, Lippencott Williams
branch excesses are qi stagnation, phlegm stagnation and Wilkins Publishing Co, 2000.
and blood stasis. 2. Treatment of Modern Western Medical Diseases with
Chinese Medicine, Flaws, Bob, and Sionneau, Philippe,
Blue Poppy Press, 2001.

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Small Animal – Alternative Medicine

HYPERTHYROIDISM - TCM APPROACH (+ PC 6 and HT 7- for palpitations and

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