2 English reference hyperthyroidism * * * [Xiangya Medical Dictionary]
Summarize hyperthyroidism as the name of the disease. It is a common endocrine disease, which leads to excessive secretion of thyroid hormone for various reasons. It belongs to the category of scabies in traditional Chinese medicine. The etiology is still unknown [1]. ? Referred to as "hyperthyroidism", also known as "exophthalmic goiter".
4 Diagnostic points ① There was a history of mental illness, infection, pregnancy and operation before the onset. Fear of heat, sweating, fatigue, irritability, palpitation, weakness, shaking hands, overeating, weight loss, frequent defecation and menstrual disorders. ② Tachycardia, enhanced heart sounds, increased pulse pressure, premature beats, atrial fibrillation and positive peripheral vascular signs. ③ Diffuse or nodular enlargement of thyroid, accompanied by slight tremor and vascular murmur. But there may be no obvious goiter. ④ It may or may not be accompanied by exophthalmos and hyperthyroidism, tongue and hand tremor, localized mucinous edema in front of tibia, clubbed fingers (toes), warm and wet skin and flushing. ⑤ Determination of basal metabolic rate showed that thyroid iodine absorption rate 13 1, serum protein-bound iodine and total thyroxine increased. [ 1]
The main manifestations of hyperthyroidism are as follows
(1) Fever increases, patients prefer cold to heat, sweating and flushing.
(2) protein's decomposition is too much, urine nitrogen is increased, nitrogen balance is negative, muscle protein decomposition is accelerated, weight is reduced, and muscles are weak.
(3) The central nervous system is excited, nervous, anxious, moody, restless, inattentive, poor sleep, muscle tremor, etc. , and may have exophthalmos and eyelid closure relaxation.
(4) *** Myocardium, which strengthens contractility, accelerates heart rate and increases cardiac output, and even leads to cardiac hypertrophy and even heart failure.
(5) Excessive metabolic consumption leads to excessive appetite, increased stool frequency, indigestion and emaciation.
(6) Sexual dysfunction. Severe hyperthyroidism can even lead to convulsions and unconsciousness.
6 acupuncture treatment acupuncture treatment: mainly to make, Sanyinjiao, Shangtianzhu, Fengchi points and other points. Exophthalmos with pupil, silk and bamboo, yang white, fish waist; Heart rate is fast with Neiguan and Shenmen; Hypermetabolic symptoms associated with Zusanli and Sanyinjiao; Acupuncture purgation or flat-reinforcing xieping method. [ 1]
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