Dissertation > Medicine, health > Chinese Medicine > TCM Internal Medicine > Modern medicine, internal diseases

The Clinical Analysis between the TCM Syndromes of Subacute Thyroiditis (Hyperthyroidism Stage)

Author YuPengCheng
Tutor YuJiangYi
School Nanjing University of Traditional Chinese Medicine
Course Chinese medicine
Keywords Heat toxin Thyroid hormone Traditional Chinese medicine (TCM) syndrome Erythrocyte sedimentation rate (ESR)
CLC R259
Type Master's thesis
Year 2011
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[Objective]:To study the relation between thyroid hormones and the TCM syndromes of subacute thyroiditis (hyperthyroidism stage), and to research the correlation between the thyroid hormone, ESR and WBC.[Methods]:54 inpatient subacute thyroiditis cases that were divided by TCM syndrome differentiation:24 cases were of the heat toxin and blood stasis type, and 30 cases were of the Qi stagnation and blood stasis type. Taking records of indices as below:the body temperature, FT3, FT4, TSH, TT3, TT4, TSH, ESR, WBC, A/G,etc.[Results]:1. The TT4 and ESR level of the heat toxin and blood stasis group was significantly higher in comparison with the Qi stagnation and blood stasis group(P<0.05).2.The lower age group (17-46 years old) had a significantly higher FT3, TF4,TT3 and TT4 level (P<0.05-0.01) than the elder age group (47-65 years old).3. Statistical study shows that the Albumin/Globulin, TT4 and ESR level in subacute thyroiditis patients of line are correlation each other。[Conclusions]:The higher TT4 and ESR level in the heat toxin and blood stasis group suggest a more severer onset of the disease and a worse breakdown of the thyroid follicular epithelial cells in this syndrome type.2.The lower age group had a significantly higher thyroid hormone level than the elder indicates a more significant immune inflammation reaction in young people.3.The TG and ESR level in subacute thyroiditis patients could be used as the evaluating indicator of the disease’ severity.

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