Hyperthyroidism Chinese Diagnosis Test 甲亢中医诊断测验

Hyperthyroidism Chinese Diagnosis Test


My dear Dr Agassi,

Sounds like it is impossible for me to test traditional Chinese medicine!

Yet I shall. with my body and soul.

I am diagnosed free from prostate cancer.  If I were in future (to have it), I shall not go through surgery, chemotherapy, or radiation treatment.  若我有癌病,不刀切,不化疗,不电疗:以身试法。

Is my spot on my face cancer?  If it were….

I have persevered without medication for my happiness and sadness.     

If I died quick, doesn’t it prove that Chinese medicine has failed?

If I were given 4 years to live by science-based medicine, and I live to 90, doesn’t it prove that science-based medicine has failed?  

Laugh not, Sir, I am serious, though ignorant.

My daughter’s hyperthyroidism too: she is taking the same risk.

My friend has Parkinson’s disease: he is withering with science-based medication.

Socrates and Jesus were killed quick; the Buddha and Confucius lived.  Doesn’t it prove that Western thinking has failed?

With best regards,

     Your disciple,


—– Original Message —–

Sent: Tuesday, July 27, 2010 3:55 AM

Subject: RE: Hyperthyroidism Chinese diagnosis

My dear Lihuen,

not being sufficiently familiar with medicine, scientific or traditional, east or west, it is not for me to go into details of what and how much I understand of the material you have kindly sent me. Yet some impressions strike me; allow me to put them as diffidently as possible.

There are always variants; always. So when one goes to test a theory or a cure one has to be clear as to what variant one is testing. This is not always heeded. I have some familiarity with the Freudian literature, and this includes quite a few semi-Freudian, quasi-Freudian, pseudo-Freidan and post-Freudian variants. Since most tests of this theory are not explicit enough, it is not clear what variant is tested and so the tests are all, a priori, of very little value. This seems to me in need of careful specification. Since the traditional etiology is vague and the prescriptions are varied, it is very hard to test a prescription, not to say a theory. This makes specification ever so more important. One has to specify briefly  (1) the theory or the prescription, preferably both, (2) the prediction and only then (3) the observation to compare the prediction with.

Nevertheless, with some commonsense, it may be possible to test the most significant variant. This is a procedure that will take some effort and a lot of money. Do you think you are in position to undertake this? If yes, clearly, the right place to do so is Hong Kong and the first thing to do is to ask for a grant.

Hoping that this is of some help,









From: Lihuen Kwan
Sent: Tuesday, July 27, 2010 03:23
To: VBC Dr ZHANG 張老師; Prof J.Agassi 艾格思教授
Cc: Prof. LI Wenpei 李文沛教授; Dr HO YB 何譽丙中醫師
Subject: Hyperthyroidism Chinese diagnosis 甲亢中医辩证

Dear Dr ZHANG and Professor Agassi 张老师和艾格思教授:

    I have found answers in English to my question: How does traditional Chinese medicine, in its own terms, ‘diagnose’ hyperthyroidism?  我的问题甲亢中医如何辩证找到英文答案了.

   Attached are 附件:

    1.  Answers with my Chinese translation for my Chinese teacher 甲亢中医辨证(我翻译中文).

    2.  The two original online articles in English that I read. 英文原件两份.

Dr Agassi,

    The text will make sense to Dr Zhang (my TCM Diagnosis teacher), Prof. LI Wenpei (Director of Vancouver Beijing College of Chinese Medicine where I am auditing classes), and (my fellow-student) Dr HO Yuping, (Master Dr PANG Kon’s disciple in traditional Chinese medicine). 

    But does it make sense to you?  Is it again incomprehensible to you?  The concepts and theory are different.  I have to understand them before I can test them.  I am trying to. 

KWAN Lihuen 關理煊 (LH Kwan 关健)      


Hyperthyroidism Chinese Diagnosis



Etiology 病因

According to Traditional Chinese Medicine, hyperthyroidism is a combination of qi and yin deficiencies, Liver fire uprising, and phlegm stagnation. Qi and yin deficiencies are the fundamental causes, while the symptoms and signs show Liver fire and phlegm stagnation. Correlated with western medicine, Liver fire corresponds to the continuous excitation caused by excessive thyroid hormone; Qi and yin deficiencies represent the weakness and fatigue of the body from prolonged over-stimulation; and phlegm stagnation is illustrated in the enlargement of the thyroid gland. The root of hyperthyroidism is deficiency; the symptoms are excess. Treatment, therefore, must address both the cause and the symptoms simultaneously.


Differential Diagnosis 辩证

It is important to differentiate excess or deficiency in hyperthyroid patients in order to give the most appropriate formula. The three organs involved include the Liver, Heart and Kidney. Besides clearing heat, it is also important to nourish the yin….

1. Liver Fire 肝火

2. Qi and Yin Deficiencies 气与阴虚

3. Qi and Phlegm Stagnation 气与痰滞

4. Liver, Kidney and Heart Yin Deficiencies 肝, 肾, 心阴虚

5. Liver Fire with Phlegm and Underlying Qi and Yin Deficiencies 肝火夹痰, 气与阴虚



“I. Liver Fire 肝火

Clinical Manifestation 临床表

Fidgeting 煩躁坐立不安, irritability 急躁易怒, increased appetite 多食善饥, palpitation 心悸, red tongue 舌红, yellow thin coat 苔黄薄, and wiry rapid pulse 脉弦急.


Herbal Formula 藥方

Zhi Zi Qing Gan Tang …清肝  (Gardenia Decoction to Clear Liver) – Clears the Liver and purges fire.


“II. Qi and Yin Deficiencies气与阴虚

Clinical Manifestation 临床表现

Fatigue 疲倦, shortness of breath 短气, dry eyes 目干, palpitation 心悸, profuse perspiration 大汗, disturbed sleep 不寐, dry mouth 口干, decreased fluid intake 少喝, hand tremor 手震抖, red tongue 舌红, thin coat 苔薄, deep thready rapid pulse 脉沉弦急.


Herbal Formula

Yi Guan Jian (Linking Decoction) – Tonifies qi and yin, softens the Liver, and calms the Heart.



“III. Qi and Phlegm Stagnation 气与痰滞

Clinical Manifestation 临床表现

Irritability 烦躁坐立不安, feeling of oppression in the chest 胸觉郁压, plum-seed syndrome, enlargement of the thyroid gland 甲状腺大, red tongue 舌干 thin greasy tongue coat 舌苔薄腻, wiry or slippery-wiry pulse 脉弦或滑弦.


Herbal Formula

Chai Hu Shu Gan Tang 柴胡疏肝 (Bupleurum Powder to Spread the Liver) and Ban Xia Hou Po Tang 半夏厚朴 (Pinellia and Magnolia Bark Decoction) – Resolve phlegm, regulate qi circulation, and soothe the Liver.

Chai Hu Shu Gan Tang (Bupleurum Powder to Spread the Liver)

Ban Xia Hou Po Tang (Pinellia and Magnolia Bark Decoction)


“IV. Liver, Kidney and Heart Yin Deficiences , , 心阴虚

Clinical Manifestation 临床表现

Irritability 烦躁坐立不安, insomnia or light sleep 失眠或睡不熟, tremors 震抖, emaciation 消瘦, dry mouth and throat 口喉干, red tongue 舌红, scanty or no coating 少苔或无苔, thready and rapid pulse 脉弦急.


Herbal Formula

Tian Wang Bu Xin Dan 天王补心 (Emperor of Heaven’s Special Pill to Tonify the Heart) and Zhi Bai Di Huang Wan 知柏地黄丸 (Anemarrhena, Phellodendron, and Rehmannia Pills)




“V. Liver Fire with Phlegm and Underlying Qi and Yin Deficiencies 肝火夹痰, 气与阴虚

Clinical Manifestation 临床表现

Low-grade fever, tachycardia (90–120 heartbeats per minute), tremors of the tongue and fingers, enlarged thyroid glands, unilateral or bilateral swollen and bulging eyes, palpitations or tachycardia, fatigue, weight loss, fidgeting, irritability, bad temper, aversion to heat, perspiration, hunger and increased appetite, increased blood pressure, etc.  


Herbal Formula

Imperical Formula for Hyperthyroidism

Study notes copied from Cr John CHEN, Ph.D., Pharm.D., O.M.D.., L.Ac.


Dr. John Chen is a recognized authority in both western pharmacology and Chinese Herbal Medicine. He teaches at the USC School of Pharmacy, Emperor’s College, Yo San University of TCM, OCOM, Five Branches, AOMA and ACTCM. Dr. Chen’s most recent published work is Chinese Medical Herbology and Pharmacology (2003, AOM Press) and Chinese Herbal Formulas and Applications (2008, AOM Press) for which he was the lead author.

Copyright © 2010 Lotus Institute of Integrative Medicine. All Rights Reserved. eLOTUS UPDATE January 2010

Student’s study notes copied for discussion with teacher(s) only.  Chinese translation by KWAN Lihuen for his Chinese teacher to read and discuss. 

These notes constitute answers to my question to my teacher in “Diagnosis in Chinese Medicine”: How does traditional Chinese medicine in its own terms ‘diagnose’ hyperthyroidism? 

KWAN Lihuen 关理煊中文翻译

Canada 2010-07-26 draft 1 

File: “Hyperthyroidism Chinese Diagnosis Test甲亢中医诊断” draft 2007-07-27 稿 (1622 words 字)


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