At the beginning of the opening of the small commodities wholesale market in Linyi City, Shandong Province in 1993, Yin Na immediately settled in the business and engaged in the clothing wholesale business, when she was only 24 years old. By around 2003, with her vision and hard work, she had amassed million fortunes.
The following year, in order to increase her wealth, she entered the stock market, with ups and downs, some losses and gains, and a slight profit overall. Until September 2008, the Shanghai Composite Index plummeted, and Yin Na's savings of more than ten years disappeared overnight. She has been devastated and depressed ever since.
Worse than cancerous
Human affairs are often not alone.
In March 2010, for more than ten consecutive days, she began to feel uncomfortable in her throat and throat, always felt that there was a foreign body, and when she went to the hospital for examination, she was diagnosed with papillary carcinoma of the right thyroid gland.
The doctor recommended surgery and said that the prognosis of papillary thyroid cancer is still very good, and there is no need to worry too much. Therefore, Yin Na followed the doctor's advice and did a right thyroidectomy + isthmus resection.
After the operation, she took thyroid hormone drugs every day and had regular check-ups, which looked no different from ordinary people. Unconsciously, an undercurrent was quietly surging through her.
Shocked to find a huge lump on the left side of the neck
In early November 2020, Yin Na grew a huge mass on the left side of her neck.
I say "huge mass" because the volume of the foreign body has reached a staggering 9.8cmX5cmx4 .8cm, which is the size of a small apple.
This result, as shown by the thyroid ultrasound examination of the Linyi Central Hospital where she was admitted, in addition to the large size, other parameters were not optimistic - the internal echo was uneven, some echoless, and the blood flow in strips was seen.
Thyroid function tests: FT3 4.04 pmol/L ( 2. 63 to 5.70 pmol/L), FT4 7. 58 pmol/L (9.01 to 19.05 pmol/l), TSH 14.32 IU/ml (0.35 to 4.94 IU/ml), showing signs of hypothyroidism.
The doctor consulted Yin Na's past medical history, suspected that there was a possibility of malignant tumor recurrence, expert evaluation, proposed surgical treatment, recommended that Yin Na first do a fine needle puncture to clarify the pathology.
Yin Na, 51 years old, who knows her destiny, listened to the doctor's advice, recalled the operation 10 years ago, and shook her head lightly:
"I don't want to toss it."
Seek to start conservative treatment
On December 4, 2020, Yin Na connected my video. Yin Na's face that appeared in the video was flushed, and there was a faint glow of sweat, and on this cold day when the little cold festival was coming soon, it was completely pathological to appear such a sign.
She also showed symptoms, as well as fatigue and occasional palpitations and shortness of breath. Examining her tongue, she found that her tongue was reddish, petechized, and less moss, indicating the blood stasis and blood fever in her body.
Then I learned about her physical findings: superficial lymph nodes were untouched, scarring of tissue on the right side of the neck, and a lump of about 10 cm X5 cm was palpable on the left side of the neck, with a hard texture, poor borders, tenderness, and poor mobility.
Synthesizing all the information, I can discern that it is the two losses of qi and yin, and the evil poison and stasis, so the treatment is based on the method of clearing heat and detoxification, nourishing the yin, and soft and firm loosening the knot.
Prescription: Snake Six Grains, Curcuma, Summer Kushi, Zhimu, Raw Ground Yellow, Peony Peel, Xuan Ginseng, Mountain Cigu, Seared Turtle Shell, Chai Hu, White Peony, Raw Astragalus, Danshen, etc. A total of 14 doses, 1 dose per day, decoction, morning and evening.
At the same time, she was told that chicken and seafood products were strictly prohibited.
During the follow-up consultation, the evidence is added or subtracted, and the initial effect is seen
The second diagnosis was on December 21, 2020, Yin Na's hot flashes and sweating phenomenon improved from before, her face began to tend to normal, and the lump in her left neck was significantly reduced, which was something she could clearly feel when she rubbed her palm, but her emotions were still tense, and sleep was not good, after all, there were lumps oppressing and threatening, not everyone's mind could be strong enough to be fearless. I add or subtract from the top, 14 doses.
For sweating, I deliberately add dried peaches to collect sweat, for hot flashes, add bone skin to reduce fever and steam, poor sleep, add sour jujube kernels and night vines to calm the spirit to help sleep.
After that, he took the drug continuously for another month. After the Spring Festival, on February 18, 2021, she went to Linyi Central Hospital to review the B ultrasound: the left thyroid mass, about 41mm in diameter before and after, was 10cm X 5cm in size at the time of the initial diagnosis, and it was obviously reduced by several centimeters.
Thyroid function has been tested to show significant improvement. Seeing this effect, Yin Na's face appeared a long-lost color of pleasure, and she actively cooperated and continued to take Chinese medicine.
Repeat after 6 months
This intermediate medicine has not stopped. Six months later, on August 12, Yin Na went to Linyi Central Hospital again, measured jia gong, and did a color ultrasound. Thyroid function shows that FT3, FT4, and TSH are all in the normal range.
Color ultrasound shows that the current left goiter mass is about 15 mm in diameter anterior and posterior, which is 26 mm smaller than the 41 mm 6 months ago.
How much is this shrinkage? You can imagine a small apple, you nibble and nibble until only one apple core remains.
In order to eliminate the last apple core and make the lump disappear completely, Yin Na is still actively taking medicine, but now she is not the same person as the first person I saw last December, both physically and mentally.
This case inspires
The patient in this case, Yin Na, has long been worried and worried, the liver qi is depressed, the qi and blood are depressed, the jin fluid is stopped, condensed into phlegm, and the qi and blood phlegm drinking and drinking are depressed to form a gall, and her course of illness is as long as 10 years, consuming yin and blood, forming evidence of two losses of qi and yin, and evil poison stasis.
Therefore, the use of astragalus, Zhimu, raw ground yellow, peony peel, Xuan Ginseng Yiqi nourish yin and heat, of which Xuan Ginseng taste sweet, bitter, salty, slightly cold, returned to the lungs, stomach, kidney meridians, with the effect of clearing heat and cool blood, diarrhea and detoxification, nourishing yin, can treat sore throat, fistula phlegm nucleus, carbuncle sore poison and other diseases.
According to the patient's symptoms of the diffuse mass, it is combined with curcumin, summer dry grass, hot turtle nail detoxification, soft and firm loose knots, accompanied by salvia to activate the blood circulation, with chai hu, white peony medicine to soothe the liver and soft liver.
This case has achieved good therapeutic results based on the addition and subtraction of treatment based on this formula, indicating that the combination of TCM dialectics and disease discrimination has certain advantages in the treatment of thyroid diseases.