Women are made of water, whether physically or psychologically, they are inherently vulnerable and need this society to give more attention and care.
In the more than thirty years of medical practice, of the 100 thyroid disease patients I have come into clinical contact with, 99 are female friends.
Every time I hear them talk about the suffering of the disease, I can't help but think of my mother, my lover, and my daughter. It is inevitable that the heart will hurt a little.
Three periods that female friends need special attention to
Women experience 3 special periods in their lives: puberty, pregnancy, and menopause. During these three periods, the prevalence and recurrence rate of thyroid diseases are often increased due to factors such as emotional disorders, qi and blood depletion, and imbalance of yin and yang in the human body.
Especially during pregnancy. Chinese medicine believes that "the blood is weak after childbirth, and various diseases are overgrown".
Female friends who have just given birth to a child, the vitality is seriously injured, the blood is weak, the jin fluid is not running smoothly, it is easy to condense into phlegm, coupled with the mental pressure such as crying and career delay after childbirth, the liver qi is uncomfortable, the emotion is disordered, the liver is blocked by circulation, so the sputum coagulation stagnates in front of the neck and there is neck discomfort and goiter.
I'll show you a real case. A piece of chicken feathers for Ms. Sun
By May 2019, when she was two months pregnant, Ms. Sun, 26, had been working for an IT company in Hangzhou for more than two years, and when the leader learned of her pregnancy, she was marginalized by arranging a new person to replace her position.
She endured the discomfort of being excluded, as well as more and more obvious vomiting, swollen legs and other discomforts, survived the pregnancy and gave birth to a fat boy.
In the short 98 days of maternity leave, she contacted the company's leaders from time to time to inquire about the work arrangement after the end of the maternity leave, and the leader only said, don't worry, feel free to take the child. Can she not be in a hurry — mortgages, car loans, milk powder money for her children.
In May 2020, she finally survived until the end of her maternity leave, she returned to the company, but the leader had two hands and one stall, saying that because of the epidemic, the business volume had decreased sharply, and it was really impossible to arrange work, so she continued to take a vacation and listen to the notice at home.
During that time, Ms. Sun was unusually irritable. The baby is only three months old, it is really hard to bring it yourself, the boy is very heavy, and he loves to cry, likes to be carried around, he cries as soon as he puts it down, one day he really can't hold it, he has been crying, Ms. Sun yelled: "Cry again I threw you away"! After the roar, she and the child both flinched. Then her tears fell, regretting that to the child.
Thyroid nodules are found
One day in December 2020, Ms. Sun once occasionally touched her neck, and found that her neck seemed to be thickened, there was a sense of obstruction when swallowing, there seemed to be something in her throat that was blocked, she wanted to giggle but couldn't get out, she was a little flustered in her heart, so she went to the First Affiliated Hospital of Zhejiang University for examination.
The hospital first examines the body: thyroid ii. to third degree enlargement, medium, no tenderness, can touch small nodules, with swallowing will move up and down.
Then the color ultrasound was shown: the intradenolar echo was uneven, and the strong echo nodules that diffusely existed, the larger size of the left leaf was about 6.7x6.5mm, and the larger size of the right leaf was about 7.5x7.3mm, and the intra-gland blood flow was abundant.
Based on this, the hospital diagnosed Ms. Sun as: postpartum thyroiditis with nodules.
That is to say, Ms. Sun suffered from both thyroiditis and thyroid nodules. The doctor said that thyroiditis, which is caused by the postpartum period, will slowly get better, as for thyroid nodules, the probability is benign, but also does not rule out malignancy, it is recommended that she do fine needle puncture, if you do not want to do, you can take medicine first, regular follow-up.
Ms. Sun was afraid of punctures, and because she was afraid to take medicine during breastfeeding, she decided to find another way out - to seek the treatment of Chinese medicine.
Seek TCM treatment
On December 11, 2020, Ms. Sun contacted me after experiencing a lot of searches on the Internet. I first asked her to send out all the inspection reports and read them carefully.
Then I began to ask her about her symptoms, in addition to the above-mentioned pharyngeal discomfort, she was accompanied by occasional dizziness, panic, frequent irritability, chills, poor appetite, nausea and vomiting from time to time, drowsiness, stool once a day, dry knots, menstruation is normal.
I examined her tongue again: her tongue was reddish and the base of her tongue was white and greasy. The final dialectic is: gall disease caused by spleen and kidney yang deficiency and sputum condensation stagnation.
Treatment: Warm yang and healthy spleen, gasify phlegm. Fangzi: Epimedium, Bayan Tian, Xianmao, Psoralen, Fa Ban Xia, Orange Leaf, Tulip, Sichuan Root, Safflower, Citrus Aurantium, Poria Sativa, Fried White Mustard Seeds, etc., decoction, one dose per day. Loose knot anti-gall cream is applied externally. Eucalyptus, 1 time daily.
After continuous treatment for half a year after continuous treatment after the above reduction and adjustment of the dose of supplementary thyroxine according to thyroid function, Ms. Sun went to the hospital for a review on August 16, 2021: the indicators of thyroid function were close to normal values, and the color ultrasound results showed:
The larger size of the left leaf is about 2.6x2.5mm, and the larger size of the right leaf is about 3.1x2.3mm, which is reduced by 37.5mm² and 47.62mm² respectively, which is amazing, and it is surprising to see in Ms. Sun's eyes.
According to the latest situation, I prescribed another month's medication to Ms. Sun, and told her to insist on taking it again, and then recheck it after two months, and there must be better results.
This case inspires
Ms. Sun's workplace failures before and after childbirth led to her emotional disorder and poor flow of qi and blood, which was one of the reasons why she had thyroid nodules. In addition, "after childbirth, the fetal pregnancy has gone, the qi and blood have not recovered, the emptiness is empty, it must not be filled, it is sentimental, and it is most susceptible to illness." When the fetus is stagnant, the blood is stasis, the stasis is not exhausted, and the fistula continues to grow, and things are often done."
When I dialectically discussed the treatment of Ms. Sun's disease, I firmly believed that the root of her illness was yang deficiency, so I used hyuga, bayan, bone fat, cistanche and other xinwen and kidney meridian medicines. Xin can scatter can do, take divergence, qi, blood work, warm to take the meaning of mild, warm tonic kidney yang, and did not use the general doctor's usual cinnamon, appendages and other hot and dry yin products, so it has achieved good curative effect.