TCM- Acupuncture for Hyperthyroidism

[Treatment]
1. Body acupuncture
Prescription: Naohui (TE 13), Renying (ST 9), Neiguan (PC 6), Shenmen (HT 7), Hegu (LI 4), Fenglong (ST 40), Sanyinjiao (SP 6) and Taichong (LR 3).

Modification: For liver stagnation and phlegm coagulation: Futu (ST 32), Tiantu (CV 22), Qimen (LR 14), Taiyuan (LU 9) and Taibai (SP 3) are added; for liver fire and stomach heat syndrome, Zusanli (ST 36), Neiting (ST 44), Yanglingquan (GB 34) and Qiuxu (GB 40) are added; for asthenia syndrome of heart and liver yin, Qishe (ST 11), Xinshu (BL 15), Ganshu (BL 18), Juque (CV 14), Fuliu (KI 7) and Zhaohai (KI 6) are added; for goiter, Tianding (LI 17), Tianrong (SI 17), Tianjing (TE 10), Qiying [equivalent to Shuitu (ST 10)1 and Pingying E0.5 cun lateral to the median line joining 3 - 5 Jiaji (EX-B2)] are added; for severe goiter, local tumescent mass can be needled; for exophthalmia, Fengchi (GB 20), Shangtianzhu E0.5 cun above Tianzhu (BL 10)1, Cuanzhu (BL 2), Yangbai (GB 14) and Sizhukong (TE 23) are added; for dryness and distension of eyes, Jingming (BL 1), Zhaohai (KI 6) and Yanglao (SI 6) are added.

Performance: Shallow needling, 0.5 - 0.8 cun, is used to needle acupoints on the neck, such as Futu (ST 32), Tiantu (CV 22), Tianding (LI 17) and Tianrong; for needling Qiying (Goiter Acupoint ), the needle is inserted 0.5 cun lateral to the vessel; for needling Ping-ying [Goiter-Eliminating Acupoint (CO13)1, the needle is inserted 0.8 - 1 cun and the needling sensation is directed to the region below Adam's apple; for larger enlargement of thyroid, 1 - 2 acupoints on the tumescent mass are selected and the needles are inserted obliquely into the base of the tumescent mass and manipulated with rotating, lifting and thrusting techniques within small range.

2. Ear acupuncture
Prescription: Ear Shenmen (TF4), Endocrine (C018), Liver (CO12), Kidney (CO10), Spleen (CO13), Stomach (CO4), Subcortex (AT4) and Sympathetic Nerve (AH6a).

Performance: Each time 2 - 3 acupoints are selected and needled once a day. Or 2 - 3 acupoints are selected each time for embedment of needles. Or Wangbuliuxingzi (Semen Vaccariae) is used for ear acupressure. The patient is advised to press the embedment of needles or the sealed Semen Vaccariae several times a day.

Source: Acupuncture- Acupuncture for Hyperthyroidism
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