Endocrine

Main signs and symptoms First visit January 2019. She explained that because she looks after her grandchildren and does much housework, she often feels tired and weak. Lump on right side of the neck has been growing bigger over the past few months, making swallowing difficult. The affected area on the neck feels distended and uncomfortable. Medical diagnosis on biopsy is thyroid adenoma, measured 54mm diameter on ultrasound. Doctor suggested surgery, but patient wanted to explore TCM option. On examination: chronically sick …

Main Signs and Symptoms: Patient first presented on 19/10/2016. Over the past six months she has developed the following: severe fatigue, weight gain (2kg), cold intolerance, severe drowsiness. Blood tests showed low thyroid function with elevated anti-TPO and anti-Tg antibodies (both above four times normal levels), indicating auto-immune thyroid disease. In addition, liver function tests showed elevated AST, ALT and GGT indicating non-alcoholic fatty liver disease. Medical diagnosis Hashimoto thyroiditis (auto-immune thyroiditis) and fatty liver. Other Signs and Symptoms: On inspection, she had a …

Main Signs and Symptoms: She complained of loss of feeling on the tip of her right thumb for the past two years.  The thumb also has stabbing pains at night from time to time.  Recently, the stabbing pain appeared more frequently, particularly at night.  No abnormality has been found from either an X-ray or MRI.  She works as a nurse and her job requires her to do a lot of writing. Other Signs and Symptoms: Dry skin on her legs and arms, skin …

Main Signs and symptoms: Over the past 2 weeks: severe fatigue, profuse sweating, low energy, significant weight loss; elevated blood sugar, polydipsia, polyuria, and polyphagia. He is a solicitor, working long hours and often has insufficient sleep. His GP measured his fasting blood sugar and found a reading of 8.7mmol/L (which indicates well established diabetes type 2); urine sugar ++++. He looks physically and mentally exhausted. Pulse: deep-thready Tongue: pale with very little coat TCM Diagnosis: Xiao Ke (literally: wasting-thirst disorder) due to Spleen-Kidney Yang deficiency (mainly …