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1.    Goiter (Ying Liu)

Definition
A disorder manifested with enlargement or nodules by the thyoid cartilage at neck. 

Relevant diseases of western medicine
1. Hyperthyroidism--- 
2. Thyoid tumor---
3. Thyoiditis--- 
4. Nodular goiter ---
5. Simple (nontoxic) goiter --- 
6. Exophthalmic goiter ---

Etiology & pathogenesis 
Basic etiology:
1. Emotional stress
2. Improper diet and endemic water or food factor
3. Constitutional factors     
Basic pathogenesis: 
1. Qi stagnation
2. Phlegm accumulation
3. Blood stasis (if being chronic)

Differential diagnosis
Classification & treatment
1. Qi stagnation and phlegm accumulation---move qi, resolve phlegm and reduce goiter
Si hai shu yu wan
Chen pi, qing mu xiang---
Kun bu, hai zao, hai piao xiao, hai ge ke, hai dai---

2. Phlegm accumulation and blood stasis---move qi and blood, resolve phlegm and reduce goiter
Hai zao yu hu tang
Kun bu, hai zao, hai dai---
Qing pi, chen pi---
Dang gui---
Chuang xiong---

3. Liver fire blazing upward---clear and drain liver fire, and reduce goiter
Jia wei xiao yao wan
Chai hu , bo he---
Shao yao, dan gui---
Fu ling, bai zhu---
Mu dan pi , zhi zi---
Wei jiang, gan cao---

4. Heart and liver yin deficiency---nourish yin, calm heart and soften liver
Tian wang bu xin dan
Sheng di huang, xuan shen, maim Meng dong, tian men dong---
Dan shen, dang gui---
Suan zao ren, wu wei zi---
Bai zi ren, yuan zhi---

Acupuncture treatment
SJ 13 Nao hui, LI 17 Tan ding, SI 17 Tian rong, RN 22 Tian tu, LI 4 he gu, ST 36 zu san li, LR 3 Tai chong

Picture
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