Clinical Case #4

History and Symptoms

The patient came to the clinic with a diagnosis of hyperthyroidism from a hospital of Western medicine. She displayed the following symptoms: palpitations, excessive perspiration, misty vision, jumpiness, shaking of the hands, good appetite with frequent hunger, weight loss, diarrhea and fatigue.

Diagnosis

To make a diagnosis of hyperthyroidism as the chief complaint, a total of six syndromes should be taken into account (link to hyperthyroidism)

The symptoms in boldface are the symptoms to be checked against those listed under the six syndromes.

1. Hot stomach syndrome (1)

• Getting hungry easily (1)

2. Liver energy congestion syndrome (0)

• None

3. Sputum-fire syndrome (7)

• Eat a lot (2)
• Excessive perspiration (2)
• Palpitations (3)

4. Liver-kidneys yin deficiency syndrome (3)

• Fatigue (3)

5. Deficiency fire syndrome (4)

• Becoming angry easily (2)
• Excessive perspiration (2)

6. Simultaneous deficiency of yin and yang syndrome (6)

• Excessive perspiration (1)
• Fatigue (3)
• Palpitations (2)

Conclusions

Thus, the diagnosis is 3. Sputum-fire syndrome, with the highest score of 7.