Hashimoto’s thyroiditis is a self-limiting disease, but there is still a risk of serious complications, and it is still important to treat it clinically and not to hope for a self-cure. The main aspects of its treatment are as follows: Asymptomatic patients: For patients with a clear diagnosis, without goiter and hypothyroidism and without clinical symptoms, treatment is generally not needed or only symptomatic treatment is made. Those with enlarged thyroid: For those with mild enlargement of the thyroid gland and no hypothyroidism, thyroxine treatment can should be used to avoid further enlargement of the thyroid gland. For patients with pain, obvious enlargement of the thyroid gland or poor results of thyroxine treatment, glucocorticoid therapy may be used. Patients with obvious enlargement of the thyroid gland with tracheal compression, as well as patients with tumor nodules in the thyroid gland or combined thyroid adenoma, should be treated with surgery in a timely manner. Hypothyroidism: If hypothyroidism is detected, thyroxine replacement therapy is required. Thyroxine treatment should start with a small dose, gradually increase the dosage, and then gradually decrease the dosage when the standard of reduction is reached. During this period, several check-ups should be performed and thyroid hormone levels should be monitored. Hyperthyroidism: Those with transient hyperthyroidism can be treated without anti-thyroid medication and can be treated symptomatically with only Takayasu or anti-inflammatory pain. Those with more severe or prolonged hyperthyroidism need to take anti-thyroid medication. In summary, there is no special treatment for Hashimoto’s thyroiditis in modern medicine, only symptomatic treatment, but there are still some dangerous situations that may occur, and it is not possible to hope for a self-healing. Therefore, the use of Chinese herbal medicine to identify and treat the symptoms can reap better results.