Alain has been in a particularly bad temper for some time now, looking at everything in displeasure, lashing out at colleagues at work, and venting her nameless anger at home to her husband, Ah Ming, without any scruples. Ah Ming is a very attentive person, caring for his wife in every way, he thought Alain was not like this before, this period of emotional change must be the reason. He noticed that A-lan’s neck was bigger than before, so he remembered that he had read an article about the thyroid gland in a medical science publication not long ago, and remembered that A-lan might have a problem with the thyroid gland. That’s how A-lan, accompanied by Ah Ming, came into my clinic. The thyroid gland is an important endocrine organ of the human body, located in front of the thyroid cartilage of the neck, like a butterfly in front of people’s neck. Don’t underestimate this butterfly, without its secretion of thyroxine during the growth process, people will suffer from “sluggishness”, and they can’t live without it in adulthood. However, if the secretion of thyroxine increases for various reasons, it can lead to discomfort or dysfunction of several systems, such as: emotional instability, easy to lose temper; fear of heat, easy to sweat, panic attacks, feeling that the heart is beating fast at the slightest activity; an increase in the amount of food, often feeling hungry but losing weight, sometimes diarrhea, abnormal libido, menstrual disorders and other symptoms. This syndrome, caused by increased secretion of thyroid hormone, is clinically known as hyperthyroidism, often referred to as hyperthyroidism. Do not underestimate this hyperthyroidism, as it can lead to heart disease and thyroid crisis, which can be fatal. The disease is more common in women, with a prevalence of 2% of the female population and an annual incidence of 2/1000 to 3/1000 new cases in women, and can occur at all ages, but is most common in people between the ages of 20 and 40. But don’t worry, we already have a good way to deal with it, which is the world’s recognized first choice of treatment for hyperthyroidism – the method of radioactive 131 iodine and other drugs for adjuvant treatment, which is simple, cheap, with the least complications and the least recurrence rate of safe methods. It is also the oldest, most mature and most widely used exemplary treatment method in nuclear therapy, and has treated nearly 1.5 million cases over the past half century. In recent years, with the advancement of treatment practice and theoretical research, more and more scholars abroad are receiving this treatment. 131 Iodine treatment for hyperthyroidism is simple (one cup of 131I can be taken orally in the outpatient clinic), effective (high one-time cure rate and low recurrence rate), less expensive (examination and treatment cost is only about $1,000), safe (little side effects, and the results of nearly 60 years of follow-up show that in nearly 1.5 million cases treated with 131I, the chance of developing cancer and leukemia is not higher than the natural population, and the incidence of hypothyroidism is about 20% to 30%). Therefore, in North America and Europe, many physicians have made 131 iodine the treatment of choice for hyperthyroidism. The internationally authoritative medical text, West’s Internal Medicine, 1995 edition (16th edition), Volume II, page 999, discusses the treatment of Graves’ disease, detailing and comparing antithyroid drugs, surgery and 131 iodine therapy, and conclusively writing in the section on final treatment choices: “In general, because of the absence of short-term complications with radioactive iodine and its effectiveness, it is the most effective treatment available.” In 1998, the authoritative American medical journal JAMA (280:375-376) reported the results of long-term follow-up of 35,593 hyperthyroidism patients 26 to 44 years after treatment, 65% of whom were treated with 131 iodine. In the United States, 131 iodine has long been used for most adult hyperthyroidism (former President Bush is a typical case), and in recent years there has been a rapid increase in the use of 131 iodine for hyperthyroidism in Europe, for example, in the February 1999 issue of the “International Thyroid Conference”. For example, in the February 1999 issue of the journal “International Advances in Thyroid Research” (published in Germany), Danish scholar L. Hegedus published an article on “Radioactive iodine treatment of benign thyroid disease”. He writes: “Because of the unpredictable remission rates of thyroid medications for hyperthyroidism and the relatively high number of surgical comorbidities, even in patients with indications, many centers, including ours, have made radioactive iodine the treatment of choice for most patients, and in patients with almost all types of hyperthyroidism, 131I is considered safe and appropriate. considered safe and appropriate.” After taking radioactive iodine and undergoing our complementary treatment with a combination of Chinese and Western medicine, Alain has long since recovered and has made peace with his colleagues and family members, and his work and life have become as smooth and fulfilling as before. Hyperthyroidism is a common disease of the endocrine system, caused by excessive secretion of thyroid hormones by the thyroid gland. The incidence of hyperthyroidism in women accounts for 2% of the female population, and the annual incidence of new cases in women is 2/1000 to 3/1000. It can occur at all ages, but is most common in people aged 20-40. If left untreated, hyperthyroidism can seriously affect the growth and development of adolescents and lead to serious complications such as hyperthyroid heart disease. The main methods of treatment for hyperthyroidism are medical (anti-hyperthyroidism drugs and traditional Chinese medicine), surgical (partial thyroidectomy) and nuclear (131I) treatment. Internal treatment is still the most common method in China, but anti-hyperthyroid drugs usually need to be taken for more than 2 years, and premature discontinuation may cause relapse, while long-term use may result in side effects such as white blood cell decline and liver function damage. Surgical procedures are traumatic and difficult for young patients to accept. The treatment of hyperthyroidism with 131 iodine is the oldest, most mature and most widely used exemplary treatment method in nuclear therapy, and nearly 1.5 million cases have been treated over the past half century. In recent years, with the advancement of treatment practice and theoretical research, more and more scholars abroad are receiving this treatment. 131 iodine treatment for hyperthyroidism is simple (one cup of 131I solution can be taken orally in an outpatient clinic), effective (high one-time cure rate and low recurrence rate), less expensive (examination and treatment cost is only about $1,000), safe (few side effects, and the results of nearly 60 years of follow-up show that nearly 1.5 million patients treated with 131 iodine have been treated with this treatment. Among the 1.5 million cases treated with 131 iodine, the chances of developing cancer and leukemia are not higher than in the natural population, and the main side effect is the development of hypothyroidism, which occurs at a rate of about 20% to 30%). Therefore, in North America and Europe, many physicians have adopted 131I as the treatment of choice for hyperthyroidism. (1) The international authoritative medical masterpiece, West’s Internal Medicine, 1995 edition (16th edition), Volume II, page 999, in discussing the treatment of Graves’ disease, details and compares antithyroid drugs, surgery, and 131I therapy, and conclusively writes in the final treatment selection section, “In general, because of the absence of short-term complications with radioactive iodine and its effectiveness, it is currently the most effective treatment.” (2) In 1998, the authoritative American medical journal JAMA (280:375-376) reported the results of long-term follow-up of 35,593 hyperthyroidism patients 26 to 44 years after treatment, 65% of whom were treated with 131 iodine. A review of this report in the journal wrote: “The analysis suggests that 131 iodine may be the most cost-effective treatment.”(3) In the United States, 131 iodine has long been used for most adult hyperthyroidism, and in recent years there has been a rapid increase in the use of 131 iodine for hyperthyroidism in Europe, for example, in February 1999. “For example, in February 1999, the International Journal of Advances in Thyroid Research (published in Germany) published an article by Danish scholar L. Hegedus on “Radioactive iodine therapy for benign thyroid disease”. He writes: “Because of the unpredictable remission rates of thyroid medications for hyperthyroidism and the relatively high number of surgical comorbidities, even in patients with indications, many centers, including ours, have made radioactive iodine the treatment of choice for most patients, and in almost all types of hyperthyroid patients, 131 iodine is considered safe and appropriate. considered safe and appropriate.”