Hashimoto’s thyroiditis is a kind of autoimmune thyroiditis, most of which has a good prognosis and is mainly treated symptomatically, but there is a tendency to develop naturally into hypothyroidism, which will go through a process of hyperthyroidism followed by hypothyroidism, and different medications are needed at different times. Commonly used drugs are: β-blockers: clinically commonly used in the heart, the full name is propranolol, mainly for hyperthyroidism during thyrotoxicosis caused by tachycardia and other complications. Anti-inflammatory drugs: mainly used to relieve thyroid inflammation and pain, mild cases only need to apply non-steroidal anti-inflammatory drugs, such as ibuprofen, aspirin, indomethacin, etc., moderate to severe patients can be used glucocorticoid drugs, such as prednisone. Levothyroxine: mainly used for hormone replacement therapy, the main component is thyroid hormone, generally used for hypothyroidism stage treatment. Surgery: For patients with severe goiter, patients with significant pressure symptoms, and patients who cannot be relieved by medication, surgery is also an option, but there is a high chance of conversion to lifelong hypothyroidism after surgery, and lifelong medication is often required. Therefore, Hashimoto’s thyroiditis is self-limiting and generally does not require specialized clinical treatment, only symptomatic management. Hashimoto’s thyroiditis can be treated with Chinese herbal medicine for evidence-based management will be more effective and recovery will be faster.