Hyperthyroidism (hyperthyroidism for short) is a common and frequent disease. In addition to autoimmunity, it is also associated with genetic factors and infections. In addition, many triggers have a great influence on the onset and recurrence of hyperthyroidism. According to statistics, about 62% of hyperthyroidism patients have mental stimulation factors. According to statistics, about 62% of hyperthyroidism patients have mental stimulation. Work, study, long time tension, craving for spicy or alcoholic products, and exertion (exertion, exertion and room exertion) are also triggering factors, so hyperthyroidism should be treated comprehensively. At present, western anti-thyroxine synthesis drugs (methimazole and propylthiouracil) are generally preferred in the clinical treatment of hyperthyroidism, but there are shortcomings such as unstable efficiency of oral western drugs and easy recurrence of the disease after discontinuation of the drugs, while western medical treatment of hyperthyroidism with traditional Chinese medicine is significantly better than using western drugs alone. Chinese medicine identification of hyperthyroidism: In the early stage of the disease, hyperthyroidism is mostly characterized by fire and Yin deficiency is secondary, mainly manifesting as exuberant liver fire, stomach fire and heart fire, or predominantly liver fire and stomach fire, or predominantly liver fire and heart fire, highlighting the symptoms of hypermetabolic syndrome and mental hyperactivity. As the strong fire eats and disperses qi, the disease gradually turns to be dominated by yin deficiency and supplemented by yang hyperactivity, mainly manifesting as symptoms of liver and kidney yin deficiency, heart and liver fire in excess, liver and stomach fire in excess or heart and stomach fire in excess. As the disease progresses, the evidence turns into Qi and Yin deficiency, mainly manifesting as Spleen-Qi deficiency or Liver-Lung-Qi deficiency and Heart-Liver-Kidney-Yin deficiency. This is the general rule of hyperthyroidism. The disease is complicated by both deficiency and reality, but deficiency is the main symptom and reality is the standard symptom. In accordance with the principle of “the disease mechanism should be carefully guarded, and each should be in its own way” in the Nei Jing, it is appropriate to use both acute and slow adjustment, and to use both clearing and tonic. Based on the theoretical principle of combining evidence and disease identification, hyperthyroidism can be broadly classified into heart-liver fire or liver-stomach heat, yin-deficiency-yang hyperactivity or yin-deficiency-internal heat, qi-yin deficiency and fire-spleen deficiency. For patients with Qi and Yin deficiency, the treatment is to benefit Qi and nourish Yin, and add and subtract with the evidence. The basic formula is 15 to 30g of raw Astragalus membranaceus, 10g each of Radix Astragali, Radix Rehmanniae Praeparata, Radix Paeoniae Alba, Radix Xia Ku Cao, Radix Medlar, Fructus Schisandrae, Fructus Jujubae and Radix Glycyrrhiza Uralensis, 25g each of Radix Lobeliae, Radix Oyster and Radix et Rhizoma Gramineae. Chinese herbal soup can be taken for 3 to 6 months first, and then changed to Chinese medicine for evidence-based treatment. Traditional Chinese medicine treatment for gall tumor is mostly based on iodine-rich prescriptions, such as Seaweed Yuhu Tang and Sihai Shu Liver Pill, in which seaweed, kombu and kelp are rich in iodine. These drugs are mainly used for endemic goiter, while they should not be used solely for the treatment of hyperthyroidism. The symptoms of hyperthyroidism vary according to the patient’s constitution and stage of the disease, so the treatment rules are also different. As for diffuse enlargement of the thyroid gland, raw oyster, Xia Gu Cao, raw barley, earth maid, turtle board and silkworm, which do not contain iodine or contain little iodine, can be used according to Chinese medical diagnosis. These herbal medicines are good for irritable heat, palpitation, hand trembling, loose stools, increased frequency of stools, and irritability, which are incomparable to seaweed, kombu and kelp. From the modern medical point of view, iodine is an important element for the synthesis of thyroid hormone (TH). Generally speaking, the synthesis of TH increases with the increase of iodine, and if it exceeds a certain limit, the phenomenon of “escape” will occur, which will lead to the re-acceleration of TH synthesis and thus cause the relapse of hyperthyroidism. The symptoms of hyperthyroidism can only be relieved when the accumulated TH is depleted. Therefore, it is inappropriate to use iodine-rich Chinese medicine as the main treatment for hyperthyroidism for a long time. In addition, it should be clearly pointed out that the etiology and onset of hyperthyroidism is not due to iodine deficiency. In this sense, iodine preparations and iodine-containing herbal medicines cannot be used as the main drugs for the treatment of hyperthyroidism either.