Patient: hyperthyroidism in November 2006, symptoms at the beginning were rapid heartbeat, panic, weakness, lethargy, hand tremors, now symptoms are absent. Laboratory tests, 04/24/08 T3-4.53 T4-15.30 TSH-1.890 (weekly medication of 3 methimazole tablets) 07/12/08 T3-4.47 T4-15.70 TSH-4.960 (weekly medication of 4 tablets) One to see a Western doctor, three months of blood tests, now the situation is good Can you do not take Western medicine, take traditional Chinese medicine, whether it is a tonic or herbal medicine? I’m in good condition now. Please reply in your busy schedule. Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Beijing Guang’anmen Hospital, Beijing, China: In the recovery period of hyperthyroidism, the main focus is to fight recurrence and stabilize thyroid function. Chinese medicine has unique advantages. Our department used to have Chinese patent medicine hyperthyroidism capsule, currently due to the problem of raw materials of the Olympic production, you can come to my clinic to receive soup treatment. Patient: Ni Qing doctor hello, see you reply time a is late at night, sincerely thank you; I would like to ask the Chinese patent medicine hyperthyroidism Ning capsule when can have, because the summer drink soup medicine is too troublesome, but also boiled. Patient: Ni Qing doctor hello, I have a colleague is hypothyroidism, 99 years, has been taking eugenol 75 micrograms, laboratory indicators have been normal, I want to consult the change of Chinese medicine can cure, and do not have to take medication for life? Thank you! Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Guang’anmen Hospital, Beijing, China: Hello! I’m sorry for the late reply because I was traveling. Chinese patent medicine hyperthyroidism capsule is our hospital special preparation, due to the Beijing Olympic Games and the weather wet reason, it is estimated to be after 2 months can be re-launched. You asked about hypothyroidism, generally need to understand the onset of the disease, thyroid function and anti-thyroid antibodies thyroid ultrasound and other results and current symptoms and signs to determine the effect of Chinese medicine, whether you need to take medication for life. You can see my clinic. Patient: Hello Dr. Ni, thank you for your prompt reply, because the Olympic Games do not know this Friday morning you are in, we can go to find you. Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Guang’anmen Hospital, Beijing, China: I have a normal outpatient clinic on Friday morning. Patient: Thank you Dr. Ni Qing, see you on Friday morning Patient: Hello Dr. Ni, my colleague with hypothyroidism asked me to ask you about the results of the laboratory tests on February 15, 2008: TSH-2.67 (reference value 0.27-4.2) T3-4.83 (reference value 3.1-6.8) T4-17.58 (reference value 12-22) (Euthyrox 75 mcg combined 1.5 tablets/day) August 2, 2008 lab results: TSH-1.01, T3-4.35, T4-16.10 Same measurements as above, why are the measurements the same and the lab results different? Is 1.5 tablets/day appropriate? I saw you last Friday, you gave me 2 kinds of blood test list, one of them is A Gong, the other I forget what it is, there is an ultrasound, she wants to think of other hospitals, and then take a look at you see can it? Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Beijing Guang’anmen Hospital: The difference in your hypothyroid colleague’s lab results may be due to seasonal changes. Because throughout the year, with the change of seasons, the human body thyroid hormone level also changes, because the thyroid gland is the body’s organ to regulate body temperature. Therefore, the appropriateness of Eugenol 1.5 tablets/day mainly depends on the thyroid function, which should be slightly changed with the change of seasons. Patient: Thank you, Dr. Ni. Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Beijing Guang’anmen Hospital: Have a nice weekend! Patient: Hello, Dr. Ni: I have seen you this morning, you gave me the new drug hyperthyroidism Ning capsule 3 times, 3 times / day, 4 capsules / times, so that 3 times only enough to eat 15 days, so eat the right way? Please reply me in your busy schedule, thank you! Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Guang’anmen Hospital, Beijing: 3 capsules of hyperthyroidism, 3 times/day, this is only enough to eat for 15 days, 15 days to come to the clinic. Medical insurance is not allowed to prescribe more drugs. Patient: OK, thank you Dr. Ni! Beijing Guang’anmen Hospital Traditional Chinese Medicine Endocrinology Department Ni Qing: Good! I wish you a speedy recovery! Patient: Ni doctor hello: hyperthyroidism Ning capsule I have eaten more than a week, feel uncomfortable above the stomach, the shell of the capsule to eat the same, this feeling is normal? Is it normal to feel this way? Is it okay to take the shell of the capsule? Please give me a reply in your busy schedule, thank you! Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Beijing Guang’anmen Hospital: The shell of the capsule is an edible gel, which has no medicinal effect. It can be removed and eaten. But with the capsule is to consider the adverse stimulation of the drug on the stomach, or half an hour after meals to serve better. Patient: Yes, I understand! Thank you, Dr. Ni! Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Guang’anmen Hospital, Beijing: I wish you a speedy recovery! Patient: Hi Dr. Ni, I know that you stopped your clinic on Friday, so I’m going to tell you about my labs, because I can’t upload them to you at home, so I’m going to write them down for you to see if I’m still taking my medication as usual; the results of my labs on Nov. 10th (after 3 weeks of taking the new drug hyperthyroidism capsules + half a tablet of methimazole per day) showed that my T3 was 2.86, my T4 was 1.11, and my TSH was higher than the last time, which was October 17th, and I’ve had a higher TSH than last time, which was 1.37, and I have had a higher TSH than last time. Oct 17 TSH – 3. 96), aTG – 75. 8 (0-60), aTPO – >1300 (0-85), the latter two are high. Thank you, Dr. Ni, for your guidance. Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Guang’anmen Hospital, Beijing, China: The examination indexes are still stable, you still take: hyperthyroidism capsule, 3 capsules each time, 3 times a day; methimazole tablets, half a tablet each time, 1 time a day. 3 weeks later to recheck the TSH, and according to the results to discuss the next step in the treatment. Patient: Dr. Ni, I have been taking 4 capsules 3 times a day for the past few days, and it is stated on the medicine contract that I should take 3 capsules instead. Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Beijing Guang’anmen Hospital, Beijing, China: I’ll take 3 capsules now. Patient: Thank you, doctor. Besides, will I have my next lab test for A-function in addition to T3, T4, and TSH? Patient: I am sorry, I should thank Dr. Ni. Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Guang’anmen Hospital, Beijing: I wish you a speedy recovery! Patient: Dr. Ni, in addition to T3, T4, and TSH, will I also have my thyroid function tested next time? Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Beijing Guang’anmen Hospital, Beijing, China: T3, T4, and TSH are thyroid function. Patient: Thank you, Dr. Ni, I’ll go to another doctor on Saturday to get a lab order. Beijing Guang’anmen Hospital Traditional Chinese Medicine Endocrinology Department Ni Qing: can be Patient: Ni doctor hello, due to the end of the year work is busy, not good to take time off, so I uploaded the most recent labs to you, is December 16, 2008, I do not know if you can receive uploaded files, the first two blocked in the normal (T4-0.96, T3-2.91), just TSH-6.37 than the last time (3.96) higher than the normal value (6.20), also higher than the normal value (6.20), and the first two blocked in the normal value (3.37). It is also higher than normal (within 6. 20), is it still normal to take medication (half methimazole tablet per day, 3 capsules/3 times/day hyperthyroidism)? Please reply in your busy schedule, thank you! Your loyal patients Zheng Lishu Beijing Guang’anmen Hospital Department of Traditional Chinese Medicine Endocrinology Ni Qing: can not eat methimazole tablets, hyperthyroidism Ning 3 capsules / 3 times / day continue to take. 3 weeks to review the laboratory tests Patient: Thank you Dr. Ni Beijing Guang’anmen Hospital Department of Traditional Chinese Medicine Endocrinology Ni Qing: I wish you a happy new year in advance! Patient: Dr. Ni, hello, it’s been a long time since I’ve contacted you, I just got the labs from February 24th today, please take a look at them, I don’t have any symptoms at the moment, everything is fine. FrT4-1.50 FT3-3.63 TSH-0.14 Currently only taking hyperthyroidism capsules 3 times a day, 3 capsules each time. Thank you Dr. Ni for your reply. Your patient Zheng Lishu Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Guang’anmen Hospital, Beijing: The result is very good. Continue to take hyperthyroidism capsule 3 times a day, 3 capsules each time. 3 weekend review and then contact. Patient: Thank you Dr. Ni, but I’m really sorry, TSH is 6.14, from time to time 0.14, I read it wrong (reference value 0.2-6.2), I remember you said, the higher the value, the better, my results are okay? Thank you for replying to the patient Zheng Lishu Beijing Guang’anmen Hospital Traditional Chinese Medicine Endocrinology Ni Qing: TSH is 6. 14, indicating that it is close to being able to reduce the dosage of methimazole tablets, and it is also very good. Patient: I’m so happy, thank you Dr. Ni! Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Guang’anmen Hospital: I can’t see your information. Patient: Ni doctor hello, April 25th lab results: T3-3. 05 (1. 89-4. 49) T4-1. 36 (0. 75-1. 71) Tsh-1. 82 (02. -6. 20) aTG- >500 (0-60) aTPO- >1300 (0-85) the latter 2 high, ultrasound report in the upload my case information in other reports, there are 2 The ultrasound reports are in the other reports uploaded in my case file, there are 2, one from last August and one from this year on April 25th, I don’t know if you can see them. (The report seems to be no problem.) I don’t know if you will see the doctor on Tuesday afternoon, May 5, so I will tell you the results of the laboratory tests, is not to continue to take medication, if you see the doctor on Tuesday afternoon, May 5, please reply to me, I will go to see you, thank you! Your patient Zheng Lishu Beijing Guang’anmen Hospital Traditional Chinese Medicine Endocrinology Ni Qing: Tuesday afternoon to see the doctor, the current treatment remains unchanged. Patient: Thank you, Dr. Ni, I will go on time. Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Beijing Guang’anmen Hospital: I wish you a speedy recovery! Patient: Ni doctor hello, since the last laboratory 04. 28 (results above the consultation there) to 07. 06 laboratory did not more than 3 months, I would like to last Friday to find you, you have something not in, I have the results of the laboratory: T3-3. 55 (1. 89-4. 49) T4-0. 95 (0. 75-1. 71) Tsh-1. 78 (02. -6. 20) I have been eating now! Hyperthyroidism 3 capsules/each time, 3 times/day, no other discomfort, should I continue to take it? Waiting for your reply. Thank you! Your patient Zheng Lishu Patient: In addition, please ask Dr. Ni, will I eat into hypothyroidism? Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Guang’anmen Hospital, Beijing: Continue to take 3 capsules of hyperthyroidism 3 times a day. If you become hypothyroid, you can stop taking the medicine. Patient: Hello Dr. Ni, thank you for your reply in your busy schedule, may I ask how much is the index of that index is hypothyroidism? Your patient Zheng Lishu Patient: In addition, Dr. Ni, why must be eaten into hypothyroidism in stopping the drug? This is exactly what I’m worried about, because hypothyroidism is not a lifelong medication, can I stop taking the medication when I’m not hypothyroid? Here are the T4 results of the last few times: T4-0.95(2009.07.06) T4-1.36(2009.04.28) T4-1.53(2009.03.31) This time, the T4 is lower than the previous two times, can it mean that I am heading towards hypothyroidism? Or does it mean that my hyperthyroidism is getting better? Waiting for your reply to your patient Zheng Lishu Ni Qing, Department of Traditional Chinese Medicine and Endocrinology, Beijing Guang’anmen Hospital: Treatment of hyperthyroidism generally involves a treatment period, a maintenance period, a medication reduction period, and a recovery period. The goals of treatment for each period are different, but the theme is anti-relapse. Drug-induced hypothyroidism is the beginning of the reduction of the dosage of antithyroid drugs. Patient: I understand, thanks to Dr. Ni’s busy reply. Your patient Zheng Lishu Patient: Dr. Ni Hello, this time the prescription of the river car Dazao capsule I forget how many times a day to eat, is it 2 times or three times? The instructions are three times, before it seems to be two times but can not be sure, please enlighten me. Thank you! Your patient Zheng Lishu Beijing Guang’anmen Hospital Department of Traditional Chinese Medicine Endocrinology Ni Qing: I wish you a speedy recovery! Patient: Hi Dr. Ni, I forgot how many times a day I should take the Heche Dazao capsule prescribed this time, should I take it according to the instructions? Please advise me. Thank you! Your patient Zheng Lishu Beijing Guang’anmen Hospital, Department of Traditional Chinese Medicine Endocrinology Ni Qing: morning and evening 4 capsules can be, not eat at noon Patient: OK, thank you Dr. Ni!