At the October 28, 2008, a -56- year-old woman came to my office for seeking acupuncture and Chinese medicine to help her hypothyroidism conditions. She was complaining of hypothyroidism with fatigue, weakness and exhaust of the body, depression for 20 years.

She was diagnosed with hypothyroidism for twenty years. Her blood test showed TSH still was high after she taken prescribe medicine six years. She still has been taking Synthroid and Xanax when she first visit my office. At her first visit, she had fatigue, felt weakness of her whole body, and always exhaust. She couldn’t work or do any household jobs and she needs a friend to help driving her came to my office due to she felt weakness of whole body. She suffered from poor sleep night, easily to wake up 4 to5 times a night and difficultly to go back sleep. She had stress, anxiety, nervousness, depression, overthinking and worry too much, hyperactivity of her mind, and her emotional changes. Her appetite was normal, she had no acid reflux but experienced occasional gas and belching. She had once bowel movement a day. Her urination was also normal. Her period ended five years ago. She doesn’t have cold in body or hot flash, sometime mild sweating only.

She was high and loud voice, and speaking was very fast. She was thin of body, had dry skin and slim and depression facial complexion. Her tongue body was thin and small with a pale red color and teeth marks on the edges and a thin, white tongue coating. Her pulse was thin, weak and wiry. Her face, arms, hands and legs were warm to the touch, but cold in ankles and feet to the touch. Ears Pressure Test to points corresponding to the head, neck, back, leg and shenmen generated significant pain at a level of 6-8/10.

Based on Traditional Chinese Medicine, her conditions were due to yang qi deficiency in spleen and kidney, with shen disorders. The treatment principle was to warm yang and tonify spleen and kidney, and clams shen. Acupuncture included electric acupuncture of points in DU20, Yintang, Anmian; the manual acupuncture points included SP6, ST36, LI4 and KI3. These were applied 15 minutes once a week. Auricular (ear) points included head, lower back and shenmen, among others.

The Chinese herbal formula for her conditions included herbs:  Huang Qi, Dang Shen, Bai Zhu, Shan Yao, Yin Yang Huo, Ba Ji Tian, XianMao, Gui Zhi, Dang Gui, Chuan Xiong, Zhi Gao Cao and Da Zao. It was 50g power of an herb Rx for one week, to be taken orally 3 times a day, 2g per dose, and mixed with about 2 to 3 oz warm water within half hour before and after meals.

The treatment during follow up visits modified some points of the acupuncture protocol, and herbs in the Chinese herbal formula, according to patient’s progression.

Result: after one week when she second visited and reported that she didn’t feel change of her conditions but her husband and daughter said that  they felt she had some change and better than before. I felt she had sometime change because her speaking voice was lower and speaking slow and more peaceful compare her first visit. At third visiting, she reported her condition appeared change, her fatigue and weakness of body is improved. Fourth visit, she reported her stress, anxiety and depression was much improved and her sleep was better than before. She stopped all medicines prescribed by her Doctor after about five months of acupuncture and Chinese herbal formula. Furthermore, she didn’t have hypothyroidism symptoms and her blood test result in normal range after stopping treatment of acupuncture and Chinese herbal formula for 3 years when she came back visited for her gall bladder problems at 04/12/2012.