Goiter according to Chinese Medicine

In Chinese Medicine, goiter can be associated with two so-called "patterns of disharmony". Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted. It is not equivalent to the Western concept of "disease", as a matter of fact here goiter can be caused by two different patterns.

To understand whether someone's goiter might be caused by a given pattern, one needs to look for signs and symptoms associated with the pattern beyond what one might typically experience from goiter alone. For instance when goiter is caused by the pattern Damp-Cold Phlegm, patients also experience symptoms such as nausea, vomiting, stifling sensation in the chest and epigastrium and palpitations. Similarly, patients with Damp-Cold Phlegm typically exhibit slippery (Hua) pulses as well as a tongue with thick white coating.

We've listed below a description of the two patterns associated with goiter so that you can start to get an understanding of the various possibilities according to Chinese Medicine.

Once identified, patterns are often treated using herbal formulas. Drinking herbal infusions is the most common remedy in Chinese Medicine, together with acupuncture. Here we detail below two formulas that can help treat the various patterns associated with goiter, depending on which pattern fits your profile.

The two "patterns of disharmony" associated with goiter

Crow-Dipper Rhizomes (Ban Xia) is the key herb for Er Chen Tang, a formula used for Damp-Cold Phlegm

Damp-Cold Phlegm

Pulse type(s): Slippery (Hua)

Tongue coating: Thick white coating

Recommended herbal formula: Er Chen Tang

Symptoms: Nausea Vomiting Dizziness Palpitations Focal distention Coughing with copious white sputum Stifling sensation in the chest and epigastrium

Goiter might be due to Damp-Cold Phlegm if the condition is paired with typical pattern symptoms such as nausea, vomiting, stifling sensation in the chest and epigastrium and palpitations. Similarly, patients with Damp-Cold Phlegm typically exhibit slippery (Hua) pulses as well as a tongue with thick white coating.

Read more about Damp-Cold Phlegm here

Crow-Dipper Rhizomes (Ban Xia) is the key herb for Ban Xia Hou Pu Tang, a formula used for Qi-Phlegm

Qi-Phlegm

Pulse type(s): Slippery (Hua), Wiry (Xian)

Tongue coating: Thick white coating

Recommended herbal formula: Ban Xia Hou Pu Tang

Symptoms: Difficulty swallowing Stuffiness of chest and diaphragm Feeling of a lump in the throat which comes and goes

Goiter might be due to Qi-Phlegm if the condition is paired with typical pattern symptoms such as difficulty swallowing, feeling of a lump in the throat which comes and goes and stuffiness of chest and diaphragm. Similarly, patients with Qi-Phlegm typically exhibit slippery (Hua) or wiry (Xian) pulses as well as a tongue with thick white coating.

Read more about Qi-Phlegm here

The two herbal formulas that might help with goiter

Er Chen Tang

Source date: 1148 AD

Number of ingredients: 5 herbs

Key actions: Dries Damp and dispels Phlegm. Regulates Qi and harmonizes the Middle Burner (Stomach and Spleen).

Why might Er Chen Tang help with goiter?

Because it is a formula often recommended to help treat Damp-Cold Phlegm, a pattern sometimes associated with goiter. If it looks like you might suffer from Damp-Cold Phlegm, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Er Chen Tang here

Ban Xia Hou Pu Tang

Source date: 220 AD

Number of ingredients: 5 herbs

Key actions: Regulates the flow of Qi, treats esophageal spasm. Clears Phlegm.

Why might Ban Xia Hou Pu Tang help with goiter?

Because it is a formula often recommended to help treat Qi-Phlegm, a pattern sometimes associated with goiter. If it looks like you might suffer from Qi-Phlegm, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Ban Xia Hou Pu Tang here