Pei Ruixia’s Experience in Treating Hypothyroidism

Objective: To summarize Professor Pei Ruixia’s idea of treating hypothyroidism and his experience in choosing prescription drugs. Methods: By following Professor Pei Ruixia’s outpatient clinic, we collected Professor Pei’s typical medical case for the treatment of hypothyroidism, and sorted it out, analyzed and summarized it. Professor Pei’s academic thoughts and clinical diagnosis and treatment ideas on hypothyroidism were discussed from the aspects of etiology, pathogenesis, prescription and drug selection, and two typical test cases were attached to support it. Results: Professor Pei often focuses on the liver to treat hypothyroidism. According to many years of clinical experience, the occurrence of hypothyroidism is mostly affected by emotional factors, and its pathogenesis is closely related to liver depression. Qi stagnation, abnormal operation of qi and blood fluids, and phlegm and blood stasis are the pathological basis of the disease, and can often achieve good clinical effects. The first treatment of the test case should take the basic principles of relieving the liver and relieving depression, strengthening the spleen and middle, and then choose to add or subtract from Xiaoyao. The second treatment of the test case should be mainly to relieve the liver and relieve depression, benefit qi and strengthen the spleen. The prescription should be added or subtracted from Xiaoyao powder, and a significant curative effect was obtained after treatment. Conclusion: Professor Pei Ruixia discusses the treatment of hypothyroidism, closely related to the pathosis, and combines the clinical symptoms and signs of patients. The overall syndrome differentiation and treatment has a significant curative effect, which is worth promoting and learning from.