In TCM, anger, worry and pensiveness may all lead to Qi stagnation after a period of time. This may affect not only the Liver, which loses its free flow of Qi, but also the Lungs (whose Qi fails to descend and stagnates in the chest and throat), the Stomach (whose Qi fails to descend), the Heart (whose Qi fails to descend affecting the throat) and the Spleen (whose Qi fails to ascend giving rise to Phlegm).

Qi stagnation in various organs affects the proper functioning of the Qi mechanism and this disrupts the proper movement of Qi in the right directions and, therefore, also the movement and transformation of fluids. This eventually leads to Phlegm. Qi stagnation and Phlegm interact and both focus on the front of the throat where the Liver, Lung and Heart channels flow. This type of Phlegm is called "Qi-Phlegm" and is the most non-substantial type of Phlegm. This type of Goiter lump, especially in the beginning stages when there is only Qi stagnation, would go up and down in size. Continue to read Chinese Medicine Treatment for Hyperthyroidism.

Following is a special recommended prescription for simple goiter:

1). Kelp powder. Bake kelp and seaweed, 500 g each, until dry. Grind into powder and take 10 g daily. 250 g may also be made into soup. Take daily for half a month.

2). Laver. May be prepared in many ways; for instance, as a soup, or stir-fried with other ingredients. About 10 g is enough per dose.

3). Oyster and kelp soup: Boil 100 g oyster, 25 g kelp and 15 g Nostoc Commune vat. flagelliforme together. Serve it twice a day.