Table 1.

TCM symptome scoring (see details of goitre classification in the section of diagnostic criteria)

Primary symptoms	0	2	4	6
Goitre	none	I degree	II degree	III degree
Fatigue	none	Not stand the labor force	Can insist physical labor	Reluctantly bear daily activities
Dry mouth and thirsty	none	Dry mouth but without thirsty	Like to drink	Drink frequently and much
Secondary symptoms	0	1	2	3
Unable to stand the heat	none	Feel hot after a little activity	Feel hot even in resting condition	Feel hot and sweatiness in resting condition
Hidrosis	none	Easy to sweatiness	Sweatiness after activity	Sweating continually
Chest tightness	none	Occasional chest tightness	Frequent chest tightness, which relieve in a short time	Always have chest tightness, which cannot relieve in a short time
Much phlegm	none	much phlegm occasionally	Always have much phlegm	Have much phlegm continually
Heart palpitations	none	Become marked after physical activity	Have heart palpitations once after physical activity	Have heart palpitations even in resting condition
Upset and irritability	none	Emotional instability, impatience	Tempered and irritability, which can be controlled by treatment	Tempered and irritability, which cannot be controlled by treatment
Insomnia and much dream	none	Have much dream and several awakening	Have much nightmares and easy to awakening	Hard to fall asleep
Polyphagia	none	meal size was increased by less than 1/2 after suffering the disease	Meal size was increased by 1/2 to 1 times	Meal size was increased by more than 1 times
Thin	none	Body weight was decreased by less than 20% after suffering the disease	Decreased by 20%-30%	Decreased by more than 30%
Dry eye and blurred vision	none	occasionally	Always have dry eye, blurred vision and diplopia	Continually have dry eye, blurred vision and diplopia
Facial ecchymosis	none	occasionally	multiple	Darkness and ecchymosis in whole face