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2. SPRINGLLC: My test results show γ-glutamyl transferase at 210, alkaline phosphatase at 556, ALT at 37, FT3 at 35.2, FT4 at 51.1, TSH at 0.0003, glucose at 6.63, and mitochondrial M2 antibody negative. Western diagnosis is hyperthyroidism, suspected to be primary biliary cirrhosis. Can TCM cure hyperthyroidism? How long does treatment take?

Answer: Your TSH level is quite low, so hyperthyroidism cannot be ruled out. However, the significant elevation of your transaminases and alkaline phosphatase suggests cholestatic liver damage. If the spleen thickness exceeds 4 cm and the portal vein diameter is greater than 13 mm, it can be diagnosed as cholestatic cirrhosis. If there is no hepatitis B or C, it may be autoimmune cirrhosis, often accompanied by multi-organ damage. Low TSH can also be explained by autoimmune diseases. Treatment should focus on liver disease first; once the liver condition improves, hyperthyroidism can be further considered.