E-ISSN:2456-3110

Case Report

Hypothyroidism

Journal of Ayurveda and Integrated Medical Sciences

2022 Volume 7 Number 1 Jan-Feb
Publisherwww.maharshicharaka.in

Ayurvedic management of Hypothyroidism - A Case Study

Monisha P.1*, Shrinivasa Acharya G.2, Nishanth Pai K.3, Shrilatha Kamath T.4
DOI:

1* P Monisha, Final Year Post Graduate Scholar, Department of Kayachikitsa, Shri Dharmasthala Manjunatheshwara College of Ayurveda, Udupi, Karnataka, India.

2 G Shrinivasa Acharya, Ex Principal & Guide, Department of Kayachikitsa & Manasaroga, Shri Dharmasthala Manjunatheshwara College of Ayurveda, Udupi, Karnataka, India.

3 K Nishanth Pai, Assistant Professor & Guide, Department of Kayachikitsa & Manasaroga, Shri Dharmasthala Manjunatheshwara College of Ayurveda, Udupi, Karnataka, India.

4 T Shrilatha Kamath, Professor & HOD, Department of Kayachikitsa & Manasaroga, Shri Dharmasthala Manjunatheshwara College of Ayurveda, Udupi, Karnataka, India.

Background: Hypothyroidism can be difficult to diagnose, as its signs and symptoms are non-specific, and no global consensus exists on screening. It can be difficult to determine when to test for hypothyroidism, as patients may present with symptoms that are subtle or that overlap with other common conditions, and guidelines can be vague regarding who and when to test. However, identification of hypothyroidism is important in clinical practice. The symptoms of hypothyroidism include tiredness, weight gain, hair loss, cold intolerance, mood disturbances, indigestion, dry rough skin. Case report: In this present study a female patient aged 38 years known case of hypothyroidism since 10 years was treated with Rasayana, Shamanoushadhi and specific Pathya followed as per Sthoulya Chikitsa. Results: After 2 months of treatment there was a significant reduction in the signs and symptoms of the disease with a 60% improvement in the condition.

Keywords: Hypothyroidism, Rasayana, Shamanoushadhi

Corresponding Author How to Cite this Article To Browse
P Monisha, Final Year Post Graduate Scholar, Department of Kayachikitsa, Shri Dharmasthala Manjunatheshwara College of Ayurveda, Udupi, Karnataka, India.
Email: 		P Monisha, G Shrinivasa Acharya, K Nishanth Pai, T Shrilatha Kamath, Ayurvedic management of Hypothyroidism - A Case Study. J Ayu Int Med Sci. 2022;7(1):424-426.
Available From
https://jaims.in/jaims/article/view/1625

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2022-01-29 2022-01-31 2022-02-07 2022-02-14 2022-02-20
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
Nil Nil Yes 17%

© 2022by P Monisha, G Shrinivasa Acharya, K Nishanth Pai, T Shrilatha Kamathand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

Journal of Ayurveda and Integrated Medical Sciences 2022;7(1)424
Monisha P. et al: Ayurvedic management of Hypothyroidism - A Case Study

Introduction

The pathology of thyroid gland broadly divided into two types.  First one is structural pathological conditions such as colloidal goitre, abscess, malignancy and the second one is functional pathological conditions such as hyperthyroidism and hypothyroidism.

There may be a third variety which is blend of both structural and functional pathological conditions and sometimes may also have a complication in all the above conditions as graves’ disease.[1]

Each of the pathology presents with its own signs and symptoms here in this study the functional pathology of thyroid gland is elaborated that is hypothyroidism which presents itself with tiredness, weight gain, hair loss, cold intolerance, mood disturbances, indigestion, dry rough skin and the treatment to this condition is  hormone replacement .This clinical picture mimics the condition of Sthoulya[2]  and hence, it has to be treated in terms of Sthoulya Chikitsa.

The treatment of this condition mainly focus on Shodhana and  Shamana, Vyadhihara Rasayana[4] a lot of clinical studies done on the management of hypothyroidism but less emphasis laid on trying Shamanoushadhis, so,  the present case report shows the successful management of hypothyroidism.

Case Presentation

A female patient aged 38 years was consulted in the outpatient department of Shri Dharmasthala Manjunatheshwara Ayurveda Hospital, Udupi complaints of weight gain associated with increased tiredness and Hair loss since 6 months. She is known case of hypothyroidism since 10 years on regular medication Thyroxine 75 mg at morning daily before food. Her Previous weight was 65 kg now she is increased to 73 kg. She is also presented with indigestion and dry rough skin.

There is no history of diabetes or hypertension, cardiac problem or any other complicated diseases and there was no relevant family history of thyroid disorders. The appetite is reduced, sleep is sound, bowel is regular and micturition is 4 to 5 times per day.

All the vitals and systemic examination were within normal limits.

Thyroid local Examination

On Inspection

Localized swelling - Absent

On palpation

Size - Normal

Shape - Normal

Localized temperature - Not Raised

Tenderness - Absent

Localized temperature - Absent

Materials and Methods

The treatment was planned seeing the state of Rogabala (strength of the disease) and Aturabala (strength of the patient).

The following medicines are administered to the patient for a period of 2 months. The patient was advised to indulge in light diet, barley and exercises.

Table 1: Intervention


SN Name of drug Dosage Time of administration Frequency and Anupana
1. Yashtimadhu 2 capsule Before Food Thrice a day with lukewarm water
2. Dhatri Loha 1 tablet Before Food. Thrice a day with lukewarm water
3. Nityananda Rasa 2 tablet After food. Thrice a day with lukewarm water

Result

Table 2: Symptom wise result

SN Effect of treatment Percentage wise results
BT AT
1. Weight 73 kg 70 kg
2. Fatigue 80% 20%
3. Hair loss 90% 30%
4. Dry skin 70% 40%
5. Indigestion 80% 2%

Table 3: Thyroid profile report

SN Investigation Before treatment  After treatment
1. T3 70.0 68.0
2. T4 8.26 6.76
3. TSH 49.60 12.0

Journal of Ayurveda and Integrated Medical Sciences 2022;7(1)425
Monisha P. et al: Ayurvedic management of Hypothyroidism - A Case Study

On comparison percentage of improvements in before & after the treatment

jaims_1625_01.JPG

Discussion

This clinical picture of hypothyroidism mimics the condition of Sthoulya and hence it was treated in terms of Sthoulya Chikitsa. Suitable Shamanoushadhi was planned in this case, Yashtimadhu[3] helps in dry skin condition, Dhatri loha [4] treats indigestion and Tridoshahara and act as Rasayana also. Nityananda Rasa is very beneficial in case of Mamsa Medogata Vikaras. As Sthoulya is Meda Pradhana Vyadhi, Each and every ingredient in Nityananda Rasa[5] possess the quality of Vata Kaphahara  and it has the properties like Lekhana and Rasayana. Yava (barley) which is having Rukshana property i.e., potent lipid reducing effect that helps in depleting excess of fat while providing essential energy required for maintaining daily life.

Table 4: Ingredients, properties and action of the drugs

Drug Ingredients Properties & Action
Dhatri Loha Amalaki, Loha Bhasma, Yashtimadhu, Guduchi Tridoshahara, Rasayana
Nityananda Rasa Triphala, Trikatu, Parada Gandhaka, Kasya, Tamra, Vanga, Tuttha, Shankha Bhasma, Haratala, Vidari, Vidanga, Loha, Bhasma, Pancha Lavana, Chavya, Pippali Moola, Hapusha, Vacha, Patha, Devadaru, Ela, Vriddhadharu, Trivrut, Chitraka, Danti, Shati Vatakaphahara, Agnideepana, Amapachana, Lekhana and Rasayana.[6]
Yashtimadhu Yashtimadhu Balavarnakrit, Vatapittahara, Shothahara, Kantya.

Conclusion

From the above study it can be concluded that Nityananda Rasa, capsule Yashtimadhu, Dhatri Loha effective in the management of hypothyroidism. So, there was a significant reduction in the signs and symptoms of the disease, and also in thyroid profile report. The medicine showed encouraging results in this case. The results need to be studied in more numbers of patients for the better assessment.

Patient Consent: Written permission for publication of this case study has been obtained from the patient.

Reference

  1. Stanley Davidson. Davidson’s principles and practice of medicine 19th ed. Elsevier Science limited; 2002.p.700.
  2. Charaka Samhitha. Vaidya Yadavji Trikamji Acharya editor. Varanasi: Chaukambha publication;2014. p.282.
  3. K C Chunekar, Edited by G S Pandey. Bhavaprakasha Nighantu of Bhavamishra, Chaukambha publication; 2010. p.65.
  4. Siddhi Nandan Mishra, Bhaishya Ratnavali of Kaviraj Govinda das Sen. Chaukambha publication; 2009.p.649.
  5. Siddhi Nandan Mishra, Bhaishya Ratnavali of Kaviraj Govinda das Sen. Chaukambha publication; 2009.p.836.
  6. Vagbhata. Astanga Hridaya. Haridasashiva paradakara editor. 4thed. Varanasi: Chaukambha publication; 2010.p.923.

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