Concept of Hypothyroidism in Ayurveda.

1.  Hypothyroidism can be considered as condition which results due to Agni Dushti. Kapha Vata Dosha Vruddhi and Pitta Kshaya results due to Agnimandya. Dhatwagnimandya especially Rasa and Medho Dhatwagni Mandhya contributes to this condition. When approached hypothyroidism with Dosha Pratyaneeka Chiktsa, will help to manage the condition better. Use of Rasayanas will help to managing the condition as it helps in Srotomukha Sodhanam.

2.  Hypothyroidism is a burning issue, and the present treatment is not helping much in resolving the underlying pathology. The conceptual analysis of sympto- matology of hypothyroidism helps us to identify it as Kapha Pradhana Tridosha Vyadhi with Rasa and Medo Dushti pre- dominantly. The treatment can be planned based on Dosha Pratyaneeka Chikitsa than Vyadhi Pratyaneeka Chikitsa. The yogas like Varunadi Kashaya and Kanchanara guggulu helps in removing the Srotolepa and resolving Agnimandhya. The Sodhana Chikitsa helps in improving Agni and Sthanika Lepas helps in reducing Sthanika Dosha Vruddhi. If the patient is already taking levothyroxine, the methodology to wean the patient off the drug needs further brain stroming. If the patient is diabetic, hypertensive, the treatment plan should be with more caution.

Pathya Apathya: The Pathya include Purana Ghrita pana, Jeerna Lohita shali, Yava, Mudga, Patola, Rakta shigru, Kathillaka, Salinca saka, Vetagra, Ruksha Katu Dravya, Deepana dravya and drugs like Guggulu and Shilajatu. The Apathya include Kshira Vikruti, Ikshu Vikruti, all types of mamsa, Anupa Mamsa, Pishtaan- nam, Madhura Amla Rasa and Guru Ab- hishyandakari Dravya. Yogasanas: The Yogasanas like Halasanam, Paschimothanasanam, Matysaasanam, Sarvangasanam, Pa- vanamuktasanam, Suryanamaskaram.

Ø Dhatwagni Deepana

Ø Shaddharanam choornam

Ø Panchakola choorna (Sharangdhara Samhita Madhyama Khanda

Ø Vaishwanara choorna

Ø Indukanta ghrita  

Ø Pachanamrutam kwatha

Ø Guggulutiktaka kwatha

Ø Guduchyadi kwatha

Ø Gorakhmundi swarasa

Ø Chitrakadi kashaya

Ø Srotoshodhana

Ø Nasya – Shadbindu Taila

Ø Navaka guggulu

Ø Punarnavadi kwatha

Ø Manoharshana

Ø Rasayana – Gudabhallataka Ghritam, Lashuna

Ø Ksheerapaka, Shilajatu