A Single Case Report on Ayurvedic Management of Hypothyroidism Associated with Lichen Planus

Abstract

From an Ayurvedic perspective, the clinical presentation of hypothyroidism can be understood through Agnimandya, Ama accumulation, and vitiation of Rasavaha and Medovaha Srotas predominantly involving Kapha and Vata. Lichen planus resembles Kitibha Kushta where Rakta and Twak Dushti are evident. Aim and Objectives: To evaluate the therapeutic effect of Virechana Karma followed by Shamana Chikitsa in a patient of hypothyroidism associated with lichen planus. Materials and Methods: A 29-year-old female with a 15-year history of hypothyroidism (receiving 150 mcg thyroxine daily) and 5-year history of lichen planus (on intermittent immunosuppressants) was treated with Deepana-Pachana using Avipattikara Churna, Snehapana with Mahatikta Ghrita, and Virechana Karma administered with Icchabhedi Rasa. After purification, internal medications including Arogyavardhini Vati, Brihat Manjisthadi Kwatha, Ashwagandha Churna, and Triphala Churna were prescribed. Clinical response was assessed through symptom grading and thyroid function parameters. Results: Noticeable reduction was observed in itching, papular eruptions, constipation, hair fall, and breathing difficulty. Immunosuppressive drugs were discontinued. Thyroid function remained within stable limits, allowing reduction of thyroxine dosage from 150mcg to 50mcg. No adverse reactions were reported. Conclusion: The combined approach of Virechana and Shamana Chikitsa appeared beneficial in addressing metabolic dysfunction and immune disturbance in this case. Further controlled studies are required to establish broader clinical applicability.