Management of Hypothyroidism through Nasya Karma and Shamana Aushadhi

Abstract

Hypothyroidism is a functional disorder of the thyroid gland caused by inadequate synthesis or impaired action of thyroid hormones, resulting in a generalized reduction of metabolic activity. Clinically, it manifests as fatigue, lethargy, weight gain, constipation, cold intolerance, dry skin, hair loss, and menstrual disturbances. Epidemiological studies indicate a higher prevalence among women, particularly during the reproductive age group. Psychological stress and anxiety further contribute to thyroid dysfunction due to the thyroid gland’s sensitivity to neuroendocrine regulation. Subclinical hypothyroidism, characterized by elevated thyroid-stimulating hormone (TSH) levels with normal thyroxine (T4) levels, often remains underdiagnosed despite its adverse impact on quality of life. These factors highlight the importance of evaluating hypothyroidism from an Ayurvedic perspective and developing evidence-based management strategies rooted in traditional medicine. This case report presents a 45-year-old female patient diagnosed with hypothyroidism, who reported symptoms including swelling over whole body, breathlessness, fatigue, generalized weakness, muscle cramps, hair fall, impaired concentration, anxiety, disturbed sleep, and joint pain. The symptoms had been present for approximately five months. The patient was not on any allopathic medication at the time of presentation, as the diagnosis was recent. After five months of Ayurvedic intervention, marked symptomatic improvement was observed, along with a significant reduction in serum TSH levels from 11.813mIU/L to 4.2mIU/L.