Management of Nodular Goiter and Hypothyroidism Through Shamana Aushadhi

Abstract

Galaganda is a clinically well-defined entity in Ayurveda, characterized by localized swelling in the anterior neck region. It is commonly correlated with goiter in modern medicine, particularly in the context of thyroid dysfunction. The pathogenesis involves Aaharaja and Viharaja Hetus, leading to vitiation of Vata and Kapha Dosha along with Meda Dhatu Dushti. The aggravated Doshas localize in the Gala Pradesh (neck region), resulting in progressive glandular enlargement and associated systemic manifestations. Case Report: A 30-year-old Indian female, a known case of hypothyroidism for one year, presented with anterior neck swelling and classical symptoms of decreased thyroid activity. The patient was managed exclusively with Shamana Chikitsa (conservative Ayurvedic therapeutic approach) for a duration of three months. Result: Post-treatment evaluation demonstrated a clinically appreciable reduction in thyroid gland enlargement. Significant symptomatic relief was observed, accompanied by measurable improvement in thyroid function parameters (T3, T4, and TSH levels). Ultrasonographic assessment further substantiated regression in gland size, indicating objective therapeutic efficacy.