KRISHNAAYURVEDALAYA

MANAGEMENT OF
HYPOTHYROIDISM
in

Ayurveda
(MY CLINICAL EXPERIENCE)

DR AVINASH L. P
BAMS,PGDND
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INTRODUCTION

 Hypothroidism is a clinical syndrome resulting

from a deficiency of thyriod hormones

 There is a generalised slowdown of metabolic

processes

 In new born infants- cretinism

 In adolescents- short stature, mental retardation,

precocious puberty
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ANATOMY

 Two lobes connected by an isthmus

 Location: Anterior to the trachea between the

cricoid cartilage and the suprasternal notch

 12-20g approx in size , highly vascular and soft in

consistency

 Four parathyriod gland –parathyroid hormones

are located posterior to each lobe of the thyroid
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PHYSIOLOGY
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CAUSES

 Primary thyroid diseases (accounts for 95% of cases)

a) Thyroprivic
Congenital developmental defects
Primary idiopathic
Post-ablative (radioiodine or surgery)
Post-radiation (e.g. lymphoma)
b. Goitrous
Heritable biosynthetic defects maternal transmission
iodine deficiency
Drug induced (PAS fode, phenylbutazone,
Lithium and amiodarone)
Chronic thyroiditis-(Hashimoto's disease)
c. Recurrent hypothyroidism
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CAUSES

 Suprathyroidal (accounts for 5% of cases):

a. Pituitary-postpartum pituitary necrosis
(Sheehan's syndrome)
b. Hypothalamic
 Drugs that cause hypothyroidism:
a. Iodine containing drugs
b. Lithium Vata- kapha vriddhi
c. Interferon-a Pitta kshaya( agni mandya)
d. Interleukin-2 (Medhodhatvagni mandya)
e. Thalidomid Aama karaka Ahara vihara
Rasa dusti
Kapha avarana janya dhatvagni
mandya
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YA

SYMPTOMS

1. Tiredness
2. Increased sleep
3. Hairfall
4. Abnormal menstruation
5. Decreased metabolic rate
6. Dryness of skin
7. Decreased memory
8. Myalgia
9. Hoarseness
10.Abnormal increase of
weight
11.Bradycardia
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DIAGNOSTIC TOOL

 T3
 T4
 TSH
 ANTI TPO
 FT3
 FT4
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DIAGNOSIS

 Subclinical hypothyriodism
 Primary hypothyriodism
 Secondary hypothyriodism
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MYTHS AND FACTS

Facts =
Excess intake causes
Hypothyriodism

Myths=
Taking uniodised salt
causes hypothyriodism
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IODINE
How much is too much?
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MY CLINICAL EXPERIENCE IN
HYPOTHYROIDISM THROUGH
AYURVEDIC APPROACH

 Kapha vriddhi
 Vata vriddhi
 Pitta kshaya (Trayodashagni mandya mainly
rasa and medhodhatvagni mandya)
 Concept of ksheera Dadhi nyaya
 Involvement of srotas
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DRUG OF CHOICE

Kanchanara
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KANCHANARA GUGGULU

 Kanchanara twak

 Triphala
 Trikatu
 Trijata
 Varuna Twak

 Suddha Guggulu
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HAMSAPATHYADI KASHAYA

WHY AND WHEN

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HAMSAPATHYADI KASHAYA

 Vasa
 Nimba twak
 Tripadi
 Pippali
 Guduchi
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VARUNADI KASHAYA

WHY AND WHEN

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ASTAVARGA KASHAYA

WHY AND WHEN

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ASTAVARGA KASHAYA

1. Bala
2. Sahachara
3. Eranda
4. Shunti
5. Rasna
6. Devadaru
7. Nirgundi
8. Lashuna
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PATHYA
APATHYA
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CONCLUSION
 Hypothyroidism can be considered as condition which
result due to kapha vata dosha vriddhi and pitta kshaya
which result due to agni mandya.
 Dhatvagni mandya especially medho dhatvagni mandya.
 Dravya used for normalising kapha vata vriddhi janya
dhatvagni mandya prove to be helpful in this condition.
 It can be considered as kapha pradana tridosha vyadhi with
medhas dusti predominently.
 The effective treatment is dosha pratyanika chikitsa than
vyadhi pratyanika chikitsa.
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THANK YOU
KRISHNAAYURVEDALAYA