Evaluation of Dosha Dushya in Hyperthyroidism: An Ayurvedic Review

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Journal name: Ayushdhara
Original article title: Evaluation of Dosha Dushya Involvement and their Pattern in the Patients of Hyperthyroidism as per Principles of Ayurveda: A Review
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Author(s):

Deepika Tewari
Clinical Research Section, Regional Ayurveda Research Institute, CCRAS, Ministry of AYUSH, Government of India, Patna, India.
Vimal Tewari
Clinical Research Section, Regional Ayurveda Research Institute, CCRAS, Ministry of AYUSH, Government of India, Patna, India.


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: Evaluation of Dosha Dushya Involvement and their Pattern in the Patients of Hyperthyroidism as per Principles of Ayurveda: A Review

Year: 2021 | Doi: 10.47070/ayushdhara.v8i6.831

Copyright (license): CC BY-NC-SA 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

Ayurveda is an ancient holistic system of medicine recognized for its scientific approach to treating chronic and non-communicable diseases. It emphasizes the interconnection of physical, mental, and spiritual well-being. Despite the lack of precise anatomical and physiological knowledge about the human body in classical texts, Ayurveda has developed valuable methodologies based on the experiences of practitioners over centuries. This review explores hyperthyroidism as it can be understood within Ayurvedic principles, comparing the disease to Ayurvedic conditions and highlighting the involvement of Dosha (body energies) and Dushya (tissues).

Dosha Dushya Sammurchana

A critical concept in Ayurveda is Dosha Dushya Sammurchana, which refers to the interactions of Dosha and Dushya and their resultant pathological processes. The development of diseases is initiated by an imbalance in Dosha due to factors such as improper diet or lifestyle. In the case of hyperthyroidism, the review indicates that the predominant conditions seen in affected individuals are Pitta vriddhi (increased Pitta), Vata vriddhi (increased Vata), and Kapha kshaya (reduced Kapha). The hyperthyroidism symptoms such as irritability, heat intolerance, weight loss, and palpitations correlate strongly with Ayurvedic signs of imbalances in these energies, providing a framework for understanding the condition through an Ayurvedic lens.

Ayurvedic Pathological Analysis

Another significant concept discussed is the Ayurvedic perspective on organ-specific disorders associated with hyperthyroidism. While Ayurveda does not conventionally address endocrine disorders in a modern context, it does outline a comprehensive understanding of body systems and their interrelations. The review reveals that symptoms of hyperthyroidism can be related to various Ayurvedic conditions such as Galganda (goiter) and Atyagni (excessive digestion). The interplay between the vitiated Doshas contributes to the deterioration of Dhatus (tissues) resulting in clinical manifestations like emaciation, fatigue, and insomnia. This Ayurvedic analysis reinforces the idea that hyperthyroidism and its symptoms can be analyzed through traditional frameworks, despite the lack of direct references to endocrine problems in classical texts.

Conclusion

In conclusion, this review of hyperthyroidism through Ayurvedic principles elucidates the concept of Dosha Dushya Sammurchana, reflecting the condition’s etiology and symptomatology as expressed in Ayurvedic literature. By identifying the involvement of Pitta vriddhi, Vata vriddhi, and Kapha kshaya in hyperthyroidism, the research underscores the potential for Ayurvedic medicine in understanding and treating this condition. Future research, particularly observational studies, would be beneficial to substantiate these findings and explore Ayurveda's capabilities in the management and prevention of hyperthyroidism. This review advocates for a deeper examination of the interplay between traditional Ayurvedic practices and modern healthcare models.

FAQ section (important questions/answers):

What is hyperthyroidism according to Ayurveda?

Hyperthyroidism is likened to conditions like Galganda, Atyagni, and Bhasmaka in Ayurveda. It involves excessive thyroid hormone levels, causing symptoms similar to Pitta vriddhi, Vata vriddhi, and Kapha kshaya, indicating an imbalance of these doshas.

How does Ayurveda explain the pathology of hyperthyroidism?

Ayurveda explains that hyperthyroidism is a result of Dosha-Dushya interactions, primarily involving Pitta vriddhi, Vata vriddhi, and Kapha kshaya. This imbalance can lead to various symptoms, mirroring the disease development process as outlined in Ayurvedic texts.

What are the key symptoms of hyperthyroidism in Ayurveda?

Symptoms include emaciation, tremors, insomnia, fatigue, heat intolerance, excessive appetite, and palpitations. These are related to the doshic imbalances observed in hyperthyroidism, marking the interplay between Pitta, Vata, and Kapha.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Evaluation of Dosha Dushya in Hyperthyroidism: An Ayurvedic Review”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Disease:
Disease refers to pathological conditions described in Ayurveda as disturbances in the balance of Dosha, Dushya, and Mala. Disequilibrium of these factors leads to detrimental intermediate pathological processes, triggering various ailments.

2) Dosha (Dosa):
Dosha represents intrinsic bioenergetic principles (Vata, Pitta, Kapha) in Ayurveda that govern physiological and pathological conditions in the body. Their imbalance initiates disease development, demonstrated in cases like hyperthyroidism.

3) Kshaya (Ksaya):
Kshaya signifies the depletion or diminution of a particular entity. In hyperthyroidism, Kapha kshaya is associated with the depletion of Rasa, Mamsa, Meda, Majja, and Sukra Dhatus.

4) Pitta:
Pitta Dosha encompasses the thermogenic and transformational processes within the body, such as digestion and metabolism. Pitta vriddhi (increase) can result in symptoms including heat intolerance and excessive sweating, aspects pertinent in hyperthyroidism.

5) Vriddhi (Vrddhi):
Vriddhi means an increase or amplification of a Dosha or other body constituent. For example, Pitta vriddhi and Vata vriddhi are significant in hyperthyroid conditions, bringing about various metabolic and physiological symptoms.

6) Dhatu:
Dhatu are fundamental tissues sustaining the body, including Rasa, Rakta, Mamsa, Meda, Asthi, Majja, and Sukra. Their imbalance or depletion, such as Dhatu-kshaya in hyperthyroidism, leads to various health issues.

7) Vata:
Vata Dosha governs movement, communication, and circulation in the body. An increase in Vata (Vata vriddhi) can lead to symptoms such as tremors, insomnia, and fatigue, which are common in hyperthyroidism.

8) Ayurveda (Ayus-veda):
Ayurveda is an ancient holistic medical system focusing on balancing the Doshas to treat chronic and non-communicable diseases. It uses principles like Dosha and Dushya to understand and manage disorders, including hyperthyroidism.

9) Kapha:
Kapha Dosha is associated with structure, lubrication, and stability in the body. In hyperthyroidism, Kapha kshaya refers to the reduction of this Dosha, contributing to the emaciation and weakness observed.

10) Dushya (Dusya):
Dushya refers to the components of the body that get affected or vitiated during pathological processes. In hyperthyroidism, interactions between Dosha and Dushya (Dosha Dushya Sammurchana) elucidate the disease’s symptoms.

11) Mala:
Mala represents the waste products expelled by the body, regulated by the doshas. Disruption in Mala, such as SwedaVriddhi (increased sweating), is observed in conditions like hyperthyroidism and signifies Pitta imbalance.

12) Asthi (Ashthi):
Asthi means bone tissue in Ayurveda. Conditions like osteoporosis in hyperthyroidism are linked to Vata vriddhi, indicating that elevated Vata Dosha can cause Asthi kshaya, leading to bone weakening.

13) Rasa (Rasha):
Rasa is the primary nourishing fluid in the body. Kapha kshaya can lead to Rasa kshaya, resulting in symptoms such as emaciation and fatigue, commonly found in hyperthyroid patients due to disturbed balance.

14) Science (Scientific):
Scientific here refers to the structured and methodological study of disease processes outlined in Ayurveda, such as the detailed analysis of Dosha, Dushya, and their role in diseases like hyperthyroidism.

15) Shrama (Srama):
Shrama means fatigue, a common symptom in hyperthyroidism due to the disturbance of Doshas, particularly Pitta vriddhi and Vata vriddhi, contributing to the overall debility and exhaustion in patients.

16) Medas (Meda, Medash):
Meda signifies fat tissue. In the context of hyperthyroidism, its depletion due to Kapha kshaya leads to emaciation and loss of physical strength, reflecting the body's impaired capacity to maintain Meda Dhatu.

17) Daha:
Daha, or burning sensation, is a symptom of Pitta vriddhi. In hyperthyroidism, increased Pitta Dosha can lead to excessive heat, often manifesting as sensations of burning throughout the body.

18) Majja:
Majja refers to bone marrow. In hyperthyroidism, Vata vriddhi can affect Majja, leading to symptoms like osteoporosis (Majja-kshaya), reflecting the depletion and compromised health of this vital tissue.

19) Kampa:
Kampa means tremors, a manifestation of Vata vriddhi in hyperthyroidism. Increased activity of Vata can lead to instability and involuntary movements, highlighting the Dosha’s perturbation in the nervous system.

20) Knowledge:
Knowledge relevant to Ayurveda involves understanding the intricate balance of Doshas and their impact on health and disease development, exemplified by the study of hyperthyroidism.

21) Medicine:
Medicine, in the context of Ayurveda, treats diseases through holistic approaches, balancing Doshas, and rectifying disturbances at a physiological and systemic level, such as those observed in hyperthyroidism.

22) Mamsa (Mamsha):
Mamsa denotes muscle tissue. In hyperthyroidism, deterioration, or Mamsa-kshaya occurs due to Kapha kshaya, leading to symptoms like muscle wasting and general physical debilitation.

23) Shukra (Sukra):
Sukra refers to the reproductive tissue. In hyperthyroidism, depletion of Sukra Dhatu due to Kapha kshaya manifests as symptoms like reduced libido and overall reproductive health issues.

24) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
Dhatu-kshaya signifies the depletion of fundamental bodily tissues. In hyperthyroidism, observed symptoms such as muscle wasting and osteoporosis are linked to the condition of Dhatu-kshaya caused by Dosha imbalances.

25) Shukradhatu (Sukradhatu, Shukra-dhatu):
Sukra-dhatu is the reproductive essence in the body. In hyperthyroidism, the investigations reveal depletion (Kshaya) of Sukra-dhatu due to the dual impact of increased Pitta and Vata doshas.

26) Jatharagni (Jathara-agni):
Jatharagni is the digestive fire in Ayurveda. It oversees metabolic processes. In hyperthyroidism, Pitta vriddhi elevates Jatharagni, exacerbating gastrointestinal symptoms like increased appetite.

27) Vagbhata:
Vagbhata is an ancient Ayurvedic scholar who documented extensive information on Dosha interactions and disease pathogenesis that guide the current understanding and treatment approaches in Ayurveda.

28) Glani:
Glani means fatigue and is a symptom of various Dosha disturbances, particularly observed in hyperthyroidism where Pitta vriddhi and Vata vriddhi cause systemic exhaustion and debility.

29) Rasadhatu (Rasa-dhatu):
Rasa-dhatu refers to the essential fluid that nourishes tissues. In hyperthyroidism, its depletion (kshaya), due to Kapha kshaya, leads to systemic weakness and health deterioration.

30) Pittadosha (Pittadosa, Pitta-dosha):
[see source text or glossary: Pitta-dosha]

31) Saushirya (Sausirya):
Saushirya entails porousness or conditions like osteoporosis. Vata vriddhi in hyperthyroidism results in Saushirya of the Asthi (bone tissue), emphasizing the deterioration of bone density and strength.

32) Substance:
[see source text or glossary: Substance]

33) Bhutagni (Bhuta-agni):
Bhutagni represents the fire element responsible for processing elements within the body. Increased Jatharagni in hyperthyroidism similarly increases Bhutagni activities, affecting tissue metabolism.

34) Krishata (Krsata):
Krishata, or leanness, is a symptom of Vata vriddhi. In hyperthyroidism, Vata imbalance leads to emaciation and loss of muscle mass, reflecting the body's inability to maintain proper weight.

35) Karshya (Karsya, Kashrya):
Karshya indicates emaciation, primarily due to Vata vriddhi and Kapha kshaya. It is a notable symptom in hyperthyroidism, showcasing severe weight loss and muscle wasting in patients.

36) Atyagni:
Atyagni, meaning excessive digestive fire, aligns with Pitta vriddhi in hyperthyroidism, leading to an amplified metabolic rate and resultant symptoms like increased hunger and heat intolerance.

37) Vikara:
Vikara refers to disease or pathological conditions. Hyperthyroidism is understood through Ayurvedic Vikara principles, involving Dosha interactions, particularly Pitta vriddhi, Vata vriddhi, and Kapha kshaya.

38) Sevana:
[see source text or glossary: Sevana]

39) Artava:
[see source text or glossary: Artava]

40) Nidana:
[see source text or glossary: Nidana]

41) Krodha:
Krodha, or anger, is a symptom of Pitta vriddhi. As seen in hyperthyroidism, increased Pitta can lead to irritability, impulsive anger, and emotional instability.

42) Rakta:
[see source text or glossary: Rakta]

43) Sira (Shira):
[see source text or glossary: Shira]

44) Kandu (Kamdu):
[see source text or glossary: Kandu]

45) India:
[see source text or glossary: India]

46) Ayus (Ayush):
[see source text or glossary: Ayush]

47) Blood:
[see source text or glossary: Blood]

48) Agni:
[see source text or glossary: Agni]

49) Burning sensation:
[see source text or glossary: Burning sensation]

50) Human body:
[see source text or glossary: Human body]

51) Sushruta-samhita (Susruta-samhita):
[see source text or glossary: Sushruta-samhita]

52) Mamsakshaya (Mamsaksaya, Mamsha-kshaya, Mamsa-kshaya):
[see source text or glossary: Mamsakshaya]

53) Asthidhatu (Asthi-dhatu):
[see source text or glossary: Asthidhatu]

54) Kaphadosha (Kaphadosa, Kapha-dosha):
[see source text or glossary: Kapha-dosha]

55) Udveshtana (Udvestana):
[see source text or glossary: Udveshtana]

56) Vatadosha (Vatadosa, Vata-dosha):
[see source text or glossary: Vatadosha]

57) Nakhabheda (Nakha-bheda):
[see source text or glossary: Nakhabheda]

58) Nidranasha (Nidranasa, Nidra-nasha):
[see source text or glossary: Nidranasha]

59) Discussion:
[see source text or glossary: Discussion]

60) Samprapti:
[see source text or glossary: Samprapti]

61) Antardaha (Antar-daha, Amtardaha):
[see source text or glossary: Antardaha]

62) Lakshana (Laksana):
[see source text or glossary: Lakshana]

63) Spandana (Spamdana):
[see source text or glossary: Spandana]

64) Sweating (Sweat):
[see source text or glossary: Sweating]

65) Samhita:
[see source text or glossary: Samhita]

66) Granthi (Gramthi):
[see source text or glossary: Granthi]

67) Amalaka:
[see source text or glossary: Amalaka]

68) Koshtha (Kostha):
[see source text or glossary: Kostha]

69) Vepathu:
[see source text or glossary: Vepathu]

70) Ashakti (Asakti):
[see source text or glossary: Ashakti]

71) Samtapa (Santapa):
[see source text or glossary: Santapa]

72) Vaidya:
[see source text or glossary: Vaidya]

73) Vihara:
[see source text or glossary: Vihara]

74) Shakha (Sakha):
[see source text or glossary: Shakha]

75) Kamita:
[see source text or glossary: Kamita]

[Note: The above list is limited to 75. Total glossary definitions available: 100]

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Evaluation of Dosha Dushya in Hyperthyroidism: An Ayurvedic Review’. Further sources in the context of Science might help you critically compare this page with similair documents:

Samprapti, Kaphakshaya, Vatavriddhi, Holistic approach, Endocrine system, Pathological condition, Traditional method, Ayurvedic literature, Ayurvedic view, Nidana Sevana, Ayurvedic fundamentals, Pitta Vriddhi, Symptoms of hyperthyroidism, Dosha Dushya Sammurchana.

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