Management of hypothyroidism in ayurveda
Journal name: World Journal of Pharmaceutical Research
Original article title: Management of hypothyroidism in ayurveda
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Dr. Totaram Gond, Dr. Omprakash Shukla, Dr. Pawan Kumar Kirar and Dr. Pravanjan Acharya
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World Journal of Pharmaceutical Research:
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Full text available for: Management of hypothyroidism in ayurveda
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr202112-21716
Copyright (license): WJPR: All rights reserved
Summary of article contents:
Introduction
Hypothyroidism, a condition stemming from the dysfunction of the thyroid gland (or avatu granthi), is a prevalent endocrine disorder affecting a significant portion of the global population, particularly women. The thyroid gland plays a critical role in regulating metabolism by releasing the thyroxine hormone. A deficiency in this hormone results in a slowed metabolic rate and various symptoms, including fatigue, weight gain, and cold intolerance. While modern treatments primarily focus on hormone replacement therapy, this can lead to adverse drug reactions (ADRs). Ayurveda offers an alternative perspective, viewing hypothyroidism as an aamaja vyadhi that can be managed through holistic approaches.
The Role of Agni in Hypothyroidism
In Ayurveda, digestion and metabolism are governed by agni or digestive fire. The concept of mandagni, which represents a weakened or sluggish digestive fire, is essential in understanding the pathogenesis of hypothyroidism. When mandagni is present, the body produces ama, or toxic substances, which disrupt normal metabolic processes, including those of the thyroid gland. This impaired agni can lead to excess production of TSH (thyroid-stimulating hormone) from the pituitary gland as the body attempts to stimulate thyroid hormone production. The accumulation of ama can affect various body systems, highlighting the interconnectedness of digestive health and metabolic disorders.
Etiopathogenesis of Hypothyroidism
Hypothyroidism can be categorized into congenital and adult forms, influencing the associated causes and management. Congenital hypothyroidism arises from developmental anomalies or genetic defects that affect thyroid hormone synthesis. In contrast, adult-onset hypothyroidism often results from autoimmune conditions like Hashimoto’s thyroiditis, surgical intervention, or exposure to antithyroid medications. Inflammation of the thyroid can also contribute to dysfunction, manifesting as various forms of thyroiditis, including acute, subacute, and chronic forms. Each condition presents distinct characteristics and symptoms that require tailored therapeutic approaches.
Management Strategies in Ayurveda
Ayurvedic management of hypothyroidism emphasizes pacifying ama and restoring balance to kapha dosha, which is often vitiated in such conditions. Therapies may include vaman karma (therapeutic vomiting) to cleanse the body of accumulated toxins, followed by the use of dipana-pachana preparations to enhance digestion and metabolism. The incorporation of medhya varga drugs, such as Brahmi and Shankhpushpi, is beneficial in improving thyroid function. Dietary recommendations prioritize foods that support thyroid health, including saltwater fish and dairy products while also suggesting yoga postures that stimulate upper body circulation and reduce kapha accumulation.
Conclusion
While conventional medicine provides limited options for the permanent management of hypothyroidism, Ayurveda offers a comprehensive framework that addresses underlying imbalances rather than merely focusing on symptom alleviation. By recognizing the role of agni, the nature of ama, and the interplay between doshas, Ayurveda can provide holistic treatment strategies that enhance patient well-being. A thorough understanding of these concepts is crucial for effective management, indicating a potential for improved health outcomes through integrative practices.
FAQ section (important questions/answers):
What is hypothyroidism and how is it characterized?
Hypothyroidism is an endocrine disorder characterized by low thyroid hormone levels, leading to decreased metabolism. It can manifest as symptoms such as fatigue, weight gain, cold sensitivity, and depression.
What is the role of the thyroid gland in the body?
The thyroid gland regulates metabolism by releasing hormones such as thyroxine (T4) and triiodothyronine (T3). These hormones activate cellular oxidative processes crucial for energy production and overall bodily functions.
How does Ayurveda view hypothyroidism compared to modern medicine?
In Ayurveda, hypothyroidism is considered an 'aamaja vyadhi' and is treated by addressing 'ama' imbalances. Modern medicine primarily uses hormone replacement therapy, which can have side effects.
What are the common symptoms of hypothyroidism?
Common symptoms include fatigue, weight gain, cold intolerance, dry skin, and puffiness of the face. Others may include muscle weakness, constipation, and depression.
What lifestyle changes and treatments are suggested for hypothyroidism?
Ayurvedic treatments may include 'vaman karma,' dietary modifications like increased intake of milk and fish, and yoga practices like Sarvangasana to help manage symptoms.
What is the etiology behind hypothyroidism as per Ayurveda?
Hypothyroidism is attributed to imbalances in 'kapha dosha,' poor digestion ('mandagni'), and the accumulation of 'ama.' These factors disrupt metabolic processes and thyroid function.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Management of hypothyroidism in ayurveda”. 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) Kapha:
Kapha is one of the three doshas in Ayurveda, representing the elements of earth and water. It is associated with structure, stability, and lubrication in the body. Imbalances in Kapha can lead to ailments such as hypothyroidism, as it is linked to sluggish metabolism and excess bodily fluids.
2) Vata:
Vata is one of the three doshas in Ayurveda, embodying the elements of air and space. It governs movement and communication within the body, including nerve impulses and circulation. An imbalance in Vata can exacerbate symptoms of conditions like hypothyroidism by disrupting metabolic functions.
3) Gond:
Dr. Totaram Gond is the corresponding author of the study on hypothyroidism in Ayurveda. His contributions highlight the integration of traditional Ayurvedic practices in contemporary healthcare settings. Investigating the management of hypothyroidism through Ayurvedic principles underscores the relevance of ancient wisdom in modern medical discussions.
4) Dosha (Dosa):
In Ayurveda, a dosha refers to one of the three vital energies (Vata, Pitta, Kapha) that govern physiological and psychological functions within the body. Each dosha is composed of two of the five elements and influences bodily health, disease susceptibility, and individual constitution.
5) Vitiation (Vitiated):
Vitiation refers to the impairment or deterioration of doshas, leading to disease. In Ayurveda, understanding vitiation is key to diagnosing and treating ailments, as restoring balance among the doshas is essential to alleviate suffering and promote healing.
6) Samhita:
Samhitas are ancient Ayurvedic texts that compile the knowledge of health, herbs, and healing practices. These texts serve as a reference for Ayurvedic practitioners, helping them understand the intricacies of treating various ailments through holistic approaches.
7) Granthi (Gramthi):
Granthi refers to the thyroid gland in Ayurvedic terminology. It is viewed as an important endocrine organ responsible for regulating metabolism through hormone production. Understanding the role of Granthi is crucial for diagnosing and managing metabolic disorders like hypothyroidism in Ayurvedic practice.
8) Avatu:
Avatu is a term in Ayurveda that signifies the protective covering or sheath. In the context of the thyroid gland (Granthi), understanding its protective aspects can help in addressing conditions like hypothyroidism, where the gland's function may be impaired due to external factors or stress.
9) Ayurveda (Ayus-veda):
Ayurveda is a traditional Indian system of medicine that emphasizes balance in the body's energies (doshas) through diet, lifestyle, and herbal remedies. It offers holistic approaches to health, addressing not just physical ailments but also psychological factors that contribute to diseases like hypothyroidism.
10) Disease:
Diseases are conditions that disrupt normal physiological functions and cause distress. In Ayurveda, the focus is on understanding and treating underlying causes through lifestyle modifications, dietary changes, and natural remedies aimed at restoring balance among the doshas.
11) Science (Scientific):
Science refers to the systematic study of the structure and behavior of the physical and natural world through observation and experiment. In the context of hypothyroidism, combining scientific understanding with Ayurvedic principles can offer a more holistic approach to treatment, integrating both methodologies.
12) Vyadhin (Vyadhi):
Vyadhi is a Sanskrit term in Ayurveda meaning 'disease' or 'disorder.' It encompasses all forms of illness stemming from imbalances among the doshas and represents a central concept in Ayurvedic diagnosis and treatment, focusing on restoring balance and health.
13) Udana:
Udana is a subtype of Vata dosha in Ayurveda responsible for upward movements in the body, including speech and respiration. It plays a significant role in communication and emotional health. Imbalances in Udana can contribute to conditions like hypothyroidism by affecting overall energy levels.
14) Drug:
A drug is a chemical substance used to treat, cure, prevent, or diagnose diseases. In Ayurveda, the emphasis is on herbal and natural preparations aimed at restoring balance rather than using synthetic drugs that may have adverse side effects.
15) Vayu:
Vayu is a Sanskrit term meaning 'air' and is one of the five elements in Ayurveda. It is also used to describe various types of Vata dosha, which govern movement and circulation. Understanding Vayu is essential for treating conditions like hypothyroidism where metabolic functions may be impaired.
16) Udanavayu (Udana-vayu):
Udana-vayu is a subtype of Vata dosha responsible for upward movement in the body, such as speech, inspiration, and cognitive functions. Imbalance in Udana-vayu can lead to various disorders, emphasizing the need for holistic approaches in Ayurveda like managing hypothyroidism.
17) Samprapti:
Samprapti refers to the process of disease formation in Ayurveda, detailing how doshas become imbalanced and lead to the emergence of illnesses. Understanding Samprapti is essential for effective treatment, as it informs how to restore balance among the doshas.
18) Mandagni (Manda-agni, Mamdagni):
Mandagni refers to a sluggish digestive fire in Ayurveda, resulting in poor digestion and metabolism. It is considered a primary factor in various disorders, including hypothyroidism, where metabolism is impaired, leading to the accumulation of toxins (ama) in the body.
19) Srotas (Shrotas):
Shrotas refers to the channels or pathways in the body that facilitate the flow of nutrients and energy. Blocked or impaired Shrotas can lead to health issues, including thyroid dysfunction. Ayurvedic treatment aims to cleanse and maintain healthy Shrotas to prevent disease.
20) Karma (Karman):
Karma means 'action' in Sanskrit and is a fundamental concept in Ayurveda and spirituality. The actions taken by an individual can significantly impact their health and well-being. Understanding the concept of Karma helps guide lifestyle choices to prevent and heal diseases.
21) Hair:
Hair is composed of keratin and is affected by overall health and metabolic function. In Ayurvedic terms, hair health can reflect the balance of doshas. Disorders like hypothyroidism can lead to thinning or loss of hair, underlining the importance of holistic treatment strategies.
22) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha is one of the three doshas in Ayurveda characterized by the elements of earth and water. It plays a vital role in providing structure, stability, and lubrication in the body. Understanding Kapha-dosha is crucial for managing diseases like hypothyroidism, related to excess kapha.
23) Stiffness:
Stiffness refers to the feeling of tightness or rigidity in the muscles or joints, often associated with conditions like hypothyroidism. In Ayurveda, stiffness can be linked to the vitiation of Vata and Kapha doshas, necessitating treatments that restore balance and promote flexibility.
24) Dipana:
Dipana means 'appetizer' or 'digestive stimulant' in Ayurveda. It refers to herbs or substances that enhance digestive capacity and improve metabolism. Incorporating Dipana practices into the treatment of conditions like hypothyroidism can help combat sluggish digestion and enhance nutrient absorption.
25) Ahara:
Ahara refers to diet or food in Ayurveda, which is fundamental to maintaining health and balance among the doshas. A proper Ahara is essential for preventing and managing diseases like hypothyroidism, as food choices can influence metabolic function and overall well-being.
26) Blood:
Blood is a vital fluid in the body responsible for transporting nutrients, oxygen, and waste products. In Ayurveda, blood quality and its movement through Shrotas are crucial for overall health. Disorders like hypothyroidism can impair blood function, necessitating holistic interventions.
27) Agni:
Agni refers to the digestive fire in Ayurveda, essential for converting food into energy and nutrients. Maintaining Agni is critical for metabolic processes; its impairment can lead to disorders such as hypothyroidism, emphasizing the need for supporting digestive health through Ayurvedic practices.
28) Pain:
Pain is a subjective experience often linked to injury, disease, or emotional distress. In Ayurveda, understanding the root cause of pain is crucial, as various dosha imbalances can contribute to discomfort. Holistic approaches aim to address the underlying causes rather than just the symptoms.
29) Cow milk (Cow's milk):
Cow's milk is a nutrient-rich food in Ayurveda that is often considered beneficial for various health conditions. It is nourishing and can support energy levels and vitality. In the context of hypothyroidism, Cow's milk helps strengthen the body and improve metabolic functions.
30) Genetic defect:
Genetic defects refer to inherited abnormalities that can affect various aspects of health, including hormone production and metabolism. In cases of hypothyroidism, specific genetic defects may impair thyroid function, necessitating interventions that include dietary and lifestyle changes to manage the condition.
31) Kledakakapha (Kledaka-kapha):
Kledaka-kapha is a subtype of Kapha dosha known for its ability to regulate bodily fluids and provide lubrication. An imbalance in Kledaka-kapha can lead to conditions such as hypothyroidism by causing fluid retention and metabolic disturbances, requiring Ayurvedic techniques for restoration.
32) Purification:
Purification in Ayurveda refers to cleansing the body of toxins (ama) that accumulate due to poor digestion or lifestyle. It is an essential step in treating various diseases, including hypothyroidism, where purification methods help restore metabolic balance and improve overall health.
33) Inflammation:
Inflammation is the body's response to injury or infection and can lead to various health issues. In Ayurveda, chronic inflammation can disrupt dosha balance and contribute to diseases like hypothyroidism, where inflammation affects thyroid function and overall metabolism.
34) Accumulation (Accumulating, Accumulate):
Accumulate refers to the gathering or buildup of substances in the body, often leading to imbalances that can cause disease. In Ayurvedic terms, accumulation of ama or vitiated doshas disrupts physiological functions and may directly contribute to conditions such as hypothyroidism.
35) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya refers to a state of reduced digestive fire or efficiency in Ayurveda. This condition can impede nutrient absorption and lead to the formation of ama, contributing to disorders like hypothyroidism. Restoring Agni is crucial for metabolic health and overall vitality.
36) Jatharagni (Jathara-agni):
Jatharagni is the primary digestive fire in Ayurveda, responsible for digesting food and converting it into energy. A balanced Jatharagni is essential for maintaining health, as impairments can lead to various diseases, including hypothyroidism, necessitating dietary and lifestyle interventions.
37) Tikshnagni (Tiksnagni, Tikshna-agni):
Tikshnagni refers to a strong and sharp digestive fire in Ayurveda. While a balanced Tikshnagni comprises good digestion, excessive Tikshnagni can lead to imbalances and conditions like hyperthyroidism. Understanding different types of Agni aids in managing metabolic disorders effectively.
38) Depression:
Depression is a mental health condition characterized by persistent feelings of sadness and loss of interest. In Ayurveda, depression may be linked to imbalances in doshas, particularly Vata. Addressing both the psychological and physiological aspects is key to effective treatment.
39) Dhatvagni (Dhatu-agni):
Dhatvagni refers to the metabolic fire associated with the seven bodily tissues (dhatus) in Ayurveda. It influences how nutrients are processed and utilized. An imbalance in Dhatvagni contributes to various health issues, including hypothyroidism, requiring holistic approaches for restoration.
40) Pratiloma (Prati-loma):
Pratiloma refers to the reverse or abnormal movement of Vata dosha in Ayurveda. When Vata moves in the wrong direction, it can disrupt normal bodily functions, leading to various disorders such as hypothyroidism. Proper management of Vata is crucial for restoring balance.
41) Knowledge:
Knowledge in Ayurveda encompasses understanding the principles of health, dosha balance, and treatment methodologies. Gaining deep knowledge allows practitioners to diagnose and treat conditions like hypothyroidism effectively, paving the way for holistic healing and well-being.
42) Suffering:
Suffering refers to the state of experiencing pain, distress, or hardship. In Ayurveda, suffering often stems from dosha imbalances and is addressed through comprehensive treatment that restores balance and promotes overall health, emphasizing the individual’s constitution and lifestyle.
43) Shilajit (Silajit, Shila-jit):
Shilajit is a natural mineral-rich substance used in Ayurveda, known for its rejuvenating properties. It has various health benefits, including supporting hormone balance and improving energy levels, which can be particularly helpful in managing conditions like hypothyroidism.
44) Medicine:
Medicine encompasses various substances and practices used to prevent and treat illness. In Ayurveda, the focus is on natural and holistic remedies tailored to individual needs, aiming to restore balance among the doshas and improve overall health outcomes.
45) Swelling:
Swelling is an increase in size or volume of tissues due to various factors, including inflammation and fluid retention. In Ayurveda, swelling can signify an imbalance in Kapha dosha, particularly relevant in conditions like hypothyroidism that may involve bodily fluid disturbances.
46) Channel:
Channel refers to pathways in the body that facilitate the circulation of nutrients and energy. In Ayurveda, the health of these channels is essential for preventing disease, as blockages or dysfunction within them can lead to various health conditions including hypothyroidism.
47) Madhura:
Madhura translates to 'sweet' in Sanskrit and refers to tastes or substances that possess sweet qualities. In Ayurvedic practice, Madhura elements are often considered to have nourishing and calming effects, beneficial for balancing excess Vata or Kapha doshas.
48) Kledaka:
Kledaka is a subtype of Kapha dosha responsible for maintaining moisture and hydration in the body. Imbalance in Kledaka can lead to excess fluid retention and contribute to metabolic disorders like hypothyroidism, requiring specific dietary and lifestyle interventions in Ayurveda.
49) Brahmi:
Brahmi is an Ayurvedic herb known for its cognitive-enhancing properties. It is often used to promote mental clarity and reduce stress, making it beneficial for individuals with hypothyroidism, where cognitive functions may be compromised due to low energy levels.
50) Vihara:
Vihara refers to lifestyle practices and physical activities in Ayurveda. Engaging in regular Vihara helps maintain dosha balance and overall health. It is particularly important in managing conditions like hypothyroidism, where sedentary lifestyles can exacerbate symptoms.
51) Shukla (Sukla):
Shukla translates to 'white' and is often associated with purity and clarity in Ayurveda. The term can refer to specific herbs, foodstuffs, or practices that promote health and balance, contributing to the overall wellness of individuals suffering from conditions like hypothyroidism.
52) Pathya:
Pathya refers to a diet or regimen that is considered beneficial and conducive to health in Ayurveda. Following Pathya helps individuals maintain balanced doshas and supports treatment processes for disorders such as hypothyroidism, promoting overall metabolic health.
53) Shalya (Salya):
Shalya relates to surgery or surgical practices in Ayurveda. While Ayurveda emphasizes natural healing processes, Shalya techniques may be necessary in certain cases, such as when structural anomalies or malignancies affect the thyroid gland in hypothyroid patients.
54) Vamana:
Vamana is a therapeutic procedure in Ayurveda involving emesis or induced vomiting. This process aims to expel toxins accumulated in the body. Vamana can be particularly effective in managing Kapha vitiation related to conditions like hypothyroidism, restoring metabolic balance.
55) Medhya:
Medhya refers to substances that enhance intellect and cognitive functions in Ayurveda. Utilizing Medhya herbs in treatment plans for hypothyroidism may help alleviate cognitive symptoms associated with decreased metabolism and hormonal imbalances.
56) Cancer:
Cancer refers to a group of diseases characterized by uncontrolled cell growth. In Ayurveda, understanding the underlying doshic imbalances that contribute to malignancies can improve treatment outcomes. Recognizing thyroid health is key, as certain cancers can affect endocrine functions.
57) Nature:
Nature encompasses the physical world and its inherent laws, including the principles governing human health and well-being in Ayurveda. Recognizing the connection between an individual’s nature (prakriti) and environmental factors is essential for personalized and effective treatment strategies.
58) Reason:
Reason denotes the underlying cause or rationale behind a condition or action. In Ayurveda, identifying the reason for doshic imbalances allows practitioners to develop targeted interventions to restore health and promote balance in individuals suffering from ailments such as hypothyroidism.
59) Pitta:
Pitta is one of the three doshas in Ayurveda, representing the elements of fire and water. It governs metabolic processes, digestion, and transformation. Understanding Pitta's role is essential for managing conditions like hypothyroidism, where metabolic functions may be disrupted.
60) Dhatu:
Dhatu refers to the seven bodily tissues in Ayurveda—rasa, rakta, mamsa, meda, asthi, majja, and sukra—that support overall health. Analyzing the health of Dhatus is vital for diagnosing and treating diseases like hypothyroidism since they play a role in metabolic function.
61) Varga:
Varga refers to categories or classes in Ayurveda, often applied in the context of herbs, treatments, or ailments. Understanding different Varga classifications helps practitioners tailor their approaches for managing conditions like hypothyroidism, ensuring they address specific imbalances and needs.
62) India:
India is the birthplace of Ayurveda, with a rich historical and cultural background in traditional medicine. The integration of Ayurvedic principles and practices into modern health systems in India is vital for addressing contemporary health challenges, including metabolic disorders like hypothyroidism.
63) Kumar:
Kumar is a common surname in India and often denotes 'son' in Sanskrit. In the context of the article, it may refer to a collaborator or contributor in the Ayurvedic medical field, emphasizing the collective endeavor in understanding and treating conditions like hypothyroidism.
64) Guru:
Guru means 'teacher' or 'mentor' in Sanskrit and denotes an experienced practitioner or spiritual guide in Ayurvedic traditions. The role of a Guru is crucial in conveying knowledge and wisdom for effectively managing health conditions like hypothyroidism through proper practices.
65) Gati:
Gati refers to movement or motion in Ayurveda, particularly concerning the movement of doshas in the body. Understanding Gati is essential for addressing imbalances that contribute to health issues such as hypothyroidism, emphasizing the need for restoring proper flow of energy.
66) Hetu:
Hetu refers to the cause or origin of a condition in Ayurveda. Identifying Hetu is critical for effective diagnosis and treatment strategies, particularly in disorders like hypothyroidism where understanding underlying causative factors can lead to more successful interventions.
67) Yoga:
Yoga is a system of physical and mental practices aimed at enhancing well-being. In Ayurveda, Yoga complements dietary and herbal approaches to health by improving flexibility, strength, and mental clarity, potentially benefiting individuals with conditions like hypothyroidism.
68) Fish:
Fish is a source of essential nutrients, including omega-3 fatty acids and iodine, important for hormonal health. As part of a balanced diet, fish can support thyroid function and overall well-being. In Ayurveda, it may be recommended for individuals with conditions like hypothyroidism.
69) Hand:
Hand often denotes manual tasks and the importance of physical activity in Ayurveda. Engaging the hands in purposeful work is emphasized for promoting well-being and avoiding sedentary lifestyles, which can exacerbate conditions like hypothyroidism by limiting metabolic activity.
70) Milk:
Milk is a nutrient-rich food considered beneficial in Ayurveda for its nourishing and grounding qualities. It contributes to overall health and metabolic function, making it important in dietary recommendations for managing thyroid-related disorders such as hypothyroidism.
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