A clinical study of shunti dhanyaka jala in the management of hypothyroidism

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Journal name: World Journal of Pharmaceutical Research
Original article title: A clinical study of shunti dhanyaka jala in the management of hypothyroidism
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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Author:

Ch. Vinuthna and M. Anil Kumar


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: A clinical study of shunti dhanyaka jala in the management of hypothyroidism

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20228-24529

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

Hypothyroidism presents significant challenges in both diagnosis and treatment, particularly in its association with infertility. This study conducted by Ch. Vinuthna and M. Anil Kumar in an Ayurvedic setting seeks to address this issue through a clinical trial involving a treatment involving Shunti Dhanyaka Jala. The research is rooted in the principles of Ayurveda, which utilizes plant-based medicines, and proposes a treatment focused on enhancing the flow of bodily doshas (energetic forces) to alleviate the symptoms of hypothyroidism. The study recognizes the relationship between lifestyle choices and thyroid disorders, emphasizing the need for holistic interventions.

Role of Diet in Thyroid Health

One major concept discussed in the study is the impact of diet on thyroid health. The research highlights how a luxurious lifestyle characterized by sedentary behavior and poor dietary choices can lead to conditions like hypothyroidism. The authors reference Acharya Vagbhata’s teachings on how incompatible diet and excessive food consumption can result in Amadosha—a toxic buildup in the body resembling poison. This creates an imbalance in the body’s Agni (digestive fire), leading to further complications like Srotoavarodha (obstruction of channels). The study critiques conventional dietary practices and advocates for a return to Ayurvedic dietary principles to alleviate symptoms of hypothyroidism.

Clinical Approach and Treatment Methodology

The treatment implemented in the study involves the administration of Hingwastaka Churna and Shunti Dhanyaka Jala, suggesting a holistic approach to healing. The methodology emphasizes the importance of maintaining a strict regimen while substituting plain water with Shunti Dhanyaka Jala, which is believed to possess beneficial properties for the digestive system. The study describes a simple randomized single-case study conducted at Satayu Ayurvedic Hospital, observing the patient’s progression over three months. The targeted medicinal regimen highlights the role of specific Ayurvedic formulations in normalizing thyroid function and alleviating associated symptoms.

Observations and Results

Significant improvements were observed throughout the treatment period. The patient’s subjective symptoms, including weakness, dryness of skin, amenorrhea, and constipation, showed notable regression after just 15 days of treatment. Additionally, a substantial decrease in TSH levels from 36 mIU/L to 4.06 mIU/L was recorded by the end of the treatment, indicating an effective response to the Ayurvedic interventions. The comprehensive assessment of both subjective and objective indicators further substantiates the efficacy of the Ayurvedic approach as it encourages the balance of doshas and re-establishes healthy physiological functions.

Conclusion

In conclusion, the study underscores the significance of lifestyle modifications and Ayurvedic treatments in managing hypothyroidism effectively. By advocating for dietary discipline and holistic therapies focused on enhancing digestive and metabolic functions, the research presents evidence supporting the efficacy of Ayurveda in treating thyroid-related disorders. The successful case encourages further exploration of Ayurvedic methodologies as viable alternatives to conventional hormonal therapies, suggesting that a return to traditional practices may provide robust solutions to modern-day health challenges.

FAQ section (important questions/answers):

What is the focus of the clinical study presented in this article?

The clinical study focuses on using Shunti Dhanyaka Jala for managing hypothyroidism and its associated symptoms in a patient who sought Ayurvedic treatment after experiencing limited relief from allopathic medicine.

What are the symptoms experienced by the patient with hypothyroidism?

The patient experienced symptoms including constipation, dry skin, weakness, hair loss, breathlessness during small exercises, and amenorrhea, persisting for 2-3 years.

How was the patient's condition assessed in the study?

The patient's condition was assessed using Astavidha Pareeksha, which includes examining pulse, stool, urine, tongue, digestion, sound, touch, vision, and overall strength.

What treatment was provided to the patient in the study?

The treatment included Hingwastaka Churna and Shunti Dhanyaka Jala, aimed at improving symptoms by addressing underlying issues like agnimandya and srotoavarodha.

What improvements were observed in the patient's symptoms during the study?

Significant improvements were noted in symptoms including weakness, constipation, dry skin, and amenorrhea, with complete recovery of subjective and objective signs after three months.

What conclusion did the study reach regarding Ayurvedic treatment for hypothyroidism?

The study concluded that Ayurvedic treatment, focusing on diet and herbal remedies, effectively addresses hypothyroidism by correcting underlying digestive issues and restoring hormonal balance.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “A clinical study of shunti dhanyaka jala in the management of hypothyroidism”. 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) Study (Studying):
The clinical study focuses on the management of hypothyroidism using alternative Ayurvedic treatments. It aims to explore the effects of Shunti Dhanyaka Jala and Hingwastaka Churna, assessing symptom improvement and hormonal balance. The study is structured to provide insights into Ayurvedic methodologies and patient outcomes.

2) Food:
Food is a critical element in Ayurveda, influencing health and bodily functions. In this context, the quality and compatibility of foods consumed by the individual can lead to health issues like agnimandya. Proper dietary habits are emphasized to enhance digestion and alleviate symptoms associated with hypothyroidism.

3) Life:
Lifestyle choices play a significant role in developing lifestyle disorders such as hypothyroidism. The text highlights how a sedentary lifestyle contributes to digestive issues and imbalances in the body's systems, emphasizing the need for an active lifestyle and dietary discipline to restore health.

4) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya refers to impaired digestive fire, which is essential for metabolizing food and maintaining health in Ayurveda. The condition is linked to various health problems, including hypothyroidism. A strong agni supports nutrient absorption and elimination of toxins, making it crucial for overall well-being.

5) Ayurveda (Ayus-veda):
Ayurveda is the traditional Indian system of medicine that utilizes natural treatments derived from plants, minerals, and animal sources. It emphasizes a holistic approach to health, focusing on balance within the body. The study utilizes Ayurvedic principles to manage thyroid disorders and improve overall health.

6) Dhanyaka:
Dhanyaka, also known as coriander, is an important herb in Ayurveda known for its digestive and detoxifying properties. In the context of the study, Shunti Dhanyaka Jala is used to facilitate digestion and cleanse bodily channels, playing a vital role in treating hypothyroidism.

7) Mala:
Mala refers to waste products in the body according to Ayurveda. The presence of mala can indicate imbalances that hinder digestion and can contribute to health issues. Addressing mala is part of the treatment process to restore balance and improve bodily functions in hypothyroidism patients.

8) Jala:
Jala means water in Sanskrit and is significant in Ayurvedic treatments. Water serves as a carrier for medicinal herbs and is essential for hydration. In this study, Shunti Dhanyaka Jala replaces plain water to enhance digestion and support treatment for hypothyroidism.

9) Quality:
Quality is a recurring theme in the study, referring to the nutritional and therapeutic properties of the treatments and foods. It emphasizes that the right quality of ingredients, such as herbs and diet, is crucial for improving health and achieving optimal therapeutic outcomes in patients.

10) Water:
Water is essential for life and is a critical component of Ayurvedic treatments. Proper hydration supports bodily functions, digestion, and the efficacy of herbal medicines. In the study, specific water preparations, such as Shunti Dhanyaka Jala, are leveraged to aid treatment processes for hypothyroidism.

11) Table:
Tables are utilized in the study to present data clearly and concisely. They summarize symptom improvements, treatment details, and changes in hormonal levels, facilitating a quick understanding of the study's outcomes and enhancing the overall communication of research findings.

12) Keshapatana (Kesapatana):
Keshapatana refers to hair loss, a symptom experienced by the patient in the study. It indicates the impact of hypothyroidism on hair health, highlighting the importance of targeting such symptoms through effective Ayurvedic treatments, as hair quality reflects overall well-being.

13) Tirupati (Thirupati, Tiruppati):
Tirupati is a city known for its cultural and religious significance in India and serves as the location for the study conducted at Satayu Ayurvedic Hospital. Its geographical and socio-cultural context may contribute to the patient demographics and lifestyle habits observed in the study.

14) Medicine:
Medicines refer to the various Ayurvedic treatments and formulations utilized in the study. They are derived from plant, mineral, and animal sources, emphasizing natural healing methods that can effectively support thyroid function and overall health.

15) Rakta:
Rakta means blood in Sanskrit and is one of the seven dhatus (tissues) in Ayurveda. It plays a vital role in sustaining life and health. The study implies that balancing rakta is essential in addressing symptoms related to hypothyroidism and enhancing overall vitality.

16) Agni:
Agni denotes digestive fire in Ayurveda, crucial for transforming food into energy and nutrients. It is vital for maintaining health, as, without good agni, individuals can face disorders. The study underscores the role of enhancing agni in managing hypothyroidism.

17) Vata:
Vata is one of the three doshas in Ayurveda, responsible for movement and physiological functions. A change in vata balance can lead to various health issues, including hypothyroidism. Understanding vata's role in the body's dynamics is essential for effective Ayurvedic treatment.

18) Rice (Rce):
Rice is often referenced as a staple food in many cultures and has significance in Ayurvedic dietary practices. It serves as a source of energy but should be consumed in balance with other food components to avoid contributing to digestive issues.

19) Line:
Line refers to the treatment protocol established in the study, outlining the path taken to address hypothyroidism through an Ayurvedic lens. It involves dietary modifications, herbal remedies, and a structured approach to managing symptoms and restoring health.

20) Drug:
Drugs refer to the pharmaceutical medications typically used in conventional medicine. In contrast, this study highlights the potential of Ayurvedic remedies and treatments as alternatives to conventional drugs for managing symptoms and conditions like hypothyroidism.

21) Observation:
Observation is critical for understanding treatment outcomes. It involves continuous monitoring of the patient's health status, collecting data that confirms the effectiveness of Shunti Dhanyaka Jala and Hingwastaka Churna in alleviating hypothyroidism symptoms.

22) Discussion:
The discussion section provides insights into the rationale behind treatment choices, explaining the Ayurvedic principles applied and their effects on the patient's health. It contextualizes results within existing literature and highlights the relevance of dietary and lifestyle changes.

23) Ashtavidha (Astavidha, Ashtan-vidha):
Astavidha refers to the eight-fold examination method used in Ayurveda to assess a patient's health. This comprehensive assessment includes evaluating pulse, tongue, and other indicators to develop a tailored treatment plan, ensuring holistic care for managing hypothyroidism.

24) Vagbhata:
Vagbhata is a renowned ancient Ayurvedic physician and author, recognized for contributions to the field of Ayurveda. His teachings emphasize the significance of diet and lifestyle in health, guiding practitioners in treating disorders like hypothyroidism through holistic approaches.

25) Rukshana (Ruksana):
Rukshana refers to skin dryness, one of the symptoms reported by the patient. It highlights the importance of addressing external manifestations of internal imbalances, especially in endocrine disorders like hypothyroidism, where skin health is often compromised.

26) Anartava:
Anartava translates to amenorrhea, which is a significant symptom associated with hypothyroidism. The study emphasizes normalization of the menstrual cycle as a key treatment goal, reflecting the interconnectedness of thyroid health with reproductive function.

27) Ashtanga (Astanga, Ashtan-anga):
Ashtanga refers to the 'Eight Limbs' of Ayurveda, encompassing various therapeutic approaches. This concept stresses a holistic perspective on health, encouraging comprehensive treatment strategies that are relevant in the context of managing complex disorders like hypothyroidism.

28) Amadosha (Amadosa, Ama-dosha):
Amadosha describes toxic accumulations in the body that arise from poor digestion and dietary choices. Its presence reflects an imbalance that can lead to various health issues, including hypothyroidism. The study aims to address this through dietary and herbal interventions.

29) Activity:
Activity refers to physical movement and lifestyle choices impacting health. Sedentary habits contribute to many disorders, including thyroid imbalances. Addressing activity levels is essential for achieving optimal health and aiding recovery in patients experiencing hypothyroidism.

30) Sweating (Sweat):
Sweating is a cooling mechanism and is important for thermal regulation in the body. In hypothyroid patients, reduced sweating may occur, indicating thyroid dysfunction. Understanding this symptom allows for targeted interventions to restore normal physiological functions.

31) Channel:
In Ayurveda, channels represent the pathways in the body that facilitate the flow of energy and nutrients. Maintaining clear channels is essential for good health, and digestive treatments focus on ensuring these pathways are unobstructed in hypothyroid patients.

32) Habitat:
Habitat relates to the context in which individuals live and the external factors influencing their health. The study highlights the role of surrounding environments in contributing to lifestyle choices that can exacerbate or alleviate thyroid-related issues.

33) Sparsha (Sparsa):
Sparsha translates to touch and refers to one of the sensory perceptions in Ayurveda. It is insightful during clinical assessments, allowing practitioners to evaluate skin texture and body heat, which can reveal underlying imbalances related to thyroid health.

34) Anupana:
Anupana signifies vehicles for administering herbs or medicines. It enhances the efficacy of treatments in Ayurveda. In the study, using Shunti Dhanyaka Jala as an anupana is integral to optimizing the absorption of medicinal properties for thyroid management.

35) Mineral:
Mineral-based medications represent one source of Ayurvedic treatments. While this study focuses primarily on plant-based remedies, minerals may also play a significant role in enhancing overall health and treating various conditions, including hypothyroidism.

36) Dravya:
Dravya refers to substances or materials used in Ayurvedic formulations, including herbs and minerals. In the study, dravya is evaluated for efficacy and appropriateness in managing hypothyroidism, underscoring the importance of quality ingredients in treatment.

37) Shabda (Sabda):
Shabda means sound or auditory feedback and is significant in Ayurvedic diagnosis. Analyzing speech and sounds can offer insights into a patient's health status. This observational technique contributes to the holistic evaluation of thyroid-related symptoms.

38) Ruksha (Ruksa):
Ruksha denotes dryness, particularly of skin or bodily tissues. In hypothyroidism, patients often experience dryness, making it an important symptom to address through appropriate dietary adjustments and Ayurvedic treatments to restore moisture and balance.

39) Animal:
Animal-based substances may be included in some Ayurvedic treatments. While the primary focus of the study is on plant-based remedies, the holistic approach of Ayurveda may incorporate animal-derived products when appropriate to support health.

40) Indian:
Indian refers to the cultural, historical, and scientific context surrounding Ayurveda, which is rooted in ancient Indian medical traditions. The principles and practices of Ayurveda stem from this cultural foundation, shaping its therapeutic approaches to conditions like hypothyroidism.

41) Panca (Pancan, Pamca):
Pancha means five and refers to the five elemental aspects in Ayurveda that form the basis of all matter. Understanding these elements is critical to creating a holistic treatment plan for managing conditions such as hypothyroidism effectively.

42) Kapha:
Kapha is one of the three doshas in Ayurveda, associated with stability and structure. An imbalance in kapha can manifest in various health issues, including hypothyroidism. Managing kapha's influence is part of restoring health in affected individuals.

43) Mamsa (Mamsha):
Mamsa translates to muscle or flesh, one of the seven dhatus in Ayurveda. It plays a role in overall physical strength and health. The study implies the necessity of balancing mamsa in the context of thyroid health and symptom management.

44) Mutra:
Mutra means urine and is one of the seven components assessed in Ayurvedic examinations. Monitoring urinary patterns provides insights into detoxicative processes and bodily functions, particularly in the context of thyroid health evaluations.

45) Chapa:
Chapa refers to pressure or blood pressure measurements in Ayurvedic assessments. It helps ascertain cardiovascular health and gauge the systemic effects of thyroid imbalances, as fluctuations in blood pressure can indicate underlying health issues.

46) Shrava (Srava):
Srava translates to flow, denoting bodily discharge processes. In Ayurveda, ensuring a healthy flow in bodily systems is essential for detoxification and vitality. This concept is particularly relevant for managing thyroid health and related symptoms.

47) Kumar:
Kumar refers to a boy or son, but in the context of Ayurveda, it often denotes youthful energy and vitality. The study may imply that maintaining youthful traits in bodily functions is critical for managing conditions such as hypothyroidism.

48) Kesa (Kesha):
Kesha means hair in Sanskrit, and its health can reflect internal wellness. The study emphasizes managing symptoms related to hair loss in hypothyroidism, showcasing the interconnectedness of hair health with thyroid function and overall vitality.

49) Kshudh (Kshud, Kshut, Ksud, Ksudh, Ksut):
Kshut refers to hunger or appetite in Ayurveda. A well-regulated appetite is essential for maintaining proper nutrition and health. Assessing Kshut levels in patients with hypothyroidism can provide insights into their metabolic state and dietary needs.

50) Edema (Oedema):
Edema denotes fluid retention and swelling in the body. It can be a symptom of hypothyroidism caused by hormonal imbalances. Managing edema is essential in restoring normal physiological function and improving the overall quality of life for affected individuals.

51) Pulse:
Pulse reflects the rhythmic heartbeat and is a key diagnostic tool in Ayurveda. It provides vital information regarding a person's overall health status, including the balance of doshas. In this study, pulse assessment assists in monitoring the patient's response to treatment.

52) Visha (Visa):
Visha translates to poison or toxins in the body. In the context of Ayurveda, it denotes harmful substances that can lead to disease. The study aims to eliminate visha through proper dietary and therapeutic interventions in managing hypothyroidism.

53) Rasa (Rasha):
Rasa refers to the taste or essence of substances in Ayurveda, guiding dietary choices that affect digestion and health. It is integral for formulating therapeutic approaches to balance the body's functions and enhance taste in treatment methods.

54) Bala:
Bala denotes strength or vitality in Ayurveda, reflecting an individual's overall health and energy level. In the treatment of hypothyroidism, assessing and enhancing bala is essential to improve the patient's strength and restore their quality of life.

55) Nadi (Nadin):
Nadi means pulse or channel in Ayurveda, referring to the pathways through which life energy circulates in the body. Monitoring nadi provides insights into health conditions and is crucial for diagnosing and treating imbalances such as hypothyroidism.

56) Dosha (Dosa):
Dosa refers to the fundamental energies or bodily humors in Ayurveda. The balance of the doshas—vata, pitta, and kapha—is essential for maintaining health. Understanding dosha imbalances is a cornerstone of Ayurvedic treatments for conditions like hypothyroidism.

57) Alpa:
Alpa means little or less in Sanskrit. In the context of the study, it refers to symptoms or conditions indicating reduced vitality or health, emphasizing the need for benefitting treatments to restore balance in hypothyroid patients.

58) Sama (Shama):
Sama means balanced or equal, highlighting the aim of Ayurvedic treatments to achieve equilibrium within the body. In managing hypothyroidism, achieving sama among the doshas and symptoms is critical to restoring health and improving quality of life.

59) Diet:
Diet encompasses the foods and eating habits of individuals. In Ayurveda, dietary choices significantly affect health, and managing diet is crucial in treating hypothyroidism to help restore balance and enhance overall well-being.

60) Sign:
Sign relates to the observable indicators of health status, particularly in Ayurvedic diagnostics. Identifying signs of imbalances helps in tailoring treatments and understanding the progression of conditions like hypothyroidism.

61) Hair:
Hair is often seen as an indicator of overall health and wellness. In hypothyroidism, issues like hair loss are common, and addressing hair health becomes a priority in the treatment plan, reflecting the interconnectedness of bodily functions.

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Agnimandya, Anarthava, Hypothyroidism, Dourbalya, Srothosodhana, Thyroid disorder.

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