Ayurvedic Management of Thyroid disorders

Thyroid disorders are the most common disorders we see in our daily practice. These are mainly Hypothyroidsm, Hyperthyroidism and Goiter.
Many ayurvedic practioners are adopting a vague approach by simply prescribing Kanchanara guggulu. Because the main obstacle in understanding the thyroid disorders is that there is no exact correlation of the thyroid gland in Ayurveda. But the ayurvedic system of medicine is very futuristic and it doesn’t emphasize on naming the disease. It rather insists on understanding the constitutional status of the disease and adopting the appropriate treatment principles.
The main action of thyroid hormone is to act as a spark to pep-up body metabolism by increasing the oxidative phosporylation in the mitochondria. In Ayurveda parlance it can be correlated with the actions of agni.
As per the place, the agni located in the Jathara (digestive fire) is responsible for the digestion and absorption of the food. The Bhutagni is responsible for the transformation of heterogeneous substance to homogenous substances and dhatwagni (the agni located in the body tissues) is responsible for the metabolism.
So the factors which regulate the metabolism are nothing but the dhatwagni amshas. Thyroxine is also one of the factors which regulate the metabolism, can be correlated with dhatwagni amsha. Its action is influenced by pitta, samana vata and kapha up to some extent and these are ultimately regulated by vata. These concepts are described elaborately in the consecutive chapters.
This book is divided into 4 parts. First part deals with the normal physiology, second part is hypothyroidism, third part is the hyperthyroidism and the fourth part is goiter.
Thyroid disorders are the most misdiagnosed diseases. For accurate diagnosis of the disease, more than 80 clinical features of hypothyroidism and nearly 120 clinical features of Hyperthyroidism are compiled in this book.
It would be unwise to try in vain to tackle the disease by drug only. That is why pathyapathya (wholesome and unwholesome diet and regimen) are mentioned for the above diseases.
An attempt has been made to elaborate the treatment principles (keeping the etiology in view) about the thyroid disorders without distracting the basic philosophy and precincts of Ayurveda.
Autoimmunity is the main etiological factor in thyroid disorders. The views of eminent scholars about autoimmunity in ayurveda are mentioned and the orjaskara (which gives strength to the ojus (immunity)) treatment is mentioned to prevent the triggering of the autoimmunity.
Some useful drugs and their different preparations like swarasa, kwadha, vati, lehya, ghrita (juice, decoctions, pills, medicated ghee etc.) are mentioned in this book for the convenience of the practioners.
Some popular drugs which are found in usage by ayurvedic practioners are included in this book.
It is hoped and believed that this small effort will prove to be some benefit to the students, practioners, researchers and those who are interested in science.

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