Clinical Manifestations and Therapeutic Response in a Patient with Hypothyroidism: A Case Report

Abstract

The Thyroid gland is one of the most important organs of the endocrine system as it regulates nearly all the bodily functions including metabolic, respiratory, cardiovascular, digestive, nervous and reproductive system either directly or indirectly. Lack of thyroid hormone or resistance of the body tissue to the thyroid hormone with respect to metabolic demand results in disorder called hypothyroidism. High levels of TSH with normal or low levels of T4 is indicator of hypothyroidism. The present case study was conducted with the objective to find out the effective Ayurvedic management in hypothyroidism. This report is on a case study of a 42 years old female patient who is a known case of hypothyroidism since 10 years approached kayachikitsa OPD with the symptoms of reduced appetite, drowsiness, lethargy, tiredness, hairfall, irritability, moodswings, increased weight, puffiness of face, increased sleep during day time, pain all over the body, calf muscle cramps, difficulty in recollecting day to day things and dryness of skin since 4.5months. The patient was treated phase-wise. In first ohase patient was administered with sarvanga udwartana, sarvanga abhyanga and bashpa sweda for 10 days followed by virechana karma. In the second phase the patient was advised with a set of shamana aushadhi which was modified periodically according to symptoms. There were no side effects observed during and after treatment. Patients got complete relief in all symptoms and there was significant difference in TSH value after the treatment.