A clinical study on the effectiveness of Virechana in Hypothyroidism
DOI:
https://doi.org/10.70066/jahm.v11i3.723Keywords:
Ayurveda, Avippatikara choorna, Hypothyroidism, Mandagni Srotosodhana, Virechana,Abstract
Background: The contemporary stress-filled lifestyle has created a shift in the activities of neuro-endocrine systems, resulting in a surge of newer metabolic health challenges including such hypothyroidism. It is a new health concern that affects millions of people worldwide, impacting productivity and work. Since there is no explicit mention of hypothyroidism in classical treatises, the disease can be viewed as a tridoshaja vyadhi (~imbibed with three bio humors) with agnimandya (~weakening of digestion) at the dhatu(~tissues) and srotodusti (~ defects within channels) levels. Virechana (~medicated purgation) is a commonly used procedure in panchakarma for srotoshodhana(~cleansing the microchannels), agni(~digestive fire) correction, and bahudosha removal from the body. As a result, virechana will be evaluated and validated clinically in hypothyroidism.
Objective: The present study was intended to evaluate the effectiveness of virechana karma in hypothyroid patients.
Methods: A convenient sampling method was employed to choose 30 hypothyroid subjects. Deepana pachana (~procedures for improving agni) performed abhyantara rookshana (~internal drying) with chitrakadi vati 500gms twice daily before food and panchakola phanta 50ml twice daily before food until the appearance of samyak rookshana lakshanas (~proper symptoms of drying). They were given snehapana (~intake of oral sneha) with varunadi ghrita until samyak snigdha lakshanas (~symptoms of proper oleation) emerged, then vishrama kala (~resting phase) for three days. Virechana with avippatikara choorna 25gms, was given as anupana(~adjuvant) with honey. After finally completing Samarjana krama (~post dietary regimen), subjects were given Kanchanara guggulu for 15days. BILLECWICZ SCORE was implemented to analyse subjects 15 days after completing samsarjana krama.
Observation and results: There were a marked improvement in signs and symptoms, along with a reduction in serum TSH levels.
Interpretation and conclusion: Virechana proved effective in management of hypothyroidism, so this new modality of treatment needs to be validated through a well-planned study on a large sample size.
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Copyright (c) 2023 Geetismita Boruah, Ashvini Kumar M
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