Ayurvedic management of subclinical hypothyroidism with Nityananda Rasa – A case study
Ajay Saharan¹ and Rekha Parmar²
1,2Department of Dravyaguna, Parul Institute of Ayurved, Parul University, Vadodara, Gujarat – 391760 (India) 1Email: ajaysaharan64@gmail.com | Mobile: +91-9588006879 2Email: rekha.parmar@paruluniversity.ac.in | Mobile: +91-9724306523
ABSTRACT
Subclinical hypothyroidism frequently presents with nonspecific symptoms such as fatigue, weight gain, dry skin, and constipation, often leading to delayed recognition. In Ayurveda, this symptom complex overlaps with Sthoulya, Kapha–Vata vikaras, and Agnimandya. A 42-year-old female with a 4-5month history of subclinical hypothyroidism presented with persistent fatigue, weight gain, constipation, cold intolerance, loss of appetite, irregular menstruation and hair loss. Baseline TSH was 17.70 uIU/mL with normal T4. A planned course of Deepana–Pachana, Rasayana, Shamanoushadhi and specific pathya followed as per Sthoulya Chikitsa was given for 40 days. After treatment, the patient reported improved energy, reduced constipation and cold intolerance, improved appetite, and 1.2 kg weight reduction. TSH decreased to 1.37 uIU/mL with stable T4. A structured Ayurvedic Shamana protocol demonstrated symptomatic and biochemical improvement in subclinical hypothyroidism.