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INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH

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: https://doi.org/10.5281/zenodo.19596097

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INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH

Management Of Hyperthyroidism Through Ayurvedic Intervention: A Case

Report

Dr. Suwarna Abgad ¹, Dr. Vipul Kanani ², Dr. Sapna Upadhyay³

Third year PG scholar ,Rognidan Evum Vikriti Vigyan Department, RTAM, Akola

²Professor & HOD,Rognidan Evum Vikriti Vigyan Department, RTAM, Akola

³Associate Professor,Rognidan Evum Vikriti Vigyan Department, RTAM, Akola

Corresponding Author: Dr. Suwarna Abgad

E-Mail : suwarnaabgad2@gmail.com

Article Info: Article Received on : 06/02/2026

Article Reviewed on: 08/04/2026

Article Published on : 15/04/2026

Cite this article as: - Abgad, S., Kanani, V., & Upadhyay, S. (2026). Management Of Hyperthyroidism Through Ayurvedic

Intervention: Case Report. International Journal of Diagnostics And Research, 3(3), 42–47.

https://doi.org/10.5281/zenodo.19596097

Abstract

Hyperthyroidism, or thyrotoxicosis, is a clinical condition characterized by hyperfunctioning of the thyroid gland,

resulting in excessive secretion of triiodothyronine (T3) and thyroxine (T4) ^[1]. Elevated circulating thyroid hormones

exert negative feedback on the hypothalamic–pituitary axis, leading to suppression of thyroid-stimulating hormone

(TSH). Clinically, the disorder manifests with hypermetabolic features such as weight loss despite increased appetite,

heat intolerance, tachycardia, tremors, anxiety, excessive sweating, and menstrual irregularities. Ayurvedic classics do

not describe hyperthyroidism as a distinct classified disease. Therefore, it may be understood under the broader

category of Anukta Vyadhi ⁽¹⁾- diseases not explicitly mentioned in classical texts. The conceptual framework of

Anukta Vyadhi allows physicians to interpret newly emerging disorders through the lens of fundamental Ayurvedic

principles such as Dosha, Agni, Dhatu, and Srotas involvement.In this case, A 32-year-old female presented with

symptoms such as palpitations, excessive appetite, weight loss, and fine tremors of the hands and legs. She was

clinically diagnosed with hyperthyroidism, which was confirmed by laboratory investigations showing elevated T3

and T4 levels with suppressed TSH. The patient was treated with Ayurvedic formulations such as Shatavari Kalpa,

Ashwagandha Churna and other herbo mineral compounds. After one month of treatment, significant symptomatic

improvement was observed along with normalization of thyroid hormone levels. This case suggests the potential

effectiveness of Ayurvedic management in hyperthyroidism.

Keywords: Hyperthyroidism, Anukta vyadhi, Trividha dosh sangraha, Shaman chikitsa.

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time .

Introduction :

Hence , Anukta Vyadhi should be managed by

Dosha–Dushya–Agni–Srotas pariksha ; hence

hyperthyroidism can be understood and treated on

this fundamental basis.

Hyperthyroidism, also known as thyrotoxicosis, is a

hypermetabolic clinical and biochemical condition

caused by excessive production of thyroid hormones.

This disorder occurs more frequently in females and is

characterized

elevated

serum

levels

In hyperthyroidism, features suggestive of Pitta

vriddhi and Vata vrddhi, along with Kapha kṣhaya,

are predominantly observed.^[5]Depletion of Kapha

dosha subsequently leads to the kshaya (depletion)

of other dhatus and upadhatus, thereby contributing

to the multisystemic manifestations of the disease

showing symptoms such as Hritpeeda, Hriddrava,

triiodothyronine (T3) and thyroxine (T4), resulting in

suppressed thyroid-stimulating hormone (TSH) levels.

This condition speed up metabolism due to excessive

production of harmones . ^[2]Clinical features of patients

with hyperthyroidism have slow and insidious onset,

varying in severity from case to case. The usual

symptoms are emotional instability, nervousness,

palpitation, fatigue, weightloss inspite of good appetite,

heat intolerance, perspiration, menstrual disturbances

and fine tremors of the outstretched hands. Skin of these

patients is warm, moist and flushed. ^[3]Hyperthyroidism

is relatively less common than hypothyroidism. If left

untreated, it may lead to serious complications involving

the heart, bones, muscles, menstrual cycle, and fertility.

In India, there is a significant burden of thyroid

Kampa,

Shosha,

Sphikgreevodar

Sushkata,

Krushata, Shrama, Kesha-Nakha Prapatanam,

Dourbalya, Asthi Saushirya, Alpa Artavata.

Aims And Objectives:

study

the

Ayurvedic

approach

the

management of hyperthyroidism.

Material :

The references are taken from Samhitas, other

Ayurvedic textbooks, modern textbooks, research

articles , websites related with research articles &

previous research works with scientific validation

supporting the facts.

disorders.

Based

projections

it is

from

various

that

epidemiological

studies,

estimated

approximately 42 million people in India are affected by

[4]

thyroid diseases.

Many Ayurvedic scholars have

compared the signs and symptoms of hypothyroidism,

hyperthyroidism with conditions such as Atisthaulya,

Methods :

Galganda, Atyagni,

respectively. Ayurvedic classics do not describe

hyperthyroidism as distinct classified disease.

Bhasmaka, and

Ati-Karshya

Assembled

Ayurvedic

literature

material

Hyperthyroidism, also gather all information

related with hyperthyroidism. In this article, all the

references from Ayurvedic classical text &

respected commentaries regarding Hyperthyroidism

are mentioned.

Therefore, it may be understood under the broader

category of Anukta Vyadhi - diseases not explicitly

mentioned in classical texts. Acharya Charak has also

explained regarding Anukta Vyadhi as – it is impossible

to assign fixed names to every disease, as diseases

Case History:

continuously evolve due to variations in dosha

combinations, agni states, dhatu involvement,

lifestyle, dietary patterns, geographical factors, and

In this case, A 32-year-old female presented with

symptoms such as palpitations, excessive appetite,

weight loss, fatigue, sleep disturbance and fine

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INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]

tremors of the hands and legs since

2 months.

General Examination:

She was clinically diagnosed with hyperthyroidism,

which was confirmed by laboratory investigations

showing with suppressed TSH levels. 0.028

uIU/ml.

1. Pulse = 102 /min

2. BP = 104/74 mmHg

3. SpO2 = 95%

4. Weight = 47 kg

patient

was

recently

diagnosed

with

Samprapti Ghatak :

hyperthyroidism she decided to take ayurveda

treatment and undergone consultation. She has no

history of past treatment and visited to OPD of R T

Ayurved Hospital, Akola for first consultation. The

patient was treated with Ayurvedic formulations

such as Shatavari Kalpa, Ashwagandha Churna

and other herbo mineral medicines. After one

month of treatment, significant symptomatic

 Dosha : Vata , Pitta , Kapha

 Dushya : Ras , Rakta , Mamsa ,Meda

 Strotas : Rasvaha, Raktavaha, Medovaha,

Manovaha

 Agni : Jatharagni , Dhatwagni.

Diagnostic Assessment :

Based on clinical symptoms and laboratory

investigation the patient was diagnosed to be

suffered from hyperthyroidism. The assessment

was done by comparing the baseline parameters

with 30 days administration of Shaman Chikitsa .

Baseline Lab. Investigations –

improvement

was

observed

along

with

normalization of thyroid hormone levels. This case

suggests the potential effectiveness of Ayurvedic

management in hyperthyroidism

History Of Past Illness :

No any H/O HTN, DM & any other major disease.

On Examination:

Hb – 9.8 gm/dl

TSH -0.028 mIU/L

Asthavidha pariksha

Therapeutic Intervention:

1. Nadi – Vata pittaj

The details of the internal and external medication

prescribed have been mentioned in the table below.

2. Mala – Ati malpravritti

3. Mutra – Prakrita

Sr.

Name of drug

Dose

Time

Route

Anupan

Duration

4. Jivha – Alpa Sama

5. Shabda – Prakrita

Shatavari kalpa

Twice a day

Oral

Milk

30 days

3gm

6. Sparsha – Ushna

Ashwagandha churna

Guduchi churna

Brahmi churna

2 gm

1 gm

7. Drika – Prakrita

Lukewarm

water

Saptamrut loha

500mg

8. Aakriti – Krush

Systemic Examination:

1. Respiratory and Cardiovascular system

found normal.

Assessment Criteria :-

The result of the therapy were accessed on the basis of

2. CNS : conscious and oriented

clinical signs and symptoms described in

texts, both before and after treatment.

ayurvedic

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Discussion:

no.

Symptoms

Day 0

+++

Day 15

Day 30

Ayurveda classics have no direct reference of

Palpitation

(Hritspandan)

Excessive appetite

(Atyagni)

hyperthyroidism. Hence it is understood under

Anukta Vyadhi and analysed on the basis of Trividh

dosh sangraha by examining dosh dushya

Weightloss

(Karshya )

Fatigue

(Glani)

+++

involvement and samprapti .Hyperthyroidism, from

an Ayurvedic perspective, represents an imbalance

of Trividh Dosh Sangraha, chiefly Vata–Pitta

Sleep disturbance

(Alpa nidra)

Tremors(Kamp)

+++

predominance

with

Kapha

depletion.

Hence

accordingly treatment was planned.The drugs

Results:

prescribed

therapeutic

are

considered

effective

Follow up and Outcome:

agents

for alleviating

symptoms

After 30 days patient was advised to undergo

following

investigations

after

taking regular

associated with hormonal imbalance as well as

other non-constitutional manifestations of

medications.

Table : Effect of therapy before and after treatment.

hyperthyroidism, including fatigue, weight loss,

Observed

increased appetite, hyperacidity, oligomenorrhea,

value

Test

done

Sr.no

Reference Range

Before

T/t

After

T/t

amenorrhea,

palpitations,

and

generalized

weakness. They also help to mitigate central

nervous system–related symptoms such as tremors,

insomnia, nervousness, and irritability. One of the

most significant benefits of these drugs lies in their

ability to counteract excessive weight loss, enhance

internal strength and immunity, reduce stress, and

assist in restoring hormonal balance. Furthermore,

these drugs constitute important ingredients in

several formulations prescribed for such clinical

conditions and contribute to the improvement of

overall health, vitality, and see longevity.

Male - 13-18 gm/ dl

Female -11.5-16.5

gm/ dl

9.8

11.2

2.24

0.27 - 4.20

mIU/L

TSH

0.028

Mode of Action Of Drug :

Shatavari Kalpa :

Shatavari Kalpa of Dhootpapeshwar pharma was

prescribed. It contains Shatavari , Ela , Sharkara .

Shatavari is a well known Ayurvedic Rasayana

having properties of Madhur Ras , Guru Snigdha

Guna , Sheet Virya and Madhur Vipak. It acts as a

Effect of therapy before

treatment.

Effect of therapy after

treatment.

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INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]

potent Vata Pitta Shamak .It posses Balya, Medhya,

and Rasayana properties, thereby helping to delay

ageing, enhance longevity, strengthen immunity,

and improve mental functions, vigor, and overall

vitality. Shatavari is also beneficial in the

management of nervous disorders, dyspepsia,

neuropathy, and hepatic ailments.Owing to its

nourishing and rejuvenating effects, it is especially

popular as an Ayurvedic tonic for women and has

demonstrated significant utility in the management

of menstrual irregularities.

pacifying aggravated Pitta dosha, which is often

responsible for the excessive metabolic activity

observed in

metabolic processes rather than merely suppressing

them, Guduchi helps restore physiological

this condition.

By modulating

equilibrium.Its Rasayana nature contributes to the

prevention of Dhatukshaya (tissue depletion), a

common consequence of heightened metabolism.

Brahmi Churna:

Brahmi Churna, prepared from Bacopa monnieri, is

a classical Medhya Rasayana widely used for

enhancing cognitive functions and mental health. It

possesses Tikta and Kashaya Rasa, Sheeta Virya,

and Madhura Vipaka, along with Laghu and Sara

Guna. These properties contribute to its Vata–Pitta

shamaka action and its specific effect on the

Manovaha Srotas. Clinically, it improves memory,

concentration, and intellect, while also exhibiting

anxiolytic, sedative, and neuroprotective effects. It

is beneficial in conditions like anxiety, insomnia,

and cognitive impairment seen in patients with

hyperthyroidism. Owing to its Madhur Vipaka, it

nourishes Majja Dhatu and promotes overall

mental well-being and longevity.

Ashwagandha Churna :

Aswagandha contain Kashaya, Tikta Rasa; Laghu,

Snighdha

Guna; Ushna

Veerya but Madhura

Vipaka. It posses Rasayana, Balya, Vrishya

properties. Ashwagandha has been used as an

anti-inflammatory,

aphrodisiac,

anti-oxidative,

anti-anxiety,

immune-modulation,

CNS

depressant,

hepato-protective,

cardiovascular

protection, adaptogenic and anti-stress. All these

properties may ease the syndromes of

hyperthyroidism. Various studies also show that

Ashwagandha have regulating effect on

thyroid glands. Ashwagandha is used to treat

various disorders of central nervous system,

stress and neurodegenerative diseases, cerebral

ischemia, general debility and hormonal

Saptamrut Loha :

Saptamrut loha contains Haritki , Bibhitki, Amalki

,Yashtimadhu and Loha Bhasma .It has Madhur,

Kashay , Amla ras, Laghu,Ruksha Gun, Sheet Virya

disorders.The most useful usage of this drug is to

reduce stress and modify the sleep.

Guduchi Churna:

and

Madhur

Vipak.Triphala

acts

Rasayana.Yashtimadhu

Pitta-shamak

and

Guduchi contains Kashaya,

Tikta

Rasa; Laghu

soothing to ocular tissues , Loha Bhasma corrects

Rakta dhatu kshaya and improves tissue nutrition.

Saptamrut Loha has been selected as the drug of

choice due to its unique property of not producing

Karshana (excessive depletion), thereby helping to

Guna; Ushna Veerya and Madhura Vipaka. It

possesses

Tridoshaghna,

Balya,

Medhya

context of

Dahahara

properties.

the

hyperthyroidism, Guduchi plays a pivotal role by

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INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]

prevent Dhatu Kshaya (tissue depletion). Unlike

many formulations that may cause Karshana

(depletion) or excessive Rukshata (dryness),

Saptamrut Loha, owing to its Rasayana properties,

8210.83329.

PMID:21966658;

PMCID:

PMC3169866.

4. Charaka, Vd. Vidyadhar Shukla, Prof.

Ravidatta Tripathi (ed), Charak Samhita

Sutrasthan Adhyay 18/44 (Vaidyamanorama

promotes

Dhatu-poshana

and

maintains

the

equilibrium of Doshas, thereby ensuring a balanced

and nourishing therapeutic effect.

Hindi

Commentary),

Vol

Delhi,

Chaukhambha Sanskrit Pratishthan, 2010;

281

Conclusion:

From the present case study, it can be concluded

that the above therapeutic protocol was effective in

alleviating the clinical signs and symptoms of

5. Deepika

Tewari

,Vimal

Tewari,An

Ayurvedic Approach In Management Of

hyperthyroidism

and resulted in a marked

Hyperthyroidism,Ayushdhara,2020

7),3022

(Vol

improvement in the patient’s overall quality of life.

These findings suggest that a similar integrative

Ayurvedic approach may be considered as a

supportive and beneficial management strategy in

future cases of hyperthyroidism, with appropriate

clinical assessment and monitoring.

Declaration of patients consent - Patient’s written

consent has been collected and preserved by the

author(s).

Financial support and sponsorship - Nil

Conflicts of interest - There are no conflicts of

interest.

References :

ISSN: 2584-2757

1. Akshya G ,Nandesh Mohan and Saranya K,

Understanding Hyperthyroidism, A Anukta

Vyadhi & Role Of Ekmool Prayogas In The

Samprapti Vighatana,International Journal

Of Biology,Pharmacy And Allied Sciences (

IJBPAS )2022 ,11(12) :5769

DOI : https://doi.org/10.5281/zenodo.19596097

Dr. Suwarna AbgadInter. J.Digno. and Research

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2. Harshmohan ,textbook of Pathology, 8^th

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3. Unnikrishnan AG, Menon UV. Thyroid

disorders in India: An Epidemiological

perspective. Indian J endocrinol metab. 2011

Jul; 15(Suppl 2): S78-81. Doi:10.4103/2230-

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