Abstract

ROLE OF NIDANA-PARIVARJANA IN NEWLY DIAGNOSED PRIMARY HYPOTHYROIDISM: A CASE STUDY

Dr. Bhakti Prakash Kale* and Dr. Vrinda Kaknurkar

Abstract

Introduction: Hypothyroidism is becoming one of the most common health condition. Prevalence of hypothyroidism is nearly 11% in adults. As it is a disease of thyroid gland, it may harm the metabolic and growth functions. In spite of advanced medical science, only thyroid replacements are given to patients, which last lifelong. Agnimandya and pradnyaparadha are mentioned as causative factors of any disease. If causative factor is suspected properly and treated accordingly, this condition can be treated. Material and method: A 26 yr old female patient came with signs and symptoms of puffy facehands- legs, tiredness, weakness, hair loss, weight gain with poor appetite and TSH 46.24 uIU/ml. She was started with tab Euthyrox 75 mcg once a day since 15-20 days. Causative factor was noted as continuous night shift since, unhealthy food habits, stress and lack of sleep. Nidanparivarjana, aamapachana drugs, neck exercises, yoga and meditation were advised, i.e. lifestyle modification were given. Results: TSH level came to normal i.e. 1.86 uIU/ml. Thyroid replacements reduced to 25 mcg, and after to 12.5 mcg. Clinical sign and symptoms were reduced. Discussion: Different types of causative factors vitiate the doshas, leading to doshadushya sammurchaana and disease is caused. Nidana means cause and parivarjana means removal. Hence, nidanaparivarjana plays an important role in treatment of such cases.

Keywords: Nidanparivarjana, lifestyle modification, hypothyroidism, yoga, meditation.