Abstract

VIRECHANA KARMA AS A DETOXIFICATION APPROACH IN HYPERTHYROIDISM: INSIGHTS FROM A CLINICAL CASE

Dr. Apoorva A D*, Dr. Seetharamu M S, Dr. Somnath Meher, Dr. Muralidhar P Pujar

Abstract

Hyperthyroidism, particularly when manifesting as Graves' disease, represents a complex autoimmune endocrinopathy characterized by the pathological overproduction of thyroid hormones and a consequent hypermetabolic state.[1] Within the Ayurvedic perspective, this severe metabolic acceleration closely mirrors Bhasmaka Roga[2] (condition of excessive digestive fire) or Atyagni (excessive digestive fire), which is fundamentally driven by an imbalance of Pitta (fire and water bio-element) and Vata Dosha (air and space bio-element), ultimately leading to Dhatu Kshaya (depletion of bodily tissues). This clinical report documents the physiological stabilization and therapeutic management of a 27-year-old male presenting with extreme weight loss of 15 kg, bilateral exophthalmos, and pronounced hand tremors. Laboratory investigations confirmed a severe thyrotoxic state featuring a highly elevated free T3 of 637 pg/dL, free T4 of 19.9 ng/dL, and a suppressed TSH of

Keywords: Hyperthyroidism, Virechana, Graves' disease, Bhasmaka Roga, Panchakarma.