ROLE OF PANCHAKARMA AND AYURVEDA FORMULATIONS IN THE MANAGEMENT OF PRIMARY HYPOTHYROIDISM: A CASE REPORT

Thyroid disorders rank among the most prevalent endocrine conditions globally. The thyroid gland primarily se-cretes Thyroxine (T4) and Triiodothyronine (T3). Thyroid Stimulating Hormone (TSH) is pivotal in regulating thyroid activity and is a reliable physiological marker of glandular function. Modern sedentary lifestyles, coupled with poor dietary practices, are primary contributors to the rising prevalence of endocrine disorders, including thyroid dysfunctions. Furthermore, heightened stress and anxiety levels significantly impact thyroid health, as the gland exhibits marked sensitivity to various stimuli. In Ayurveda, several clinical features of hypothyroidism align with manifestations of Kaphaja Nanatmaj Vika-ras, including Gurugatrata (heaviness of the body), Alasya (lethargy), Tandra (drowsiness), Atisthoulya (exces-sive weight gain), and Atinidra (prolonged sleep). Hypothyroidism represents a multi-systemic pathological con-dition requiring a comprehensive therapeutic approach. Treatment in this case was tailored to address the under-lying pathophysiology through Shodhana (purification therapies) and Shamana Chikitsa (pacification therapies), along with lifestyle and dietary interventions. This article presents a case of a 37-year-old female diagnosed with primary hypothyroidism exhibiting an initial TSH level of 90 mIU/L. A structured Ayurvedic management plan, incorporating Panchakarma therapies, herbal formulations, and tailored lifestyle and dietary modifications, led to the complete resolution of symptoms. Fol-low-up assessments, including laboratory investigations, confirmed sustained clinical and biochemical remission six months post-treatment, with no recurrence of symptoms. This case highlights the potential of integrative Ayurvedic interventions in managing hypothyroidism effectively, underscoring the importance of personalized, multimodal treatment strategies.