REVIEW ARTICLE ON HYPOTHYROIDISM IN AYURVEDA: A CRITICAL REVIEW

Purpose: Hypothyroidism is one of the most prevalent endocrine disorders worldwide. Though not explicitly mentioned in Ayurvedic classics, it can be correlated with conditions such as Galaganda, Dhatwagnimandya, Sthaulya, and Shotha. This article critically reviews hypothyroidism from an Ayurvedic perspective and explores management strategies rooted in classical principles. A detailed review of Ayurvedic scriptures (Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya), modern endocrinology references, and contemporary Ayurvedic research articles was conducted. Clinical presentations were analyzed in terms of dosha, dushya, agni, srotas, and ama. Hypothyroidism primarily manifests due to Kapha-Vata vitiation, Agnimandya, and Dhatwagnimandya. The involvement of Rasavaha and Medovaha srotas leads to systemic metabolic slowdown. Ayurvedic management emphasizes Agni Deepana, Ama Pachana, Kapha-Vata Shamana, Shodhana therapies, Rasayana, and Pathya-Apathya. Evidence suggests that formulations like Kanchanara Guggulu, Triphala Guggulu, Kaishora Guggulu, and lifestyle interventions (yoga, pranayama) play significant roles. Ayurveda provides a holistic understanding of hypothyroidism as Agni-dushti leading to metabolic imbalance. Therapeutic strategies combining herbal formulations, detoxification therapies, and lifestyle correction can complement modern management.