📄 Abstract
Background Hypothyroidism is a common endocrine disorder characterized by reduced synthesis or action of thyroid hormones, leading to metabolic slowing and multisystem involvement. Conventional management with levothyroxine may be associated with persistent symptoms, dose variability, and long-term adverse effects. From an Ayurvedic perspective, hypothyroidism can be understood as a Kapha-pradhana Rasa-prado?aja Vikara with Urdhva-jatrugata sthana-vise?a, resembling Galaga??a, arising due to Agnimandya, Ama formation, and srotorodha. Case History A 36-year-old female presented with diffuse non-tender neck swelling, progressive weight gain, severe constipation, lethargy, hair fall, dry skin, and heaviness for six months. Laboratory investigations revealed markedly elevated TSH levels suggestive of primary hypothyroidism. Based on Ayurvedic assessment, the condition was diagnosed as Kapha-pradhana RasaMeda du??i. The patient was managed with Deepana-Pachana, Udwarthana, Snehapana, Classical Vamana, followed by Sa?sarjana Krama and Pratimarsha Nasya with Thumbi Taila, along with supportive Samana therapy. Results Following treatment, the patient showed marked improvement in bowel habits, appetite, energy levels, skin texture, hair fall, and reduction in neck swelling. Clinical severity scores improved significantly, and thyroid function parameters showed a progressive and sustained reduction during treatment and follow-up, indicating improvement in metabolic and endocrine function. Conclusion This case demonstrates that Classical Vamana followed by Thumbi Taila Pratimarsha Nasya can effectively manage primary hypothyroidism with Kapha-dominant pathology. The integrative Ayurvedic approach addresses the underlying Ama, Agnimandya, and srotorodha, offering a safe, holistic, and physiologically rational alternative or adjunct to conventional therapy.
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📚 How to Cite:
Dr. Sushma.R, Dr. Vijayamahanthesh Hugar , EFFECT OF CLASSICAL VAMANA FOLLOWED BY THUMBI TAILA PRATIMARSHA NASYA IN THE MANAGEMENT OF PRIMARY HYPOTHYROIDISM: A CASE STUDY. , Volume 12 , Issue 1, January 2026, EPRA International Journal of Multidisciplinary Research (IJMR) , DOI: https://doi.org/10.36713/epra25735