Clinical efficacy of Tryushana Churna in management of Hypothyroidism

Hypothyroidism is a common endocrine disorder resulting from insufficient secretion of thyroid hormones, leading to metabolic disturbance and multisystem involvement. Conventional management relies on lifelong levothyroxine therapy, which may not fully alleviate symptoms in all patients. Ayurveda attributes hypothyroidism to Kapha–Vata imbalance, Mandagni (low digestive fire), and Ama (toxin) accumulation, and advocates a holistic approach including dietary regulation, herbal formulations, detoxification, and lifestyle modification. This case study reports the Ayurvedic management of a 20-year-old female presenting with fatigue, weight gain, hair loss, cold intolerance, facial puffiness, constipation, and menstrual irregularities. The treatment regimen included Tryushana Churna, Kanchanara Guggulu, Triphala, local application of Tryushana Lepa, and Shirodhara with Tryushana Takram for three months, alongside dietary and lifestyle modifications. Marked improvement was observed in weight (reduction from 63 kg to 55 kg), regularization of menses, significant reduction in fatigue, hair loss, indigestion, and cutaneous symptoms. The outcomes highlight the potential of Ayurvedic interventions, particularly Tryushana Churna and Kanchanara Guggulu, in improving thyroid-related symptoms by enhancing Agni, reducing Ama, and balancing Doshas. This case supports the integrative role of Ayurveda as a complementary approach to hypothyroidism management, warranting further clinical research to validate efficacy on a larger scale.