Ayurvedic management with classical references for Endocrinological disorders

Ayurvedic management with classical references for Endocrinological disorders


🔷 1. Diabetes Mellitus

(Modern: Type 1 & Type 2)

🔹 Ayurvedic Correlation:

  • Madhumeha – Vāta predominant Kṛcchra Prameha

  • Mentioned in:

    • Charaka Samhitā: Cikitsāsthāna 6

    • Suśruta: Uttara Tantra 55

    • Aṣṭāṅga Hṛdaya: Nidāna & Cikitsā Sthāna 10

🔹 Samprapti (Pathogenesis):

  • Vitiation of Kapha, Medas, Mūtravaha srotas, leading to Madhumeha

  • Later stages involve Vāta predominance and Ojas kshaya

🔹 Chikitsa Sūtra:

“प्रमेहिणां क्रियाः सर्वाः शोधनान् शमनानि च।
प्रायशः कफरोगाणां स्राविणां च विशेषतः॥”
C.S. Cikitsā 6/6

🔹 Management Protocol:

  1. Shodhana: Vamana, Virechana, Basti

  2. Shamana: Use of antidiabetic herbs

  3. Apathya-Anupāna control (sugar, starch, sedentary lifestyle)

🔹 Formulations:

  • Nishāmalakī Churna – Antioxidant, antihyperglycemic

  • Vijaysāra Churna, Triphala + Turmeric

  • Chandraprabha Vati, Guggulu-based Yogas

  • Mehari Churna, Dārvīdi Kwātha

  • Shilājatu, Abhraka Bhasma – Rasāyana & anti-diabetic

🔹 Modern Research:

  • Berberine from Dārvī – AMPK activator

  • Gymnema sylvestre (Madhunāśinī) – Beta cell regenerator


🔷 2. Hypothyroidism & Hyperthyroidism

🔹 Ayurvedic Correlation:

Condition Ayurvedic View
Hypothyroidism Agnimandya, Kapha-dominant Rasapradoshaja Vikāra
Hyperthyroidism Pittaja + Vātaja vitiation, Rasa & Rakta dhātu dushti, Dhātukṣaya

🔹 Samprapti:

  • Hypothyroidism: Sluggish digestion, Ama, Kapha–Medas dushti, leading to Agnimandya, weight gain, depression

  • Hyperthyroidism: Overactivity of Pitta-Vāta, Rakta dushti, palpitations, anxiety, tremors


🔹 Ayurvedic Approach:

🔸 For Hypothyroidism:

  1. Deepana-Pachana: Agni stimulation

  2. Srotoshodhana + Rasāyana

  3. Rasavaha–Medovaha srotodusti chikitsā

Dravyas:

  • Trikatu churna, Hingvāṣṭaka, Guggulu Tiktaka Ghṛta

  • Kanchanāra Guggulu – Nodule reduction, thyroid balancing

  • Ashwagandhādi Churna, Dashamūla harītakī

  • Pippalī Rasāyana, Sūtasekhara Rasa

🔸 For Hyperthyroidism:

  1. Pitta-Shamana, Raktashodhana, Manonāsha

  2. Shamana nasya, Sarvanga Abhyanga with cooling oils

Dravyas:

  • Sarasvatāriṣṭa, Jatamāmsī, Shankhapuṣpī, Tagara

  • Pravāla pishṭi, Mukta Bhasma – Pittahara

  • Kalyānaka Ghṛta, Manasamitra Vaṭaka – for anxiety, palpitations


🔷 3. Osteoporosis and Calcium Metabolism Disorders

🔹 Ayurvedic Correlation:

  • Closest to:

    • Asthikṣaya, Asthi-Majjā dhātu kṣaya, Sandhivāta

    • Related to Vāta vriddhi, Dhātu kṣaya

🔹 Samprapti:

  • Improper nourishment of Asthi dhātu, Vāta vriddhi, Majja dhātu kṣaya, leading to fragility, fractures

🔹 Chikitsa Sūtra:

“वातं स्नेहैः जयेत् सम्यक्”
C.S. Sūtra 13/12

🔹 Management Plan:

  1. Asthi dhātu poshana – Nourishment of bone tissue

  2. Bṛṃhaṇa Rasāyana therapy

  3. Vātaśamana, Majja vardhaka chikitsā

  4. Nasya, Basti as mūla chikitsā

🔹 Useful Formulations:

  • Godanti Bhasma, Mukta Pishṭi, Pravāla Bhasma – Rich in calcium

  • Ashwagandha Churna, Shatavari Churna

  • Trayodashanga Guggulu – For Vāta & bone pain

  • Shankha Bhasma – Source of calcium carbonate

  • Kukkutandatvak bhasma (Eggshell calcium)

🔹 Diet & Lifestyle:

  • Warm, nourishing diet

  • Avoid ruksha ahara (dry foods), over-exertion, stress

  • Regular abhyanga (oil massage) with Bala–Ashwagandha taila


✅ Classical References Summary:

Disease Equivalent Term Reference
Diabetes Madhumeha C.S. Cikitsā 6, Suśruta Uttara 55
Hypothyroidism Agnimandya, Kapha dushti A.H. Sūtra 13, Rasavaigunya
Hyperthyroidism Pitta-Vāta dushti A.H. Sūtra 12, Manovaha srotas
Osteoporosis Asthi-kṣaya, Vāta-vyādhi C.S. Cikitsā 28, A.H. Nidāna 15

📘 Additional Research References:

  1. Sharma R.K., Dash B. – Charaka Samhitā

  2. CCRAS Ayurvedic Formulary Vol. 1–3

  3. Singh R.H. – Exploratory studies on Rasāyana therapy

  4. Sharma H. – Ayurvedic Management of Diabetes Mellitus

  5. Bhāvaprakāśa Nighaṇṭu – Kṣudra Roga Adhyāya

  6. International Journal of Ayurveda Research (IJAR) – Clinical studies on Guggulu, Shilajatu, Kanchanara


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