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As it is rich in iodine, which is the main cause for hypothyroidism, is selected as anupana along with KNG.Period of study: 3 months Patients were advised not to take Kapha and Medo vardhaka Ahara and Vihara's like diwaswapna, madhura guru dravya sevana etc.It appears to provide it with the nutrition and substitutes the Iodine, thyroid gland require. For the patients who are already using thyronorm/ eltroxin they were advised to withdraw the 25 mcg of the drug before starting the trail drug.The patients were observed carefully for 1 month, if they are comfortable with the drug and dosage and TSH levels are maintained well they are advised to withdraw another 25mcg.Cells in the body take their 'cue' from thyroxine.The amount of stimulation the cells receive from thyroxine will determine how 'quickly' they perform their functions.These functions similar with the description of Agni 'angati vyapnoti iti va agnihi' and 'agnyate mreeyate iti va agnihi.

As per the nidana Hypothyroidism can be classified as 1. These are preventable if proper pathyapathya is followed during pregnancy.

Susutha has described that out of seven layers of the skin, the sixth layer Rohini is galaganda rogadhistana (Su. In nidana sthana he described galaganda as two encapsulated small or big swellings in the anterior angle of the neck, which hang like scrotum The etiological factors in galaganda include climatic conditions, water supply, dietary conditions and other surroundings etc.

Susrutha stated that rivers flowing towards east might give rise to the occurrence of galaganda, and the persons consuming predominantly fish are liable to develop galgaganda.

Of the blood tests for hypothyroidism, the TSH is the most sensitive test Inclusion Criteria Weight gain/unable to loss weight Vertigo Easy fatigability Lethargy Cold intolerance Hair loss Slowness of memory, intellect and thought Anorexia Constipation Gaseous distention Hoarseness/slowness of voice Menstrual irregularities Oligomenorrhoea /Amenorrhea Parasthesias Muscle cramps and weakness Muscle stiffness and aching Dry skin Coarse, brittle, dull hair Puffiness of the face, hands, feet, slow reflexes Goiter The drug Kanchanara guggulu a compound Ayurvedic preparation consists of Guggulu, Kanchanara, Varuna, Triphala, Trikatu and Trijataka (preparation of the drug mentioned in drug aspect).

It is one of the safest and the very useful drug in ayurveda, is found in usage for many years for gandhamala, apachi, Arbuda, Granthi, Vrana, Gulma, Kusta, Bhagandara etc.

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