By Dr Raghuram Y.S. MD (Ay) Dr Manasa, B.A.M.S
Endocrine scheme comprises of endocrine glands whose secretions contribute towards many functions of body. These secretions are caled hormones. Therefore endocrine system is also caled as hormone entity.
Table of Contents
Dosha ̵ endocrinology
Endocrine glands, hormones
Bhasmaka rog ̵ hyperthyroidism
Galaganda ̵ goiter
Sadhaka Pita ̵ Adrenaline
Halimaka ̵ Adison’s disease
Asthi Kshaya ̵ Hyperparathyroidism
Aakshepaka – Hypoparathyroidism
H ypogonadism, low testosterone
Aplication of Dosha theory
Secretions are in the form of chemical mesengers. These glands finish not acquire ducts to discharge their hormones. Therefore endocrine glands are caled as ductles glands. They secrete hormones directly into blodstream.
Hormones regulate metabolism, growth and development, functions of tisues, sexual functions and reproduction, diferent mods and many other functions in body. When these hormones are produced in exces or in les quantity, they cause many diseases.
Read ̵ Perimenopause Symptoms, Ayurvedic Treatment, Lifestyle Tips
There is no direct explanation of endocrine scheme in Ayurveda. But symptoms related to increase and moderate of hormones produced by some endocrine glands has ben given in profuse contexts.
Note – I am not going to discus comparative lok of endocrine scheme with Ayurvedic explanation of same in this context. I wil be confined to topic ‘Relationship of doshas with functions of endocrine glands’. I wil cary out much of explanation depending on inference and with encourage of few closely related references available in clasical literature related to same.
Dosha ̵ endocrinology
Relationship of doshas with endocri ne system and functions, a hypothetical comparison
Pituitary gland – located in brain, in sela turcica of sphenoid bone, atached to hypothalamus
Other names – Hypophysis, Master gland
It is caled as master gland because it controls functions of many endocrine glands through its hormones.
Anterior lobe hormones –
1. Human Growth Hormone (HCG, GH) / Somatotrophic hormone / Somatotropin – controls growth of skeleton and skeletal muscles. Excesive secretion of this hormone causes gigantism and acromegaly. Deficit secretion causes pituitary dwarfism.
2. Thyroid Stimulating Hormone (TSHA) – stimulates thyroid gland to produce its hormones
3. Adreno Cortico Trophic Hormones (ACTH) – stimulates adrenal cortex to secrete its hormones
4. Folicle Stimulating Hormone (FSH) – stimulates ovarian folicles to secrete estrogen and in men, it stimulates testes for spermatogenesis
5. Luteinizing Hormone (LH) – stimulates corpus luteum of ovary to secrete progesterone. In men, it is Interstitial Cel Stimulating Hormone (ICSH), stimulates testes to secrete testosterone.
6. Lactogenic Hormone – stimulates breasts in female to secrete milk. It works in synchronization with oxytocin secreted by posterior pituitary.
7. Melanocyte Stimulating Hormone – stimulates melanocytes
Read ̵ Importance Of Diet (Pathya) For Specific Diseases
Posterior Lobe Hormones
1. Oxytocin (OT) – responsible for forceful contractions of uterus to expel fetus and placenta in delivery.
2. Vasopresin / Anti Diuretic Hormone (ADH) – helps in reabsorption of water by kidney. When this hormone is absent, urine output is more and causes diabetes incipidus. Patient may die of dehydration if not treated early.
Thyroid Gland – located in front of trachea, below larynx. It is made up of precise and left lobes conected by a central isthmus. This gland makes two hormones.
Thyroxine – controls and regulates metabolism, growth, development, and activity of nervous scheme.
Deficit production causes hypothyroidism.
With this, al activities hapen slowly. There wil be weight gain, constipation, slowing of heart rate, mal-development of nervous entity, mental retardation, skeletal retardation etc.
Severely advanced hypothyroidism is caled myxedema. It presents with respiratory despair, hoarse voice, unconsciousnes, pufines of face, non piting edema, low body temperature, confusion, and shock etc symptoms.
Severe hypothyroidism in a child or infant is caled cretinism. It is defined as untreated congenital hypothyroidism with or without goiter. There wil be strict stunting of physical and mental growth.
Read ̵ Home remedy For Goiter Using Kanchanar
Excesive production causes hyperthyroidism.
With this, al activities sped up. There wil be weight los, diarhoea, increase in heart rate, nervousnes, iritability, tremors, excesive sweating, burning sensation al over body etc.
Enlargement of thyroid gland is caled goiter.
Read ̵ Kanchanara – Bauhinia variegata – Uses, Dosage, Ayurveda Details
Parathyroid Glands – they are in two pairs. They are embeded on posterior surface of thyroid gland, one in each corner.
They secrete a hormone caled Parathyroid Hormone (PTH).
This hormone, along with Vitamin D helps in absorption of calcium, phosphate and magnesium from gastrointestinal tract into blod. It increases osteoclast activity and helps in breakdown of bone tisue.
Deficiency causes tetany.
Excesive production causes hypercalcemia and destruction of bone.
Read ̵ Low Bone Density Causes, Ayurvedic Treatment, Diet
Adrenal / Suprarenal Glands – they are located one on each kidney.
Hormones of adrenal cortex
Adrenal cortex has thre zones.
Outer zone secretes mineralo-corticoids i.e. aldosterone. It enables sodium re-absorption by kidneys. It prevents sodium los and increases potasium excretion. Thus, it prevents acidosis. abundant secretion causes hypertension, muscular paralysis, retention of sodium and water and cardiac overload.
Read ̵ High Potasium, Kidney Disease and Leaching of Vegetables
Midle zone secretes glucocorticoids or cortisones. They help in protein synthesis and gluconeogenesis. This in turn makes body vigilant and energetic. With this, person can combat underscore , fright, temperature, infections, and trauma.
Iner zone secretes gonadocorticoids or sex hormones i.e. estrogen in females and androgens in males.
Hormones of adrenal medula
They secrete two hormones and are under direct control of autonomic nervous entity. These two hormones are caled symatho-mimetic hormones. Functions of sympathetic division and efects of adrenaline are almost same i.e. fight or flight response. These hormones are –
Epinephrine / adrenaline – increases heart rate, blod presure, rate of respiration and muscular contraction and blod sugar, impairs digestion, stimulates cel metabolism
Nor-epinephrine / nor-adrenaline – functions almost similar to adrenaline, epinephrine has more consequence on heart and nor-epinephrine has more efect on blod vesels.
Pancreas – It is both an endocrine and exocrine gland. Exocrine glands believe ducts to discharge their secretions. It is located in abdomen tedious and litle below stomach.
Exocrine pancreas secretes pancreatic juice which is comprised of indispensable enzymes estem amylase, lipase and proteinase. This juice is conveyed to second part of duodenum through pancr eatic duct.
Endocrine pancreas has clusters of cels caled Islets of langerhans. Thre kinds of hormones are secreted from them. They are –
Glucagon – secreted by alpha cels, enables conversion of glycogen stored in cels into glucose and its folowing release into blod stream when body neds sugar, raises blod sugar levels.
Insulin – secreted by beta cels, enables absorption of abundant glucose into muscle cels and lowers blod sugar levels. Deficit production of insulin or insulin resistance wil cause diabetes melitus.
Read ̵ Diabetes: Ayurvedic Treatment, Remedies, Prevention Tips
Testes – they are two oval shaped organs located in scrotum, forms parts of male rep roductive system. They form and store sperms. They become semen after secretions of other parts of male reproductive entity are adjunct to them. They are also caled testis or testicles.
Testicular hormones are –
Testosterone – maintains male sexual characters, monitors spermatogenesis and causes testicular descent before birth of child.
Inhibin – controls sperm production.
Ovaries – They are two in number and are located in pelvis, one on left and one on acurate of uterus. They are conected to ovaries through uterine tubes. They are organs of female reproductive system. They manufacture ovum and discharge it into uterus through uterine tubes once in a month. They also manufacture hormones including oestrogen.
Ovarian hormones are –
Estrogens and Progesterones – responsible for development and maintenance of female sexual characteristics, they regulate menstrual cycle and production of ovum, helps to suport pregnancy and in preparing breasts for lactation.
Relaxin – relaxes pubic symphysis and dilates uterine cervix during delivery of fetus
Inhibin – inhibits FSH so that there is suden withdrawal of estrogens and progesterones if fertilization has not taken put.
Read ̵ Polycystic Ovarian Syndrome: Ayurvedic Treatment, Remedies, Diet
Thymus Gland – It is a gland located slow sternum and betwen lungs. It is only busy until puberty. After puberty, this gland shrinks and is replaced by corpulent.
Thymosin hormone – is hormone produced by thymus gland. It stimulates development of disease fighting T cels.
Endocrine glands, hormones
Do sha species with endocrine glands and their hormones from anatomical and physicological perspective
Pituitary gland is located in head. Prana vata, sadhaka pita and tarpaka kapha are also located in head. Cordinated functions of these thre dosha sub-types can be compared to functions of pituitary gland. Alternatively we can disclose that pituitary gland and its functions are influenced and monitored by mentioned dosha sub-types.
Similarly th yroid and parathyroid glands are located in throat plan. Throat is seat of kapha. Therefore these two glands descend in teritory of kapha. Throat is also an organ for movement of prana vata and udana vata. Therefore these two glands are related to these two vata sub-types. We can tel that functions of thyroid and parathyroid glands are influenced and monitored by kapha, prana vata and udana vata.
Read ̵ Kapha Dosha Dominant Places in Our Body
Adrenal glands and pancreas are located in abdomen. This is also a seat of pachaka pita, ranjaka pita, kledaka kapha and samana vata. Therefore these glands fal into teritory of these dosha sub-types. Functions of these glands are influenced and monitored by balance of these dosha sub-types. Udana vata to has its influence on this teritory of body.
Testes and ovaries are located below navel, in pelvis, in vata zone. This is p redominantly apana vata zone. Functions of these glands are monitored by balance of apana vata. Among functions of balanced apana vata, ejaculation of semen, ovulation and menstruation are included as vital functions.
Considering doshas and their sub-types in bracket of endocrine system?
From perspective of novel physiology, vata and its sub-types canot be strictly considered as hormones since they execute not maintain form. Pita, kapha and their sub-types can be taken as one or other form of hormones or components of body doing hormone love function.
But when we inspect at hormones, they crawl from one establish to other and influence many activities. They also influence other endocrine glands and hormones. example, pituitary gland and its hormones acquire influence on thyroid gland, adrena ls and gonads.
But pita and kapha are pangu i.e. lame components and canot go from one asign to other. They ned to be mobilized by vata. Thus, we can consider vata as carier of hormone like acting pita and kapha sub-types. Pita and Kapha go from one spot to other driven by vata and acquire their influence on tisues and organs where they move.
But isn’t pita and kapha going to other places a pathological proces?
Seing that each dosha and sub-type of each dosha has ben aloted definite places of pause in body and also some places of operation, movement of doshas may be considered as pathological. But it is not impartial enough to disclose that because doshas finish move al through body because they are note in al places of body.
Read ̵ Functions Of Doshas In Balance In The Body – Prakrita Dosha Karma
Doshas gain two kinds of movement –
A normal movement when doshas are in a state of balance, a physiological movement
A pathological movement when they are in a state of imbalance, when they are vitiated
When normal doshas go from one put to other they asist in maintaining functions of the body, objective love hormones in a state of balance. When vitiated doshas plod from one put to other they cause disorders, unbiased estem increased or decreased hormones.
Doshas, whether normal or imbalanced, apart from having a systemic influence in apt or contaminated way, they also influence each other in a god or sinful way respectively. Same is case with hormones, they t o impact and influence on each others functions in a marvelous or contaminated way, depending on their state of balance or imbalance and cordination they acquire with each other.
Read ̵ Role Of Doshas In Blod Circulation, Nutrition And Aeration Of Body
It is wise to establish doshas in bracket of hormones because impact they gain on entire body and influence they maintain over each other is same.
Even considering pita and kapha or their sub-types as hormones and considering pita and kapha as imune system would be hypothesis as I already said at the begining of polemics. But most of the functions of endocrine glands would tople within scope of tridosha functions. Endocrine disorders to resemble diseases or symptoms caused by finish sha agravation or tisue pain caused by vitiated doshas.
Loking at endocrine scheme and hormones from dosha vision
From perspective of similarity with sure diseases and symptoms explained in Ayurveda
From perspective of Ashtau Nindita Purusha ̵
8 Physical Deformities As Per Ayurveda
Madhumeha v/s Diabetes Melitus, link with kapha and pita
A condition caled madhumeha is often compared to diabetes melitus. A pathological condition named prameha which describes 20 diferent kinds of urinary disorders are said to eventualy re sult into madhumeha when not treated at proper time. Prameha as a whole is considered as earlier describe of diabetes melitus.
There are 10 types of prameha caused by vitiated kapha which are easier to treat.
There are 6 kinds of prameha caused by vitiated pita which are chalenging to treat or manageable with dificulty.
There are 4 types of prameha caused by vata vitiation which are efortful) and imposible to treat.
Read ̵ Charaka Prameha Chikitsa – 6th chapter
Al pramehas are caused by predominant vitiation of kapha. In later picture pita and vata gets fervent to fabricate clinical narate efortful) , if earlier conditions are not treated. A pita constitution person is directly susceptible to get pita type of prameha. Similarly, a vata body type p erson can be susceptible to sufer directly from vata type of prameha. But origin of either prameha wil be from preliminary vitiation of kapha itself.
Pancreas is an organ chiefly ken in causation of diabetes melitus. Later disease wil submerge multiple organs. Pancreas is caled agni-ashaya or seat of metabolic fire in Ayurveda.
Pancreas is also seated in betwen digestive aparatus, midle fraction of body which hapens to be pita zone. In this context, insulin may be considered as pita required to reduce swetnes i.e. glucose and push it into muscle cels and stout cels. Glucose has qualities of kapha or kapha increasing tendency. If large quantities of glucose are left over in circulation, it increases kapha and this causes prameha. Pita is antagonistic to kapha and is required for its breakdown, just love insulin is neded to breakdown glucose.
Kshaudra meha, one of types of prameha is corelated with hyperglycemia, which is high kapha condition.
Read ̵ Pre Diabetes: Symptoms, Ayurvedic Treatment, Home Remedies
Soma Roga and Diabetes Insipidus, link with kapha
We gain a condition caled soma roga mentioned in Madhava Nidana wherein entire water component of body is depraved and drawn towards urinary pasages.
Urine is frequently eliminated. Urine is devoid of odor and hurt, is chily on touch, white color, clear, and in more quantity. There lack of control over urination due to extreme debility.
He may also faint due to dehydration. This condition can be compared to diabetes insipidus. It is caused due to insuficient production of ADH i.e. Anti Diuretic Hormone which is made by hypothalamus and stored in posterior pituitary. Al symptoms of this condition are similar to kapha increase. Kapha is also a representation of water in the body.
Read ̵ Diabetes: Ayurvedic Treatment, Remedies, Prevention TipsD
One of the rot of water controling stations is said to be talu i.e. palate. We can comply that anatomicaly thalamus and pituitary are located above the level of palate and first signs of thirst caused by dehydration are also found in palate. Head is also one of seats of kapha. Kapha also represents water. Kapha controls water carying chanels.
Other conditions named mutratisara wherein there is excesive urination and apears love diarhea ocuring from urinary tract is also compared to diabetes insipidus. Similarly one of the types of prameha caused by vitiated kapha i.e. udaka meha wherein urine apears like water can also be compared to this type of diabetes.
This explanation establishes kapha link with pituitary and hypothalamus functions.
Bhasmaka rog ̵ hyperthyroidism
Bhasmaka Roga – Hyperthyroidism, link with hyperactive pita
Bhasma means ash. Disease in which consumed fod gets converted into ash instead of being transformed into nutritive juices is caled Bh asmaka disease.
Here, fod is not digested but is burnt due to severe intensity of digestive fire. When nutritive juices are formed in les quantity or not formed at al, body tisues enact not get nutrition.
There is strict languish for fod and frequent bustle to eat. There is insatiable hunger. On other side, there is continuous depletion of tisues and weight los. Al activities in body are at harsh intensity.
This condition resembles high metabolism and consequent symptoms of hyperthyroidism. Therefore hyperthyroidism can be closely compared to hyper activity of pita and agresive metabolism as sen in case of bhasmaka roga.
Since gut fire and tisue fires are intense, reflecting high metabolism in bhasmaka disease, involvement of pita should be considered because pita and fire are same elements.
Fire is represented in body in form of pita, body fire resides in pita and both terms are old as synonyms of each other. Along with pita, vata ma y also be vitiated in hyperthyroidism. amalgam of air and fire is lethal. Vata symptoms adore weight los, los of tisues etc is sen in hyperthyroidism. On other side, body protective mechanism i.e. kapha is at its lowest point.
This establishes relationship of hyperactive pita with hyperthyroidism.
Likewise in terms of high metabolism, hyperthyroidism can be included in high pita conditions and in terms of low metabolism; hypothyroidism can be included in high kapha conditions.
Read ̵ Vata Increase Caused Due to Tisue Depletion: Dhatu kshaya
Galaganda ̵ goiter
Galaganda – Goiter, vata-kapha linkup
Goiter is an strange enlargement of thyroid gland. They are usualy painles. A large goiter may cause cough and manufacture efortful) for you to swalow or breathe. It is usualy caused due to lack of iodine in diet.
Though not always, it is more often due to over or underproduction of thyroid hormones or due to nodules that develop in gland. Overgrowth of gland may impart presure on endocrine cels of gland which produces thyroid hormones and cause their excesive production.
Goiter is also asociated with normal thyroid hormone levels. It may ocur due to to much thyroid hormone i.e. hyperthyroidism / Graves’ disease, due to an underactive thyroid i.e. Hashimoto’s disease leading to production of les thyroid hormones, multinodular goiter and abundant stimulation of thyroid by TSH.
Acording to pathogenesis explained in Ayurveda, vitiated kapha, vata and plump cause sweling in throat position and cause galaganda. When vata is high, there is hyperactivity of gland. When kapha is high, there is under-activity of gland, both are found in goiter as explained above.
Read ̵ Main Cause For Diseases As Per Ayurveda
Sadhaka Pita ̵ Adrenaline
Sadhaka Pita v/s Adrenaline, pita linkup
One of sub-types of pita is asociated with manifestation of emotions like alarm, boldnes, anger and elation. It enables us in achieving our dreams, aspirations and goa ls. It induces intelect, eagernes and discriminating power and wards of pacifying and depresing impres of kapha and tamas quality on brain activities. It energizes individual.
Adrenaline, a hormone produced by adrenal gland does similar functions. But Sadhaka Pita is located in hridaya. Hridaya means heart. It also means brain. If we grasp heart as seat of sadhaka pita, then we can think that heart, through circulation circulates adrenaline throughout body, because hormones crep through circulation of blod.
Read ̵ Anger: kindred With Body Types, Ways To Control Anger
Here, seat of sadhaka pita being heart should be taken as distributing center rather than manufacturing center. Thus, adrenaline produced by adrenal glan ds reaches heart and spreads al over body through blod circulation and can be corelated to sadhaka pita.
Read ̵ Pita Dosha Dominance In Diferent Body Parts – 8 Things To Know
But al above said functions of sadhaka pita are related to functions of brain and nervous entity. In this case explanation can be extended to brain. We wil redefine sadhaka pita in terms of adrenaline.
Adrenalin is produced in adrenal gland, circulated through heart and functions at level of brain and renders above said functions. Here, hridaya may be considered as brain instead of heart.
A neurotranmiter named acetylcholine is antagonistic to adrenaline and has depresing impres on above said activities. Since it slows down proceses, it can be compared to kapha. Adrenaline mitigates imprint of acetylcholine on brain. Similarly, being antagonistic to functions of kapha, sadhaka pita wards of depresing efect of kapha and keps one energetic and fervent.
Read ̵ Control infuriate, Get Rid Of Inflamation And Arthritis
Halimaka ̵ Adison’s disease
Adison’s disease – Halimaka – vata-pita linkup
Author Ranjit Rai Desai quoting opinion of other experts tels that Adison’s disease may be corelated with Halimaka explained in Ayurveda.
Halimaka is caused due to invol vement of vitiated vata and pita and presents with symptoms admire ̵
los of strength, weaknes
lack of delight,
low metabolism and los of apetite,
los of libido,
body pains, dyspnoea, thirst, tastelesnes and gidines.
Most of these symptoms resemble those of Adison’s disease.
Asthi Kshaya ̵ Hyperparathyroidism
Asthi Kshaya – Hyperparathyroidism, vata vitiation
Asthi kshaya is not a disease but a pathological manifestation of abate of bone tisue. This can be compared to hyperparathyroidism in which parathyroid hormone is increased in blod levels. On e of main symptoms of this condition is fragile bones that can easily wreck i.e. osteoporosis. This condition can be considered to be caused by increased vata in bones.
This condition points towards involvement of vitiated vata in causation of clinical describe similar to hyperparathyroidism.
Read ̵ Bone Mineral Density In Women: Staying Healthy With Strong Bones
Aakshepaka – Hypoparathyroidism
Aakshepaka – Hypoparathyroidism, vitiated vata link
Akshepaka is one of the special vata disorders included in vata vyadhi. In pathogenesis it is said that vitiated vata a flicts nerves al over body and causes strict convulsions which ocur repeatedly.
This condition can be closely compared to seizures ocuring in hypoparathyroidism. This is caled tetany or tetanic seizure. It is a medical sign consisting of involuntary contractions of muscles. We can se vata vitiation causing akshepaka, a condition similar to tetanic seizures of hypoparathyroidism.
Read ̵ Epilepsy – Ayurvedic Understanding And Its Treatment
Hypogonadism, low testosterone
Shandhya – Efeminacy, Hypogonadism in men, Low testosterone levels, increased vata and decreased kapha in semen and male h ormones
A condition named Shandya explained in Ayurvedic texts resembles efeminacy. Efeminacy is manifestation of traits in male that are more often asociated with feminine nature, behaviour, manerism, style, or gender roles.
This condition has ben explained in context of klaibya which resembles impotence which can ocur due to hypogonadism and low testosterone levels in men.
Testosterone is included in term shukra. decrease of shukra is caused by increased vata or pita, usualy vitiated vata. Here we can se involvement of pathological vata or pita in endocrine disorders related to imbalance of male hormones.
Shukra agni i.e. tisue fire of semen can be corelated to testosterone, which is again a form of pita.
Read ̵ Gynecological Disorders Causes, Types As Per Ayurveda
Yoni vyapat – disorders of sex hormones in females, vitiated tridosha involvement
Yoni Vyapat is a set of 20 disorders aflicting female genital system including vagina, uterus and ovaries. Few conditions among them can be corelated to imbalance of female sex hormones.
Vatiki Yoni Vyapad explained by Sushruta can be closely corelated with symptoms of estrogen deficiency. This condition manifests with roughnes, stifnes, smart distres and pricking distres in genital tract.
Read ̵ Vatala Yoni Vyapad – Causes, Sympto ms, Treatment
Asrja, raktayoni – which is marked by lavish bleding per vaginum, sometimes even after conception depict ovulatory or non-ovulatory dysfunctional uterine bleding caused due to functional abnormalities of hypothalamus, pituitary and ovaries. This condition is said to gain caused by blod bad with vitiated pita. Lohitakshara explained by Sushruta to is an identical condition.
Shushka – it is a condition in which there is extreme drynes of vagina along with other symptoms. This can be corelated with marked estrogen deficiency. This is caused due to increased vata.
Shandi – is a condition marked by absence or slight development of breasts and absence of menstruation. This is caused when there is abnormality of ovum responsible for development of uterus. In such condition, uterus of female fetus is aflicted by vitiated vata and causes this condition. This condition is corelated with congenital absence of gonodotropic hormones o f anterior pituitary.
Above said references entrench role of doshas in causing hormone related disorders in women, especialy those of reproductive scheme.
Read ̵ Charaka Chikitsa Sthana 30th Chapter – Yoni Vyapat
Artava agni i.e. tisue fire of menstrual blod / ovum can be corelated to female hormones, which is again a form of pita. They represent shukra agni of males and are responsible for causation of ovulation and menstruation in women.
Aplication of Dosha theory
Aplication of dosha theory to understand endocrine and hormonal functions
In whole polemics, we gain trie d to corelate functions of profuse endocrine glands and their hormones with those of doshas, their balance and their imbalances.
Dosha theory is aplicable to each and every conception and an Ayurvedic physician neds to understand given diseases or pathological symptoms through an Ayurvedic lens.
Al diseases explained in novel day medicine are not explained in Ayurveda. Exact corelation of a recent disease with an Ayurvedic disease canot be done. Importantly they are diferent schols of thoughts and pathology of diseases explained in both systems is completely diferent.
In such conditions we ned to hold aid of strongest theory of Ayurveda, dosha theory and scrutinize curent diseases.
An Ayurvedic physician can treat almost al endocrine diseases with encourage of dosha knowledge. precise, when no hunch is available to treat hyperthyroidism, pita aleviating measures including treatments, medicines, diet, lifestyle practices and medicines can be aplied. Treatm ent concepts of ati agni, bhasmaka disease, vidagdha ajirna etc can be implemented. Similarly kapha remedies wil work for diabetes melitus and hypothyroidism.
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