Abstract

A CLINICAL STUDY ON DHATWAGNI VI ( ) KRITI WITH SPECIAL REFERENCE TO HYPERTHYROIDISM

*Dr. Ranjan, Dr. Jyoti Suman and Dr. Renu Devi Arya

ABSTRACT

The basic principle of ayurvedic physiology is Agni which is defined as power of digestion, transformation and metabolism. Dhatwagni, the fire of tissue specific metabolic conversions, plays a determinant role in the tissue-specific changes, and its vikriti (disturbance) is considered a causative factor in the majority of systemic diseases. Hyperthyroidism is a contemporary endocrine disease, which has an elevated metabolic rate and has clinical manifestation that echoes of Tikshnagni and disturbed Dhatwagni including Rasagni, Raktagni and Medagni. The major motive of this study is to determine the condition of Dhatwagni in patients of hyperthyroidism and relate the Ayurvedic pathophysiology with clinical manifestation. The clinical trial enrolled 30 patients between 20 and 60 years with the diagnosis of hyperthyroidism (TSH < 0.4 uIU/mL). Ayurvedic questionnaire that evaluated sizes of Agni and Dhatwagni of seven Dhatus was comparedwith modern diagnostic parameters that presented T3, T4, TSH, BMI, and pulse rate. There was Rasagni Vikriti in 93 percent, Raktagni in 86 and Medagni in 79 percent. The dominant symptoms were kshaya (weight loss), chinta (anxiety), atisweda (excess sweating) and hridspandana (palpitations). Certain relationship between hyperthyroidism and Dhatwagni Vikriti particularly in Ras, Rakta, and Meda Dhatus exists. The Ayurvedic method of diagnosis and treatment of Agni can help provide the comprehensive methods of treatment of such endocrine illnesses.

Keywords: Agni, Dhatwagni, Raktagani, Vikriti, Ras, Rakta, Meda, Dhatu, Hyperthyroidism.