Management of Early Hypothyroidism (Qillat-I-Darqiyyat) With a Unani Regimen: A Case Report

Background: Hypothyroidism is a prevalent endocrine disorder characterized by insufficient thyroid hormone production, leading to various systemic effects such as fatigue, indigestion, mood disturbances, and metabolic slowing. While conventional treatment includes hormone replacement therapy, Unani medicine offers alternative approaches. Hypothyroidism symptoms align closely with those of "Su-e-Mizaj Barid Maddi" in Unani texts, indicating potential for traditional interventions. Objectives: To evaluate the effectiveness and safety of a Unani regimen comprising Sufoof-e-Hazim, Arq Badiyan, and Hab Kabid Naushadri in managing early hypothyroidism symptoms and improving thyroid function. Methods: A 60-year-old male with symptoms of indigestion, disturbed sleep, and generalized weakness was treated at the Regional Research Institute of Unani Medicine, Srinagar. Diagnostic investigations confirmed early hypothyroidism (TSH: 9.7 µIU/mL). A 60-day Unani treatment regimen was administered with biweekly follow-ups assessing clinical symptoms, vitals, and therapy tolerance. Thyroid function was re-evaluated at the end of the treatment. Result: The patient showed significant clinical improvement, including better digestion, sleep quality, and energy levels. Follow-up Thyroid Function Test revealed a reduction in TSH to 3.6 µIU/mL, suggesting endocrine improvement. No adverse effects were observed, supporting the regimen's efficacy and safety in managing early hypothyroidism through Unani medicine.