Ayurvedic understanding
Galaganda (literally "neck swelling") is classified as Kaphaja, Pittaja or Vataja depending on dosha predominance. Hypothyroidism (low metabolism, weight gain, cold intolerance) is Kapha-Medas dushti; hyperthyroidism (heat intolerance, weight loss, palpitations, anxiety) is Pitta aggravation. Modern thyroxine + Kanchanara Guggulu work synergistically — DO NOT stop prescribed thyroxine.
Kerala treatments
Kanchanara Guggulu is the signature herbal formulation (kanchanara bark + triphala + trikatu + guggulu — synergistic action on thyroid + glandular tissue). Combined with Nasya (medicated nasal drops — Anu Taila), Shirodhara for stress component, dosha-typed diet. Monthly TSH monitoring is essential; tablet dose may need physician adjustment as Ayurveda support kicks in.