Ayurveda management of Sthoulya Roga (Obesity)

Shripathi Acharya G

Lifestyle disorders are occurring commonly in India as well as the whole world. Due to altered lifestyle, inappropriate food habits, lack of adequate exercise and psychological stress had led to frequent occurrence of Sthoulya Roga. It has various complications like hypertension, diabetes mellitus, cerebrovascular accident, osteoarthritis, dyslipidemia, respiratory distress, depression, ischemic heart disease, peripheral vascular disease, and cancer. So, an effective Ayurveda management has to be developed for Sthoulya Roga. Even an endocrine disease Hypothyroidism can also lead to obesity. Obese patients are often depressed and like have the chance of developing malignancy. Medicines like Thryushanadi Loha, Shilajatu Capsules, Amritadi Guggulu, Navaka Guggulu, Medohara Guggulu, Vyayama, Rooksha Udvartana, and Langhana or Karshana Chikitsa have a better result in the management of obesity. This paper highlights about the Ayurveda management of Sthoulya Roga (obesity).

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Shripathi Acharya G, Director Academic and Development and WHO Collaborator, , Muniyal Institute of Ayurveda Medical Sciences, Manipal, Karnataka, India.
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Shripathi Acharya G, Ayurveda management of Sthoulya Roga (Obesity). J Ayu Int Med Sci. 2022;7(4):49-52.
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https://jaims.in/jaims/article/view/1838

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Accepted

2022-03-28

2022-03-30

2022-04-06

2022-04-13

2022-04-20

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Introduction

Non communicable disorders are on the rise in modern India. Lifestyle disorders, endocrine disorders, psychosomatic diseases, metabolic disorders and degenerative disorders comprise a group of non-communicable diseases.^[1,2] Diabetes mellitus, obesity, hypertension, osteoarthritis, Ischemic heart disease, and Hypothyroidism are few examples for the same. Ayurveda medicine have a better role in the management of Sthoulya Roga. Vyadhi Pratyanika Aushadhi Prayoga, hypolipidaemic drugs, Karshana Chikitsa, Panchkarma therapy, diet therapy, Pathya Apathya Prayoga, and Yogasanas and Pranayama are advised during the Ayurveda management of Sthoulya Roga.^[3,4]

Formulations used in the management of Sthoulya Roga;

1. Tryushanadi Louha

2. Shilajatu Capsules

3. Vidangadi Loha

4. Navaka Guggulu

5. Medohara Guggulu

6. Amritadi Guggulu

7. Triphala Tablets

8. Shatsakara Choorna

9. Abhayarishta

10. Dantyarishta

11. Shilajatwadi Loha

12. Triphala Kwatha

13. Lashuna Capsules

14. Virechana Yogas

15. Vamana Karaka Yogas

16. Rooksha Udwartana

17. Yogaraja Guggulu

18. Ashwakanchuki Rasa

Actions of drugs which are commonly given in Sthoulya Roga Chikitsa.^[5,6]

1. Langhana

2. Dipana

3. Ama Pachana

4. Medohara

5. Karshana

6. Hypocholestremic

7. Increasing BMR

8. Virechana

9. Dhatu Kshaya Karaka

10. Vamana Karaka

11. Rooksha

12. Lekhana

13. Rasayana

14. Swedana

15. Increasing Thyroid activity

16. Exercise

Langhana

1. Vamana

2. Virechana

3. Rooksa Udwartana

4. Rakta Mokshana

5. Asthapana Basti

6. Kshara Basti

Deepana

1. Guggulu Kalpas

2. Bhallataka Vati

3. Chitrakadi Vati

Ama Pachaka

1. Trikatu Choorna

2. Chitrakadi Vati

3. Pancha Kolasava

4. Lashuna Capsules

Medohara

1. Lashuna Capsules

2. Amrita Guggulu

3. Navaka Guggulu

Discussion

Sthoulya Roga is an Atisantarpanajanya Roga. In this disease mainly Dhatwagni is affected and Kapha Dosha and Medodhatu are involved. In Samhitas 8 Mahadoshas have been explained for this disease.

1. Ayusho Hrasa (Decreased lifespan)

2. Javoparodha (Slow actions)

3. Krichchra Vyavayata (Decreased libido)

4. Dourbalya (Weakness)

5. Dourgandhya (Bad odor)

6. Ati Sweda (Excessive sweating)

7. Ati Kshudha (Increased hunger)

8. Ati Pipasa (Excessive thirst)

Ayurveda medicine has a better role in the management of Sthoulya Roga. It acts by reducing the body weight either by increasing the BMR of by increasing the Karshana of Dhatus like Rasa and Meda in the body. Duration of treatment is prolonged in Sthoulya Roga Chikitsa.^[10]

Pathyas

1. Moderate exercise

2. Low calorie diet

3. High Fiber diet

4. Low fat diet

5. Non nourishing diet

6. Wild grains - Kudhanyas

Apathyas

1. Fat containing food

2. Nourishing diet

Conclusion

Ayurveda medicine has a better role in the management of Sthoulya Roga. Prolonged treatment is necessary in Sthoulya Roga. There are least adverse drug reactions even after prolonged period treatment in this disease. Rooksha Udwartana and Shodhana therapy are effective in the management of this disease.

Reference

1. Acharlya S, Updated Ayurveda, Shripathi Acharya, 2011, Manipal, PP 140.

2. Acharya S, Researches in Ayurveda, Shripathi Acharya Manipal 2010, PP 127.

3. Shastry J L N, Dravyaguna vijnana , Choukhamba press , New Delhi Vol 2, 2005, PP 640

4. Acharya S, Ayurveda Vijnana, Shripathi Acharya, Manipal, 2012, PP 140.

5. Acharya K G, Agraushadhigalu, Shripathi Acharya, Manipal, 2012, PP 160.

6. Shastry J L N, Dravyaguna vijnana , Choukhamba press ,New Delhi, Vol 2,2005, PP 640

7. Shastry J L N, Dravyaguna vijnana , Choukhamba press ,New Delhi, Vol 2, 2005 PP 640

8. Shastry J L N, Dravyaguna vijnana , Choukhamba press , New Delhi , Vol 2, 2005, PP. 640

9. Anonymous, Vaidya yoga ratnavali, IMCOPS, 5 th edition, 2000, Chennai. pp 696.

10. Udupa K N, 1985, Promotion of Health for all by Ayurveda and Yoga, India, The Tara printing works.

Review Article

Sthoulya Roga

Journal of Ayurveda and Integrated Medical Sciences