E-ISSN:2456-3110

Case Report

Kuti Sweda

Journal of Ayurveda and Integrated Medical Sciences

2022 Volume 7 Number 4 May
Publisherwww.maharshicharaka.in

Effect of Kuti Sweda on Dyslipidemia: A Case Report

Yadav M.1*, Chouhan K.2, Devi D.3
DOI:

1* Monika Yadav, Final Year Post Graduate Scholar, Department of Swasthvritta and Yoga, National Institute of Ayurveda, Deemed to be University (De-Novo), Jaipur, Rajasthan, India.

2 Kirti Chouhan, Final Year Post Graduate Scholar, Department of Swasthvritta and Yoga, National Institute of Ayurveda, Deemed to be University (De-Novo), Jaipur, Rajasthan, India.

3 Durgawati Devi, Associate Professor, Department of Swasthvritta and Yoga, National Institute of Ayurveda, Deemed to be University (De-Novo), Jaipur, Rajasthan, India.

Introduction: Dyslipidemia is one the major condition to be concerned, it is the most potent modifiable risk factors for CVD, it does not manifest disease in a single day, but acts as a silent killer. This article discusses a female patient known case of dyslipidemia for 1 year, seen at OPD of Swasthavritta and Yoga, National institute of Ayurveda, Jaipur. Main clinical findings: Her chief complaints were increasing central obesity, Breathlessness on walking or climbing stairs since 5-6 months. Diagnosis: In this case, the subject was having central obesity, shortness of breath on walking, talking on phone for long time or climbing stairs and lab investigations showed disturbed lipid profile, so she was diagnosed with Medovridhi. Intervention: After appropriate analysis Swedana in the form of Kuti Sweda (Cabin Sudation) was given for 15 mins, 5 days in a week continued for 1 month. Outcomes: Before procedure her total cholesterol was 250.3 mg/dl, serum LDL was 191 mg/dl, Serum HDL was 42 mg/dl, Total cholesterol/HDL ratio was 6 %, HDL/LDL ratio was 4.5 % and after 1 month of procedures the values were 138.6 mg/dl, 68.7 mg/dl, 44 mg/dl, 3.1%, 1.6% respectively. Beneficiary improvement in subjective parameters were also noted. Conclusions: There was significant change in all symptoms and lipid profile, so, it can be concluded that Kuti Swedana is quite effective in managing dyslipidemia.

Keywords: Kutisweda, dyslipidemia, CVD, Swedana, Cholesterol

Corresponding Author How to Cite this Article To Browse
Monika Yadav, Final Year Post Graduate Scholar, Department of Swasthvritta and Yoga, National Institute of Ayurveda, Deemed to be University (De-Novo), Jaipur, Rajasthan, India.
Email: 		Monika Yadav, Kirti Chouhan, Durgawati Devi, Effect of Kuti Sweda on Dyslipidemia: A Case Report. J Ayu Int Med Sci. 2022;7(4):151-155.
Available From
https://jaims.in/jaims/article/view/1850

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2022-04-02 2022-04-04 2022-04-11 2022-04-18 2022-04-25
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
Nil Nil Yes 17%

© 2022by Monika Yadav, Kirti Chouhan, Durgawati Deviand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

Journal of Ayurveda and Integrated Medical Sciences 2022;7(4)151
Yadav M et al: Effect of Kuti Sweda on Dyslipidemia A Case Report

Introduction

Dyslipidaemia is a condition which shows the deviation of lipid levels in body from normal range, it may include high levels of cholesterol, triglycerides, LDL, while low Levels of HDL.[1]

That’s why dyslipidaemia term is more preferred than hyperlipidaemia. It is a major modifiable risk factor for CVDs, atherosclerosis etc. Its incidence is increasing day by day according to national health portal of India the prevalence of Dyslipidaemia is around 25-30% in urban areas while 15-20% in rural areas.[2] According to an article Global epidemiology of Dyslipidaemias - the prevalence of dyslipidaemias is around 31.2%, it was at 15th position in 1990 as a leading risk factor for death now it is at 8th position in 2019.[3]

Its global burden is continuously increasing over past 30 years. It may be due to more inclination towards sedentary behaviour, more consumptions of saturated fats in the form of junk foods, stress, late night sleeps, less duration of sleep, day time sleeping. Disturbance in lipid profile is not diagnosed early as it doesn’t cause any severe symptoms initially. It is mostly ignored by most of the individuals, unless they gain excessive weight or face a severe CVD. Mainly two types of dyslipidaemias are seen, primary dyslipidaemia due to familial pattern, secondary dyslipidaemia due to sedentary lifestyle, hypothyroidism, PCOS, Cushing’s syndrome etc, this type can be easily treated.[4]

Major factors responsible for dyslipidaemias are obesity, sedentary lifestyle, no exercise, alcohol consumption, tobacco, junk foods etc. It is mostly diagnosed under routine investigations, it can be easily modified just by adopting some lifestyle changes, daily exercise and shifting towards healthy meals containing MUFA and PUFA instead of saturated fats. Medicines like Statins are used for dyslipidaemias[5] which are not very effective if other factors are not controlled.

According to Ayurvedic texts disturbance in lipid profile can be roughly correlated with Santarpanjanya Vyadhi,[6] its management includes Ulekhana, Virechana, Raktmokshana, Vyayama, Upawasa, Dhoompana and Swedana[7] etc. So, for managing dyslipidaemia Swedana procedure can be opted.

Swedana improves metabolism of our body, enhances Agni, removes accumulated excessive wastes in our body by its Ushna, Tikshna, Sara, Sukshma and Ruksha Gunas. This study was done to see the effect of Swedana in managing disturbed lipid profile.

Case Report

A 32 years old female patient, married, Hindu, Guard by profession, living in Urban area came to OPD No. 21 of Swasthavritta and Yoga Department, National Institute of Ayurveda, Jaipur on 5th January 2022.

Chief complaints

  • Shortness of breath after climbing 1 floor stairs and talking while walking - 6 months
  • Central obesity - 2 years
  • Stress - 5 years

H/O present illness: According to patient she was fit before 5 years then, due to some family issue she was grasped by stress, gradually she started gaining weight around thighs, buttocks and around waist from last 2 years. From last 5-6 months she started noticing shortness of breath while doing activities like stair climbing, talking while walking. So, she came to NIA hospital at Swasthavritta OPD for weight management.

She was not having any history of hypertension, diabetes, asthma, thyroid disorders, TB or any other illness.

Personal history

  • Appetite - normal
  • Sleep - disturbed due to stress
  • Bowel - irregular
  • Bladder – clear

Dietary history: Patient loved eating Madhura Rasa, oily foods, used to have extra ghee with roti or daal.

General Examination

  • Built - average
  • Height - 167 cms
  • Weight -72 kgs
  • BMI - 25.8 kg/m2
  • Pulse rate - 80/min

Journal of Ayurveda and Integrated Medical Sciences 2022;7(4)152
Yadav M et al: Effect of Kuti Sweda on Dyslipidemia A Case Report
  • BP - 126/70
  • Pallor, icterus, clubbing, cyanosis - Absent
  • Tongue - coated

Systemic Examination

  • CNS - well oriented, alert, spoke properly
  • CVS - S1 S2 audible, murmur not found
  • Respiratory - No major findings, B/L air entry equal

Dashvidha Pareeksha

  • Prakriti - Kapha Pradhana Vata
  • Samhanan, Pramana, Satmya, Satva - Madhyama
  • Aahar Shakti, Abhyavaran Shakti - Pravara
  • Vyayaam Shakti - Avara
  • Vaya - Madhyam

Investigations

1. Serum cholesterol - 250.3 mg/dl

2. Serum triglycerides - 86.3 mg/dl

3. Serum HDL - 42 mg/dl

4. Serum LDL - 191mg/dl

5. Serum VLDL - 17.3 mg/dl

6. TC/HDL ratio - 6

7. LDL/HDL ratio - 4.5

8. RBS - 98 mg/dl

Treatment Plan: After ruling out other factors like Hypertension, TB, Asthma, Thyroid disorders, Diabetes, Anemia and other cardiac problems it was found that only lipid profile was disturbed so, Swedana karma in the form of cabin sudation (Kuti Sweda) was chosen as treatment modality.

Details of intervention: Kuti Sweda was given early in the morning empty stomach after oil application on whole body and having 1-2 glasses of water. Head was covered with wet cotton cloth and eyes closed. Total duration of Swedana was 15 mins, for 5 days in a week and was continued for 30 days.

Vitals like BP, Heart rate, respiratory rate was assessed before and after the procedure. Cabin was pre-heated to 35° Celsius temperature, after the procedure she was allowed to stay in a packed room for 15 mins.

Criteria for assessment: Results were assessed on the basis of Total Serum Cholesterol, LDL, HDL, TC/HDL ratio, LDL/HDL ratio, weight and BMI.

Results

The therapy started on 7th Jan 2022 and ended on 15th Feb 2022 (procedure was on halt from 30th June - 4th Feb due to menstruation). It was seen before procedure her total cholesterol was 250.3 mg/dl, serum LDL was 191 mg/dl, Serum HDL was 42 mg/dl, Total cholesterol/HDL ratio was 6%, HDL/LDL ratio was 4.5% and after 1 month of procedures the values were 138.6 mg/dl, 68.7 mg/dl, 44 mg/dl, 3.1%, 1.6% respectively, significant healthy improvement was seen in lipid levels. Weight was reduced from 74 kgs to 72. 2 kgs and BMI from 25.8 to 25.1 kg/m2 [Table 1]

Improvement in breathlessness and lethargic condition was seen, she was feeling more energetic and active then before. She found Swedana relaxed her mind, now she is having good sleep.

Table 1: Showing results in various parameters.

SN Parameters BT AT Diff. % Change
1. Total cholesterol 250.3 gm/dl 138.6 gm/dl 111.7 44.62 %
2. Serum HDL 42 gm/dl 44 gm/dl 2 4.76 %
3. Serum LDL 191 gm/dl 68.7 gm/dl 122.2 63.9%
4. Total cholesterol/HDL 6 % 3.1 % 2.9 48.3 %
5. LDL/HDL 4.5 % 1.6 % 2.9 64.4 %
6. BMI 25.8 Kg/m2 25.1 Kg/m2 0.7 2.71%

Discussion

Dyslipidemia can lead to a very fatal condition, it occurs due to disturbed fat metabolism or Medovriddhi, there are multiple reasons behind this, most prime are sedentary lifestyle, no exercise, excessive accumulation of fat, more saturated fat intake and stress, but these factors can be easily modified.

We require a treatment modality that alleviates Agni, detoxify body and increases rate of metabolism. Swedana is a well-known Ayurvedic therapy more famous as ‘Purva Karma’ to Panchkarma therapy. But it can be used as an independent therapy as it is mentioned under Shad- Upkarmas.[8] It is a procedure which relieves stiffness, coldness, heaviness in body and induces perspiration.[9]


Journal of Ayurveda and Integrated Medical Sciences 2022;7(4)153
Yadav M et al: Effect of Kuti Sweda on Dyslipidemia A Case Report

This induced perspiration causes release of more toxins out of body, dissolves accumulated body fats.

It is usually given after Snehana (Oleation)[10] that causes easy spilling of Doshas out of the body, it is having dual effect of relaxation as well as detoxification.

Swedana possess many properties like Ushnata, Tikshnata, Rukshta, Sthirata, Sarata, Snigdhta, Dravta, Sukshmata, Guruta etc.[11] by the help of above properties it produces various benefits in body like Stambhaghna (relieves stiffness), Gauravghna (relieves heaviness), Shitghna (relieves coldness) and Sweda Karkavta (Sweat production).[12]

In our body metabolism is regulated by Agni, when it is disturbed, it causes Ama production which leads to Shrotorodha (obstruction of channels), this Shrotorodha hampers Dhatu formation process.

When fat is not metabolized properly it gets accumulated (Medovriddhi), this excessive Meda covers Agni which hampers the formation of Asthi, Majja and Sukra Dhatu which may lead to symptoms like lethargy, shortness of breath and weakness.

Swedana by its Ushna, Sukshma and Tikshna Guna enters the microchannels, stimulates sweat glands to boost sweat production and increase metabolism to enhance Agni.[13]

Sweating facilitates more calorie burn leading to more consumption of accumulated fats, as Sweda is Mala of Meda Dhatu[14] this means burning of Meda produces Sweda, this clearly explains the working of Swedana in reducing lipid levels, when continued for 1 month it increases metabolic rate, detoxifies body and leads to healthy formation of all Doshas ultimately correcting Dyslipidemia.

The results obtained in this study shows that Swedana is quite effective in correcting dyslipidemia.

Conclusion

It is clear from the above study that conditions like dyslipidemias which require lifestyle and dietary modifications can be corrected by Swedana like procedures and this procedure is safe, effective and less time consuming.


Reference

1. Pappan N, Rehman A. Dyslipidemia. [Updated 2021 Jul 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560891

2. https://www.nhp.gov.in/dyslipidemia_mtl

3. Pirillo, A., Casula, M., Olmastroni, E. et al. Global epidemiology of dyslipidaemias. NatRev Cardiol 18, 689–700 (2021). https://doi.org/10.1038/s41569-021-00541-4

4. Mohan, H. (2018). Textbook of pathology. Jaypee Brothers Medical Publishers. Chapter 15, p-414

5. Mohan, H. (2018). Textbook of pathology. Jaypee Brothers Medical Publishers.chapter 15, p-416

6. Agnivesha. Charaka Samhita: Sutra Sthana, Santarpaniye adhyaya 23/3-4, Vidyotini hindi commentary by Pt. Kashinatha Shastri & Dr. Gorakhanatha Chaturvedi. Vol. 1. Varanasi: Chaukhambha Bharati Academy; 2018. p.436

7. Agnivesha. Charaka Samhita: Sutra Sthana, Santarpaniye adhyaya 23/8-9, Vidyotini hindi commentary by Pt. Kashinatha Shastri & Dr. Gorakhanatha Chaturvedi. Vol. 1. Varanasi: Chaukhambha Bharati Academy; 2018. p.437

8. Agnivesha. Charaka Samhita: Sutra Sthana,Langhanbhringhniye adhyaya 22/4,Vidyotini hindi commentary by Pt. Kashinatha Shastri & Dr. Gorakhanatha Chaturvedi. Vol. 1. Varanasi: Chaukhambha Bharati Academy; 2005. p.424

9. Agnivesha, Charaka Samhita Sutrasthana 22/11, Acharya Yadavji Trikamji, Chaukambha publication, 2001, Varanasi, pg. no. 120

10. Agnivesha. Charaka Samhita: Sutra Sthana, Sweda adhyaya 14/4, Vidyotini hindi commentary by Pt. Kashinatha Shastri & Dr. Gorakhanatha Chaturvedi. Vol. 1. Varanasi: Chaukhambha Bharati Academy; 2018. p.281

11. Agnivesha, Charaka Samhita edited by Vidyadhar Shukla,Suthrasthana 22/16. 2nd edition. Varanasi: Chaukhambha Sanskrit Sansthan;2002, pg. no. 310

12. Agnivesha, Charaka Samhita edited by Vidyadhar Shukla,Suthrasthana 22/11. 2nd edition. Varanasi: Chaukhambha Sanskrit Sansthan;2002, pg. no. 310


Journal of Ayurveda and Integrated Medical Sciences 2022;7(4)154
Yadav M et al: Effect of Kuti Sweda on Dyslipidemia A Case Report

13. Parida, A., Jena, S., & Sawant, V. (2020). A Critical Review on Action of Swedana Vis-à-vis Sudation Therapy. International Journal of Ayurveda and Pharma Research, 66-68

14. Agnivesha. Charaka Samhita: Chikitsa Sthana, Grahini chikitsa adhyaya 15/18-19, Vidyotini hindi commentary by Pt. Kashinatha Shastri & Dr. Gorakhanatha Chaturvedi. Vol.2. Varanasi: Chaukhambha Bharati Academy; 2018.p-456


Journal of Ayurveda and Integrated Medical Sciences 2022;7(4)155