DEPARTMENT OF KAYACHIKITSA J. S. AYURVEDA COLLEGE, NADIAD

Transcription

1 MULTI-PHASIC AYURVEDIC MANAGEMENT OF OBESITY: A CASE REPORT PRESENTED BY DR. ZALAK PATEL SUPERVISED BY DR. S. N. GUPTA DR. MANISH V. PATEL DR. KALAPI B. PATEL DEPARTMENT OF KAYACHIKITSA J. S. AYURVEDA COLLEGE, NADIAD

2 INTRODUCTION In Ayurveda Sthaulya was described among Astauninditiya in Charakasamhita. It is also considered as a santarpanajanya vikara. It is a Tridosaja vyadhi, but vitiation of Kapha &Meda is prominent. Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have negative effect on health.

3 It is the most common metabolic disorder affecting affluent societies caused by excessive eating, lack of exercise, stressful life & environmental factors. Obesity is vexing problem in developed as well as developing countries. Obesity increase the risk of many physical & mental conditions & increases the various diseases like heart disease, diabetes mellitus & osteoarthritis.

4 SYMPTOMS Weight gain since 7 month Heaviness in abdomen since 7 months Difficulty in walking since 5 months Dyspnoea on exertion since 2 months

5 CASE HISTORY A 57 year old female patient came to P D Patel Ayurveda Hospital, on 12 th February 2016, with the complaints of overweight (97.20kg) and diagnosed as patient of sthaulya. The patient had symptoms like weight gain with gradual onset since 7 months, in association with it she had also symptoms like heaviness in abdomen, difficulty in walking, dyspnoea on exertion & she feels mild weakness at working time.

6 She is a known case of HTN since 7 years. She has been taking antihypertensive medicine for it. She has taken different type of medicines & also consulted to dietician to reduce weight but did not get much relief. So she came to P D Patel Ayurveda Hospital for Ayurvedic treatment.

7 THERAPEUTIC INTERVENTION Patient was treated with following Ayurvedic management. On the 1 st day 40 ml tila taila was given to patient twice a day for Abhyantar snehpan. The dose was increased 55 ml twice on second day and 70ml twice on third day. On 4 th day proper Snehana symptoms found hence Snehapana was stopped and sarvang abhyanga with Narayana Taila and Baspa Svedana with Nirgundipatra were given which was continued on 5 th day also.

8 On 6 th day after sarvang abhyanga & sarvang svedana she was given Mrudu Virechana (with eranda sneha of 30 ml+ Dindayal churna 5gms) in the morning. She had completed virechana without any complication. On 7 th and 8 th day she was kept on Sansarjanakrama. From 10 th day sarvang udvartana & sarvang baspa svedana were started. Niruhabasti of Triphala kvath (320 ml) also started.

9 Internal medications like Varunadi kvatha 40 ml twice a day. Triphala gugulu 3 tablets thrice a day with warm water. Arogyavardhini vati 2 tablets twice a day. Navayas churna 2gm twice a day She was also advised for 15 minutes fast walking in morning and evening.

10 CONTINUE Patient got satisfactory result in signs and symptoms with above treatment. She felt lightness in her body and she can do easily her work. She lost 10.1 kg weight within 30 days of hospitalized treatment. BMI also reduced from to The circumference of the abdomen, arm, hip and thigh region was also reduced by 7, 1, 3 and 2 cm respectively. Symptoms and signs Before Treatment After Treatment Difficulty in walking Moderate Mild Heaviness in abdomen. Moderate No heaviness Dyspnoea on exertion Mild No dyspnoea

11 Measurement Before After Weight 97.2 kg 87.1 kg BMI kg/m² kg/m² Abdomen circumference 98 cm 91 cm Arm circumference 39 cm 38 cm Hip circumference 121 cm 118 cm Thigh circumference 116 cm 114 cm

12 DISCUSSION In Ayurveda, Sthaulya is described as a santarpanajanya vikara. It is a Tridosaja vyadhi, but vitiation of Kapha & Medas is prominent. The treatment started with Abhyantara snehapana with tila taila having ushna properties therefore it pacifies kapha dosha. Taila pana is indicated for the diseases originated from medas and kapha vridddhi. Mrudu virechana is helpful to eradicate the kapha as a process of samshodhana (purification of the body).

13 Triphala have tridoṣha samana action and charaka has also described it in Medoroga chikitsa. Arogyavardhini vati is clearly indicated as Medovinasini and Sarvaroga prasamani. Ingredient of Navayasa churna have ushna virya, laghu guna and lekhana properties. Hence, it is helpful in sthaulya. All the ingredients of navayasa churna are mentioned for sthaulya chikitsa in santarpaniya adhyaya by charaka.

14 Trikatu is very effective as ama doshahar which is prime cause of all the diseases. Triphala is tonic for whole body and also having property of tridoṣha samana. Motha has property of lekhaniya and pachaniya and tṛptighna effect which is helpful to digest the ama as well as reduce the meda and kapha.

15 Chitraka reduces vitiated Kapha and vata. Varunadi kvath contains the drugs which was mentioned in Susruta samhita as kapha and medohara. Triphala guggulu contains triphala, pippali and guggulu. Triphala and Guggulu both have rasayana and lekhana effect.

16 Guggulu has medohara karma and helps in stimulates fat metabolism and burn excess body fat. It modulates digestive power even associated with Ama. So, combination of all these drugs maintain digestive fire and inhibit ama production and gradually decreases extra fat from the body.

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