RESUMEN
In Ayurveda, it is regarded as Medoroga which includes fat tissue and fat metabolism, results from the excessive accumulation of Meda (fat/ adipose tissue) and Mamsa (flesh/ muscle tissue) leading to flabbiness of hips, abdomen, and breast. It is considered as Santarpanottha Vikara and counted one among the Ashtnindita Purusha by Ayurvedic Acharayas. According to Ayurveda, Sthoulya begins with an imbalance of Doshas (Vata, Pitta and Kapha), Agni (digestive fire), Malas (waste products) or an imbalance of Srotas (microcirculatory channels). This collection of imbalances then interferes with the formation of tissues or Dhatus and leads to a tissue imbalance that we experience as Sthoulya. It is most prevailing condition being faced by majority of the population, but yet among the most neglected health problem in the world. In this regard approach of this study is to give safer, comprehensive and rational option for treating Sthaulya (Obesity) and this is a humble attempt to probe into the different pathophysiological aspects behind Sthaulya, taking into consideration the classical therapy coupled with modern interpretations. Amritadya Guggulu by the virtue of its Rasapanchaka (Rasa- Katu, Tikta, Kashaya, Guna- Laghu, Ruksha and Virya- Ushna, Vipaka- Katu, Dosha Karma- Kapha Vatashamaka) is effective in the management of Sthoulya including all Kapha predominant pathologies, leading to Samprapti Vigatana of Sthoulya. Hence this study is carried out to establish the efficacy of the treatment considering the clinical and laboratory profile of obesity (Sthoulya). The study was done on 30 patients taken from both IPD & OPD of RGGPG Ayurvedic College and Hospital, Paprola, H.P. The duration of the trial was 60 days with follow up of 15 days and the observations obtained are analyzed statistically after the end of the study.
RESUMEN
Obesity (Sthoulya) is the major and basic cause of lifestyle disorders like Diabetes mellitus (T2DM), Coronary heart disease (CHD), Hypertension. Obesity (Sthaulya) is increasing at an alarming rate in developed industrialized countries which are undergoing rapid nutrition and lifestyle transition. Obesity is one of the most effective diseases which affect someone’s social, physical and mental status. In Ayurveda, Sthoulya (Obesity) is regarded as Medoroga, a disorder of Meda Dhatu, which includes fat tissue and fat metabolism. According to Ayurveda, Sthoulya begins with an imbalance of Doshas (Vata, Pitta and Kapha), Agni (digestive fire), Malas (waste products) or an imbalance of Srotas (microcirculatory channels). This collection of imbalances then interferes with the formation of tissues or Dhatus and leads to a tissue imbalance that we experience as excess weight. Overweight and obesity are linked to more deaths worldwide than underweight. Overall, about 13% of the world adult population (11% of men and 15% of women) was obese in 2016. The worldwide prevalence of obesity nearly tripled between 1975 and 2016. Amritadya Guggulu possesses Rasa- Katu, Tikta, Kashaya, Guna- Laghu, Ruksha and Virya- Ushna, Vipaka- Katu, Dosha Karma- Kapha Vatashamaka is effective in the management of Sthoulya. By virtue of its Rasapanchaka, contents of drug are very well indicated in Kapha predominant pathologies. Due to this property, it breaks the Samprapti of Sthoulya. Hence the present attempt is done to encompass the up to date comprehensive literature to study the mode of action of Amritadya Guggulu in the management of Sthoulya w.s.r. to Ayurvedic properties and modern pharmacology.
RESUMEN
Ayurveda considers Ahara (food) as one of the three supporting pillars. Food has been given prime importance since Vedic Period. It is considered as Brahma in Upanishad. Acharaya Kashyapa gives it the name “Mahabhaisajya”. This is responsible for the growth, development and enhancement of Ojas. The body as well as diseases; both psychological and lifestyle disorders like Heart disease, Obesity, Diabetes, Hypertension and Cancer being the major health problems are formed by food, wholesome and unwholesome food are responsible for happiness and misery respectively. The disease can be cured without any medication by just following wholesome regimen, whereas even hundreds of medicines cannot be cure a disease in absence of wholesome regimen. Ahara rasa which is formed from ingested diet nourished not only our body but also nourished mind and sensory organs. Ayurveda describes that Deha is made up of Ahara and the Vyadhi also. According to Laulimbaraja “Pathya is the secret of healthiness likewise Apathya is the root cause of all diseases”. Ayurvedic Acharayas describes importance of Ahara differently especially in Brihatrayee, a special chapter has been described for Annapana Vidhi. The principle of dietetics and nutrition in Ayurvedic system of medicine include different classes of Ahara i.e. eating and drinking items, principle of Pathyapathya (wholesome and unwholesome diet), discipline of eating (Ashta Ahara Vidhi Visheshayatan, Dvadasha Asana Vidhi etc.), Viruddha Ahara (incompatible diet). Ashta Ahara Vidhi Visheshayatan includes eight discipline of eating and Dvadasha Asana Vidhi includes the twelve discipline of eating as described by Acharya Charaka and Sushruta respectively and is very important in daily life for promotion of positive health.