A person, having heaviness and bulkiness of the body due to excessive collection of fat is called obese (Sthula) and the condition is called obesity (Sthaulya)

1. Dr Meenakshi Verma
B.A.M.S MD (Kayachikitsa)
Assistant Professor Department of Kayachikitsa
R.K Ayurvedic College And Hospital Azamgarh U.P
Understanding of Obesity(Sthaulya) and its
Treatment in Ayurevda

2. Sthaulya Paribhasha(Definition)
A person, having heaviness and bulkiness of the body due to
excessive collection of fat is called obese (Sthula) and the
condition is called obesity (Sthaulya).

3. CLASSIFICATION OF OVERWEIGHT
AND OBESITY BY BMI CHART
Obesity Class BMI
(Kg/mt2)
Underweight < 18.5
Normal 18.5 – 24.9
Over weight 25.0 – 29.9
Obesity 1 30.0 – 34.9
2 35.0 – 39.9
Extreme
obesity
3 > 40

5. Nidana: Causes
1. Diet- Ahara ( similar to medas in Rasa,Guna etc)
• Atisampoorana (over-eating)
• Santarpana ( over nourishment)
• Adhyasana
• Excess consumption of Guru, Madhura, Shita, Snigdha,
Mamsa, Dadhi
• Navanna , Navamadya, Sarpi, Godhuma etc.

6. 2. Vihara- Lifestyle
• Avyayama- sedentary life
• Diwaswapa
• Asana sukha
• Swapnaprasanga
3. Manasika- Psychological
• Harshanitya
• Achintana
• Soukhya
4. Others:
• Bijaswabhava- Genetic/ heridity
• Excess rasayana- vajikarana- Brimhana (
drugs)

8. Nidana sevana (Kapha medo vardhaka ahara)
Jatharagni mandya
Saama anna rasa utpatti
Predominance of Apa & Prithvi bhoota
Dhat vargni mandya
Medho vaha srotodushti (sanga) Vata prakopa
Sanchya of apachita meda in sphik stna, udara
Sanchaya of vata in
kosta koshta
Sthoulya lakshana Athi ahara sevana
Samprapti

10. Laxan/ Symptoms
Laxana- Medomamsativriddhatwat… (Cha.Su.21)
1. Ayushohrasa- Shortened Life span
2. Javoparodha- Lack of Agility
3. Krichra vyavaya- Sexual Debility
4. Daurbalya- general weakness
5. Swedabadha- Excess Sweat
6. Daurgandhya- Odor
7. Kshudhatimatra- Excess appetite
8. Atipipasa- Excess thirst

11. Charaka has said that it is very difficult to treat atisthoola people
because, if Karshana therapy is applied then it leads to further
aggravation of already aggravated Jathragni and vayu. And if
Brimhana therapy is applied it further increase the meda
1. Nidana Parivarjana
2. Samshodhana
3. Samshamana
4. Langhana
5. Rukshana
MANAGEMENT

12. 2. SAMSHAMANA
It is pacification therapy -It is pacification therapy with herbs, diet,
exercises and lifestyle .
Use of Bitter, pungent astringent taste Use of Bitter, pungent
astringent taste Dry, hot, sharp, scraping qualities

13. Drugs of Lekhniyamahakshaya-
Musta ,kutha, haridra , daruharidra,vacha, ativisha, katurohini,
chirbilva, hemvati ,chitrak.
According to Shusruta, varunadigana acts as kaphamedhohar and
Other hypolipidemic drugs;- vidanga, agnimantha, gugglu, aamlaki,
haritaki, vibhitaki , rasone , vacha , arjuna, shigru , madanphala,
parisha, karvellaka, kulatha,.

14. •Vyoshadi guggulu
•Amritadhguggulu,
•Navakguggulu
•Lohaaristha,
•vidangadhlauha,
•Tyushnadhlauha ,
•Vidangadichurna,
•Trimurtirasa,
•Triphlaguggulu ,
•Medoharguggul,
•Kaishor guggul,
Useful Combinations in Medoroga Medoroga (obesity)
• Triphala guggule
•Navak Guggulu
•Triphala Guggulu
•Triphala Guggulu
•Amrutadya Guggulu
•Amrutadya Guggulu
•Chandraprabhavati
•Mustadi Kwath
•Mustadi Kwath
•Vidangadi Churna
•Vidangadi Churna
•Anupan- luke warm water and
honey

15. 3. SAMSHODHANA
Shodhan chikitsa- This includes Panchakarma treatment Shodhan
chikitsa- This includes Panchakarma treatment
•Vaman Vaman (medicated vomitting) (medicated vomitting)
• Virechana (medicated purgation) (medicated purgation)
• Basti (enema therapy)-particularly Lekhan Basti.Herbs (enema
therapy)-particularly Lekhan Basti.Herbs used in basti- Ushakadi
used in basti- Ushakadi
•Raktamokshana-Blood letting therapy-Blood letting
therapyDhumpan
•Dhumpan-medicated smoking -medicated smoking Swedan
•Swedan-Herbal steam therapy -Herbal steam therapy
•Udvartana-herbal powder massage -herbal powder massage Herbs
for Udvartana-Triphala,musta,Neem, Haridra,Daru Herbs for
Udvartana-Triphala,musta,Neem, Haridra,Daru
haridra,Tulasi,Ashwagandha,Musterd,Lodhra,Vacha

16. 4. SAPTAVIDHA LANGHANA
1. Dipana
2. Pachana
3. Kshut nigraha
4. Trishna Nigraha
5. Vyayama
6. Atapa
7. Maruta
Guru & Atarpana

17. 5. Virukshna- Chedaniya Drugs (
Sthoulyahara)
Shilajatu (Asphalt)
Guggulu(Commifora mukul)
Gomutra (Cow’s urine)
Triphala
Loharaja
Rasanjana
Madhu ( Honey)
Haridra- Curcuma
Shigru- Moringa olifera
Nirgundi- Vitex nigundo
Vidanga- Embelia ribes
Agnimantha- Premna integrifolia
Udumbara- Ficus
Musta- Cyperus rotundus
Lashuna- Garlic

18. References of line of Treatment(Cha.Su.21 chapter)

19. CONT..

20. CONT..

21. CONT..

22. Dietary and Lifestyle
Management

23. Whole grains- Barley, whole oats, quinoa and amaranth.
Vegetables-Chard, kale, Spinach and mustard greens, eggplant
Cabbage, carrot cauliflower.
Pulses or dried beans –Lentils, Mung dal, tu dar, masoor dal, horse
gram chick peas
Fruits-apples. Pears pineapple,
Honey
Spices-Fenugreek, turmeric, cumin, musturd, asefoetida curry
leaves, ginger, black pepper, clove, cinnamon
 The all drugs and food should be Bitter,
pungent astringent taste Dry, hot, sharp,
scraping qualities

24. •Avoid sweet, sour, salty and oily food as it aggravates
Kapha and Meda
•Sweet foods include not only sugar but also rice, wheat,
pasta, breads, and sweet milk products.
•Cakes, cookies, Pastries, Chocolates.
•Dairy products especially cheese cream, ice cream,
yogurt.
•Meat especially red meat ,fried food ,grilled food Avoid
packaged foods, processed food and restaurant
•fried foods - pizza, hot dog ,burger, doughnuts, French
•Fries.
Diet to Avoid

25. Avoid incompatible combinations of food
•Milk with fish, meat, curd, sour fruits, bread containing yeast,
cherries, yogurt
•Yogurt with milk, sour fruits, melons, hot drinks, meat,
fish, mangos, cheese
•Eggs with milk, meat, yogurt, melons, cheese, fish, bananas.
Diet to Avoid

26. Exercise ‘Stop Dieting and Start Moving’
Walking, Swimming, running, or rowing aerobic exercises,
Stationary Cycling/Bicycling
Yoga Asana-
Suryanamaskar-(Sun Salutations)
Pawan muktasana ( (Wind Liberating Pose)
Utthanpadasana (Raised Leg Pose) Dvichakrikasan-
(Bicycling)
Padvruttasan- (Leg rotation)
Naukasana (Boat Pose)
Pranayama (breathng excersises) and Meditation

27. •Maintain a regular daily routine. Wake up before 6.00am
•Take 2 teaspoon of honey and 2 tea spoon of lemon juice with 1
glass of warm water
•Exercise at morning at least 40 min/day -4days/week
•Eat light nourishing breakfast –cooked apple, cooked barley or
oatmeal
•Cook daily with love and care
•Use spices and herbs that suitable for you while cooking
•Boil water with fresh ginger and drink frequently throughout
the day
•Make Lunch as a main meal. Dinner should be as light as
possible.
•For dinner, eat light one-dish meals, or vegetable or lentil
soups.
•Do not sleep during day
Useful tips

28. Avoid eating late at night
Eat only after digestion of previous meal.
Eat only when you are hungry. Find out correct quantity for
you.
Keep the regular timings of meal. Eat mindfully.
Concentrate on your food, what you are eating. Don’t divide
your attention by reading, working or watching TV while you
are eating.
Take a walk after meal.
Replace caffeinated and carbonated beverages with herb-
spice teas.
Fasting-One day fasting in a week is good
Useful tips Cont..

29. conclusion
• Obesity can be prevented by avoiding
excessive and frequent eating of foods such
as fried foods ,nuts,sweets, junk foods etc…
• Regular practices of exercises will help to
reduce weight.
• Nutrition education is essential to prevent
present widespread occurrence of obesity.
• The need of the hour is to inculcate an
active lifestyle and good eating habits to
prevent obesity.

30. Or else you will land
up in

31. Sthoulya or obesity

32. Thank you