Obesity is defined as excess adipose tissue mass rather than just excess weight. It results from calorie intake exceeding consumption. Normal adipose tissue contains adipocytes of uniform size, while abnormal tissue in obesity contains enlarged and hypertrophied adipocytes. Diagnosis is based on BMI and waist circumference. Treatment involves lifestyle modifications like diet and exercise as well as medications like Orlistat, Lorcaserin, Sibutramine that promote weight loss. Liposuction is a cosmetic procedure that surgically removes fat to change body shape.

2. Ukekfe /kUoUrfjekfnnsoalqjklqjSoZfUnriknin~ee~A
yksds tjk+#d~Hk;e`R;quk’ka nkrkjeh’ka
fofo/kkS"k/khuke~ AA

3. LFkkSY;
izLrqrd=hZ& oS|k lqtkrk
[ ,+e. Mh. dk;fpfdRlk&izFke o"kZ ]
funsZ’kd & MkW. fnus’kdqekj xks;y(foHkkxk/;{k)
MkW.iquhrk ik.Ms;
MkW.LofIuy fla?kbZ
MkW.fiz;jatu frokjh
MkW.v#.k dqekj ’kekZ

4. INTRODUCTION
 DERIVATION- from ‘Sthula prabrimhane’ [ LFkwy izc`ag.ks] =
here ‘Pra’ means ‘Prakrishta’ [excessive]; and ‘Brimhan’
means ‘Growth of the body’.
 lUriZ.ktU;O;kf/k ( an over nutritional disorder).
 SYNONYM = ‘Medoroga’ – A DISORDER OF MEDA DHATU
[adipose tissue].
 Mentioned under ‘Ashtauninditiya Purushas’ , so we must
take it as one of the most undesirable constitution. Also said in
the text -
lrra O;kf/krkosrkofrLFkwyd`’kkS ujkSA
lrra pksip;kSZ fg d’kZuSc`ag.kSjfi AA
LFkkSY;dk’;sZ ojadk’;Za leksidj.kkSfg rkS A
;|qHkkS O;kf/kjkxPNsr~ LFkwyesokfrihM;sr~ AA ( p lw 16@16,17 )

5. Characteristics of Sthula Purush
esnks ekalkfro`++)RokPpyfLQxqnjLru%A
v;Fkksip;ksRlkgks ujks∙frLFkwy mP;rsAA [ p .lw .21.9 ]
That is to say, ati sthula has been defined as
a person, who on account of the inordinate
increase of fat and flesh, is disfigured with
pendulous buttocks, belly and breasts and whose
increased bulk is not matched by a corresponding
increase in energy.

6. funku (Etiological factors)
rnfrLFkkSY;efrlaiwj.kkr~
xq#e/kqj’khrfLuX/kksi;ksxknO;k;keknO;Okk;kr~
fnokLoIuk)"kZfuR;RoknfpUrukr~chtLoHkkokPpksitk;rsA
(p Lkw21@4)
vO;k;kefnokLoIu’ys"eykgkjlsfou%A
e/kqjksUujl%izk;% LusgkUesn%izo/kZ;sr~AA
(ekfu &esnksjksxfunku1)

7. lEizkfIr
vO;k;kefnokLoIu’ys"eykgkjlsfou%A
e/kqjksUujl% izk;% LusgkUesn% izo/kZ;sr~ AA 1 AA
esnlk∙∙o`rekxZRokr~ iq";UR;U;s u /kkro% A
esnLrq ph;rs rLekn’kDr% loZdeZlq AA 2 AA
esnLrq loZHkwrkukeqnjs"ofLFk’kqfLFkre~ A
vr ,oksnjs o`f)% izk;ks esnfLouks Hkosr~ AA 4 AA ( ek-fu- & esnksjksxfunku )
esnlko`rekxZRok}k;q% dks’s fo’ks"kr% A
pju~ lU/kq{k;UR;fXuekgkja’kks"k;R;fi AA 5 AA
rLekr~ l ’kh?kza tj;R;kgkjapkfrdka{kfrA
fodkjka’pk’uqrs ?kksjku~ dkaf’pRdkyO;frØekr~ AA 6 AA
,rkoqinzodjkS fo’ks"kknfXuek#rkS A
,rkS fg ngr% LFkwya ounkoks oua ;Fkk AA 7 AA
esnL;rho lao`)slglSokfuykn;%A
fodkjku~ nk#.kku~ ÑRok uk’k;UR;k’kq thoue~ AA 8 AA ( p- lw- 21@5&8 )

8. funkulsou
e/kqjrj vUujl dh mRifRr
ml vUujl ds Lusg ls esn dhmRifRr
izo`) esn }kjk okr dk ekxkZojks/k
vo#)ok;q vU;= xeuudj ikus ds dkj.k dks’ esa vkJ; ysdj vfXu ds lehi fLFkr gks mls
lU/kqf{kr djrk gS
og vfXu [kk, x, vUudk ’kh?kzikd dj iqu% iqUk% cqHkqf{kr djrk gSA vr% jksxh vusd
ckj vkgkj xzg.kdjrk gSA (cqHkq{kkdky dk vfrØe.kdjus ij vusd jksxksa ls vkØkUr )
jksxh LFkkSY; xzLr

9. minzo
rL; áfrek=esnfLouksesn ,oksiph;rs u rFksrjs /kkro% , rLeknk;q"kks
gzkl% , ’kSfFkY;kr~ lkSdqek;kZr~ xq#RokPp esnlks toksijks/k%,
’kqØkcgqRokUesnlko`rekxZRokPp d`PNªO;ok;rk ,
nkScZY;eleRok)krwuka , nkSxZU/;a esnksnks"kkUesnl%
LoHkkokr~LosnuRokPp , esnl% ’ys"elalxkZf}";fUnRokRk~
cgqRokr~ xq#Rokr~ O;k;kelgRokPp Losnkck/k% , rh{.kkfXuRokr~
izHkwrdks’ok;qRokPp {kqnfrek=a fiiklkfr;ksx’psfr A
( p lw 21@4 )
{kqnz’oklr`"kkeksgLoIuØFkulknuS% A
;qDr% {kqRLosnnqxZU/kSjYiizk.kksYieSFkqUk% AA
( ek fu & esnksjksxfunku&3)

10. fpfdRlk fl)kUr
 funkuifjotZu
 vkeikpu
 esn’kks"k.k
 vfXufpfdRlk& xq#pkriZ.kaps"VaLFkwykukad’kZua izfrA
d`’kkukac`ag.kkFkZapy?kqlUriZ.ka p;r~ AA
(plw21@20)
xq#pkriZ.ka LFkwysfoijhrafgrad`’ksA
;oxks/kweeqHk;ksLr|ksX;kfgrdYiue~AA
( vâ lw14@36)

11. lkekU; fpfdRlk
okr?ukU;Uuikukfu ’ys"eesnksgjkf.k p A
:{.kks".kk cLr;Lrh{.kk :{kk.;q}rZukfu p AA 21 AA
xqMwphHknzeqLrkuka iz;ksxL=SQyLrFkk A
rØkfj"Viz;ksx’p iz;ksxks ekf{kdL; p AA 22 AA
;okeydpw.kZa p iz;ksx% Js"B mP;rs AA 23 AA
fcYokfniapewyL; iz;ksx% {kkSnzla;qr%A
f’kyktrqiz;ksx’p lkfXueUFkjl% ij% AA 24 AA
iz’kkfrdkfiz;axq’p ’;kekdk ;odk ;ok% A
tw.kkZg~ok% dksnzok eqn~xk% dqyRFkk’PkØeqn~xdk% AA 25 AA
vk<dhuka p chtkfu iVksykeydS% lg A
HkkstukFkZa iz;ksT;kfu ikua pkuq e/kwnde~ AA 26 AA
vfj"Vka’pkuqikukFkZs esnksekaldQkigku~ A
vfrLFkkSY;fouk’kk; lafoHkT; iz;kst;sr~ AA 27 AA
iztkxja O;ok;a p O;k;kea fpUrukfu p A
LFkkSY;fePNu~ ifjR;Drqa Øes.kkfHkizo/kZ;sr~ AA 28 AA ( p- l-w 21 )

12. ’kkL=ksDr ;ksx
 oVh & foMaxkfn ykSg
ve`rkfn xqXxqyq
uod xqXxqyq
oMokfXu ykSg
ykSg jlk;u
 voysg & {kkSnzkHk;k
vxLR;gjhrdh
 rSy & f=Qyk rSy
 pw.kZ & foMaxkfnpw.kZ
«;w"k.kkfnykSg
 DokFk & f=Qykfn DokFk
eqLrkfn DokFk
 vfj"V & yksgkfj"V
 vU; & jlkatu
(LFkwys"kq rk{;Ze~)

13. iapdeZ fpfdRlk
 lkekU;& ’kLreqYys[kua r= fojsdksjDreks{k.ke~A
O;k;ke’pksiokl’p/kwek’pLosnukfu pAA
pw.kZiznsgk ;spksDrk% d.MwdksBkfouk’kuk%A
(p- lw-21)
 fo'ks"k& ys[ku cfLr
{kkjcfLr
HknzkfncfLr
f=Qyk rSy cfLr

14. esnksgj x.k esnksgj egkd"kk;
( vkpk;ZlqJqrksDRk) ( vkpk;Z pjdksDr)
 Lkkylkjkfnx.k
 o#.kkfn x.k
 vdkZfn x.k
 jks/kzkfn x.k
 Å"kdkfn x.k
 eq"ddkfn x.k
 f=dVq
 f=Qyk
 ys[kuh;egkd"kk;

15. iF; viF;
dksnks , ;o , lkaok , uhokjd ,tkS
dqyFkh ,puk ,elwj , eawx , vjgj
/kku dh yktk, e/kq ,rØ,lHkh :{k inkFkZ
cSaxu dk HkrkZ , ljlksa dk rSy
f=Qyk , f=dVq , xqXxqyq , NksVh byk;ph
e/kwnd , e.M , ,j.M {kkj
m".k ty ls Luku , vx# dk ysi
HkkstuiwoZ m".k ty dk iku
u;k ’kkfy pkoy o xsgwa
mMn
nw/k , ngh , ?kh , [kks;k , b{kq fodkj
Lusgiku
jlk;u vkS’kf/k;ksa dk lsou
lqxfU/kr nzO;ksa dk /kkj.k
lq[kklu , vH;ax , fnok’k;u
HkkstuksijkUr ty iku

16. OBESITY
Definition –
 Obesity is a state of excess adipose tissue mass. (Harrison’s :
17th)
 Obesity is a disease of caloric imbalance that results from an
excess intake of calories above their consumption by the body.
(Robbins : 8th)
So it is clear that obesity is about more fat and not about more
weight. You may weight more when you are tall and this is
normal.

23. Diagnosis

24. Difference between normal and abnormal adipocytes
Normal adipose tissue

32. Medication
 Orlistat.
 Lorcaserin.
 Sibutramine.
 Rimonabant.
 Metformin.
 Exenatide/Liraglutide.
 Phentermine/topiramate.
 Bupropion/naltrexone.

35. LIPOSUCTION – It is a type of cosmetic surgery that removes fat from
the human body in attempt to change it’s shape. It involves using a
cannula and negative pressure to suck out fat.
Before After