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BPD/DS is a complex procedure
1. First, a sleeve gastrectomy is
Staples performed .
2. The small intestine (first part or
Blllopancreatic Diversion
with Duodenal Switch
Duodenum
passes
through
small
intestine
;
.- r .l
........_..- . /
Largeintestine
Area where
digestion
begins
- 1
duodenum) is then divided. A
very short length of thelast part of
the small intestine is brought up
and attached to it
(duodenum).This is the duodenal
switch.
3. The part of the small intestine
that has been separated is
reconnected to the last part of the
small intestine. This is the
biliopancreatic d iversion.
Vagal nerve blockade
,,,---J • It involves implanting a device under the skin of the abdomen
that sends intermittent electrical pulses to the abdominal vagus
nerve, which tells the brain when the stomach feels empty or full.
lntragastric Balloon (Gastric Balloon)
• Placing a deflated balloon into the stomach,and then filling it to decrease
the amount of gastric space.
lntragastric Balloon:2 Types
Type 1: Single Balloon Type 2: Dual-Balloon
...---..iTreatment principle
+ Nidana parivarjanam
• 'Cl
l('!clzj
• •
j 'tlfu
• Guru-Apatarpana =Madhu
• Vataghna-Slesma-MedoharaAnnapana
• Ruksha-Tikshna- Usna Basti = Lekhana Basti with Gomutra
• Ruksha Udwartana =Triphala Churna, Kolakulathadi Churna
<'i'f ilc:,)f.:ll'! JltSJicrtl r.:f '!'lcf <Rl8I (A.H.Su. 14/21)
"{
C
1
1'"l i
ct>
l;
:
('! • •
Shamana ausadhies
• Kashaya kalpana (60ml SD before 1/2hr of food)
• · Ashanadi Kashaym, Vatsakadi Kashayam, Varashanadi
Kashayam, Triphaladi Kashayam, Punarnavadi Kashayam, Patya
Punarnavadi Kashayam,Agnimantha Kvatha
• Churna Kalpana (5gm BO after food)
•• Guggulu Panchapala Churnam, Yogaraja Chumam, Vidaga Yava
Lohadi Churnam, NavayasaChurnam, Madhusnuhi Churnam,
Vidangadi Churna, Vyoshadi Saktu, Chavyadi saktu, Trikatu
Churnam,Triphala Churna
• Guggulu I Vati kalpana (2 BO after food) (125-250mg)
·
· Medohara Guggulu (Vyosadi Guggulu I Navaka Guggulu -
T
riphala, T
rikatu, T
rimada, Guggu/u), Punamavadi guggulu, Amrita
• Lauha kalpana (125-250 mg after food)
•• Saptamrita Lauha (2 BO), Lauha Bhasma
Lauham, Vidangadi Lauha (Medohara),
(500mg BO), T
apyadi
Traushanadi Lauha,
Vaadabagni Lauha
• Lehya Kalpana (10gm BO after food)
•• Oasamoola Haritaki Lehyam
• Asavarista kalpana (25ml BO after food with equal water)
•· Lohasavan1, Madhyasavam, Ayaskriti, Lauharista
• Single drugs
·· All drugs mentioned in Sneha ativyapat are effective
• • Silajeet, Haritaki, Gomutra, Gomutra Arka,
Shyamaka, Mandoor,Brikshamla, Vijayasara
Sila
w
_ J
C)
z
-Cl)
illli1R....m
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4. 31
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lf¥ , "' s ' • " i
R
; ;
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'131
iiif'lit"<Ult iii .1 '1>'11 · ctl flll,
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1q
q;, a;;
<:ct<fi(f f ) r.. 3ffiu:flqm
llill tcr.Iili.ll I <lit!-
'1 IHl.,11'1<l'"'l"fll"'Hlftlg1"'1o u '1qW"C1!iaifl {{"CliQlq1Cfl
l(1HClll<!l'1i
f t l u1
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:
:
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( . 15/38)
.... ,.
:> -a6QIG "'ti:Cfi- "loq , "11(1 , '('il d, -
qftqxflq. if1
if m, tj'j'C( ( "14Cfi 1 f-i:l 'JICfi I(.11 °W{'llTTI 1
c+i( 1'1e'l'1 I ( 3 gn"I) (f!:l'f ;;ft Cf>!
(50 gm) <? Cf> ( if> q1::ft -if ti'l ICfi( fl°t 11'
el"f q:;(la I 3'1" -
:> 151 1!l ""<!!>"*' - q:;-r ( 200 gn"I) (f
&i'llilltl
. fa<.1 . 3f1<: ""Cf (3-3 grn) <?icn<
i:i:cn- Tr
fi;l<?ll<fl( 41'11-it "l <?l Cfi( 'ft::=r -it a;m: <:11'11
""llft< tt I
;;im - 3'I" - 14/25-28 (faf!tt i fG<ifi
l"t. f"t.
1•11.,o<:1 i ..,. afr;c:u "t.1 1 )
:> @ ti< -q:c;t s:i'i"111<:n Hq - 1>:0act>'l 4'><:1 q;i ct
"fCfl<:-1,
(Oft•;, -;:ft'q Cffr qm.3W'l ci:rr •n<."1101<:1 3fu:
3FIR Cfil
f0<?1Cfi l , .......;;
'I.TIT! ' ( 4i$1'1
"tf2cti< "{"©'
-" I !!fl :.·
<."lCfi <:'I '"1
Shodhana therapy
• UDVARTANAM
• • Triphala Churna, Kulattha
Aragvadhadi Churna
• TAILA KALPANA (for abhyanga)
Churna, Kolakulatthadi Churna,
•• Sarshapa T
aila, Murchita Tila T
aila, Aasadya T
ailam, Pachabija
Tailam, Chadrasura T
ailam
• MRUDU VIRECHANA (25 gm morning empty stomach)
•• Kalyanaka Gulam, Trivrit Lehyam, Hridya Virechanam
• VAST!
•• Lekhana Vasti
Sample Prescription slip
1. Navaka Guggulu - 500 mg BO after food with Gomutra arka
2. Lauhasavam - 25ml BO after food with equal water
3. Vidangadi Lauha (Medohara) - 250 mg BO after food with water
4. Triphala Churna - 5 gm OD at night with lukewarm water
5. Cap Vrikshamla - 1 Cap BO after food with water
6. Panchakarma therapy
• Ruksha udvartan with KolakulatthadiChurna
• Lekhana Vasti
Advice for
• Nidana Parivarjanam
• Pathyapathya
 J,,,.., ,..., _., / C,..........:.... ,..
Pathva - Aoathva for Obesitv
Pathva Aoathva
Ahara Varga
Suka Dhanya Yava, Venuyava, Kodrava, Nivar,
Jurna
Godhuma, Navanna,
Shali
Sarni Dhanya Mudga, Rajmasha, Kulattha,
Chanak, Masur,Adhaki
Masha,Tila
Mamsa Rohit Matsya Anupa, Audaka ,
Gramya
Saka Varga Vruntak,Patrasaka ,Patola Madhura saka,Kanda
Phala Kapitha,Jamun, Amalaki Madhuraphala
Dravya Takra, Madhu, Ushnodaka, TIla
Taila, Sarshapa Taila,Asavarista,
Jirnamadya
Dugdha, lkshu, Navnit,
Ghrita Dadhi
Vihara Varga
Divaswapna
.
• Medications don't replace physical activity or
healthy eating habits as a way to lose weight.
•Studies show that weight management
medications work best when combined with a
lifestyle program.
THANK U

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Sthaulya-roga-obesity-for-class-ayurveda-61-638 (12 files merged) (1).ppt

  • 1. BPD/DS is a complex procedure 1. First, a sleeve gastrectomy is Staples performed . 2. The small intestine (first part or Blllopancreatic Diversion with Duodenal Switch Duodenum passes through small intestine ; .- r .l ........_..- . / Largeintestine Area where digestion begins - 1 duodenum) is then divided. A very short length of thelast part of the small intestine is brought up and attached to it (duodenum).This is the duodenal switch. 3. The part of the small intestine that has been separated is reconnected to the last part of the small intestine. This is the biliopancreatic d iversion.
  • 2. Vagal nerve blockade ,,,---J • It involves implanting a device under the skin of the abdomen that sends intermittent electrical pulses to the abdominal vagus nerve, which tells the brain when the stomach feels empty or full.
  • 3. lntragastric Balloon (Gastric Balloon) • Placing a deflated balloon into the stomach,and then filling it to decrease the amount of gastric space. lntragastric Balloon:2 Types Type 1: Single Balloon Type 2: Dual-Balloon
  • 4. ...---..iTreatment principle + Nidana parivarjanam • 'Cl l('!clzj • • j 'tlfu • Guru-Apatarpana =Madhu • Vataghna-Slesma-MedoharaAnnapana • Ruksha-Tikshna- Usna Basti = Lekhana Basti with Gomutra • Ruksha Udwartana =Triphala Churna, Kolakulathadi Churna <'i'f ilc:,)f.:ll'! JltSJicrtl r.:f '!'lcf <Rl8I (A.H.Su. 14/21) "{ C 1 1'"l i ct> l; : ('! • •
  • 5. Shamana ausadhies • Kashaya kalpana (60ml SD before 1/2hr of food) • · Ashanadi Kashaym, Vatsakadi Kashayam, Varashanadi Kashayam, Triphaladi Kashayam, Punarnavadi Kashayam, Patya Punarnavadi Kashayam,Agnimantha Kvatha • Churna Kalpana (5gm BO after food) •• Guggulu Panchapala Churnam, Yogaraja Chumam, Vidaga Yava Lohadi Churnam, NavayasaChurnam, Madhusnuhi Churnam, Vidangadi Churna, Vyoshadi Saktu, Chavyadi saktu, Trikatu Churnam,Triphala Churna • Guggulu I Vati kalpana (2 BO after food) (125-250mg) · · Medohara Guggulu (Vyosadi Guggulu I Navaka Guggulu - T riphala, T rikatu, T rimada, Guggu/u), Punamavadi guggulu, Amrita
  • 6. • Lauha kalpana (125-250 mg after food) •• Saptamrita Lauha (2 BO), Lauha Bhasma Lauham, Vidangadi Lauha (Medohara), (500mg BO), T apyadi Traushanadi Lauha, Vaadabagni Lauha • Lehya Kalpana (10gm BO after food) •• Oasamoola Haritaki Lehyam • Asavarista kalpana (25ml BO after food with equal water) •· Lohasavan1, Madhyasavam, Ayaskriti, Lauharista • Single drugs ·· All drugs mentioned in Sneha ativyapat are effective • • Silajeet, Haritaki, Gomutra, Gomutra Arka, Shyamaka, Mandoor,Brikshamla, Vijayasara Sila
  • 7. w _ J C) z -Cl) illli1R....m ' ,,= . . , .......... f td h tEaHi 9til11 !AQiHMtli I 1!94l'l?il 9Ql•il qif$fli>.j 1f Ii 8;ITT : CfiiHl'ilg1:a) 1ltj I Qqjq('lCfii{O f Ti 9Ql'I: it! 3&.I Ii filedlQ¥'{ t'lf4 " 9 " Q ) tr: !{if: I IHl"lg94'•i?il ¥ 1 1 '1q41¥1: lfT; ii ('f 21/22·24) °1 IHI.,l'l'111 'n '{'1fllQifl1 t'ilgl'i1 l'Hll '1q';illC l!{ a<fl l l{ "Cli?Q IqIail(IHC l ii;!i'1 i "'8wi 1. . qr.ri s;eQIUli 1 1(1 J 15/38) . lmll,ilihl e3ffilfl!<1ilmC!l'l 1 0:: 2. fcliil,1JIR, C) . 1 11lPI, If!! , ilill anqctili 'l1 1f<1ilfilctlili{ mm I 3. <lciil'i. 1 1<litlfl!1i;lll't mCii't I 4. 31 fl1ii'I 1';ll1'l ftlctr>t<Iilil mlti-11 I lf¥ , "' s ' • " i R ; ; l11Jllil, m.• " ' - - -::rrrt s ..,.,, '131 iiif'lit"<Ult iii .1 '1>'11 · ctl flll, · U i ;, lfl!<litmilill . , - . '!il 'll. t11 1q q;, a;; <:ct<fi(f f ) r.. 3ffiu:flqm llill tcr.Iili.ll I <lit!- '1 IHl.,11'1<l'"'l"fll"'Hlftlg1"'1o u '1qW"C1!iaifl {{"CliQlq1Cfl l(1HClll<!l'1i f t l u1 "3c : : :flt1His;eq1 0 1 iftlft:ta5q4 )1 n1 1 ( . 15/38)
  • 8. .... ,. :> -a6QIG "'ti:Cfi- "loq , "11(1 , '('il d, - qftqxflq. if1 if m, tj'j'C( ( "14Cfi 1 f-i:l 'JICfi I(.11 °W{'llTTI 1 c+i( 1'1e'l'1 I ( 3 gn"I) (f!:l'f ;;ft Cf>! (50 gm) <? Cf> ( if> q1::ft -if ti'l ICfi( fl°t 11' el"f q:;(la I 3'1" - :> 151 1!l ""<!!>"*' - q:;-r ( 200 gn"I) (f &i'llilltl . fa<.1 . 3f1<: ""Cf (3-3 grn) <?icn< i:i:cn- Tr fi;l<?ll<fl( 41'11-it "l <?l Cfi( 'ft::=r -it a;m: <:11'11 ""llft< tt I ;;im - 3'I" - 14/25-28 (faf!tt i fG<ifi l"t. f"t. 1•11.,o<:1 i ..,. afr;c:u "t.1 1 ) :> @ ti< -q:c;t s:i'i"111<:n Hq - 1>:0act>'l 4'><:1 q;i ct "fCfl<:-1, (Oft•;, -;:ft'q Cffr qm.3W'l ci:rr •n<."1101<:1 3fu: 3FIR Cfil f0<?1Cfi l , .......;; 'I.TIT! ' ( 4i$1'1 "tf2cti< "{"©' -" I !!fl :.· <."lCfi <:'I '"1
  • 9. Shodhana therapy • UDVARTANAM • • Triphala Churna, Kulattha Aragvadhadi Churna • TAILA KALPANA (for abhyanga) Churna, Kolakulatthadi Churna, •• Sarshapa T aila, Murchita Tila T aila, Aasadya T ailam, Pachabija Tailam, Chadrasura T ailam • MRUDU VIRECHANA (25 gm morning empty stomach) •• Kalyanaka Gulam, Trivrit Lehyam, Hridya Virechanam • VAST! •• Lekhana Vasti
  • 10. Sample Prescription slip 1. Navaka Guggulu - 500 mg BO after food with Gomutra arka 2. Lauhasavam - 25ml BO after food with equal water 3. Vidangadi Lauha (Medohara) - 250 mg BO after food with water 4. Triphala Churna - 5 gm OD at night with lukewarm water 5. Cap Vrikshamla - 1 Cap BO after food with water 6. Panchakarma therapy • Ruksha udvartan with KolakulatthadiChurna • Lekhana Vasti Advice for • Nidana Parivarjanam • Pathyapathya J,,,.., ,..., _., / C,..........:.... ,..
  • 11. Pathva - Aoathva for Obesitv Pathva Aoathva Ahara Varga Suka Dhanya Yava, Venuyava, Kodrava, Nivar, Jurna Godhuma, Navanna, Shali Sarni Dhanya Mudga, Rajmasha, Kulattha, Chanak, Masur,Adhaki Masha,Tila Mamsa Rohit Matsya Anupa, Audaka , Gramya Saka Varga Vruntak,Patrasaka ,Patola Madhura saka,Kanda Phala Kapitha,Jamun, Amalaki Madhuraphala Dravya Takra, Madhu, Ushnodaka, TIla Taila, Sarshapa Taila,Asavarista, Jirnamadya Dugdha, lkshu, Navnit, Ghrita Dadhi Vihara Varga Divaswapna .
  • 12. • Medications don't replace physical activity or healthy eating habits as a way to lose weight. •Studies show that weight management medications work best when combined with a lifestyle program. THANK U