Diagnosis and Management of Sthoulya through ...

Diagnosis and Management of Sthoulya through Ayurveda and Contemporary Science

Author Name : Dr. Malakiya Chintankumar.G, Dr. Naik Nikita

DOI: https://doi.org/10.56025/IJARESM.2023.11123482

ABSTRACT

Obesity is a disease of all age group within the people of high socio-economic status, specifically in of urban communities. WHO declared obesity as global epidemic giving rise to new term Globesity. Obesity is a complex, multi factorial disease with several pathological complications like Hypertension, Type 2 Diabetes Mellitus, Atherosclerosis, Infertility, Hepatic Steatosis, Endocrine Abnormalities, Obstetric Complications, Osteoarthritis, Certain types of cancers and possibly immunological impairment as well as it hampers the cosmetic value of the affected person. It has deleterious effects both on body and mind. In Ayurveda Obesity can be correlated with Sthoulya under the heading of Medoroga which results due to dysfunction of Meda Dhatvagni (factor responsible for nourishment or metabolism of Meda Dhatu) and is considered as metabolic disorder. Ati Sthulata considered as one among the Astha-Nindita Purusha, caused due to accumulation of Medo Dhatu in excess. Sthoulya is one of the Santarpanottha Vyadhi, it becomes difficult to treat (Kruchhasadhya) because of the involvement of the Tulya (same) Nidana, Dosha and Dushya. Different treatment modalities can be applied at different stages in manifestation of Sthoulya by physician. To diagnose and treat a disease with the exact treatment modality and at the right time, it is necessary to know the stages of Shat Kriyakala mentioned by Acharya Sushruta. Early diagnosis is very essential for prognosis, adopting preventive and curative measures for Vyadhi. In Ayurveda mainly Nidanaparivarjana, Apatarpanachikitsa, Kapha-medahara, Samana, Udvartana, Basti, Shodhan Chikitsa, herbal drugs, classical preparations, Adravya Chikitsa  and in Upadrava  Takrarishtaprayoga, Shilajatuprayoga, Meda-mamsa Kapha-hara Chikitsa are found very effective in management of Sthoulya, While in contemporary science dietary therapy, physical exercise, behavior modification, pharmacotherapy and different types of surgery are mentioned for the management of Sthoulya (obesity).This article will be helpful in understanding the diagnosis and management of Sthoulya with concept  of Ayurveda and contemporary science.

Key words: Sthoulya, Obesity, Chikitsa.