Abstract

ROLE OF TIL PINYAK UDVARTAN THERAPY IN THE MANAGEMENT OF STHAULYA W.S.R. TO OBESITY- A CASE REPORT

Dr. Sarita Meena*, Dr. Murli Manohar Anuragi, Dr. Gyan Prakash Sharma, Dr. Meenakshi Sharma and Dr. Mahesh Sharma

Abstract

In Ayurveda Obesity is regarded as Medoroga –A disorder of Meda Dhatu- Adipose tissue and fat metabolism and one of the undesirable Constitutions. Sthaulya is considered as a santarpan janya vikar. (An excess nutritional disorder). Aacharya charaka was the first to present a detailed account of Sthaulya. Atisthula is one among the Ashtaunindita Purusha described by him. He has described its causative factors mainly to be exogenous and hereditary type (fat) potentiating diet and regimens, whereas dosha, dhatu, Mala, Srotas etc. come under the endogenous factors. In the pathogenesis of sthaulya, all the three doshas are vitiated, especially Kledaka Kapha, Pacaka Pitta, Samana and Vyana Vayu are the Doshika factors responsible for the samprapti of sthaulya. Aama annarasa traveling in the body channels gets obstructed in the Medovaha Srotas owing to the khavaigunya due to bijasvabhava or sharir shaithilya and combines with kapha and meda, decreasing the medodhatvagni which in turn gives rise to augmentation of meda. Vitiated Vyana Vayu propels this augmented meda dhatu to its sites viz. udara(abdomen), sphika(hip region), stana(breast) etc. resulting in sthaulya or ati Sthula. Obesity and the metabolic syndrome are linked together. When an individual gets severely obese, insulin resistance, hypertension and increased abdominal circumference follow as a natural cause due to the excess fat in the body. Obesity and the metabolic syndrome has been extensively researched and today clinical evidence implicates intra-abdominal adiposity as a powerful driving force for elevated cardio metabolic risk. This association appears to arise directly, via secretion of adipokines, and indirectly, through promotion of insulin resistance.

Keywords: Sthaulya, Medovaha, Srotas, Medoroga, Obesity, Udvartan, Powder Massage.