A COMPREHENSIVE REVIEW ON STHAULYA ...ayurpub.com/wp-content/uploads/2016/08/330-341.pdfA COMPREHENSIVE REVIEW ON STHAULYA 1Dr Haranarayan Dey 2Dr Siddaram Arawatti 3Dr Seema Murthy

REVIEW ARTICLE ISSN 2456-0170

330 www.ayurpub.com Jan-Feb,2017 Vol II, Issue 1

A COMPREHENSIVE REVIEW ON STHAULYA 1Dr Haranarayan Dey

2Dr Siddaram Arawatti

3Dr Seema Murthy

1Principal,

2Reader, Dept. of Shalya Tantra,

3Lecturer, Dept. of Prasuti Tantra &

Stree Roga, Major S.D.Singh P.G.Ayurvedic Medical College & Hospital,

Farrukhabad-UP

INTRODUCTION

Sthoulya is the most common

metabolic disorder of human and once of the

oldest documented diseases. In India, as

early as 1500 BC, Acharya Charaka

described it under medoroga meaning the

diseased state of the adipose tissue. Sthoulya

is increasing to an alarming rate throughout

the world. According WHO1 statistics

worldwide, at least 2.8 million people die

each year as a result of being overweight or

obese, and an estimated 35.8 million (2.3%)

of global DALYs(disability-adjusted life

year) are caused by overweight or obesity.

Definition2

Owing to an excessive increase of fat

and muscle tissue, the buttock, abdomen and

breast become pendulous and his/her

strength and development of organs is

rendered disproportionate with his/her

physical growth such individual is termed as

Sthula.

ABSTRACT

‘STHOOLASYA NA BHESHAJAM KARSHYAMEVA VARAM’ an important

quotation from Ayurvedic classics says seveority of the disease sthoulya in

comparision with karshya. Means sthoulya is difficult to treat when compared with

the disease karshya. Sthaulya is one of the most serious public health problems of

21st century. Sthaulya is a medical condition in which excess body fat has

accumulated to the extent that it may have an adverse effect on health, leading to

reduced life expectancy and/or increased health problems. Consequently, over

consumption of calories and reduced physical activity is the root cause of Sthaulya.

Sthaulya may lead to serious health related complication. Almost all researchers

believe that prevention could be the key strategy for controlling Sthaulya. Sthaulya

can be prevented by physical activity (exercise) and diet control. Obese people are

getting social injustice and unfair treatment. Since time immemorial, various herbs,

minerals and herbomineral compound preparations are used to treat Sthaulya.

Examples are Shilajatu, Vidanga, Guggulu, Nagarmotha, Gomutra, Guduchi,

Triphala, Kshara, Louhabhasma, Amlaki, Madhu etc. Here an attempt has been made

to compile the detailed description of Sthaulya.

KEYWORDS: Sthaulya, Ayurveda, samprapti, sadhyasadhyata, chikitsa

Haranarayan Dey et al; A Comprehensive Review on Sthaulya.


3. Synonyms

Moreover, otherAcharyas also mentioned other synonymes as mentioned below

Sl.No Synonyms Ch. Su. Ka. A.S. A.H. M.N. Sha.Sa. B.P. Y.R.

1 Sthaulya + + + + + - - + +

2 Atisthaulya + + - + + - - + +

3 Sthulatā - + - + + - - - -

4 Sthulatwa - - - + + - - - -

5 Medaroga - + - + + + + + +

6 Medadosa + - - - + - + + +

7 Medavriddhi - - - - - - - + +

8 Medavikār - - - - - - - + -

9. Medogada - - - - - - + + -

10. Medapusti - - - - - - - - +

11 Medadusti - - - - - - - - +

12. Atipusti - - - + - - - + -

13 Upachaya + + + + + - + + +

14. Vrimhatwa + - + + + - - - +

15. Sthulodara - - - - - - - + -

16. Tundika - - - - - - - - +

CLASSIFICATION

No clearcut classification of sthaulya is

found in the Ayurvedic classics. Acharya

Vagbhatta in Astānga Hridaya

3 describing

“langhanaupakrama”, classified sthaulya as

3 types –

1. Hinasthaulya (alpamedavriddhi) :- mild

degree of overweight, without any

complication, less than four dosas among its

eight dosas, duration from the origin not

more than 1 year. With such characteristics

the sthaulya is termed as Hinasthaulya.

2.Madhyamsthaulya(Madhyammedavrid

dhi) :- Moderate degree of overweight

without any complication less than eight

dosas among eight dosa, duration the origin

of 1-5 years with such characteristics, the

sthaulya is termed as madhyamsthaulya.

3.Adhikasthaulya(Atyadhikmedavriddhi)

: Excessive state of overweight, with all

sign, symptoms & complications along with

all the eight dosas and duration from the

origin more than 5 years with such

characteristics, the sthaulya is termed as

Adhikasthaulya.

NIDANA(AETIOLOGY OF STHAULYA)

TABLE: ĀHĀRĀTMAKA NIDĀNA (DIETARY CAUSE)

Sl.

No

ĀhārātmakaNidāna Dietary cause Cha. Su. A.S. A.H. M.N. B.P. Y.R.

1. Atisampurana Over eating + - - - - - -

2. Adhyasana Taking food before digestion of

previous food

- + - - - - -

3. Santarpana + - + + - - -



4. Guru āhārasevana (Excessive intake of heavy food)

Blackgram, Meat, Cake etc.

+ - - - - - -

5. Madhuraāhārasevana Sweet foods, Any sweets e.g. Sugar + - - - - - -

6. Sheetaāhārasevana Excessive Consumption of cold

drinks, ice cream, freeze foods, etc.

e.g. milk

+ - - - - - -

7. Snigdhaāhāra Ghee, butter, animal fat and other

lipid containing foods, samosā,

chowmin like first food,

+ - + + + - +

8. NavānnaSevana New rice e.g. Sali, sastik, yaba + - - - - - -

9. Navamadyasevana Intake of Acohol e.g.

New wine

+ - - - - - -

10 Grāmyā rasa sevana Mutton, egg, chicken + - - - - - -

11. ĀnupaMāmsaSevana Excess intake of fish, pork etc. + - - - - - -

12. Peyāvikāra Milk derivatives like milk, curd,

cheese butter, ghee etc.

+ - + + - - -

13. Ikshuvikāra Excess intake of sugar, sugar candy,

jaggery etc.

+ - - + - - -

14. Gudavikārasevana Sugar or jaggery containing food

material

+ - - - - - -

15. ShāliSevana Excess intake of rice + - - - - - -

16. Godhumasevana Wheat + - - - - - -

17. MāsaSevana Foods prepare with black gram,

bada, dosha

+ - - - - - -

18. Rasāyana&vrishyasevana Rejuvenetive drugs may be tonics

or steroid

+ - - - - - -

19. Bhojanattanajalapāna Drink after meal - + + - - + +

B. VihārātmakaHetu:

TABLE: VIHĀRĀTMAKA NIDĀNA (Regimental Cause)

Sl. No. VihārātmakaHetu Ca. Su A.S. A.H. M.N. B.P. Y.R.

1 Avyāyām Lack of Exercise + + + - + + +

2 Avyavāya Lack of Intercourse + - + - - - -

3 Diwaswapna Sleep during day time + + + - + + +

4 ĀsyāSukha Sedentary life + - + + - - -

5 GandhamālyānuSevana + - - - - - -

6 Bhojanottarasnāna Bath after meal + - - - - - -

7 Bhojanottara

nidrā

Sleeping after meal - - - - - + +



MĀNASIKA :

Table: MĀNASA VYĀPĀRĀTMAK HETU

Sl. No. ManasavyaparatmakHetu Ca. Su A.S. A.H. M.N. B.P. Y.R.

1 HarsaNityatwāt Always feel happy + - + + - - -

2 Achintanāt No mental tension + - + + - - -

3 Manasonivritti No mental exercise + - + + - - -

4 Priyadarshana + - - - - - -

5 Saukhyina Sofisticated life - - - + - - -

C. OTHER HETU

TABLE: ANYA NIDANA (Other Cause)

Sl.

No.

Other Causes Ca. Su. A.S. A.H. M.N. B.P. Y.R.

1 Āma rasa End product of

improper digestion

- + - - - + -

2 SnigdhaMadhuraBastiSevana Nutritive Enema + - + + - - -

3 Tailābhyanga Oil massage + - + + - - -

4 SnigdhaUdvartana Oil content body

lotion

+ - - - - - -

5 BeejaDoshaSwabhāvāt Hereditary cause + - - - - - -

SAMPRĀPTI (AETIOPATHOGENESIS OF STHAULYA)4

Systemic presentation of samprapti(according to charaka)



SAMPRĀPTI GHATAKA OF STHAULYA4

1. Dosa – Kapha (Kledaka), Vāta

(Samāna, vyāna), Pitta (Pāchaka)

2. Dusya - Meda Dhātu

3. Agni – Jatharāgni, Dhātwāgni

(Medadhātwāgni), Bhutāgni (Prithvi, āp)

4. Srotas – Medavaha srotas

5. Srota Dusti – Sanga and Mārgābarodha

(Ch. Su.21) Medavaha srota dusti

6. Adhisthāna –Vapāvahana &

Medadharākalā

7. Udbhavasthāna – Kostha (Āmāsaya)

8. Prasara - Rasāyani

9. Rogamārga – Bāhya

10. Āma – Jatharagni māndya Janita,

dhātwāgni māndya janita.

11. Vyaktisthana – Sarva sharira or sarvanga

specially sphig, udara and stana

RUPA (CLINICAL FEATURES)4

Various lakshanas of sthaulya are

described in Ayurvedic classics, Acharya

Charaka has described that the main features

of sthaulya are –

1. Chalasphikudarastana : - Due to

adiposity there is enlargement of buttocks,

abdomen, breasts to the extent that they

become pendulous.

2. Athopachaya : Disproportionate growth

of the body.

3. Anutsāha (lack of enthusiasm): Due to

inappropriate growth and development of

dhatu the person feels weaken and no

interest for doing any work.

ASHTADOSHA OF ATISTHAULYA:

Acharya charaka also described eight

fold disabilities or ill effects of

atisthoolapurusha in sutra sthāna4

(Cha. Su.

21/4) these are as follows –

1. Ayushohrāsa– (reduced life span)

2. Javoparodha (sluggishness in

movement)

3. Kricchavyavāya (difficulty in

sexual intercourse)

4. Daurbalya(Weakness)

5. Daurgandha(bad body odour)

6. Swedabadha(excessive perspiration)

7. Kshudhātimātrā (increase appetite)

8. Atipipāsa (Excessive thirst)

Table : Symptoms ofsthaulya described in various Ayurvedic texts:

Sl. No Cardinal sign & Symptoms Ca. Su. 21,

22, 23

Su.

Su.15

A.S.

Su.24

A.H.

Su. 14

M.N.

34

B.P.

M.Kha. 39

Y.R.

M.Roga.

1 Chalasphikudarastana (Pendulous

buttock, abdomen and breasts)

+ - + + + + +

2 Ayushohrāsha (shortening of life

span)

+ - + - - + +

3 Javoparodha (Hampering in

movement)

+ - - - - - -

4 KrichhraVyavāya (sexual inactivity) + - - - - - -

5 Daurbalya (General weakness) + - + - - - -

6 Daurgandhya (Bad body odour) + + + - + + +

7 Swedabadha (Excessive Sweating) + - + - - + +

8 KshudhātiMātra (Excessive Hunger) + + + - + + +



9 Pipāsātiyoga (Excessive thirst) + + + - + + +

10 Nidrādhikya (Excessive sleep - + + - + + +

11 Kshudraswāsa (Dyspnoea on

exertion)

- + + + + + +

12 SarvaKriyāsuAsamarthatā (Unable

to do work)

- + - - + + -

13 Gātrasāda - + - - + + +

14 Moha (Unconciousness) - - - - + + +

15 AlpaVyavāya (Lack of sexual life) - + - - + + +

16 Ālasya (Dullness) - - + - - - -

17 AlpaBala (Less of body strength) - - + - - - -

18 Alpavega - - + - - - -

19 Alpaprāna - + + - + + +

20 Sukumāratā + + - - - - -

21 Krathan (snoring) - + - - + + +

22 Gadgadvāni (Indistinctness of

speech)

+ + - - - - -

PRATYATMAK LAKSHANA (SPECIFIC FEATURES) OF STHAULYA5

Chalastana, ChalaUdara, Chala Sphik, Ayothopachaya, Anutsaha etc.

UPADRAVA (COMPLICATION OF STHAULYA):

Sl. No Symptoms Ch.

Su.

Su.

Su. 15

A.S.

Su. 24

A.H.

Su. 14

M.N.

34

B.P.

M. Kha. 39

Y.R.

M.R.

1. Prameha - - + + - + +

2. Pramehapidaka - + + - + - -

3. Jwara - + + + + + +

4. Bhagandar - + + + + + +

5. Vidradhi - + - - + - -

6. Vatavikar - + - - + - -

7. Udararoga - - + + - - -

8. Urustambha - - + - - - -

9. Swasa - - + - - - -

10. Apachi - - - + - + +

11. Kasa - - - + - - -

12. Sanyas - - - + - - -

13. Kustha - - - + - + -

14. Visarpa - - - - - + +

15. Atisara - - - - - + +

16. Arsha - - - - - + +

17. Shlipada - - - - - + +

18. Kamala - - - - - + +

19. Krimi - - - - - + -



20. Mutrakrichara - - - + - - -

21. Ajirna - - - + - - -

SĀDHYASĀDHYATĀ (PROGNOSIS OF

STHAULYA):

In Astaninditiya Adhyaya Charaka and

Vagbhatta has mentioned sthaulya as

asadhya. All most all the ancient Acharyas

have described about of sthaulya and

karshya, the sthaulya is difficult to treat

compare to karshya (Cha. Su. 21/8-17). The

aim of treating sthaulya is to reduce vata,

agni and meda, Neither santarpana nor

apatarpana is effective for correcting

sthaulya, because santarpanachikitsa pacifies

vāyu and agni but at the same time vridhi

occurs in medadhatu. On the other hand

apatarpanachikitsa reduces meda but it

provokes the vayu and agni in the body.

There is very limited choice of drugs and

diets for sthula person so sthaulya is a

krichhrasādhyavyādhi.

A patient suffering from sthaulya for

a short duration, having the symptoms of

lesser severity and without any complication

and involvement of doshas and dushyas are

not more than one is assessed as Sādhya.(i)

When Nidāna, purvarupa and

compilations are moderate, the disease is

chronic. It is difficult to cure and is thus

KastaSādhya. (ii)

Sahaja or inherited sthaulya is

asādhya. (iii)

According to Charaka, sthaulya has

bad prognosis if not duly managed as it can

cause death due to its many fold

complications. Again he has mentioned that

due to lack of immunity obese persons are

mostly affected by secondary diseases.

CHIKITSĀ (MANAGEMENT)3,6,7



SAMSODHANA THERAPY IN

STHAULYA (BIOPURIFICATION

THERAPY)

Ayurveda is the only system of

medicine in the world which process the

need of under taking the purification of

biological system from gross channels upto

the molecular levels aiming to clean the

entire organism to render it suitable for self-

recovery and therapeutic responsiveness.

The purification therapy is described

classically in term of samsodhana or

Panchakarma.

SAMSHAMANA THERAPY

The principle of Samshamanachikitsa for

Vayu, pitta (pachaka) kapha (Kledaka) along

with depletion of medadhatu by increasing

medadhatwagni.

Among sadupakarma8

Langhana and

Rukshana karma can be adopted for the

treatment of sthaulya, which includes ways

like deepna, pachana, Ausadhi,

Kshudhanigrahana, vyayama, Atapasevana,

TrishnaNigrahana and Marutsevana.

ROLE OF SAMSHAMANA

THERAPIES:

a.Deepanapachan Ausadhi: Deepana

dravyas are agni and vayumahabhuta

dominant, which pacifies the jala and

prithivimahabhuta of meda as well as kapha

and it helps in digestion of ama, by

potentiating jatharagni, bhutagni and

dhatwagni.

b.KshudhaNigraha: It is a type of

“NidanaParivarjanaChikitsa” as excess

eating is the root cause of this disease. But

according to ayurvedic literature of

complete fasting is not allow in case of

medaroga because if food is not provided in

time of need, the aggravated vata and agni

may lead to severe complications. So it is

advisable to give small quantities of

laghurukshaahara, so that the tikshnagni get

fuel and ultimately checks the over

production of meda.

C. Trishna Nigraha: Drinking cold water

in large qualities decreases jatharagni,

produces ama, also increases Kapha and

Meda. So it is advisable to take the luke



warm water and avoid sweet soft drinks,

cold water, cold drinks etc.

d) Vyāyāma: Vyayama provides langhana,

Karma samarthya, agnidipti, medakshaya,

vibhaktaghana gatrata9. Vyayama helps to

melt and eliminate excessive fats deposited

in the fat depots, so all most all the Acharyas

have accepted Vyayama as the best remedy

for obesity.

e) ĀtapaSevana: It increases ushna in the

body, which reduces meda by potentiating

medavilayana.

f) Māruta Sevana: Due to rukshaguna of

vayu, it reduces sweda and kapha by

soshana.

Main drugs and formulations used in the

treatment of sthaulya.

1. Shilajatu 8. Vidanga

2. Guggulu 9. Nagarmotha

3. Gomutra 10.Guduchi

4. Triphala 11. Kshara

5. Louhabhasma 12. Amlaki

6. Madhu 13. Yava

7. Agnimantha 14.

Vilwadivrihatpanchamula

Vagbhatta said Varunadi gana as kaphaghna

and medaghna.10

DRUGS AND FORMULATION

SINGLE DRUG

A. HERBALS: Guduchi, Musta, Yava,

Guggulu, haritaki, Amlaki, Vidanga,

Agnimantha, Vacha, silajit,

Bibhitaka, Erandamula Churna etc.

B. MINERALS & METALS:

Makhika, Shilajit, Tikshna, Loharaja,

Trapu, Sisa, Sankha, Samudraphena,

tuttha, Manhasila, Anjan, Kansya

etc.

C. ANIMAL PRODUCT :

Madhu(Puratana), Gomutra.

GROUP OF HERBAL DRUGS:

Bilwadi Panchamula(Cha. Su. 21/21-

24)

Lekhaniya mahakashaya

(Cha.Su.4/23)

VarunadiGana, SalasaradiGana,

RodharadiGana.

ArkadiGana, Muskadigana,

Triyusandi Gana (Su.Su.44/70)

CHURNA PREPARATION:

Madana Phaladi Churnam, Kutajadi,

Hingwadi Churna11

Triphaladya Churna12

,

Kusthadi Churna

KWATHA PREPARATION

SakhotakaValkala Kwatha, Manjisthadi

Kwatha, Triphaladi Kwatha, Pipaladigana

kwatha, Mustadikwatha, Agnimantha

Kwatha, patala Patradi Kwatha.

SATU:VyoshadhyaSattu,

TriyushandhyaSattu

MANTHA:Triyaushanadyamantha

ASAVA AND ARISTHA:

Rodhrasava, Takrarista, Lauharishta

ARKA PREPARATION: MedaharaArka

TAILA:TriphaladyaTaila, mala

sungandhitaila.

KSHARA: Erandapatra Kshara(B.P. 39/23)

Gomutra Kshara13

(R.T.S.O.S.P.S.)

Talapatra Kshara14

(Y.R.)

GUGGULU PREPARATION

Navaka Guggulu, yogarajGuggulu,

AmritadiGuggulu, Dasamgaguggulu,

Triyushanadi guggulu(B.P. 39/27-29)



Simhanada guggulu(B.P. 29/227-230)

PanchaTikta Ghrita guggulu(B.P. 39/81).

LAUHA YOGA

Lauha Rasayana

(B.P.Ma. 39/13)

Vidangadya Lauha(Ch.Su.21/24)

VidvagniLauha, Triyusanadi Lauha (Y.R.)

OTHERS

Ushnodaka, Madhudoka at early morning,

PaschimaMaruta, Gomutra Paki Haritaki,

Dhumapana etc.

SOME EXTERNAL APPLICATIONS:

Bhavaprakasha is the pioneer to describe

about the external applications for various

sign and symptoms of medaroga like –

Mohasugandhitaila, Vasa patra and

Bilwapatralepa, chinchapatralepa and

Dugdhaharidralepa, Silajatuudvartana.

SirisadiLepa, Tejapatradilepa,

Samudraphena, ChurnaLepa,

HaritakiUdvartana, Haritakyadipralepa,

Jambukwathasamana to treat swedadhikya

and gatradaurgandhya.

Shaileyadya udvartana-Yogaratnakara

Medaroga Chikitsa, some other formulations

for external application are also described

PATHYĀPATHYA15

Showing the Pathya and Apathya of sthaulya

Sl.No. ĀHĀRA

VARGA

PATHYA APATHYA

1 SukaDhānya

(Cereal grain)

PurānaShāli (1 yr. Old rice), Yabā

Barley. Lājā

NaveenaDhānya (New

Rice), Godhuma (A

variety of Wheat)

2 Sami Dhānya

(Pulses)

Mudga (Green gram), Masur (red gram),

Chanaka (Bengal gram), Kulatha (horse

gram), Arahara.

Māsha (Basha (Black

gram)

3. Sākavarga

(Vegetables)

Vartaka (Brinjal), Shigru (Moringa

leaves and Drum Sticks, Patola,

Kārabellaka (bitter gourd), Mullaka

(Reddish), Gajar (carrot), Ervaruka

(cucumber) , Leafy vegetables Ginger

etc

Kanda Sāka (Tuberrous

root), i.e. Potato, yam

etc.

4 Phalavarga

(fruits)

Vilwa, Naranga (Citrus fruits),

Erandakarkati (papaya), Kapitha,

Jambu, Trifalā,

(3 myrobalance)

MadhuraPhala (example

Coconut, Jack fruit,

Banana, Mango, Palm,

Dates, Resin etc.

5 DravyaVarga Honey warm water, thin curd medicated

alcohol, Tila and Mustard oil.

Cold water/ cold drinks,

milk products, sugarcane

products.

6 MāmsaVarga Rohitamatsya, Chingatamatsya (?) Mutton, pork, chicken,

egg etc.



VIHĀR

Sl.

No

VIHĀR PATHYA APATHYA

1 Sarireeka

(Physical

regiment)

Heavy exercise, Travelling, horse

riding, Awaking during night,

sexual exercise, udvartana

(message) Agurulepa, exposure to

sunlight, drinking water before,

meal.

No/Less exercise, sitting in one

position and on foam seat, Day

sleep, less sexual exercise,

rejuvenating medicine, oleation,

Excess food intake, cold drinks soon

after meal.

2 Mānasika

(mental

regimen)

Chintana (Though/ mental

exercise) sloka (Sorrow), Bhaya

(Afraid of)

Achintā, (No any thought),

Mānasanivruti (no mental) exercise

or tension) Nityaharsa (happy mood)

DISCUSSION AND CONCLUSION

In the present paper, attempt has been made

to compile the detailed description about the

disease sthaulya as per Ayurvedic literature.

Meda is one of the body tissue and disease

born out of it known as Medaroga

(sthaulya). The aetiology and clinical

features as defined by ancient scholars

seems to very similar with modern science.

Charaka has described the disease in the

manner that increased again in medaroga

destroys the body of a person as burning fire

in the forest, destroys the whole forest. He

also mentioned that “Atisthula Purusha”

(obese person) as an undesirable person

among 8 no of unwanted personalities. So it

is surprising how it could be known to them

without any proper devices. 8 fold demerits

due to of sthaulya such as 1) Ayushohrāsa ii)

Javoparodha etc described by maharshi

Charaka also have greatest clinical

importance.

As regards the management of sthaulya it is

not easily accessible to treat. Still there is no

satisfactory treatment for it in contemerory

science. In contrast, Ayurveda directs two

fold treatments like pursuing out the excess

physiological and pathological factors or to

palliate them at their own site. As per

research updates sodhana chikitsa is more

powerful than the shamana chikitsa.

Availing the above recommendation oral

treatment in classical shamana chikitsa has

been originally planned and implemented

through the clinical research trial as

shodhana chikitsa is difficult to give to all

kinds of patients.

REFERANCE

1.http://www.who.int/gho/ncd/risk_factors/o

besity_text/en/accessed on Jan 2017

2. Charaka Samhita,Ayurved Deepika

Vyakhya(Chakrapani) Revised edition

2005, Chaukhamba surbharti prakashana,

Varanashi. Shareera sthana 3/6

3. Ashtanga Hridaya with Vidyotani Hindi

commentary by Kaviraj Atri Dev Gupta, 11th

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Sansthan, Varanasi. Sutrasthana15/21.

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Baidyanath Ayurveda Bhawan, Nagpur,

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Varanasi. Chikitsa sthana 31/61

CORRESPONDING AUTHOR

Dr Haranarayan Dey ,

Principal, Major S.D. Singh P.G. Ayurvedic

Medical College & Hospital,

Farrukhabad-UP, India.

E-mail: [email protected]

Source of support: Nil,

Conflict of interest: None Declared

Cite this article as Haranarayan Dey: A Comprehensive Review

on Sthaulya. ayurpub 2017;II(1):330-341

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A COMPREHENSIVE REVIEW ON STHAULYA ...ayurpub.com/wp-content/uploads/2016/08/330-341.pdfA COMPREHENSIVE REVIEW ON STHAULYA 1Dr Haranarayan Dey 2Dr Siddaram Arawatti 3Dr Seema Murthy