Obesity at jnmc

Obesity in Ayurveda – a Birds eye view

Dr SRP Kethamakka

Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

echnoayurveda.com

All B I things will

have a Small start


Obesity in Ayurveda – Birds eye view

• Murphy's Fourth Law states that - If there is a possibility of several things going wrong, the one that will cause the most damage will be the one to go wrong.

Obesity - a heavy

word for body and Mind

• Usually everybody wish to be slim & trim

• They sacrifice food for it– They sacrifice social activity

• sacrifice many more which –– they would like to have

• For some –– The dream never fulfils – as

they want to see them in mirror at full length

– The life for them is tough and tortuous

Dr. K. Shiva Rama Prasad, at http://technoayurveda.wordpress.com/




Obesity • Is more than average fatness• Is an abnormal increase of fat in the subcutaneous

connective tissues• Rasa (CHO) is the cause of delivering either Sthoulya

(obesity) or Karshya (sleekness) (SuSu-15/32)• Swapna (sleep) and Ahara (food) (CSu-21/53) are the

factors to endorse obesity • Ayurveda defines the Obesity (Sthoulya) as the

excessive depositions malformed fat (durmedas) due to depletion of the Medoagni (fat tissue formative / transformative enzymes /hormones, etc.) in the body

Pathogenesis (Samprapti)• Excessive

consumpti on of Fats



• Increased fat depositions

• Obliteration of tissue building process channels

Obstructed primary channels –

Rasa (Heart), Rakta (Spleen), Mamsa (Liver) [CHO, hem- Globulin,

myo-globulin]

Increased Medoagni

• Increased Hunger

• Complications



Symptoms Effects –• Decreased

lifespan• Diminished

activity• Reduced

sexual performance

• Pendulous movement of

• Abdomen• Breast• Buttocks

• Heaviness in the body • Weakness• Foul smelling• Over sweating • Polydipsia• polyphagia



Complications 1. Diabetes2. Skin problems (psoriasis, eczema, etc)3. Erectile dysfunction4. Hemorrhoids5. Liver disorders6. Neural disorders



7 fold classification-• Adibala Pravrutta• Janmabala Pravrutta• Doshabala Pravrutta• Sanghatabala Pravrutta• Kalabala Pravrutta• Daivabala Pravrutta• Swabhavabala Pravrutta

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Adibala Pravrutta• Matruja (mother) – probably developed because of Matruja beeja

avayava Medo vikruti• Pitruja – Asthi beeja avayava – Acetylcholine – citrus acid cycle

disturbance – Genetically influenced – where Beeja – Beeja bhaaga avayava

(chromosomes) are influenced to give rise obesity• But “Eugenics” – is provided by the Ayurveda to combat the disease to

eradicate or to avoid “predominance” of Beeja – Pumsavana - sadvrutta etc.

• Apart from this the colonial prophylaxis management as – Atulya Grotriya is followed.

• Dystrophia adiposogenitalis, hypothalamic obesity (Hormonal obesity)??

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Janmabala Pravrutta• Rasa kruta (Apatarpana / under nourishment): is, where

mother irregular food habits or lack of food or incapacities of taking food leaves an impression over the baby to develop accumulation of food for future use, – habituated to develop obesity – after 2nd World war German

born babies are obese - Adiposity• Douhruda pacharaja (Santarpana / over nourishment):

eating habits of mother while pregnancy cause fat deposits in child – Douhrudapacharaja literally mother’s deviated habits

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Doshabala Pravrutta• Amashaya Samutha

– The pre digestive manifested obesity (Amaja sthoulya)

– Here the fats improperly digested are absorbed in to system to cause fat deposits

• Pakwashaya Samutha– post digestive manifested obesity – Digested food converts as fat (Nirama

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Sanghatabala Pravrutta• Shastra (armed fight): injury can result in to

immobilization; there after to obesity (Abhighataja sthoulya)

• Vyala (animal): should be concerned to exogenous causes – Viral obesity – AD36 virus is said to be causing obesity

(Krimija sthoulya)

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Kalabala Pravrutta

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• Seasonal influences are common in manifestation of disease. This cause Agni disturbances. The obesity / weight gain of seasonal variations dependent on food habits which are of external causes implies influence on shareera kleda (glucose) to cause Amashaya samutha obesity with apakwa rasa kleda.– In some seasons sugar levels alters to high and low even –

as we see in summer hypoglycemia, etc. cause weight loss or gain.

– The cold weather increases the weight (seasonal obesity)



Daivabala Pravrutta• In it Vidud-ashanikruta – is said to be any external

shock referred to execute electrical impulses that disturb the body environment and cause Hyper or Hypoglycemia can lead to obesity

• Pishacha: This word points towards the infectious origins – which could be sudden or communicated viral or Bacterial

origins could occur either by contact or epidemiological or transfusion (infective obesity)

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Swabhavabala Pravrutta• In this the diseases manifested during the un time/ time

schedule routines– Children (kapha predominance) are usually obese

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Obesity vis-à-vis Sthoulya• Adiposity: Excessive

accumulation of lipids in a site or organ.

• simple obesity -obesity resulting when caloric intake exceeds energy expenditure.

• morbid obesity - obesity sufficient to prevent normal activity or physiologic function, or to cause the onset of a pathologic condition.

• hypothalamic obesity - obesity caused by disease of the hypothalamus.

• Dystrophia adiposogenitalis - a disorder characterized primarily by obesity and hypogonadotrophic hypogonadism in adolescent (Fröhlich's syndrome)



Obesity Management• Apatarpana (nourishment regulation)• Chedana (liquefying adipose)• Shodhana (elimination of fats)

– To reach the Medas – a middle order tissue of 7 dhatu – require medicinal administration –

• Oral route• Rectal route• Transcutaneous



Conclusion• Obesity measures are many• Food intake regulation is the

most important • Consumption of calories leads to

regulation of body (Exercise) • Ayurveda suggests –

– Prevention is better than cure – Eliminate the excess fat drastically



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Health & Medicine

Obesity at jnmc