A Case Study on Medovriddhi WSR to Obesity
Medovriddhi or Obesity is one of the commonest lifestyle disorders. This case study represents holistic approach of Ayurveda is effective in its treatment. Relief in various symptoms and change in parameters proved that the holistic approach is very effective in this disorder.
Introduction
The world is facing with many lifestyle disorders. Lifestyle disorders are being raised because of unbalanced food, sedentary lifestyle and stressful mental conditions. Obesity is one of the commonest disorders. In India, obesity has reached epidemic proportions in the 21st century with morbid obesity affecting 5% of the total population [1]. Unhealthy, processed food has become much more accessible following country’s continued integration in global food markets [2]. Obesity is a major risk factor for cardiovascular disease. Indian Heart Association has been raising awareness about it [3]. India has second highest obese children in the world, which is 14.4 million [4]. Normal BMI 18.0-22.9 kg/m2, Overweight 23.0-24.9 kg/m2 and Obesity >25 kg/m2. According to guidelines for diagnosis of obesity and abdominal obesity for India have been published in JAPI (2009) that a BMI over 23 kg/m2 is considered overweight [5]. In Ayurveda, this condition can be called as Medovriddhi, which is due to excess formation of Meda, which accumulates in the body tissue. Obesity can be cured and prevented as well with holistic approach of Ayurveda. So, we are discussing a case study of a patient of obesity, who had tired of many medicines and therapies; we dealt that patient with combination of Aushadha, Ahara, Vihara which is the basic treatment pattern of Ayurveda to treat Medovriddhi or obesity and the result was appreciating.
Material and Methods
In this case study a female patient whose age was 39 years, weight was 93 kg, height was 163 cm and BMI was 35 had taken.
History & Lifestyle
Religion: Hindu Education: Higher secondary Occupation: Boutique Marital status: Married Socioeconomic status: Middle class associated disease; Hypothyroidism since 4 years, Hyperlipidemia since 1 year. Family history: Hyperlipidemia, Diabetes mellitus, IHD Emotional make-up: Normal Veg/Non veg: Non veg, freq. 1-2/week Type of Ahara: Adhyashana mostly Dominant Guna in diet: Guru, Snigdha Dominant Rasa in diet: Lavana Freq. of fast-food intake: 4 days/week Sleeping hours; in a day: 1 hour, in a night: 9 hours Exercise: walking 30 min day Addiction: Tea
Dashavidha Pareeksha
Prakriti: Vata-Kaphaja Vikriti: Kapha Pradhana Sara: Madhyama Samhanana: Madhyama Pramana: Madhyama Satmya: Madhyama Satva: Madhyama Aharashakti: Pravara Vyayamshakti: Madhyama Vaya: Yuva
Method
This patient had advised to take Haritakishunthi churna, Surya Namasar and specific Ahara explained in diet chart. The diet chart included Apatarpaka, Ruksha Guna Pradhana Ahara. Duration of treatment was two months.
Result
Result was quite interesting and more than expectations (Table 1).
| Parameters | Before T/t | After T/t | ||||||
|---|---|---|---|---|---|---|---|---|
| Weight | 93 | 82 | ||||||
| BMI | 35 | 30.86 | ||||||
| Body fat% | 45.57 | 40.67 | ||||||
| Measurements | ||||||||
| Rt. Mid Arm | 37 | 34 | ||||||
| Chest | 100.5 | 96.5 | ||||||
| Abdomen | 90.5 | 86 | ||||||
| Mid-thigh | 61 | 57 | ||||||
| Leg | 45.8 | 42 | ||||||
| Hip | 110 | 107 | ||||||
| Waist | 85 | 79.5 | ||||||
| Investigations | ||||||||
| HDL | 48 | 49 | ||||||
| LDL | 159.27 | 139.35 | ||||||
| VLDL | 20 | 19.8 | ||||||
| S. Cholesterol | 227.27 | 208.15 | ||||||
| S. Triglyceride | 100.2 | 99.1 | ||||||
| Risk factor | 4.7 | 4.2 | ||||||
| Blood sugar (fasting) | 99.1 | 78.26 |
Table 1: Evaluation of Parameters.
There is a relief in symptoms of Medovriddhi (obesity) like Anga Gaurav, Kshudha Adhikya, Nisha Mutrata, Chal Sphika, Chal Udara, Chal Stana, Anga Shaithilya, Gatra Sadan, Utsaha Hani, Nidra Adhikya, Tandra, Klama and Snigdha Gatrata.
Discussion
Medovriddhi (obesity) is a Santarpanajanya Vyadhi and its treatment is indicated as Apatarpana, Laghu, Ruksha Chikitsa in various Ayurvedic Samhita. The treatment which was used in this case was Haritakishunthi Churna, which has characteristic of Laghu, Ushna, Ruksha, Medohara, Vataghna etc. properties. Diet chart included Barley, walnut, milk, turmeric, amla, daliya, fruits etc. Which are Laghu, Apatarpaka and nutritious in nature. Surya Namaskar is a whole body exercise, which is helpful in losing weight and has many physical, mental and emotional benefits. Weight reduction and relief in various symptoms indicates that the given treatment was so effective.
Conclusion
There are a lot of choices for the treatment of Medovriddhi (obesity). In Ayurveda, here is a concept of Aushadha, Ahara and Vihara for any particular disease. Obesity can’t be controlled only through medicines only. Proper diet and exercise have their importance in it. And in this case study it has proved that holistic approach is necessary for complete cure of a disease.
References
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(2000) India facing obesity epidemic: experts. The Hindu.
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Gulati S, Misra A (2017) Abdominal obesity and type 2 diabetes in Asian Indians: Dietary strategies including edible oils, cooking practices and sugar intake. Eur J Clin Nutr 71(7): 850-857.
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(2015) Indian Heart Association.
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(2015) A study published in the New England Journal of Medicine.
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Misra A, Chowbey P, Makkar BM, Vikram NK, Wasir, JS, et al. (2009) Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management. J Assoc Physicians India 57: 163-170.
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