In Ayurveda Obesity is discussed as “Satholaya roga”. Due to unbalanced diet and excessive intake of fatty food and fast food products Obesity as a disease is on rise in Indian society

It is defined as a condition of excessive accumulation of fats resulting in more than 20% excess of expected body weight
According to Ayurveda the causes of Obesity are
Madhuroannarasaha prayaha snehamedhovivardhati ||
Poor physical activities and no exercise
Sleeping in afternoon.
The diet and life styles which increase Kapha
Consuming sweetened foods .
Obesity occurs due to an imbalance between food eaten and energy expended but the underlying cause is quite complex and difficult to diagnose.
AGE: Occurs in all ages.
SEX: Occurs in both sexes
FAMILY HISTORY: Family history is positive in some cases.
PHYSICAL ACTIVITY: Obesity is common in persons with sedentary habits than in persons with active habits .
PSYCHOLOGICAL FACTORS:Obesity can occur in persons who develop over eating as a habit due to emotional unstability.
ECONOMIC BACKGROUND: Obesity is common among rich persons of our society who consume excess of proteins,fats, carbohydrates.
ENDOCRINAL CAUSE: Obesity developes as a symptom in cases of
1. Hypothyroidsm
2. Cushings syndrome
3. Adiposogenital dystrophy
PREGNANCY: Womens can become obese during pregnancy by developing adiposity increasing the body weight to about 4 to 5 kg and this may go on increasing in subsequent pregnancies
GENETIC FACTOR: Obesity occurs due to
- Prader villi syndrome
- Laurence –moon-biedl-syndrome
HYPOTHALMIC SYNDROME: Lesions in the hytpothalmus may give rise to polyphagia and subsequent obesity
1. Body weight more than 20% above the ideal body weight.
2. GRADING OF OBESITY:
Grading of obesity is usually based on “BODY MASS INDEX” (BMI)
BODY MASS INDEX=weight in kilograms/(height in metres)
Normal range=20-25
Grade 1 obesity=25-30
Grade 2 obesity=30-40
Grade3 obesity= >40
Obesity is one of the main causes of ill health in countries with a high standard of living. The expectation of life is much stronger than for individuals of normal weight and the incidence of most diseases is greater in obese than in the normal. Very roughly the expectation of life decreases by 1% below the normal for every one pound weight above normal. Obesity appears to be a particularly striking pre-disposing factor in diabetes mellitus and in cardiovascular disorders; moreover the death rate from diabetes mellitus is about 250% greater in obese than in normal people and the death from cardiovascular(Heart) problems is some 60-70% greater in obese.
1. Heart problems
2. Diabetes mellitus(Type-2 diabetes)
3. High blood pressure
4. Infertility
5. Osteoarthritic changes due to heavy weight in knee, ankle,hip and lumbar spine.
6. Hyperlipidaemia
7. Cholestrol stones
8. Atherosclerosis
9. Stroke
10. Liver diseases
11. Gout
12. Irregular menstruation in women
13. Skin problems
14. Fistula
15. Piles
16. Kidney related problems.
Charak mentioned following treatment for obesity:
Emesis
Purgation
Bloodletting
Physical exercise
Fasting
Smoking
Sweating
Use of abhayaprasha with honey
Rough food grains
Use of guduchi, devdaru, musta, triphala, takrarishta and honey, are recommended for reducing the over obesity.
Vidanga, shunthi, yavakshara, and ash-powder of black iron mixed with honey, is used for obesity.
Barley and amalaki powder, in combination, is an excellent formulation for the same.
Chavyadi choorna
Phalatrikadi choorna
Vidangadya choorna
Trifala kashay
Bilvadi kashay
Madhujala sidhapeya
Shilajatu
Navak guggulu.
Amrutadya guggulu.
Trimurti rasa.
Rasabhasma yoga.
Wadavagni rasa.
Loha rasayana.
Mocharasadi lepa
Shirishadi ubatan
Priyangvadi lepa
Jambudaladi ubatan
Babbuladi ubatan
Shodhana chikitsa (evacuative therapy)
Lekhan basti with ushakadi gana is advised for treating this.
PATHYA(DO’S) |
APATHYA(DON’T’S) |
| Chana | New rice and wheat |
| Sawain | Milk |
| Kulthi | Malai |
| Mung | Rabri |
| Masur | Sweets |
| Arhar | Diet having extra fats |
| Honey | Oily food |
| Brinjal | Having bath with cool water |
| Upwas (fast) | Sleeping on comfortable bedding |
| Work including mentel stress. | Sitting on comfortable easy chairs |
| Cycling | Avoiding physical activity and hard work |
| Doing physical work in sunlight | |
| Brisk walking | |
| Bathing | - |
| Panchkarma therapy |