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Obesity Ayurvedic Management Archana Kulkarni_ BAMS_ MD-Ayu

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					    Obesity
Ayurveda Insight
         Presenter
Vaidya. Archana Kulkarni
     BAMS,MD Ayurveda, CMT
  Founder and director of
  Ayur Wellness Center,
       Easton PA
  www.ayurwellness.com
      484-274-1276
What is obesity?

  “Obesity” specifically refers to
an excessive amount of body fat.

 “Overweight” refers to an excessive
 amount of body weight that includes
 muscle, bone, fat, and water
How is obesity measured?
Body Mass index
It is calculated by dividing persons weight
in kilogram by his height in meter squares
BMI       19-25     Normal range
BMI       26-30     Over Weight
BMI       30 and higher Obese
BMI       40 and higher Extremely Obese
Obesity measurement
and Health risk

Waist to Hip ratio
 Male              Female            Health Risk
 0.90 or below     0.80 or below     Low Risk
 0.96 to 1.0       0.81 to 0.85      Moderate Risk
 1.0+              0.85+             High Risk

Waist Circumference
 Men > 40 inches          women > 35 inches
 Prevalence

WHO report –Globally with more than 1
billion adults overweight - at least 300
million of them clinically obese.

CDC report -more than 72 million people
that are more than one third of US adults
and 16% of US children are obese.
Causes of Obesity

Obesity occurs when a person consumes more
  calories from food than he or she burns

  Genetic Factors-
  Environmental factors-life style behavior –Diet,
  physical activity
  Social Factors- poverty and a lower level of education
  Cultural Factors –Type of food ,way of cooking is
  different
  Diseases like Hypothyroidism, Cushing syndrome,
  Polycystic ovarian syndrome
  Drugs like steroids, antidepressant
Health Risks
Type 2 diabetes,
Heart disease, Stroke
High blood pressure, High blood
cholesterol
CA colon, rectum prostate
CA gallbladder, uterus, cervix, or
ovaries
Gallbladder disease and gallstones.
Fatty liver disease
Osteoarthritis, Gout
Pulmonary (breathing) problems
sleep apnea,.
Reproductive problems in women,
including menstrual irregularities ,
infertility.
       Obesity -Medoroga
In Ayurveda Obesity is regarded as
Medoroga –A disorder of Meda Dhatu-
Adipose tissue and fat metabolism

One of the undesirable Constitution

„Sthoulya‟- „Santarpan janya vikar‟-A over
nutritional disorder
Characteristic of obese person
Ati Sthula has been defined as a person,
"who on account of the inordinate increase
of fat and flesh, is disfigured with
pendulous, buttocks, belly and breasts and
whose increase bulk is not matched by a
corresponding increase in energy
 Causes of obesity in Ayurveda
Dietary causes
 Over eating
  frequent food intake before digestion of a previous
 meal.
 Kapha increasing food
  Excessive consumption of sweet food, Heavy food,
 cold diet, unctuous food –like dairy products- cheese
 cream butter, ice cream yogurt
 Excess use of oily food-fried food grilled food, fast
 foods
 Excessive use of meat
 Usage of new grains
 Usage of sugarcane's, jaggery's preparations
 Excessive use of Rice, wheat, Black gram,
 Drinking water after food in take
Causes of obesity in Ayurveda
Life style and behavior
Sedentary life style ,Lack of physical
exercise, excessive sleep, sleeping
during day especially soon after meal
,Lack of sexual life
Mental cause
Lack of thinking, anxiety or anger.
Cheerful mind
Genetic- ‘Beeja Svabhavat’
Irrespective of diet the person is obese
due to genetic makeup.
     Medoroga pathogenesis
               Causative factors (Kapha & Meda )



                         Deranged Fat
         Ama Rasa                            Excess Meda & Kapha
                         Metabolism


                    Blocks Circulatory Channels



Tissue               Toxic Buildup         Vata Restriction
Malnutrition
                                        Hyper functioning Agni


                                         Hunger    Thirst
  Medoroga (Obesity) Consequences
                                      Plasma
Ama Blockage                                            CVD, HT, Stroke
                                      Blood

Tissue Malnutrition     Vata          Muscle           Chronic Musculoskeletal
                        Restriction
                                      Fat            Diabetes, Hyper Lipidemia,
Lack of energy
Lack of Enthusiasm    Vata            Bone            Osteoarthritis, Gout
                      Disorders
Low immunity                          Marrow
Shortness of life
                                                         Sexual Difficulty,
span                                  Reproductive
                                                         Infertility
                                      Mind             Depression
        Obesity-Medoroga treatment
Shodhan chikitsa- This includes Panchakarma treatment

  Vaman (medicated vomitting)
  Virechana (medicated purgation)
  Basti (enema therapy)-particularly Lekhan Basti.Herbs
  used in basti- Ushakadi
  Raktamokshana-Blood letting therapy-
  Dhumpan-medicated smoking
  Swedan-Herbal steam therapy
  Udvartana-herbal powder massage
  Herbs for Udvartana-Triphala,musta,Neem, Haridra,Daru
  haridra,Tulasi,Ashwagandha,Musterd,Lodhra,Vacha
Ayurvedic management of obesity
Shaman chikitsa -It is pacification therapy
 with herbs, diet, exercises and lifestyle .

Use of Bitter, pungent astringent taste
        Dry, hot, sharp, scraping qualities
           Herbs for Medoroga (obesity)

Triphala
  It is combination of 3 healings herb, their fruits are used.
  Amalaki (emblica officinalis),-
  Haritaki (terminalia chebula)
  Bibhitaki (terminalia belerica)

  Effects of Triphala - all dosha balancing, very good cleanser
  ,purifies blood rejuvenating herb. it decreases excessive Meda

  reduces serum cholesterol, reduces the plaque formation in the
  arteries ,high blood pressure, provides remarkable protection in
  CVD, In a study conducted by the American Botanical Council, it
  was shown that Triphala greatly reduced blood glucose levels in
  diabetic rats
    Herbs for Medoroga (obesity)
Guggulu- (Commiphora mukul)

  Light, dry, sharp, subtle, mobile, non slimy
  T-bitter, pungent, A-Hot, PE- Pungent
  All dosha balancing –by Prabhav
  Useful part = Resin Old guggulu- scraping quality

  It is strong detoxifying and cleansing and
  rejuvenating herb.
  Lower cholesterol and triglycerides and maintain or
  improve HDL/LDL ratio, anti-inflammatory effects.
       Herbs for Medoroga (obesity)

Vidanga –Embelia ribes
  Light dry sharp    T- pungent ,astringent
  A- hot          PE-pungent

  Vata kapha pacifying, agni stimulating,

  Vidanga allays vata, it is diuretic, a mild
  purgative and kills worms, it is an appetizer,
  digestive , blood purifier and rejuvenator.
   Herbs in Medoroga (obesity)

Shilajatu-Mineral pitch
 It is the resins that oozes out from
 Himalayan Mountains
 Light dry T-bitter pungent astringent
 A- hot scraping quality
 Mainly Vata and Kapha balancing

  it decreases excessive fat, very helpful in
  enhancing sexual powers. It is anti
  inflammatory and antioxidant
 Useful Combinations in Medoroga
            (obesity)
Navak Guggulu
Triphala Guggulu
Amrutadya Guggulu
Chandraprabhavati
Mustadi Kwath
Vidangadi Churna

Anupan- luke warm water and honey
        Ayurveda Diet in Medoroga
                (obesity)
Bitter, pungent astringent taste
Dry, hot, sharp, scraping qualities

   Whole grains- Barley, whole oats, quinoa and amaranth.
   Vegetables-Chard, kale, Spinach and mustard greens,
   eggplant Cabbage, carrot cauliflower.

  Pulses or dried beans –Lentils, Mung dal, tu dar, masoor dal,
horse gram chick peas

   Fruits-apples. Pears pineapple,

   Honey

   Spices-Fenugreek, turmeric, cumin, musturd, asefoetida
   curry leaves, ginger, black pepper, clove, cinnamon
                Diet to Avoid

Avoid sweet, sour, salty and oily food as it aggravates
Kapha and Meda
Sweet foods include not only sugar but also rice, wheat,
pasta, breads, and sweet milk products.
 Cakes, cookies, Pastries, Chocolates.
Dairy products especially cheese cream, ice cream,
yogurt.
Meat especially red meat ,fried food ,grilled food
Avoid packaged foods, processed food and restaurant
fried foods - pizza, hot dog ,burger, doughnuts, French
fries
Avoid left over's
               Diet to avoid
Avoid incompatible combinations of food

  Milk        with fish, meat, curd, sour fruits,
 bread containing yeast, cherries, yogurt
 Yogurt     with milk, sour fruits, melons, hot
 drinks, meat, fish, mangos, cheese
 Eggs       with milk, meat, yogurt, melons,
 cheese, fish, bananas
 Fruit                 with any other food
               Diet to avoid
Avoid Tamasic food
 Tamasic foods are those dull the mind and bring
 about inertia laziness disorientation depression.

 Excess intake of fats oils sugars, heavy and left
 over food are Tamasic in nature.

 Foods that have been processed, canned or
 frozen food , Beef, fish, eggs, cold buffalo milk
 are also Tamasic.
  Ayurveda Life style in Medoroga
            (Obesity)
Exercise „Stop Dieting and Start Moving‟
Walking, Swimming, running, or rowing aerobic
exercises, Stationary Cycling/Bicycling

Yoga Asana-
Suryanamaskar-(Sun Salutations)
Pawan muktasana ( (Wind Liberating Pose)
Utthanpadasana (Raised Leg Pose)
Dvichakrikasan- (Bicycling)
Padvruttasan- (Leg rotation)
Naukasana (Boat Pose)
Pranayama (breathng excersises) and Meditation
                  Useful tips
Maintain a regular daily routine. Wake up before 6.00am
Take 2 teaspoon of honey and 2 tea spoon of lemon juice with
1 glass of warm water
Exercise at morning at least 40 min/day -4days/week
East light nourishing breakfast –cooked apple, toast cooked
barley or oatmeal
Cook daily with love and care
Use spices and herbs that suitable for you while cooking
Boil water with fresh ginger and drink frequently throughout
the day
Make Lunch as a main meal. Dinner should be as light as
possible.
For dinner, eat light one-dish meals, or vegetable or lentil
soups.
Do not sleep during day
            Useful tips Cont
Avoid eating late at night
Eat only after digestion of previous meal.
Eat only when you are hungry. Find out correct quantity
for you.
Keep the regular timings of meal. Eat mindfully.
Concentrate on your food, what you are eating. Don‟t
divide your attention by reading, working or watching TV
while you are eating.
Take a walk after meal.
Replace caffeinated and carbonated beverages with
herb-spice teas.
Fasting-One day fasting in a week is good

				
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