A Clinical Study On Effect Of Guduchi Mustaadi Kwath And Shleshma Medohar Ahara And Vihara For The Management Of Sthaulya.

Abstract

Background: Obesity is defined as a common chronic disorder of excessive body fat and has become a global epidemic which is present not only in the developed countries but also present in many developing and even in underdeveloped countries. A person having excessive growth of Medodhatu and Mamsadhatu, which results into pendulous appearance of buttocks, belly and breasts and whose increase bulk is not matched by corresponding increase in energy level. The present work has been planned to evaluate the effect of Shleshma-Medohari Kriya along with diet and lifestyle modifications in the management of Sthaulya.

Material and method: 30 patients having sign and symptoms of Sthaulya and fulfilling inclusion criteria were selected and divided into 2 groups. In group A, Guduchi-Mustaadi Kwath- 40 ml twice a day for 45 days along with Shleshma-Medohara Ahara and Vihara and in Group B, Placebo- 2 capsules (each cap.500 mg) twice a day for 45 days along with Shleshma-Medohara Ahara and Vihara was administered. Assessment was done on laboratory investigations - lipid profile (Sr. Cholesterol, Sr. Triglycerides, HDL, LDL, VLDL), Objective Criteria- Body weight, BMI, the girth measurements of neck, chest, abdomen, hip, mid arm and mid-thigh and the skin fold thickness. Subjective criteria- Chala-Sphika-Udara-Stana, Angagandha, Swedadhikya, Kshudhadhikya, Pipasadhikya, Kshudra Shwasa and Nidradhikya.

Result: Based on the data, Group A (Guduchi-Mustaadi Kwath and Shleshma-Medohara Ahara and Vihara) showed better percentage-wise outcomes in both subjective and objective criteria than Group B (Placebo capsule and Shleshma-Medohara Ahara and Vihara). No patients in groups A or B received a full recovery. In Group A, 40% of patients showed moderate improvement, and 60% of patients showed mild improvement; in Group B, 20% of patients showed mild improvement, while the remaining 80% of patients showed no change.

Conclusion: It can be concluded that due to the Laghu, and Ruksha property of the drugs, Lekhana, Medohara, and Anulomana Karma Shleshma-Medohara Ahara and Vihara is effective in management of Sthaulya