case presentation sthoulya/obesity
Download as PPTX, PDF25 likes13,688 views
The document presents a case study of a 30-year-old male patient diagnosed with obesity (Sthoulya). The patient reported a weight gain of over 10 kg in the past 2 years. Ayurvedic examinations and investigations confirmed obesity and lipid abnormalities. The patient underwent Deepana-Pachana to improve digestion, followed by a 4-day Snehapana (internal oleation) with herbal oil. This was followed by Swedana and Virechana (therapeutic purgation) using herbal medications, resulting in over 20 evacuations and significant weight loss. Follow up exams after a week of diet and lifestyle modifications showed continued improvement in weight, BMI, and lipid levels. The case
More Related Content
Similar to case presentation sthoulya/obesity (20)
case presentation sthoulya/obesity
- 1. CASE PRESENTATION By Dr LAL RAVI SAHU 2ND YEAR PG SCHOLAR , DEPARTMENTR OF PG STUDIES IN PANCHAKARMA, SDMCAH HASSAN
- 2. CONTENTS OBJECTIVES CASE PRESENTATION
- 3. OBJECTIVES Understand the pathophysiology, signs, symptoms & treatments of the disease. Improve diagnosis skills of disease.
- 4. Name : xyz Age : 30 Yrs Date of Admission : 1/08/2016 Ward : SW Bed No : 323 Address : Hassan Occupation : KSRTC employee Religion : Hindu
- 5. Main complaint with duration: Weight gain since 2 years. Other complaints: Heaviness of the body
- 6. HISTORY OF PRESENT ILLNESS Patient was healthy and having normal weight before 2 years then gradually he started gaining weight. Although general health was good and other major illness like DM, HTN or Asthma were not present. Both physical examination and laboratory examination like blood tests (routine test) were within normal limits except marked raise in lipid profile.
- 7. FAMILY HISTORY No relevant history
- 8. PERSONAL HISTORY Appetite- Good Bowel- Twice a day Micturition - Regular Sleep- Sound sleep Diet- Mixed Tea-3-4 times a day
- 9. WEIGHT AND BMI on day of admission Height 157 CM Weight 85.45 kg BMI 34.73 kg/m2
- 10. ASHTAVIDH PARIKSHA Nadi : Gati - 74/ min Mutra : D/ N – 4 / 2 times Mala : Twice in a Day, Jivha : Alipta Shabda : Prakrita Druk : Prakrita Akriti : Madhyama
- 11. DASHVIDH PAREEKSHA Prakriti : Vata kapha Vikriti : Samana Vayu, meda Sara : Mamsa sara Samhanana : Madhyama Pramana : Madhyama Satva : Prawara Sattva Satmya : Shad Rasa Satmya Ahara shakti: Abyavarana shakti : Pravara Jarana shakti : Prawara Vyayama shakti : Prawara Vayah : yuva
- 12. SAMPRAPTI GHATAKA Dosha : Tridosha / Kapha Praghana Dushya : Meda Adishtana : Sarva Sharira, Srotas : Medovaha Srotas Agni : Dhatu agni mandya Ama : Sama Srotodushti : Sanga Udbhawastana : Amashaya Sadhya Asadhyata : Kruccha sadhya
- 13. INVESTIGATIONS Serum Cholesterol Serum Triglyceride HDL LDL VLDL B.T 248.0 192.0 52.0 123.0 56.0
- 14. DIFFERENTIAL DIAGNOSIS AND DIAGNOSIS Depression Type 2 diabetes mellitus / Prameha Malnutrition / Kuposhana Gastroesophageal reflux disease (GERD) Polycystic ovarian disease (Stein-Leventhal syndrome) Ascites HTN / Ucha Rakta Chaap DIAGNOSED AS case of Sthoulya/ Obesity
- 15. TREATMENT The patient was administered classical Virechana (Purgation therapy) after proper Deepana pachana followed by Snehapana .
- 16. PURVA KARMA Patient was administered with Panchakola Phanta 50ml twice a day daily before food for three consecutive days as Deepana Pachana. In mean time patient was administered with Sarwanga Udwaratana with Triphaladi churna for three consecutive days.. Samyaka rukshana lakshana patient was posted for Arohana Shodhana Purava Snehapana with Murchita taila for 4 consecutive days with initial dosage of 30 ml then raised to 60ml,100ml,140ml,on second, third and fourth day respectively. Patient advised Sarvanga Abhyanga with Murchita taila and Svedana by Sarwanga baspa Sweda for next 3 days. Three days Vishrama kala was given during which patient was administered with Pitta Utkleshakara Ahara like Laghu Bhojana, Amla phala Rasa,UshnaUdaka to alliveate pitta dosha.
- 17. PRADHANA KARMA Before administration of Virechana, Abhyanga by Murchita taila and Baspa Svedana was done in the morning of Virechana day. Pulse, blood pressure and temperature were recorded. Virechana Yoga was Trivrut Lehya 70gm and Triphala kashaya 100 ml. Patient had 21 Vegas.
- 18. PASHCHAT KARMA Patient had 21Vega with Kaphanata and attained Pravara Vegiki Shuddhi. No untoward complications were observed. Later patient was advised to follow Samsarjana karma ie Peyadi samsarjana for 7 days.
- 19. RESULTS Before Treatment After Snehapana After Virechana After Samsarjana Krama Height 157 CM 157CM 157CM 157 CM Weight 85.45 kg 80 kg 79 kg 78.23 kg BMI 34.73 kg/m2 32.46 kg/m2 32.11kg/m2 31.80 kg
- 20. ANTHROPOM- -ETRY Before Treatment After Snehapana After Virechana After Samsarjana Chest 112cm 102 cm 102 cm 101 cm Waist 102 cm 98 cm 97 cm 94 cm Hip 106 cm 100 cm 99 cm 97.1 cm Abdomen 111 cm 99 cm 96 cm 96 cm Thigh Right- 56 cm Left – 57 cm Right- 49 cm Left – 50 cm Right- 49 cm Left -49 cm Right-49 Left -48 Mid arm Right- 31 cm Left -30 cm Right- 28 cm Left – 29 cm Right- 28 cm Left – 28 cm Right-28 Left -28
- 21. LIPID PROFILE Serum Cholesterol Serum Triglyceride HDL LDL VLDL B.T 248.0 192.0 52.0 123.0 56.0 A.T 180.0 158.0 40.0 99.2 40.8
- 22. DISCUSSION The normal status of Agni is important before the administration of Snehapana. Deepana and Pachana does kindling of Agni and Digestion of Ama respectively. If Agni is not in normal condition Sneha will not undergo digestion properly in turn leading to complication. Rookshana is the Vishishta Purvakarma before the administration of Shodhananga Snehapana in specific conditions like: Mamsala (Upachita Mamsa),Medura (Medasvina),Bhurishleshma(excess of kapha),Vishamagni (altered state of digestive strength).
- 23. Shodhananga Snehapana is the most important Purvakarma for Vamana and Virechana. The Properties of Sneha Dravya’s are like Sukshma, Sara, Snigdha, Drava, Picchila, Guru, Shita, Manda and Mrdu. Swedana is done to liquefy the vitiated Dosha which are spread throughout the body. As a result of application of Swedana,the vitiated Dosha are made easily expelled out with the help of Pradhana karma such as Virechana etc.
- 24. Drugs capable of inducing Virechana, possesses Ushna, Tikshna, Sukshma, Vyavayi and Vikasi properties. The Ushna property may help in increasing the quantum of Agni. It can cause Vishyandana i.e. oozing of the Dosha in the Koshtha from where they can be readily expelled out. Due to Tikshna property, drug is able to disintegrate the Sanghata of the Dosha. Due to Vyavayi property such a medicine is able to spread in the whole body prior to its digestion.
- 25. CONCLUSION Ayurvedic line of management gives satisfactory answer as well equally beneficial for the promotion and preservation of health in a obese person by removing toxic wastes, by balancing morbid humours and by correction of Agni (digestive fire) which results in marked relief for a Patient of sthoulya leading to the healthy and peaceful life.
- 26. Thank you