CASE STUDY OF WEIGHT MANAGEMENT
In recent years youth are prone to lifestyle diseases. Junk foods, edentary lifestyle are the main reasons for obesity. It is the condition in which excess body fat has accumulated and it has a negative effect on health. Obesity increases the risk of development of Diabetes, Cardiovascular diseases, osteoarthritis, Depression, etc. According to Ayurveda, Sthoulya comes under Santharpanajanya vyadhis. Ayurveda has effective treatments for weight loss and improving the quality of life.
Presenting complaints:
- Increased body weight since 6 years
- Pain, stiffness and swelling of b/l knee joints since 2 years
H/O Presenting complaints:
A 46 years old female patient came to OPD with complaints of increased body weight since 6 years, associated with b/l knee joint pain, stiffness and swelling. Not a known case of DM, HTN, PCOS, Hyperthyroidism. Dasavidhapariksha and Ashtasthanapariksha of the patient was done . X-ray of b/l knee joints was done which revealed degenerative changes. Her BMI was 31.3. On examination, of knee joints, Swelling ++ present, movements were restricted and painful.
Vital Parameters:
BP: 130/80mm of hg Pulse: 80/min
Height: 162cm Weight:82 Kg BMI:31.3
CC: 104cm WC: 112cm HC:125cm
MAC: Rt-30cm, Lt-31cm MTC: Rt-55cm, Lt-53cm
Ahara: Mixed diet
Vihara: No exercises, Day sleep
Appetite: Good
Micturition: Normal
Bowel: Normal
Sleep: Good
Genereal Systemic examination:
Gait: Normal GC: Normal CVS: S1S2 heard
CNS: Oriented to place and time
RS: NVBS heard PA: Soft, No organomegaly
Investigations:
HB: 11%
ESR: 48 mm/hr
FBS: 92 mg/dl
Uric Acid: 3.2 mg/dl
Total Cholesterol: 179 mg/dl
HDL: 83 mg/dl
LDL: 86.1 mg/dl
Triglycerides: 199mg/dl
VLDL: 40.2 mg/dl
Dasavidha Pariksha:
Prakruthi: Kapha vata
Vikrutha Dosha: kapha Vata
Dushya:Rasa, Mamsa, Medas, Asti, Majja
Sara: Medosara
Samhanana: Pravara
Satva: Madhyama
Aharasakthi: Abhyavaharanasakthi- Pravara
Jaranasakthi- Pravara
Vyayamasakthi: Madhyama
Vaya: Sampoornatha
Pramana: Pravara
Ashtavidha Pariksha:
Nadi: Vridha
Mala: Nirama
Mutra: Sadharana
Jihwa: Raktavarna
Sabda: Sadharana
Sparsha: Anushnasita
Drik: Sadharana
Akruthi: Ati
Nidana Panchaka:
Nidana: Ahara – Snigdha, Madhurarasa pradhana aharas
Vihara – Avyayamas, Divaswapna
Purvarupa: Excess fat deposition in lower abdomen
Rupa: Increased body weight, excess fat deposition in buttocks, thighs, lower abdomen, knee joint pain
Upasaya- Less food intake and exercises
Anupasaya- More intake of foods
Samprapthi Gataka:
Dosha: Kapha Vata
Dushya: Rasa, Mamsa, Medas, Asti, Majja
Agni: Jataragni, Dhatwagni
Ama: Sama
Srotas: Dhatuvaha
Srotodushtiprakara: Atipravrithi and Sanga
Sadhyasadhyata: Krichrasadhya
Samprapthi Flow Chart:
Nidana
(Ahara, Vihara) Shoola, Stambha, Sopha
↓ ↑
Kapha Vridhi Janusandhigatam
↓ (Srotorodha) ↑
Medodhatudushti Astimajjadushti
↓ ↑
Sarvashareeragata Janusandhigata
↓ ↑(Kapha avarana)
Sthoulya→ Srotorodha→Vatakopa
Diagnosis:
1. Sthoulya
- Janusandhigata Vata
Treatments given FOR WEIGHT LOSS:
By considering the agnibala of the patient, treatments given as follows. Started with Snehapana. Sthanika Choornapindasweda and Lepa has been given for knee joints for reducing the inflammation. Along with the medication started shamanoushadhas, weight loss diet and Yoga sessions.
1-8 days
Snehapana for 5 days
Abhyanga and Bashpasweda for 2 days
Virechana
9- 21 days
Udwarthana
Bashpasweda
Dhanyamlaparisheka
Sthanika choornapindasweda
Lepana
Januvasti
Yogavasti
Shamanoushadhas
Yoga
Outcome scales after 21 days of treatment:
| Symptoms | Before treatment | After treatment |
| Weight | 82Kg | 73Kg |
| WC | 112cm | 108cm |
| HC | 125cm | 121cm |
| CC | 104cm | 103cm |
| MAC | Rt-30cm, Lt-31cm | Rt-26cm, Lt-28cm |
| MTC | Rt-55cm, Lt-53cm | Rt-53cm, Lt-50cm |
| BMI | 31.3 | 27.8 |
| Pain in Knee joints | High | Low |
| Swelling in knee joints | High | Absent |
| Stiffness of knee joints | High | Low |
After 21 days of admitted treatment, the patient’s weight has reduced to 73 kg (9 kg ). Her knee joint pain and swelling has reduced significantly. Joint flexibility has improved. She has been advised to continue internal medications, diet and exercises for one more month.