Obesity Ayurveda Insight

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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

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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

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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

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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 gt 40 inches women gt 35 inches

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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.

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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

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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.

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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

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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

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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

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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.

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Medoroga pathogenesis
Causative factors (Kapha Meda )
Deranged Fat Metabolism
Ama Rasa
Excess Meda Kapha
Blocks Circulatory Channels
Tissue Malnutrition
Toxic Buildup
Vata Restriction
Hyper functioning Agni
Hunger Thirst
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Medoroga (Obesity) Consequences
Plasma
CVD, HT, Stroke
Ama Blockage
Blood
Muscle
Chronic Musculoskeletal
Tissue Malnutrition
Vata Restriction
Fat
Diabetes, Hyper Lipidemia,
Lack of energy Lack of Enthusiasm Low
immunity Shortness of life span
Bone
Osteoarthritis, Gout
Vata Disorders
Marrow
Sexual Difficulty, Infertility
Reproductive
Depression
Mind
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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,Lo
  dhra,Vacha

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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

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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

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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.

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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.

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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

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Useful Combinations in Medoroga (obesity)

• Navak Guggulu
• Triphala Guggulu
• Amrutadya Guggulu
• Chandraprabhavati
• Mustadi Kwath
• Vidangadi Churna
• Anupan- luke warm water and honey

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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

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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

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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

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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.

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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

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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

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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.
  Dont 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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