Obesity ayurvedic management - archana kulkarni, bams, md-ayu

Yashwant Mehra

1. Obesity Obesity
Ayurveda InsightAyurveda Insight
Presenter Presenter
Vaidya. Archana KulkarniVaidya. Archana Kulkarni
BAMS,MD Ayurveda, CMTBAMS,MD Ayurveda, CMT
Founder and director of Founder and director of
Ayur Wellness Center, Ayur Wellness Center,
Easton PAEaston PA
www.ayurwellness.comwww.ayurwellness.com
484-274-1276484-274-1276

2. What is obesity?What is obesity?
““Obesity” specifically refers to Obesity” specifically refers to
an excessive amount of body fat. an excessive amount of body fat.
““Overweight” refers to an excessive Overweight” refers to an excessive
amount of body weight that amount of body weight that
includes muscle, bone, fat, and includes muscle, bone, fat, and
waterwater

3. How is obesity measured?How is obesity measured?
Body Mass index Body Mass index
It is calculated by dividing persons weight It is calculated by dividing persons weight
in kilogram by his height in meter squares in kilogram by his height in meter squares
BMIBMI 19-2519-25 Normal rangeNormal range
BMIBMI 26-3026-30 Over WeightOver Weight
BMIBMI 30 and higher30 and higherObese Obese
BMIBMI 40 and higher40 and higherExtremely ObeseExtremely Obese

4. OObesity measurement besity measurement
and and HealthHealth risk risk
Waist to Hip ratioWaist to Hip ratio
MaleMale FemaleFemale Health RiskHealth Risk
0.90 or below0.90 or below 0.80 or below0.80 or below Low RiskLow Risk
0.96 to 1.00.96 to 1.0 0.81 to 0.850.81 to 0.85 Moderate RiskModerate Risk
1.0+1.0+ 0.85+0.85+ High RiskHigh Risk
Waist CircumferenceWaist Circumference
Men > 40 inches Men > 40 inches women > 35 incheswomen > 35 inches

5. PrevalencePrevalence
WHO report –Globally with more than 1 WHO report –Globally with more than 1
billion adults overweight - at least 300 billion adults overweight - at least 300
million of them clinically obese.million of them clinically obese.
CDC report -more than 72 million people CDC report -more than 72 million people
that are more than one third of US adults that are more than one third of US adults
and 16% of US children are obese.and 16% of US children are obese.

6. Causes of ObesityCauses of Obesity
Obesity occurs when a person consumes more Obesity occurs when a person consumes more
calories from food than he or she burnscalories from food than he or she burns
Genetic Factors- Genetic Factors-
Environmental factors-life style behavior –Diet, Environmental factors-life style behavior –Diet,
physical activityphysical activity
Social Factors- poverty and a lower level of education Social Factors- poverty and a lower level of education
Cultural Factors –Type of food ,way of cooking is Cultural Factors –Type of food ,way of cooking is
differentdifferent
Diseases like Hypothyroidism, Cushing syndrome, Diseases like Hypothyroidism, Cushing syndrome,
Polycystic ovarian syndromePolycystic ovarian syndrome
Drugs like steroids, antidepressant Drugs like steroids, antidepressant

7. Health RisksHealth Risks
Type 2 diabetes,Type 2 diabetes,
Heart disease, StrokeHeart disease, Stroke
High blood pressure, High blood High blood pressure, High blood
cholesterolcholesterol
CA colon, rectum prostate CA colon, rectum prostate
CA gallbladder, uterus, cervix, or CA gallbladder, uterus, cervix, or
ovaries ovaries
Gallbladder disease and gallstones.Gallbladder disease and gallstones.
Fatty liver disease Fatty liver disease
Osteoarthritis, GoutOsteoarthritis, Gout
Pulmonary (breathing) problems Pulmonary (breathing) problems
sleep apnea,.sleep apnea,.
Reproductive problems in women, Reproductive problems in women,
including menstrual irregularities , including menstrual irregularities ,
infertility.infertility.

8. Obesity -MedorogaObesity -Medoroga
In Ayurveda Obesity is regarded as In Ayurveda Obesity is regarded as
Medoroga –A disorder of Meda Dhatu- Medoroga –A disorder of Meda Dhatu-
Adipose tissue and fat metabolism Adipose tissue and fat metabolism
One of the undesirable ConstitutionOne of the undesirable Constitution
‘‘Sthoulya’- ‘Santarpan janya vikar’-A over Sthoulya’- ‘Santarpan janya vikar’-A over
nutritional disordernutritional disorder

9. Characteristic of obese personCharacteristic of obese person
Ati Sthula has been defined as a person, Ati Sthula has been defined as a person,
"who on account of the inordinate increase "who on account of the inordinate increase
of fat and flesh, is disfigured with of fat and flesh, is disfigured with
pendulous, buttocks, belly and breasts pendulous, buttocks, belly and breasts
and whose increase bulk is not matched and whose increase bulk is not matched
by a corresponding increase in energy by a corresponding increase in energy

10. Causes of obesity in AyurvedaCauses of obesity in Ayurveda
Dietary causesDietary causes
Over eatingOver eating
frequent food intake before digestion of a previous frequent food intake before digestion of a previous
meal. meal.
Kapha increasing foodKapha increasing food
Excessive consumption of sweet food, Heavy food, Excessive consumption of sweet food, Heavy food,
cold diet, unctuous food –like dairy products- cheese cold diet, unctuous food –like dairy products- cheese
cream butter, ice cream yogurtcream butter, ice cream yogurt
Excess use of oily food-fried food grilled food, fast Excess use of oily food-fried food grilled food, fast
foodsfoods
Excessive use of meatExcessive use of meat
Usage of new grainsUsage of new grains
Usage of sugarcane's, jaggery's preparations Usage of sugarcane's, jaggery's preparations
Excessive use of Rice, wheat, Black gram, Excessive use of Rice, wheat, Black gram,
Drinking water after food in takeDrinking water after food in take

11. Causes of obesity in AyurvedaCauses of obesity in Ayurveda
Life style and behaviorLife style and behavior
Sedentary life style ,Lack of physical Sedentary life style ,Lack of physical
exercise, excessive sleep, sleeping exercise, excessive sleep, sleeping
during day especially soon after meal during day especially soon after meal
,Lack of sexual life,Lack of sexual life
Mental causeMental cause
Lack of thinking, anxiety or anger. Lack of thinking, anxiety or anger.
Cheerful mindCheerful mind
Genetic- ‘Beeja Svabhavat’Genetic- ‘Beeja Svabhavat’
Irrespective of diet the person is obese Irrespective of diet the person is obese
due to genetic makeup.due to genetic makeup.

12. Medoroga pathogenesisMedoroga pathogenesis
Causative factors (Kapha & Meda )Causative factors (Kapha & Meda )
Ama Rasa Excess Meda & Kapha Excess Meda & Kapha
Deranged Fat
Metabolism
Blocks Circulatory Channels
Tissue
Malnutrition
Toxic Buildup Vata Restriction
Hyper functioning Agni
Hunger Thirst

13. Medoroga (Obesity) Consequences Medoroga (Obesity) Consequences
Ama Blockage
Tissue Malnutrition
Lack of energy
Lack of Enthusiasm
Low immunity
Shortness of life
span
Plasma
Blood
Muscle
Fat
Bone
Marrow
Reproductive
Mind
CVD, HT, Stroke
Chronic Musculoskeletal
Diabetes, Hyper Lipidemia,
Osteoarthritis, Gout
Sexual Difficulty,
Infertility
Depression
Vata
Restriction
Vata
Disorders

14. Obesity-MedorogaObesity-Medoroga treatmenttreatment
Shodhan chikitsa- This includes Panchakarma treatmentShodhan chikitsa- This includes Panchakarma treatment
VamanVaman (medicated vomitting) (medicated vomitting)
VirechanaVirechana (medicated purgation) (medicated purgation)
Basti Basti (enema therapy)-particularly Lekhan Basti.Herbs (enema therapy)-particularly Lekhan Basti.Herbs
used in basti- Ushakadiused in basti- Ushakadi
RaktamokshanaRaktamokshana-Blood letting therapy--Blood letting therapy-
DhumpanDhumpan-medicated smoking-medicated smoking
SwedanSwedan-Herbal steam therapy-Herbal steam therapy
UdvartanaUdvartana-herbal powder massage-herbal powder massage
Herbs for Udvartana-Triphala,musta,Neem, Haridra,Daru Herbs for Udvartana-Triphala,musta,Neem, Haridra,Daru
haridra,Tulasi,Ashwagandha,Musterd,Lodhra,Vachaharidra,Tulasi,Ashwagandha,Musterd,Lodhra,Vacha

15. Ayurvedic management of obesityAyurvedic management of obesity
Shaman chikitsaShaman chikitsa -It is pacification therapy -It is pacification therapy
with herbs, diet, exercises and lifestyle .with herbs, diet, exercises and lifestyle .
Use of Bitter, pungent astringent tasteUse of Bitter, pungent astringent taste
Dry, hot, sharp, scraping qualities Dry, hot, sharp, scraping qualities

16. Herbs for Medoroga (obesity)Herbs for Medoroga (obesity)
TriphalaTriphala
It is combination of 3 healings herb, their fruits are used.It is combination of 3 healings herb, their fruits are used.
Amalaki (emblica officinalis)Amalaki (emblica officinalis),-,-
Haritaki (terminalia chebula)Haritaki (terminalia chebula)
Bibhitaki (terminalia belerica)Bibhitaki (terminalia belerica)
Effects of Triphala - all dosha balancing, very good cleanser Effects of Triphala - all dosha balancing, very good cleanser
,purifies blood rejuvenating herb. it decreases excessive Meda ,purifies blood rejuvenating herb. it decreases excessive Meda
reduces serum cholesterol, reduces the plaque formation in the reduces serum cholesterol, reduces the plaque formation in the
arteries ,high blood pressure, provides remarkable protection in arteries ,high blood pressure, provides remarkable protection in
CVD, In a study conducted by the American Botanical Council, it CVD, In a study conducted by the American Botanical Council, it
was shown that Triphala greatly reduced blood glucose levels in was shown that Triphala greatly reduced blood glucose levels in
diabetic rats diabetic rats

17. Herbs for Herbs for Medoroga Medoroga (obesity)(obesity)
Guggulu- (Commiphora mukul) Guggulu- (Commiphora mukul)
Light, dry, sharp, subtle, mobile, non slimy Light, dry, sharp, subtle, mobile, non slimy
T-bitter, pungent, A-Hot, PE- PungentT-bitter, pungent, A-Hot, PE- Pungent
All dosha balancing –by Prabhav All dosha balancing –by Prabhav
Useful part = Resin Old guggulu- scraping quality Useful part = Resin Old guggulu- scraping quality
It is strong detoxifying and cleansing and It is strong detoxifying and cleansing and
rejuvenating herb. rejuvenating herb.
Lower cholesterol and triglycerides and maintain or Lower cholesterol and triglycerides and maintain or
improve HDL/LDL ratio, anti-inflammatory effects.improve HDL/LDL ratio, anti-inflammatory effects.

18. Herbs for Medoroga (obesity)Herbs for Medoroga (obesity)
Vidanga –Embelia ribesVidanga –Embelia ribes
Light dry sharp T- pungent ,astringentLight dry sharp T- pungent ,astringent
A- hotA- hot PE-pungentPE-pungent
Vata kapha pacifying, agni stimulating,Vata kapha pacifying, agni stimulating,
Vidanga allays vata, it is diuretic, a mild Vidanga allays vata, it is diuretic, a mild
purgative and kills worms, it is an appetizer, purgative and kills worms, it is an appetizer,
digestive , blood purifier and rejuvenator.digestive , blood purifier and rejuvenator.

19. Herbs in Medoroga Herbs in Medoroga (obesity)(obesity)
Shilajatu-Mineral pitchShilajatu-Mineral pitch
It is the resins that oozes out from It is the resins that oozes out from
Himalayan MountainsHimalayan Mountains
Light dry T-bitter pungent astringent Light dry T-bitter pungent astringent
A- hot scraping qualityA- hot scraping quality
Mainly Vata and Kapha balancingMainly Vata and Kapha balancing
it decreases excessive fat, very helpful in it decreases excessive fat, very helpful in
enhancing sexual powers. It is anti enhancing sexual powers. It is anti
inflammatory and antioxidantinflammatory and antioxidant

20. Useful Combinations in Medoroga Useful Combinations in Medoroga
(obesity)(obesity)
Navak GugguluNavak Guggulu
Triphala GugguluTriphala Guggulu
Amrutadya GugguluAmrutadya Guggulu
ChandraprabhavatiChandraprabhavati
Mustadi KwathMustadi Kwath
Vidangadi ChurnaVidangadi Churna
Anupan- luke warm water and honeyAnupan- luke warm water and honey

21. Ayurveda Diet in Medoroga Ayurveda Diet in Medoroga
(obesity)(obesity)
Bitter, pungent astringent tasteBitter, pungent astringent taste
Dry, hot, sharp, scraping qualities Dry, hot, sharp, scraping qualities
Whole grains- Whole grains- Barley, whole oats, quinoa and amaranth. Barley, whole oats, quinoa and amaranth.
VegetablesVegetables-Chard, kale, Spinach and mustard greens,-Chard, kale, Spinach and mustard greens,
eggplant Cabbage, carrot cauliflower. eggplant Cabbage, carrot cauliflower.
Pulses or dried beansPulses or dried beans –Lentils, Mung dal, tu dar, masoor dal, –Lentils, Mung dal, tu dar, masoor dal,
horse gram chick peashorse gram chick peas
Fruits-Fruits-apples. Pears pineapple,apples. Pears pineapple,
HoneyHoney
SpicesSpices-Fenugreek, turmeric, cumin, musturd, asefoetida-Fenugreek, turmeric, cumin, musturd, asefoetida
curry leaves, ginger, black pepper, clove, cinnamoncurry leaves, ginger, black pepper, clove, cinnamon

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

23. Diet to avoidDiet to avoid
Avoid incompatible combinations of foodAvoid incompatible combinations of food

Milk with fish, meat, curd, sour fruits, Milk with fish, meat, curd, sour fruits,
bread containing yeast, cherries, yogurtbread containing yeast, cherries, yogurt
Yogurt with milk, sour fruits, melons, hot Yogurt with milk, sour fruits, melons, hot
drinks, meat, fish, mangos, cheesedrinks, meat, fish, mangos, cheese
Eggs with milk, meat, yogurt, melons, Eggs with milk, meat, yogurt, melons,
cheese, fish, bananascheese, fish, bananas
FruitFruit with any other foodwith any other food

24. Diet to avoidDiet to avoid
Avoid Tamasic foodAvoid Tamasic food
Tamasic foods are those dull the mind and bring Tamasic foods are those dull the mind and bring
about inertia laziness disorientation depression.about inertia laziness disorientation depression.
Excess intake of fats oils sugars, heavy and left Excess intake of fats oils sugars, heavy and left
over food are Tamasic in nature.over food are Tamasic in nature.
Foods that have been processed, canned or Foods that have been processed, canned or
frozen food , Beef, fish, eggs, cold buffalo milk frozen food , Beef, fish, eggs, cold buffalo milk
are also Tamasic. are also Tamasic.

25. Ayurveda Life style in Medoroga Ayurveda Life style in Medoroga
(Obesity)(Obesity)
ExerciseExercise ‘Stop Dieting and Start Moving’ ‘Stop Dieting and Start Moving’
Walking, Swimming, running, or rowing aerobic Walking, Swimming, running, or rowing aerobic
exercises, Stationary Cycling/Bicyclingexercises, Stationary Cycling/Bicycling
Yoga Asana- Yoga Asana-
Suryanamaskar-(Sun Salutations)Suryanamaskar-(Sun Salutations)
Pawan muktasana ( (Wind Liberating Pose)Pawan muktasana ( (Wind Liberating Pose)
Utthanpadasana (Raised Leg Pose)Utthanpadasana (Raised Leg Pose)
Dvichakrikasan- (Bicycling)Dvichakrikasan- (Bicycling)
Padvruttasan- (Leg rotation)Padvruttasan- (Leg rotation)
NaukasanaNaukasana (Boat Pose)(Boat Pose)
Pranayama (breathng excersises) and MeditationPranayama (breathng excersises) and Meditation

26. Useful tipsUseful tips
Maintain a regular daily routine. Wake up before 6.00amMaintain a regular daily routine. Wake up before 6.00am
Take 2 teaspoon of honey and 2 tea spoon of lemon juice with Take 2 teaspoon of honey and 2 tea spoon of lemon juice with
1 glass of warm water1 glass of warm water
Exercise at morning at least 40 min/day -4days/weekExercise at morning at least 40 min/day -4days/week
East light nourishing breakfast –cooked apple, toast cooked East light nourishing breakfast –cooked apple, toast cooked
barley or oatmealbarley or oatmeal
Cook daily with love and careCook daily with love and care
Use spices and herbs that suitable for you while cookingUse spices and herbs that suitable for you while cooking
Boil water with fresh ginger and drink frequently throughout Boil water with fresh ginger and drink frequently throughout
the daythe day
Make Lunch as a main meal. Dinner should be as light as Make Lunch as a main meal. Dinner should be as light as
possible.possible.
For dinner, eat light one-dish meals, or vegetable or lentil For dinner, eat light one-dish meals, or vegetable or lentil
soups. soups.
Do not sleep during dayDo not sleep during day

27. Useful tips ContUseful tips Cont
Avoid eating late at nightAvoid eating late at night
Eat only after digestion of previous meal.Eat only after digestion of previous meal.
Eat only when you are hungry. Find out correct quantity Eat only when you are hungry. Find out correct quantity
for you.for you.
Keep the regular timings of meal. Eat mindfully.Keep the regular timings of meal. Eat mindfully.
Concentrate on your food, what you are eating. Don’t Concentrate on your food, what you are eating. Don’t
divide your attention by reading, working or watching TV divide your attention by reading, working or watching TV
while you are eating. while you are eating.
Take a walk after meal. Take a walk after meal.
Replace caffeinated and carbonated beverages with Replace caffeinated and carbonated beverages with
herb-spice teas.herb-spice teas.
Fasting-One day fasting in a week is goodFasting-One day fasting in a week is good