Comparative Clinical evaluation of Lekhana Basti and specific Ahara in Sthaulya(obesity)

Obesityis defined as excess of adipose tissue that impart health risk. Itis associated with an increased risk of multiple health problems, includingtype 2 diabetes, dyslipidemia, obstructive sleep apnea, nonalcoholic fattyliver disease, degenerative joint disease, and some malignancies.Obesity is a complex, multifactorial, and largely preventable disease,affecting, along with overweight, over one- third of the world’s populationtoday. Obesityin India has reached epidemic proportions in the 21st century withmorbid obesity affecting 5% of the country’s population. The mostwidely used method to classify weight status and risk of disease is body massindex (BMI). In India Patient with BMI≥25kg/m2 is considered obese. Sthaulya is a Santarpana Janya Vikara causeddue to consumption of Guru, Madhura, Sheeta, SnigadhaAhara, Avayayam, Avayavaya, Diwaswapna, Harshnitya, Achintaand Beeja Dosha.AcharyaSushruta has mentioned about LekhanaBasti in management of Sthaulya, Basti is main treatment of vitiatedVayu and Lekhniya Dravya will subside the elevated Kapha andMeda so Lekhana Basti is selected for the treatment of *Sthaulya.*VadiyaLolimbraj has given a very importantprinciple regarding Pathya and Apathya. Study has been conductedon various single Ahara Dravya like Yava, Kodrava etc.which was found effective in obesity. Combination of these various AharaDravya will be more helpful in management of obesity.