A Randomized Controlled Clinical Trial to evaluate the efficacy of Bilvadi Panchamoola Churna andGuduchyadi Churna in the management of Sthaulya [Overweight] in children of age group 8 to 15year

Ayurveda have described Sthaulya in Medoroga and Rasapradoshaja vikara . Acharya Kashyapa has considered Sthaulya as one of the aprashasta  sharira during explaining the anthropology.

Acharya Sushruta has considered it as Daruna vyadhi and has established relation of Sthaulya and karshya with quality and production n of rasa dhatu. Bhela Samhita has described it as Medovyapattijanya  Roga . Acharya Charaka has described Sthaulya roga among the astaunindita purusha, Santarapanajanya Vikara, Kapha nanatmaja diseases and Samsodhana yogya vyadhi. Childhood obesity is a known pioneer to obesity and other noncommunicable diseases in later life. Environmental and genetic c factors, lifestyle preferences and culture plays a major role in the increasing prevalence of childhood obesity. WHO defines childhood obesity as one of major public health problem of 21st century  . Obesity means excess accumulation of fat in body . In childhood period if child is significantly overweight for his or her age and height, he/ she suffers from childhood obesity. The estimation n of weight can be done with the help of BMI (body mass index). Weight is earliest parameter used for definition of obesity. After covid pandemic overweight is a serious issue we are finding in children. Obesity may hamper physical and mental growth of children. Children suffer from psychological issues. To overcome all these things it’s need to study on Sthaulya in children. In Modern medical science, drugs are used for obesity which reduces absorption of food or causes suppression of appetite. If we go through Ayurvedic formula which are used in Sthaulya, Guggulu is found to be main ingredient in most of them. But it is also seen that Guggulu is not suitable to all in context to Prakriti, Desha, Kala and age. So there is a necessity to find out substitute. While describing the treatment of Sthaulya, Acharya Charaka emphasized on the use of Ruksha, Ushna and mainly Kapha Vatashamana drugs like Bilvadi Panchmool and use of Madhu for the management of Sthaulya. In Bilvadi Panchmool Churna, there is combination  of five drugs i.e. Bilva. Agnimanth, Gambhari, Patla and Shyonak. Hence the drug has been selected in the management of sthaulya.