Effect of shodhananga snehapaana with triphaladhyam taila followed by virechana with triphala choorna in overweight

Obesity and overweight are defined as abnormal or excessive fat accumulation that presents a risk

to health. A body mass index(BMI) over 25 is considered overweight and over 30 is obese. The

issue has grown to epidemic proportions,with over 4 million people dying each year as a result of

being overweight or obese in 2021 according to the global burden of disease. In Ayurveda obesity

and overweight may be correlated to ‘sthoulya’. In obese and overweight persons, kapha dosha

and medho dhatu is said to be vitiated. They are indicated for taila snehapaana in classics.

Atisthoulya is a bahudosha condition which is indicated for shodhana. Triphaladhyam taila is a

yoga mentioned in Chakradatta sthoulya adhikaara which is indicated for paana also. Triphala

choorna has laxative as well as scraping effect on medo dhatu of our body. Objective of this

study is to evaluate the efficacy of triphaladhyam taila, administered continuously till samyak

snigdha lakshana followed by virechana with triphala choorna in managing overweight.

It will be an experimental type of study design, assessment will be done before and after the

treatment. Participants aged between 20-60 years registered in the IP department of Government

Ayurveda Panchakarma Hospital, Poojappura, Thiruvananthapuram satisfying the inclusion

criteria will be selected. The baseline data will be collected through questionnaire, subjective and

objective examination. After collecting baseline data, detailed history and examination will be

done using clinical case proforma.

A total of 20 participants will be selected by consecutive sampling. Rookshana will be done prior to

snehapaana with gandarvahastadi kashayam 48ml bd before food and vaishwanara choorna 6gm

with kashaya. Internal administration of triphalaadhyam taila will be done according to agni and

koshta of the participants. Snehapana will be stopped after attainment of samyak snigdha lakshanas

and then self abhyanga with panchaamla taila and ushnodaka snaana for 3 days will be advised.

After that virechana will be done with triphala choorna for 1 day. The participants will be assessed

for the objective variables like weight and BMI on the 0th day, before and after snehapaana and after

virechana . Depending upon the distribution of variables, it will be analysed using Wilcoxon’s signed

rank test or paired t test or ANOVA test