Case Studies: Weight Loss

Obesity increases the risk of development of diabetes, cardiovascular diseases, osteoarthritis, depression, etc. According to Ayurveda, it has effective treatments to reduce body weight and to improve the quality of life.

Patient Name: Mrs. SM

Age & Sex: 46/Female

Presenting complaints:

• Increased body weight since 6 years
• Pain, stiffness and swelling of b/l knee joints since 2 years
  
  

H/O Presenting complaints:

A 46-year-old female patient was admitted to our hospital with complaints of increased body weight for 6 years, associated with b/l knee joint pain, stiffness, and swelling. Not a known case of DM, HTN, PCOS, or hyperthyroidism. Dasavidhapariksha and Ashtasthanapariksha of the patient were done. X-rays of b/l knee joints were done, which revealed degenerative changes. Her BMI was 31.3. On examination of knee joints, swelling ++ was present, and movements were restricted and painful.

Vital Parameters:

BP: 130/80mm of hg           Pulse: 80/min    

Height: 162cm                     Weight:82 Kg                BMI:31.3

CC: 104cm                           WC: 112cm                    HC:125cm

MAC: Rt-30cm, Lt-31cm                          MTC: Rt-55cm, Lt-53cm

Ahara: Mixed diet

Vihara: No exercises, Day sleep

Appetite: Good

Micturition: Normal

Bowel: Normal

Sleep: Good

General systemic examination:

Gait: Normal                    GC: Normal          CVS: S1S2 heard

CNS: Oriented to place and time

RS: NVBS heard                           PA: Soft, No Organomegally

Investigations:

HB: 11%

ESR: 48 mm/hr

FBS: 92 mg/dl

Uric Acid: 3.2 mg/dl

Total Cholesterol: 179 mg/dl

HDL: 83 mg/dl

LDL: 86.1 mg/dl

Triglycerides: 199mg/dl

VLDL: 40.2 mg/dl

Dasavidha Pariksha:

Prakruthi: Kapha vata

Vikrutha Dosha: kapha Vata

Dushya: Rasa, Mamsa, Medas, Asti, Majja

Sara: Medosara

Samhanana: Pravara

Satva: Madhyama

Aharasakthi: Abhyavaharanasakthi—Pravara

Jaranasakthi-Pravara

Vyayamasakthi: Madhyama

Vaya: Sampoornatha

Pramana: Pravara

Ashtavidha Pariksha:

Nadi: Vridha

Mala: Nirama

Mutra: Sadharana

Jihwa: Raktavarna

Sabda: Sadharana

Sparsha: Anushnasita

Drik: Sadharana

Akruthi: Ati

Nidana Panchaka:

Nidana:  Ahara – Snigdha, Madhurarasa pradhana aharas

                Vihara – Avyayamas, Divaswapna

Purvarupa: Excess fat deposition in lower abdomen

Rupa: Increased body weight, excess fat deposition in buttocks, thighs, lower abdomen, knee joint pain

            Upasaya—Less food intake and exercises

            Anupasaya- More intake of foods

Samprapthi Gataka:

Dosha: Kapha Vata

Dushya: Rasa, Mamsa, Medas, Asti, Majja

Agni: Jataragni, Dhatwagni

Ama: Sama

Srotas: Dhatuvaha

Srotodushtiprakara: Atipravrithi and Sanga

Sadhyasadhyata: Krichrasadhya

Treatments given:

By considering the agnibala of the patient, treatments given as follows. Started with Snehapana. Sthanika Choornapindasweda and Lepa has given for knee joints for reducing the inflammation. Along with the medication started shamanoushadhas, weight loss diet and Yoga sessions.

Day 1 to Day 8

Snehapana for 5 days

Abhyanga and Bashpasweda for 2 days

Virechana

Day 9 to Day 21

Udwarthana

Bashpasweda

Dhanyamlaparisheka

Sthanika choornapindasweda

Lepana

Januvasti

Yogavasti

Shamanoushadhas

Yoga