Ayurvedic intervention with Pachana Aushadhi and Lekhan Basti in Obesity: A case study

In the 21st century, the prevalence of lifestyle disorders has surged, exacerbated by sedentary habits and increased stress, particularly in the aftermath of the COVID-19 pandemic. This has led to a substantial rise in cases of Sthaulya, affecting approximately one-third of the global population with overweight or obese. Obesity, a complex and multifaceted disease, has tripled in global prevalence since 1980, impacting diverse age groups, genders, and socio-economic strata.  Although rates have plateaued in some developed nations, the consequences of obesity extend beyond physical appearance, causing both physical and mental harm and significantly affecting overall quality of life.  Furthermore, obesity serves as a precursor to various secondary health conditions, including but not limited to diabetes, hypertension, ischemic heart disease, dyslipidemia, and more. Ayurveda classifies Athisthaulya as one of the eight undesirable conditions under Ashtanindita purusha. It arises from the vitiation of Kapha dosha, Vata dosha, and Medo dhatu, aligning with the contemporary understanding of obesity as a chronic metabolic disorder.  Ayurveda's holistic approach, incorporating Pachana chikitsa and Lekhana basti, shows promise in managing Sthaulya.

This case study involves a 52-year-old female patient with a weight of 112 kg and a BMI of 41.1. Over 30 days, the patient underwent a comprehensive Ayurvedic management plan, including Pachana aushadhi for 7 days and Lekhana basti for 21 days. The outcome demonstrated a significant weight loss of 11 kg, reducing her weight to 101 kg. and achieving a BMI of 37.1 without complications. This case underscores the potential of Ayurvedic interventions in addressing the challenges of obesity.