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RASOUSHADHIS IN THE

MANAGEMENT OF
STHOULYA
Dr Raghuveer
E-mail:
drraghuveer07@gmail.com
कार्षमेेय्व वरंं स्थौल्ा्त् ्न हि स्थूलस्् भेेषजम् ् बंि णं लंंघनंं
वालमततमेेदोग्ननवातग्जत् ्||
- A.H.14/31

स्थौल््काषे वरंं कार्ष् ंंसमोपकरणौ हि तौ


द्य्ुभौव्ा्धिरागच्छेेत् ्स्थूलमेेवाततपीड्ेेत् ् ||
- Cha.Su.21/1

अत्न््तगहितयावेेतौ सदा स्थूलक शौ नरौ |


शे्रेष्टो मध््शरीरस्तुु क श: स्थूलात्तु ुपूग्जत: ||
- Su.Su.15/42
Sthoulya??
•Excessive accumulation of Medha dhatu
Cha.su.21/4-5

Obesity:
Obesity is an abnormal accumulation of body fat, usually
20% or more over an individual's ideal body weight.
Obesity is associated with increased risk of illness,
disability, and death.
Bitter truths!!!
•One among the Astaninditapurusha (Cha.su.21)
• One of the Santarpanajanya roga
• (Cha.su.23) Very difficult to treat compare
• to Krishata Predisposing and triggering
diseases
factor forLeading
many problem in modern
• world Has got social stigma along with
• health problems
Facts
 Globally, there are more than 1 billion

overweight adults, at least 300 million of them


 obese.
Obesity and overweight pose a major risk for
chronic diseases, including type 2 diabetes,
cardiovascular disease, hypertension and stroke,
and certain forms of cancer.
 The key causes are increased consumption of
energy-dense foods high in saturated fats and
sugars, and reduced physical activity.
What obesity can cause?
Child obesity -A burning health issue
Chikitsa sutra
•तत्र मेेदोतनलशे्लेर्षमनाशनं सवमयमर्ष्ते |
- A.H.14/20

• गुरु चापतपणयम् ्स्थूलेे ववपरीतम् ्हितंं क शेे |


व्गोिूममुुभो्स्तद्योन्हितकल्पनम् ्||
- A.H.14/36
What can we do about it?

Ayurveda Contemporary
• Guru Apatarpana •Antiobesity Drugs
•Anticholestremic
• Chesta/Vyayama
agents
• Langhana •Exercises •Lifestyle
• Lekhana Chedana modification
• Kshara,Yava,Madh •Low caloric/low fat
• u, diet
Mudga •Prevention of
complications
Management of Sthoulya with
Rasoushadis???
Stratergies of Management

 Reduce the weight Reduce the cholesterol


 Reduce the risk of complications Improve the
 quality of life Drugs with less side effects on
 long run, cost effective, easily available,
 Better results
Rasoushadhis in Bruhatrayis
CHARAK SUSHRUTH VAGBHAT
A A A
SINGLE shilajatu shilajatu shilajatu
DRAVYA
S

COMPOUND Shilajatu, loha bhasma, Shilajatu, loha Vidangadya loha,


PREPARATIO kshara bhasma, kshara shilajatu
NS

Why not in
Sthoulya???
In other texts
Sl TEX SINGLE COMPOUND
No T DRAVYAS PREPARATION
1 Yoga Ratnakara Rasa bhasma/ Trayushanadhya
S Loha,
Rasasindhura Trimurti Rasa, Vadavagni
Rasa
Chakradatta Shilajatu Loha rasayana ,Loharista
2
,Vidangadya Loham
Bhavaprakasha Shilajatu with
3 Loharasayana,
Loharista
Guggulu Shilajatu

4 Vangasena with Agnimantha Loharasayana ,


Loharista
kwatha
Shilajatu with
Contd…
Sl. TEX SINGLE COMPOUND
No T DRAVYAS PREPARATIONS
5 Rasendrasara Sangraha ----- Tyayushanadhya loha

6 Rasa Ratna Samucchya ----- Vadavagni Loha

Vadavagnimukha Rasa
7 Bhaisajyaratnavali Shankhabhasma with
Agnikumararasa
Vasa swarasa
8 Rasakamadhenu Shankhabhasma with Vidangadi
Bilva patra swarasa VidangadyaLoha,
LohamMedohara rasa,
Loharista, Loharasayana,
Haratala+Gandhaka lepa
Tyayushanadhya loha
9 Rasendra chintamani ----- Tyayushanadhya Loha
Vadavagni Rasa
Pshtyankusha Rasa
10 Rasatarangini Shilajatu with
vidangadya loha
Agnimantha kwatha
List of Common preparations
1 Shilajatu prayoga
2.Loharista
.3.Loharasayana

4.Vadavagni Rasa
Shilajatu
Loha
5.Vadavagni loha 6.

Vidangadi loha
7. Trayushanadyaloha

8. Agnikumara rasa
LOHARISTA
B.R.

• Shaalasaradi gana dravya kwatha


• Pippalyadi gana dravya churna
• Loha patra
LOHA RASAYANA
B.R.
• Shu Guggulu Loha bhasma
•Musuli Purana ghrita
Sita Madhu
•Triphala
Shilajatu
•Khadira Twak Ela
•Vasa
•Trivrut
•Snuhi Vidanga
•Nirgundi Pippali
• Chitraka
Kasisa
• Shati Triphala
Maricha
VADAVAGNI RASA
Y.R ; Ra.Sa.Sa
•Shu parada •Shu
gandhaka
•Haratala bhasma
• Tamra bhasma Arka ksheera
• bhavana for 1 day

Dose: 2 Gunja
Anupana : Madhu
VADAVAGNI LOHA
Ra.Sa.Sa.

• Parada bhasma / Rasasindhura


• Shu Haratala Loha bhasma
• Tamra bhasma

•Arka patra swarasa bhavana

Dose : 1 valla (375mg)


Anupana : Madhu
VIDANGADYA LOHA
B.R.

• Vidanga Loha bhasma – equal to all


• Triphala
• Musta Jala bhavana Prepare vatis of
• Pippali
• Shunti size 2 masha Dose: 2 masha
• Bilva
• Chandana Anupana: Dugdha
• Hribera
• Patha
• Usira
TRYUSHANADYA LOHA
Y.R. (Medoroga chikitsa)
• Tryushana Triphala
• Chavya Chitraka
• Vidanga Bakuchi Dose : 1 masha
• Oudbida lavana
• Saindhava lavana Anupana : Madhu, Ghrita
• Souvarchala lavana
• Loha bhasma Karma : Rasayana



AGNIKUMARA RASA
R.R.S.

• Shu Parada – 1p Shu


• Gandhaka – 1p Shu
• Vatsanabha – ½ p
• Shukti bhasma -16 p
•Bhavan with Hamsapadi swarasa for 3 days

Dose: 1 Ratti to 1 Valla


TRIMURTI RASA
Y.R. (Medoroga)

• Shu Parada Shu Gandhaka Loha bhasma


• Bhavana with Nirgundi swarasa and Musuli
• kanda swarasa/kwatha

Dose : 1 masha Anupana : Lodhra


churna, Madhu
MEDOHARA RASA
Rasakamadhenu (Medoroga)

• Shu Parada Shu Dose


• Gandhaka Vidanga 3 Ratti
• churna Bhavana with
Anupana
• Arka Madhu,
ksheera
Madhoodaka
PUSHTYANKUSHA RASA
Ra.Chi. (Sthoulyadhikara)
•Rasasindhura Bhavana dravya:
• Abhraka bhasma Tulasi swarasa, Chitraka
• Shu Vatsanabha kwatha, and
•Loha bhasma
Kumari swarasa
•Shunti churna
•Maricha churna 1-1 day trituration with each
•Pippali churna
•Yavakshara drug =>
1 ratti Anupana
prepare vatis of size
Madhu, Madhoodaka
Shilajatu prashamsa
न सो ग्स्त रोगो भुुवव: साध््रूप: मशलाह्व् ं ्ं
न ज्ेेत् ्प्रसह्य |
तत्कालो्गैववधयिमभ: प्र्ुुक्तम् ्स्वस्थस्् चोजा य
ववपुलां ददातत ||

- Cha.Chi 1/65
Properties of Shilajatu
ततक्तकत्कं्ं स्वादु ु नात््ुुर्षणशीतलंं वर्ष ्ंं
त्रत्रदोशग्जत् ्भेेहद चकु् षुर्ष्ंं रस्नम् ्
क्ष्शोफ़ोदराशोघ्नंं मेेिमूूत्रग्रिापिम् ्नूूनंं
सज्वरपाण्डुु शोफशमनंं मेेिाग्ननमान्द्यापिंं
मेेदश्छेेदकरंं च क्ष््मशमनंं मूूलामो्न्मूूलनम् ्
st
- Anandakanda kriyakarana vi 1 chp
- R.R.S. 2/115
Shilajtu prayoga
• सुुभाववतां .... गण्डमालाबुदयग्रग्न्थस्थौल््कुु ष्ठभगन्दरान्.्...

- A.H.12/35 (Prameha chi)


Properties of loha bhasma
• लौिंं रूक्षं सुमिुरमलं पाकतश्चाथ ततकं्तं वी्ेे शीतंं गुरु च तुुवरंं
• लेेखनन्चाततनेेत्र््म् ् बल््ंं वर्ष ्ंं जठरगदनुुत्
• ्शे्लेर्षमवपत्ताम्घ्नम्.्..
• मेेदोमेेितनवियणं ंगदिरंं दुनुायमरोगान्तक त्.्.. स्थौल््
• ंंववह्वल्त््लंं दलत्त शे्लेर्षमामा्न् ्सवथया
- R.T. 20/83-86
TAMRA BHASMA GUNA
तामं्रं ततक्तकषा्कंं च मिुरंं पाकेे s थ वीो्र्षणकम् ्कोर्षणं
वपत्तकफापिंं
जठररुक्कुु ष्टामजूूत्न्य्तक त् ्|
ऊध्वाियपररशोिनं च ववषहृत्स्थौल्ा्पिंं क्षुत्करंं
दुनुामयक्ष्पान्डुु रोगशमनंं नेेत्र््ंं परंं लेेखनम् ्||
- Anandakanda (kriyakarana t )4
h
ullasa
CHEMICAL COMPOSITION OF SHILAJATU

• SHILAJIT contains more than 85 minerals in


Ionic form and FULVIC ACID.
•The FULVIC ACID concentration in shilajit is
between 60% to 75%
Contd


FULVIC ACID the major ingredient of the
Shilajit plays a vital role in penetrating the cell
walls and transporting the minerals in to the
cells.
•This is the most important property of the
Shilajit that helps in arresting and reversing the
aging process.
CHEMICAL COMPOSITION OF LOHA BHASMA

• Iron – 94 % Silicon -
• 1.07 % Sulphur –
• 0.08 % Phosphorus –
• 0.07 % Manganise –
• 0.30 % Carbon –
• 0.39 % Graphite - 3.9
• %
Relation between iron & obesity

•A few small studies have noted a possible association


between iron deficiency and obesity.

•Two epidemiologic
1960s studies published
noted an association between in the early
overweight
status among children and adolescents and iron
deficiency.
• A recentlypublished cross-sectional study found that
overweight children and adolescents exhibited lower
iron levels.
Contd
• …
The objective of this study was to investigate the association
between weight status (measured as BMI) and iron deficiency
among a nationally representative sample of children and
adolescents.

• Result:- Nationally representative sample of childrenand


adolescents, we found that iron deficiency was more prevalent

among subjects with higher BMI values.


• In addition, almost 1 of every 10 overweight adolescents was iron-
deficient.
Proprietary preparations
Sl.No Preparation Manufacturer
1 Tab-B-Slim Bacfo Prabhat
2 Cholestrowin- Phytopharma
3 Cap-Decrin Ayulabs
4 Cap-Defet-5
5 Cap-Liposid Anuja
6 Syp-Liposem KAPL
7 Cap-Lofat Chirayu
8 Cap-Obez Atrimed
9 Obenyl Charak
CONCLUSION
•Rasoushadhis like shilajatu, Loha
bhasma, Rasasindhura/parada bhasma are
the best drugs to treat sthoulya.

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