Trial of Arogya Vardhini Vati and Lekhaniya Mahakashaya for obesity.
Journal name: Ayushdhara
Original article title: A clinical trial of arogya vardhini vati and lekhaniya mahakashaya in the management of obesity
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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V. B. Kumawat*
Research Officer (Ayu.) Scientists-3 M.S. Regional Ayurveda Research Institute for Endocrine Disorders, Jaipur
Bhanupriya Kaushik
PG Scholar, Dept. of Panchkarma, Uttrakhand Ayurved University, Gurukul Campus, Haridwar
Rashmi
PG Scholar, Dept. of Panchkarma, Uttrakhand Ayurved University, Gurukul Campus, Haridwar
Abhishek Saxena
Professor & HOD, Dept. of Panchkarma, Uttrakhand Ayurved University, Gurukul Campus, Haridwar
Uttam Kumar Sharma
PG Scholar, Department of Panchkarma, HA(PG)MC & Hospital, Dehradun
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: A clinical trial of arogya vardhini vati and lekhaniya mahakashaya in the management of obesity
Year: 2018
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Obesity is a significant health concern characterized by the excessive accumulation of body fat, increasing the risk of various diseases such as diabetes, heart disease, and hypertension. The World Health Organization (WHO) recognizes obesity as a global epidemic, affecting approximately 300 million adults worldwide. In Ayurveda, Acharya Charaka categorizes obesity, referred to as "Sthoulya," among the conditions deserving of attention due to its implications on health and self-esteem. This clinical trial aimed to assess the effect of two Ayurvedic formulations, Arogya Vardhini Vati and Lekhaniya Mahakashaya, in managing obesity among patients at the Uttarakhand Ayurved University Hospital.
Efficacy of Ayurvedic Formulations in Obesity Management
The study enrolled 20 patients diagnosed with obesity, focusing on their treatment with Arogya Vardhini Vati and Lekhaniya Mahakashaya. These formulations are described in Ayurvedic texts and are believed to possess therapeutic properties that aid in fat reduction without hindering digestion or nutrient absorption. During the 60-day trial, patients were administered the formulations and underwent regular assessments. Significant improvements in symptoms were observed, particularly in areas such as "Kshudra Shwasa" and "Swedadhikya," with relief percentages reaching as high as 74.85% and 76.75%, respectively. The formulations displayed favorable results in objective measures as well, including reductions in Body Mass Index (BMI), body weight, and waist circumference.
Factors Contributing to Obesity in the Study Population
Analysis of the participant demographic revealed trends in age, gender, and socio-economic status that correlate with obesity prevalence. Most patients were aged 31-40 years, with a higher representation of females (70%) compared to males (30%). Additionally, the majority belonged to the middle class, indicating socio-economic factors may contribute to dietary habits leading to obesity. Further insight into the participants' dietary practices showed a predominance of vegetarian diets among nearly two-thirds of the patients. This underscores the complexity of obesity, which is influenced not only by lifestyle choices but also by broader socio-economic patterns.
Conclusion
The combination of Arogya Vardhini Vati and Lekhaniya Mahakashaya demonstrates efficacy in treating obesity, as indicated by significant weight reduction and symptom relief observed throughout the study. Both formulations possess Ayurvedic properties that support fat metabolism and digestibility, leading to effective weight management without adverse effects on nutrient absorption. This study emphasizes the potential of traditional Ayurvedic medicines in addressing modern health challenges like obesity, highlighting the need for further research in integrating these treatments into contemporary health care practices.
FAQ section (important questions/answers):
What is the main purpose of the clinical trial discussed?
The trial aims to assess the effectiveness of Arogya Vardhini Vati and Lekhaniya Mahakashaya in managing obesity. These traditional Ayurvedic formulations aim to reduce excess body fat without affecting the absorption of essential nutrients.
What criteria were used to select patients for the study?
Patients aged 20 to 65 years with a BMI over 30 were included. Additionally, waist circumference measurements were taken, ensuring participants faced issues associated with obesity, such as pain in weight-bearing joints.
What were the key findings regarding symptom relief after treatment?
Significant relief was observed in various symptoms of obesity. The study reported up to 76.75% improvement in symptoms like excessive sweating, indicating the effectiveness of the treatments in reducing obesity-related issues.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Trial of Arogya Vardhini Vati and Lekhaniya Mahakashaya for obesity.�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Lekhaniya:
In Ayurveda, 'Lekhaniya' refers to substances or treatments that have scraping actions, helping to reduce excessive accumulations in the body such as fat. It involves 'Lekhana' properties that are essential in treating obesity by reducing 'Meda'.
2) Mahakashaya (Mahakasaya, Maha-kashaya):
Mahakashaya is a term in Ayurveda used to describe large groups of herbs or drugs that share common therapeutic properties. 'Lekhaniya Mahakashaya' consists of various potent herbs believed to help in reducing body fat and managing obesity.
3) Vati:
'Vati' is a form of Ayurvedic medicine presented in tablet or pill form. 'Arogya Vardhini Vati' is a combination of several herbs and minerals formulated to address health conditions like obesity through 'Pachana, Lekhana', and other properties.
4) Arogya:
In Sanskrit, 'Arogya' means health and well-being. 'Arogya Vardhini Vati' is a herbal formulation aimed at enhancing general health and addressing disorders, including those involving high 'Meda' or body fat.
5) Drug:
Ayurvedic 'Drugs' like 'Arogya Vardhini Vati' and 'Lekhaniya Mahakashaya' are used to treat obesity by leveraging their natural properties to balance 'Agni' and reduce 'Meda' without adverse side effects.
6) Food:
'Food' influences health significantly. Unhealthy foods rich in 'Madhura' (sweet), 'Snigdha' (oily), and 'Sheeta' (cold) qualities can lead to 'Meda' accumulation and hence obesity, which Ayurveda aims to counter with proper dietary habits.
7) Disease:
'Obesity' is a common 'disease' characterized by excessive 'Meda' accumulation. It increases risks for other 'diseases' such as 'Diabetes', 'Hypertension', and 'Cancer', making Ayurvedic interventions important.
8) Dhatu:
'Dhatu' refers to the bodily tissues that get nourished through 'Agni'. Imbalanced 'Medo Dhatu' (fat tissue) can lead to obesity, which Ayurveda addresses by normalizing 'Agni' with treatments like 'Vati' and 'Kashaya'.
9) Medas (Meda, Medash):
'Meda' (fat) is one of the 'dhatus' in the 'human body'. Its imbalance leads to obesity, which is a significant health condition addressed by Ayurvedic drugs like 'Arogya Vardhini Vati' and 'Lekhaniya Mahakashaya'.
10) Ayurveda (Ayus-veda):
'Ayurveda' is an ancient Indian system of medicine focusing on balancing bodily functions through natural remedies. It classifies obesity under 'Sthoulya' and treats it using specific herbs and formulations.
11) Shuddha (Suddha):
'Suddha' means purified or detoxified. Ingredients like 'Suddha parad' (purified mercury), 'Suddha gugulu' (purified guggul), and 'Suddha shilajatu' (purified rock exudate) are used in preparations like 'Arogya Vardhini Vati'.
12) Campu:
[see source text or glossary: Campu]
13) Katu:
'Katu Rasa' refers to pungent taste, which in Ayurveda is believed to reduce 'Meda' and enhance the digestive fire 'Agni'. Herbs with 'Katu' properties are used in formulations like 'Lekhaniya Mahakashaya'.
14) Atinidra:
'Atinidra' refers to excessive sleep, a common symptom of obesity. Ayurvedic treatments aim to reduce 'Atinidra' by addressing 'Meda' imbalance through 'Lekhana' and other therapies.
15) Medicine:
In Ayurveda, 'medicine' like 'Arogya Vardhini Vati' is classified based on their actions such as 'Lekhana', 'Pachana', and 'Shodhana'. These medicines manage obesity by promoting 'Laghuta' (lightness) and reducing excess 'Meda'.
16) Lekhana:
'Lekhana' is the scraping action used in Ayurveda to reduce bodily excesses like 'Meda'. It is crucial in managing conditions like obesity using 'Lekhaniya Mahakashaya' and 'Arogya Vardhini Vati'.
17) Trishna (Trsna):
'Trishna' means excessive thirst, a symptom commonly found in obese individuals. Ayurvedic treatments aim to alleviate 'Trishna' by balancing bodily elements using specific herbs and formulations.
18) Kshudra (Ksudra):
'Kshudra Shwasa' refers to shortness of breath, a symptom of obesity. Ayurvedic treatments for obesity like 'Lekhaniya Mahakashaya' and 'Arogya Vardhini Vati' aim to ameliorate this condition by reducing 'Meda'.
19) Koshtha (Kostha):
'Koshtha' refers to the alimentary canal types in Ayurveda. 'Madhyam Koshtha' signifies a balanced digestive system, while 'Krura Koshtha' indicates a slow one, impacting the management of 'Meda' and treatments for obesity.
20) Bhasma (Bhasman):
'Bhasma' refers to calcined preparations in Ayurveda. 'Tamra Bhasma' and 'Abhraka Bhasma' are included in 'Arogya Vardhini Vati' to support the treatment of various conditions including obesity.
21) Ruksha (Ruksa):
'Ruksha Guna' (dry property) is used in Ayurveda to balance excessive 'Meda'. 'Lekhaniya Mahakashaya' contains herbs with 'Ruksha' properties to aid in the management of obesity.
22) Utsaha:
'Utsaha Hani', meaning lack of enthusiasm or energy, is a symptom of obesity. Ayurvedic treatments aim to restore 'Utsaha' by reducing 'Meda' and balancing 'Agni' and 'Dhatus'.
23) Jaipur:
The clinical trial mentioned in the document was conducted by researchers including those based in Jaipur, at the M.S. Regional Ayurveda Research Institute for Endocrine Disorders.
24) Abadha:
'Abadha Meda Dhatu' refers to improperly formed or excessive fat tissue. Ayurvedic treatments aim to reduce 'Abadha Meda' for managing obesity effectively through properties like 'Lekhana' and 'Pachana'.
25) Cancer:
Obesity increases the risk of several types of 'cancer' including colon, prostate, and breast cancer. Ayurvedic medicines aim to reduce this risk by treating the underlying 'Meda' imbalance.
26) Indian:
India has seen a rise in obesity, particularly in urban areas. Ayurvedic solutions like 'Arogya Vardhini Vati' are part of the 'Indian' traditional knowledge system for managing health issues like obesity.
27) Laghu:
'Laghu Guna' indicates lightness, a property used in Ayurveda for its beneficial effects on digestion and reducing 'Meda'. 'Arogya Vardhini Vati' and 'Lekhaniya Mahakashaya' utilize 'Laghu' properties to manage obesity.
28) Tikta:
'Tikta Rasa' (bitter taste) is known in Ayurveda to aid in fat metabolism. 'Lekhaniya Mahakashaya' includes several herbs with 'Tikta' properties to help reduce 'Meda' in obese individuals.
29) Hani:
'Utsaha Hani' means the loss of enthusiasm, a common issue in individuals with obesity. Ayurvedic treatments aim to restore 'Utsaha' by addressing 'Meda' and improving overall vitality.
30) Anga (Amga):
'Anga Sethilya' describes the looseness of limbs or body parts, a symptom often seen in obesity. Ayurvedic treatments like 'Lekhaniya Mahakashaya' are meant to improve this condition by reducing 'Meda'.
31) Guna:
'Gunas' are qualities or attributes in Ayurveda. Herbs in 'Arogya Vardhini Vati' and 'Lekhaniya Mahakashaya' possess various 'Gunas' like 'Ruksha' (dry), 'Laghu' (light), aiding in the management of obesity.
32) Diet:
'Diet' plays a crucial role in managing obesity. Ayurveda suggests avoiding foods high in 'Madhura, Snigdha', and 'Sheeta' to prevent the accumulation of 'Meda', thus maintaining a balanced body 'Agni'.
33) Human body:
Obesity affects the 'human body' by disrupting the balance of 'Meda' and 'Agni'. Ayurvedic treatments like 'Arogya Vardhini Vati' aim to rebalance these elements to promote overall health.
34) Pharmacological:
Modern 'pharmacological' treatments for obesity often come with side effects. Ayurvedic medicines like 'Arogya Vardhini Vati' offer alternative solutions without such adverse impacts.
35) Abhrakabhasma (Abhraka-bhasma):
'Abhraka Bhasma' is a calcined mica preparation used in 'Arogya Vardhini Vati'. It has therapeutic properties that aid in balancing 'Meda' and treating conditions like obesity.
36) Tamrabhasma (Tamra-bhasma):
'Tamra Bhasma', a calcined copper preparation, is one of the ingredients in 'Arogya Vardhini Vati'. It helps in the management of obesity by leveraging its 'Pachana' and 'Shodhana' properties.
37) Daruharidra (Daru-haridra):
'Daruharidra' is one of the herbs included in 'Lekhaniya Mahakashaya'. It is known for its 'Tikta' property and aids in improving digestion and reducing 'Meda' accumulation.
38) Jatharagni (Jathara-agni):
'Jatharagni' refers to the digestive fire in Ayurveda. Proper functioning of 'Jatharagni' is critical for metabolizing 'Meda'. Treatments like 'Arogya Vardhini Vati' aim to enhance 'Jatharagni'.
39) Medadhatu (Meda-dhatu):
'Meda Dhatu' is responsible for fat tissue in the body. Imbalances in 'Meda Dhatu' lead to obesity, which is managed by Ayurvedic treatments that balance 'Meda' through properties like 'Lekhana'.
40) Discussion:
'Discussion' of the study results highlights the significant effects of 'Arogya Vardhini Vati' and 'Lekhaniya Mahakashaya' on obesity management by reducing 'Meda' and improving related symptoms.
41) Shilajatu (Silajatu, Shila-jatu):
'Suddha Shilajatu' (purified rock exudate) is used in 'Arogya Vardhini Vati' for its 'Lekhana' property, aiding in reducing excess 'Meda' and treating obesity.
42) Ativisa (Ativisha):
'Ativisha' is one of the herbs found in 'Lekhaniya Mahakashaya', known for its 'Katu' property that helps in reducing 'Meda' and aiding digestion.
43) Haritaki:
'Haritaki' is an ingredient in 'Arogya Vardhini Vati'. It acts on 'Agni', helping to improve digestion and reduce 'Meda', making it effective in managing obesity.
44) Shodhana (Sodhana):
'Shodhana' refers to purifying or detoxifying processes in Ayurveda. 'Arogya Vardhini Vati' and 'Lekhaniya Mahakashaya' have 'Shodhana' properties benefiting the management of excess 'Meda'.
45) Epidemic:
Obesity is described as a global 'epidemic' by the WHO. Ayurvedic treatments aim to manage this condition by balancing 'Meda' and 'Agni' through natural therapeutic interventions.
46) Sweating (Sweat):
Excessive 'sweating' or 'Swedadhikya' is common in obesity. Ayurvedic treatments aim to balance 'Meda', thereby reducing excessive 'sweating'.
47) Madhura:
'Madhura Rasa' (sweet taste) in excess contributes to 'Meda' accumulation. Avoiding foods high in 'Madhura' is recommended in Ayurveda for managing obesity.
48) Samhita:
'Charak Samhita' is an ancient Ayurvedic text that provides formulations like 'Lekhaniya Mahakashaya' for treating conditions such as obesity through 'Lekhana' and 'Pachana' properties.
49) Guggulu:
'Suddha Guggulu' is used in 'Lekhaniya Mahakashaya' for its fat-reducing 'Lekhana' properties. It is effective in managing obesity by reducing 'Meda'.
50) Sukshma (Suksma, Shukshma):
'Sukshma Guna' refers to the subtle property that allows substances to penetrate deeply. Ayurvedic formulations with 'Sukshma' properties can effectively reduce 'Meda'.
51) Abhraka:
'Abhraka' is mica, used in its calcined form ('Abhraka Bhasma') in 'Arogya Vardhini Vati' to balance 'Meda' and aid in the treatment of obesity.
52) Adhikya:
'Ksudha Adhikya' (excessive hunger) is a symptom managed in Ayurveda by balancing 'Agni' and reducing 'Meda' through 'Pachana' and 'Lekhana' treatments.
53) Snigdha:
'Snigdha Guna' refers to oily or unctuous qualities that can contribute to 'Meda'. Avoiding 'Snigdha' foods is part of dietary recommendations in Ayurveda for obesity management.
54) Laghuta:
'Laghuta' means lightness, a state that Ayurvedic treatments aim to achieve by reducing the excessive 'Meda' using 'Lekhana' and 'Pachana' therapies.
55) Haridra:
'Haridra' (turmeric) is one of the ingredients in 'Lekhaniya Mahakashaya', known for its 'Katu' and 'Tikta' properties, aiding in fat metabolism and reducing 'Meda'.
56) Chennai:
The rise of obesity in Indian cities like 'Chennai' has led to increased interest in Ayurvedic treatments which focus on managing 'Meda' and improving 'Agni'.
57) Kashaya (Kasaya):
'Kashaya' refers to a decoction form of Ayurvedic medicine. 'Lekhaniya Mahakashaya' is administered in decoction to aid in reducing 'Meda' and managing obesity.
58) Ushana (Usana):
'Ushana Veerya' (hot potency) is a property in Ayurveda used to balance 'Meda' and manage coldness. Drugs with 'Ushana Veerya' help in treating obesity.
59) Rashmi (Rasmi):
Rashmi is one of the co-authors of the clinical trial on 'Arogya Vardhini Vati' and 'Lekhaniya Mahakashaya' for obesity management.
60) Kshudha (Ksudha):
'Ksudha Adhikya' means excessive hunger, a symptom often alleviated in Ayurvedic treatments for obesity by balancing 'Agni' and reducing 'Meda'.
61) Kushtha (Kustha):
'Kustha' is one of the herbs in 'Lekhaniya Mahakashaya', which helps in scraping off excessive 'Meda' due to its 'Lekhana' properties.
62) Sharman (Sarma, Sharma, Sarman):
Uttam Kumar Sharma is one of the co-authors and contributors to the study on 'Arogya Vardhini Vati' and 'Lekhaniya Mahakashaya' in obesity management.
63) Saxena (Sakshena, Saksena):
Abhishek Saxena is another researcher involved in the clinical trial assessing effects of 'Arogya Vardhini Vati' and 'Lekhaniya Mahakashaya' on obesity.
64) Sutra:
'Chikitsa Sutra' is a principle or guideline in Ayurveda for treatment, which includes therapies like 'Lekhana' to manage conditions like obesity.
65) Karma (Karman):
'Lekhan Karma' is the scraping action used in Ayurvedic treatments to manage obesity by reducing excessive 'Meda' deposits in the body.
66) Tamra:
'Tamra' means copper, and its calcined form, 'Tamra Bhasma', is included in 'Arogya Vardhini Vati' for its beneficial properties to manage obesity.
67) Ratna:
'Ras Ratna Samucchaya' is an Ayurvedic text from which 'Arogya Vardhini Vati' is referenced as a treatment for obesity and other conditions.
68) Ushna (Usna):
'Ushna Veerya' signifies hot potency in Ayurvedic herbs. Both 'Arogya Vardhini Vati' and 'Lekhaniya Mahakashaya' contain herbs with 'Ushna Veerya' to aid in reducing 'Meda'.
69) Krura:
'Krura Koshtha' describes hard bowels, affecting 'Meda' management, and may influence the effectiveness of Ayurvedic treatments for obesity.
70) Lauha:
'Lauha Bhasma' (iron) is included in 'Arogya Vardhini Vati'. It helps in treating obesity by enhancing 'Agni' and reducing excess 'Meda'.
71) Delhi:
Modern megacities in India like 'Delhi' have seen rising obesity rates, prompting the use of Ayurvedic treatments which aim to balance 'Meda' and 'Agni'.
72) India:
Obesity is a growing health issue in 'India', particularly in urban areas, leading to the use of Ayurvedic treatments like 'Arogya Vardhini Vati' for managing 'Meda'.
73) Kumar:
Uttam Kumar Sharma, along with other researchers, conducted studies on Ayurvedic treatments like 'Arogya Vardhini Vati' for managing obesity.
74) Ayus (Ayush):
The 'Ayush' sector focuses on traditional Indian medical systems including Ayurveda, which offers treatments like 'Arogya Vardhini Vati' to manage 'Meda' and obesity.
75) Vaca:
'Vacha' is an herb included in 'Lekhaniya Mahakashaya' known for its 'Lekhana' properties that help in managing 'Meda' and treating obesity.
[Note: The above list is limited to 75. Total glossary definitions available: 78]
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