Role of Triphala Vidangadi in managing obesity (Sthoulya).
Journal name: World Journal of Pharmaceutical Research
Original article title: Role of triphala vidangadi lekhana basti & vidangadi ghana vati in the management of sthoulya w.s.r. to obesity
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Dr. Govind Narayan and Dr. Manoj Kumar Sharma
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Role of triphala vidangadi lekhana basti & vidangadi ghana vati in the management of sthoulya w.s.r. to obesity
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20201-16429
Download the PDF file of the original publication
Summary of article contents:
Introduction
Obesity, referred to as "Sthoulya" in Ayurveda, poses a significant global health challenge, leading to various diseases and complications. According to the World Health Organization (WHO), overweight and obesity are the fifth leading risks for global deaths, with alarming statistics showing that nearly one in five men and over one in six women are impacted. Traditional medical approaches to managing obesity often involve pharmaceutical interventions, which may lead to gastrointestinal side effects with long-term use. Consequently, researchers are seeking safe and effective alternatives for treating obesity, focusing on lifestyle modifications and Ayurvedic treatments.
Effectiveness of Triphala Vidangadi Lekhana Basti
One of the principal components studied for the management of obesity is "Triphala Vidangadi Lekhana Basti," a type of Ayurvedic enema therapy. This method involves administering a series of therapeutic enemas to detoxify the body and reduce excessive fat. The study demonstrates that this treatment option shows significant improvements in various subjective and objective parameters associated with obesity, such as body weight, BMI, and waist circumference. Participants reported noticeable relief in symptoms linked to obesity, including excessive appetite ("Atikshudha") and general weakness ("Daurbalya"). The findings suggest that the enema therapy is more beneficial for patients compared to oral medications like "Vidangadi Ghana Vati."
Role of Vidangadi Ghana Vati in Obesity Management
The second treatment evaluated is "Vidangadi Ghana Vati," an oral medication that combines several herbal components known for their obesity management properties. The study highlighted that while this therapy yielded positive results, particularly in alleviating symptoms of excessive hunger and fatigue, its effectiveness was less pronounced compared to the Basti treatment. Both therapies contributed to improvements in weight and related health parameters, but the statistical significance and patient-reported outcomes favored the Basti approach. The herbal formulation's作用 reveals that traditional Ayurvedic remedies can play a role in managing obesity but may be more efficacious when combined with systemic therapies like Basti.
Insights on Ayurvedic Principles and Mechanisms
The study underscores the importance of Ayurvedic principles in providing a holistic and natural approach to obesity management. Key concepts within Ayurveda, such as "Agni" (digestive fire) regulation, "Ama" (toxins), and maintaining a balance among the body's doshas (energetic types), are critical for understanding obesity's etiology and treatment. Notably, the mechanism of action behind Basti administration takes advantage of the rectal route, potentially bypassing the hepatic first-pass metabolism often associated with oral medications. This method enhances the bioavailability of active ingredients, facilitating rapid absorption and effective detoxification, ultimately promoting metabolic health.
Conclusion
In conclusion, the study illustrates the significant potential of Ayurvedic treatments, specifically "Triphala Vidangadi Lekhana Basti," in effectively managing obesity. The comparative analysis reveals that the Basti method yields superior results in reducing weight and improving health metrics related to obesity when contrasted with oral herbal therapies like Vidangadi Ghana Vati. Both methods exhibit beneficial outcomes and contribute positively to the quality of life of participants, with no reported adverse effects. The research advocates for a broader acceptance of holistic Ayurvedic approaches in contemporary obesity management strategies, highlighting the promise of natural remedies in addressing complex health issues.
FAQ section (important questions/answers):
What is the purpose of the study on Triphala Vidangadi Lekhana Basti?
The study aims to evaluate the efficacy of Triphala Vidangadi Lekhana Basti in managing obesity, referred to as 'Sthoulya' in Ayurveda, compared to Vidangadi Ghana Vati and Triphala Quatha.
What were the inclusion criteria for the study participants?
Participants had to be aged 16-70 years, diagnosed with 'Sthoulya' (obesity), fit for Basti Karma, and willing to provide consent. This ensured that only relevant patients were selected for the trial.
What treatments were compared in the study?
The study compared the effectiveness of Triphala Vidangadi Lekhana Basti and Vidangadi Ghana Vati with Triphala Quatha as oral medication over a 32-day period.
What results were observed after treatment with Lekhana Basti?
Significant improvements were noted in weight, BMI, and subjective parameters among participants receiving Lekhana Basti, indicating its superior efficacy compared to the oral medication group.
What were the common characteristics of study participants?
Most participants were aged 26-30, predominantly female, housewives, Hindu, and had a sedentary lifestyle with a high intake of heavy and unctuous foods.
Were there any side effects reported during the study?
No side effects were reported by patients during the treatment and follow-up period, indicating the safety of the administered therapies.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Role of Triphala Vidangadi in managing obesity (Sthoulya).”. 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) Basti:
In Ayurveda, 'Basti' refers to a therapeutic enema using medicated liquids which is known to treat various ailments, especially in the context of detoxification and nourishment of the body. The effectiveness of Basti is attributed to its ability to deliver medicinal properties directly to the affected areas and promote internal healing.
2) Lekhana:
The term 'Lekhana' translates to scraping or reducing, often relating to therapies that aim to decrease excess body mass or fat. In Ayurvedic practices, it is associated with methods that aid in the removal of toxins and excess doshas, particularly in the context of managing conditions such as obesity.
3) Guna:
In Ayurveda, 'Guna' refers to the inherent qualities or characteristics of substances, which dictate their effects on the body. These qualities help practitioners choose appropriate therapies based on a patient’s unique constitution and the nature of their imbalances, guiding treatments toward achieving harmony and health.
4) Triphala (Tri-phala):
Triphala is a well-known Ayurvedic formulation composed of three fruits: Haritaki, Amalaki, and Bibhitaki. Its properties are considered beneficial for digestion, detoxification, and rejuvenation. Triphala balances the three doshas, promotes longevity, and improves overall health through its antioxidant and anti-inflammatory effects.
5) Katu:
The term 'Katu' denotes a bitter taste, which is recognized in Ayurvedic herbal classifications for its digestive and stimulating properties. Katu substances are often used in formulas designed to combat ailments associated with excess Kapha and can enhance digestive fire, promoting metabolism and reducing fat accumulation.
6) Drug:
In the medical context, 'drugs' are defined as substances administered for therapeutic purposes. Ayurvedic drugs are extensively researched for their natural benefits, supporting the restoration of balance and health through holistic means, influencing treatment protocols for various conditions.
7) Kapha:
'Kapha' is one of the three doshas in Ayurveda, characterized by its earth and water elements. It governs structure and lubrication in the body, contributing to bodily stability. An imbalance in Kapha can lead to conditions like obesity, lethargy, and congestion, necessitating treatments aimed at its reduction.
8) Study (Studying):
In a research context, 'study' refers to the systematic investigation of health interventions, such as those implemented in the management of Sthoulya (obesity). The objective is to analyze therapeutic efficacy, patient outcomes, and potential side effects to inform clinical practices and enhance treatment protocols.
9) Ruksha (Ruksa):
The term 'Ruksha' signifies dry qualities attributed to certain foods and medications in Ayurveda. Ruksha substances are believed to absorb excess moisture and diminish phlegm, making them useful in treating conditions caused by excess Kapha, thereby promoting balance and health in individuals.
10) Rasa (Rasha):
'Rasas' refers to the tastes that influence food and drugs in Ayurveda. Understanding the six Rasas—sweet, sour, salty, bitter, pungent, and astringent—is essential for balanced dietary practices promoting health.
11) Kashaya (Kasaya):
Kashaya, or astringent taste, plays a significant role in Ayurvedic treatment protocols. It helps to tone tissues, reduce excess moisture, and is often used in therapies targeting conditions related to inflammation and excess Kapha, thereby promoting overall bodily balance and health.
12) Ushna (Usna):
'Ushna' refers to the heating quality in Ayurvedic terms. Substances classified under Ushna are believed to enhance digestion, improve circulation, and stimulate metabolic processes. They are especially beneficial in addressing conditions caused by coldness or dampness in the body.
13) Dhatu:
The word 'Dhatu' signifies the fundamental bodily tissues in Ayurveda, which include seven primary types that play essential roles in maintaining balance and overall physiological function. Each Dhatu has specific characteristics and serves vital functions contributing to the body's structure and health.
14) Ghana:
'Ghana' denotes a solid substance in Ayurvedic terminology, often referring to herbal preparations that are concentrated and potent. These formulations typically work intensively to address specific health concerns within the body while also aiding deeper detoxification processes.
15) Vati:
'Vati' typically refers to medicated tablets or pills of herbal origin in Ayurveda. They are prepared from various herbs and are known for their concentrated therapeutic effects. Vati is commonly used for ease of administration and effective dosage control in treatments.
16) Laghu:
'Laghu' suggests lightness or ease of digestion; substances that possess Laghu qualities are typically used to balance Kapha and promote proper digestive function. In Ayurvedic practice, light and easily digestible foods are encouraged, especially for those experiencing excess body weight or lethargy.
17) Medas (Meda, Medash):
'Meda' refers to body fat or adipose tissue in Ayurveda. It represents one of the seven Dhatus that contribute to overall health but must be maintained in balance to prevent conditions such as obesity and related metabolic disorders.
18) Vata:
'Vata' is the dosha representing movement and governs all dynamic processes in the body. Aligning with air and space elements, Vata influences vitality, circulation, and elimination. Proper management of Vata is crucial for preventing imbalances that can lead to various health issues.
19) Table:
'Table' refers to a systematic presentation of data or information which aids in the comparison and understanding of results in a study. In clinical research, tables are useful for displaying data concerning patient demographics, treatment outcomes, and statistical significance, enhancing clarity.
20) Tikta:
'Tikta' denotes a bitter taste, significant in Ayurvedic formulations. It is known for its detoxifying properties, helping to cleanse the body and enhance its metabolic processes. Tikta substances are often prescribed for individuals with a high Kapha constitution to promote balance.
21) Jatharagni (Jathara-agni):
'Jatharagni' is the digestive fire crucial to digestive processes in Ayurveda. It governs metabolism, nutrient absorption, and elimination. A balanced Jatharagni is essential for overall health, and many treatments aim at enhancing its function, particularly in metabolic disorders.
22) Tikshna (Tiksna):
'Tikshna' signifies sharpness or potency, indicative of substances that can stimulate and enhance metabolic activity. These qualities are essential in addressing imbalances related to sluggish metabolism and ensuring that bodily processes operate efficiently.
23) Phala:
'Phala' means fruit in Sanskrit and is often mentioned in Ayurvedic texts regarding the benefits of fruits in diet and herbal preparations. Fruits, through their varying Rasa and Guna, embody essential nutrients contributing to health and wellness.
24) Agni:
In Ayurveda, 'Agni' represents the transformative energy or digestive fire essential for metabolic processes. It is responsible for converting food into energy and nutrients. Maintaining optimal Agni is vital for health, as imbalances can lead to various diseases.
25) Ghanavati:
The term 'Ghanavati' refers to a concentrated form of medication in a solid or tablet form in Ayurveda. These preparations are potent and effective in targeting specific health issues and ensuring precise dosage in treatment regimens.
26) Madhura:
'Madhura' refers to the sweet taste, which is a vital dietary component in Ayurveda. It provides nourishment and energy while balancing the effects of other tastes. Excessive Madhura, however, can influence Kapha, reinforcing the need for moderation in its intake.
27) Dravya:
'Dravyas' denotes substances used in Ayurvedic treatments for health purposes. It encompasses a variety of natural ingredients, aiming to restore balance and address health issues through herbal and dietetic approaches.
28) Karma (Karman):
'Karma' pertains to the actions or processes through which therapeutic effects are realized in Ayurveda. It describes the methodologies used within treatments, such as purification, elimination, or enhancement strategies that address specific health disorders.
29) Saindhava (Saimdhava):
'Saindhava' refers to rock salt in Ayurveda, which is often used for its mineral content and cleansing properties. It is particularly valued for its ability to stimulate digestion and is incorporated into various treatments to balance doshas and enhance absorption.
30) Samprapti:
Samprapti signifies the complete process or progression of a disease including its causes, manifestations, and development. Understanding the Samprapti of a condition is essential for formulating effective Ayurvedic treatment plans aimed at addressing root causes rather than symptoms.
31) Ushana (Usana):
'Ushana' represents heat or warming properties in Ayurveda, reflecting substances that enhance circulation and digestion. Ushana substances are utilized to alleviate conditions that arise from coldness and improve metabolic functions.
32) Dosha (Dosa):
'Dosha' embodies the three fundamental energies (Vata, Pitta, Kapha) in Ayurveda that govern bodily functions and health. An imbalance in these doshas can lead to disease. Ayurvedic practices aim to harmonize doshas through diet, lifestyle, and medicinal interventions.
33) Tridoshahara (Tridosahara, Tridosha-hara):
'Tridoshahara' refers to substances or treatments that are effective in balancing all three doshas in Ayurveda. Such formulations restore harmony within the body and alleviate various ailments resulting from doshic imbalances.
34) Daurbalya:
'Daurbalya' translates to weakness or debilitation in Ayurveda. It signifies a state where physical or mental strength is compromised. Treatments aim to restore strength through nutritional support and herbal remedies tailored to the individual’s constitution.
35) Sukshma (Suksma, Shukshma):
'Sukshma' signifies subtle or fine qualities of substances in Ayurvedic medicine. Sukshma substances are believed to penetrate deeper areas of the body, enhancing therapeutic efficacy and influencing distant organs or tissues significantly.
36) Vipaka:
'Vipaka' refers to the post-digestive effect of food or drugs, determining how they will influence the body after digestion. Understanding Vipaka is crucial for prescribing appropriate dietary choices and herbal remedies to achieve desired health outcomes.
37) Madhu:
The term 'Madhu' means honey, a revered substance in Ayurveda known for its sweetness and numerous health benefits. It serves as a natural sweetener and is utilized for its soothing, antimicrobial, and detoxification properties in various formulations.
38) Taila (Thaila):
'Taila' means oil in Sanskrit and is extensively used in Ayurveda for massages, cooking, and therapeutic oils. They are selected based on their properties to treat various ailments and improve health, enabling the delivery of medicinal benefits effectively.
39) Kala:
'Kala' refers to time or seasonal significance in Ayurveda. Treatments and dietary recommendations often vary according to seasonality, acknowledging that health can be optimized by aligning lifestyle practices with natural cycles.
40) Atikshudha (Atiksudha, Ati-kshudha):
'Ati-kshudha' denotes excessive hunger, often a symptom of metabolic imbalance. Managing Ati-kshudha is vital through dietary interventions and lifestyle changes to restore health and balance bodily functions.
41) Yavakshara (Yava-kshara, Yavaksara):
'Yavakshara' refers to a specific Ayurvedic remedy derived from barley that possesses alkalizing properties, influencing digestion and acting as a gentle laxative. Its application relates to balancing digestive fire and fluid retention in the body.
42) Medicine:
'Medicines' comprise various substances used to promote healing. In Ayurveda, they are derived from natural sources and tasked with restoring balance among doshas, supporting holistic health and well-being.
43) Grahani:
'Grahani' refers to the site of digestion in Ayurveda, particularly the area around the small intestine. It plays a significant role in the digestive process and absorption of nutrients, representing an essential focus in treatments addressing digestive disturbances.
44) Disease:
Diseases signify pathological conditions that disrupt normal bodily functions. In Ayurveda, the focus is on identifying underlying doshic imbalances and treating them through holistic methods, including diet, lifestyle changes, and herbal remedies.
45) Virya:
'Virya' refers to the potency or energy of a medicinal substance, influencing its effectiveness and the nature of its action within the body. Understanding the Virya of a drug aids practitioners in selecting the right herbal remedies for specific health conditions.
46) Honey:
Honey, or 'Madhu,' is valued in Ayurveda not only for its sweetness but also for its medicinal properties. It is used as a base in many formulations for its soothing, anti-inflammatory, and antimicrobial effects, enhancing the therapeutic efficacy of other ingredients.
47) Food:
'Food' is a fundamental aspect of Ayurveda influencing health and well-being. Specific dietary recommendations are tailored based on individual constitution (Prakriti) and current health conditions, emphasizing nutrition's role in maintaining balance among the doshas.
48) Phyllanthus emblica:
Phyllanthus emblica, commonly known as Amalaki or Indian gooseberry, is a prevalent herb in Ayurveda, recognized for its high vitamin C content and health benefits. It acts as a potent antioxidant, supports digestion, and balances Pitta, making it valuable in numerous formulations.
49) Terminalia bellirica:
'Terminalia bellirica,' or Bibhitaki, is an important component of the Triphala formulation known for its detoxifying qualities and ability to support respiratory health. It's attributed various therapeutic benefits, including aiding digestion and promoting healthy metabolism.
50) Hordeum vulgare:
'Hordeum vulgare,' or barley, is an integral grain in Ayurvedic medicine known for its cooling properties. It helps in digestion, promotes weight management, and aids in cleansing the body of excess heat, making it suitable for Pitta balancing.
51) Daurgandhya:
'Daurgandhya' is a term denoting foul body odor, often resulting from metabolic disturbances. Treating Daurgandhya involves addressing its root causes through dietary adjustments and herbal interventions that purify the body and balance doshas.
52) Anuvasana:
'Anuvasana' is a type of enema in Ayurveda involving the administration of oil or a medicated solution. It is primarily used for lubrication and nourishment, particularly targeting rectal diseases and digestive health.
53) Vibhitaki:
'Vibhitaki' is one of the herbs in Triphala, acclaimed for its benefits in digestion and respiratory function. It is known for its astringent properties, helpful in alleviating cough and clearing accumulated mucus from the body.
54) Haritaki:
'Haritaki' is a significant fruit in Ayurveda known for its detoxifying and rejuvenating properties. It promotes healthy digestion and is often utilized to enhance metabolic processes, contributing effectively to overall well-being.
55) Prabhava:
'Prabhava' defines the unique effect or action of a substance beyond its basic properties. It encompasses how a drug may function differently based on specific contexts, leading to innovative approaches in treatment methodologies.
56) Amalaki:
'Amalaki' refers to the fruit of Phyllanthus emblica, esteemed in Ayurveda for its extensive health benefits. Known for its potent antioxidant properties, it aids digestion, boosts immunity, and promotes overall well-being, commonly used in several medicinal formulas.
57) Snigdha:
'Snigdha' refers to the oily or unctuous qualities attributed to certain substances in Ayurveda. These qualities are considered beneficial for promoting moisture in the body and balancing Vata and Kapha doshas, enhancing nourishment.
58) Kalka:
'Kalka' means herbal paste prepared from grinding raw herbs, utilized in various Ayurvedic formulations. It enhances medicinal effectiveness due to its concentrated nature, facilitating deeper penetration and greater impact on the body's tissues.
59) Salt (Salty):
'Salt' symbolizes the use of minerals in Ayurvedic formulations, recognized for its synergistic properties. Particularly Saindhava (rock salt) is used to enhance metabolic processes and complements many herbal treatments in Ayurveda.
60) Terminalia chebula:
'Terminalia chebula,' or Haritaki, possesses numerous therapeutic effects, including supporting digestive health and detoxification. It is one of the three constituents of Triphala, renowned for enhancing vitality and addressing various gastrointestinal issues.
61) Rock salt:
'Rock salt' is a natural mineral substance used in Ayurveda to promote digestive health and balance doshas. Its properties facilitate metabolic processes and cleanse the body—integral in many healing practices.
62) Pittadharakala (Pittadhara-kala):
'Pittadhara-kala' emphasizes areas or processes governed by Pitta dosha, relevant in digestion and overall metabolic function. Treatments focusing on balancing this area are integral in addressing digestive disorders.
63) Kaphavata (Kapha-vata):
Kapha-vata denotes conditions arising from the imbalance of Kapha and Vata doshas in Ayurveda, which can lead to various health issues, including obesity. Treatments aim at correcting these imbalances through lifestyle and dietary changes.
64) Kaphaghna (Kapha-ghna):
'Kaphaghna' refers to substances that pacify or reduce excess Kapha dosha, essential for addressing obesity and related conditions. Such qualities are a crucial aspect of many Ayurvedic formulations aimed at restoring balance.
65) Ayurveda (Ayus-veda):
'Ayurveda' is the ancient Indian system of medicine emphasizing holistic health and wellness. It integrates the balance of body, mind, and spirit, offering natural remedies and lifestyle modifications for optimal health and disease management.
66) Medoroga (Medas-roga):
'Medoroga' signifies a class of diseases pertaining to fat accumulation or obesity in Ayurveda. It illustrates the emphasis on understanding fat's role and devising treatment strategies to regain metabolic balance.
67) Vatahara (Vata-ahara):
'Vata-hara' denotes qualities or treatments that pacify Vata dosha, crucial for addressing issues of dryness, imbalance, or instability in individuals. Vata-hara treatments aim to restore harmony and stability in bodily functions.
68) Activity:
'Activity' encompasses various physical and mental tasks impacting overall health. In Ayurveda, regulated daily activities are essential for maintaining doshic balance and promoting healthy living, which can prevent the onset of various ailments.
69) Vidanga (Vidamga):
'Vidanga' is an herb used in Ayurveda known for its digestive and carminative properties. It is commonly included in formulations to reduce weight, enhance digestion, and alleviate symptoms associated with obesity and metabolic disorders.
70) Science (Scientific):
'Science' pertains to the systematic study and understanding of natural phenomena. In the context of Ayurveda, blending traditional wisdom with scientific research validates the efficacy of herbal therapies and their role in contemporary health practices.
71) Niruha:
'Niruha' refers to a type of medicated enema using decoctions, often used in cleansing therapies to expel toxins. It is pivotal in Ayurveda for treating various conditions, particularly those relating to the digestive system.
72) Nature:
'Nature' represents the biological and ecological environment. Ayurvedic practices draw from natural elements and their inherent qualities, emphasizing the importance of living in harmony with the environment as a foundation for health.
73) Reason:
'Reason' pertains to the rationale behind actions or treatments. In Ayurveda, understanding the reason behind doshic imbalances is fundamental to devising effective and individualized treatment plans aimed at restoring health.
74) Nagara (Naga-ra):
'Nagara' refers to ginger, recognized for its digestive and anti-inflammatory properties in Ayurveda. It is commonly integrated into various formulations to enhance flavor and provide therapeutic benefits, aiding in digestion and circulation.
75) Sneha:
'Sneha' denotes oil or unctuousness, representing the nourishing qualities associated with certain substances in Ayurveda. Sneha is impactful in promoting moisture, balancing Vata, and facilitating effective absorption of therapeutic agents.
[Note: The above list is limited to 75. Total glossary definitions available: 195]