This presentation deals with Nidana samprapti and lakshana of sthoulya and karshya

1. STHOULYA
& KARSHYA
Dr Akshay Shetty
Asst.Professor
SSRAMCH,Inchal

2. Contents
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Objectives
Definition of
Sthoulya
Nidana of
Sthoulya
Samprapti of
Sthoulya
Purvaroopa of
Sthoulya
Samanya
laxana of
Sthoulya
Definition of
karshya
Nidana of
Karshya
Laxana of
Karshya
Summary References

3. Objectives
By the end of the presentation the students
must be able to-----
1. Define Sthoulya
2. State Nidana of Sthoulya
3. Explain Samprapti of Sthoulya
4. List Purvaroopa of Sthoulya
5. Enumerate Samanya laxana of Sthoulya
6. Define karshya
7. State Nidana of Karshya
8. Enumerate Laxana of Karshya
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4. Definition of Sthoulya
मेदोमाांसातिवृद्धत्वाच्चलस्फिगुदरफिनः|
अयथोपचयोत्साहो नरोऽतिफथूल उच्यिे||९||
Ca.Su 21
The person is considered too obese when there
is an excessive increase in fat and muscle tissue
in the regions of buttocks, abdomen, and
breasts, which become pendulous and suffer
from deficient metabolism and energy.
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5. Nidana of Sthoulya
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6. Cont….
िदतिफथौल्यमतिसम्पूरणाद्गुरुमधुरशीिस्फनग्धोपयोगा
दव्यायामादव्यवायाद्ददवाफवप्नाद्धर्षतनत्यत्वाद-
चचन्िनाद्बीजफवभावाच्चोपजायिे I Ca.Su 21
Excessive obesity is caused due to over-nourishment
as a consequence of the intake of a heavy, sweet,
cold and fatty diet, lack of physical exercise,
abstinence from sexual intercourse, sleeping during
the day, uninterrupted cheerfulness, lack of mental
activities, and hereditary/genetic defects
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7. Samprapti of
Sthoulya
मेदसाऽऽवृिमागषत्वाद्वायुः कोष्ठे ववशेर्िः| चरन ्
सन्धुक्षयत्यस्ग्नमाहारां शोर्यत्यवप||५||
िफमाि ् स शीघ्रां जरयत्याहारां चातिकाङ्क्क्षति|
ववकाराांश्चाश्नुिे घोरान ् काांस्श्चत्कालव्यतिक्रमाि ्||६||
Due to the obstruction of body channels by meda
dhatu, the movement of vata is specially confined
to koshtha (abdominal viscera) resulting in the
stimulation of digestive power and absorption of food.
Hence,the person digests food quickly and becomes a
voracious eater. By not following rules of taking meals
at specific times during the day, he is afflicted by
dreadful diseases. Agni and vata are the two most
troublesome factors from the standpoint of obesity.
These factors blight an obese person as wildfire
destroys a forest. As the body gains excessive fat,
vitiated dosha suddenly cause severe diseases resulting
in rapid deterioration of life
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8. Nidana sevana
Medha gets
vitiated
Leads to
avaodha of
vata in kostha
Vridhi of agni
and pachana
Vorcious eater Sthoulya
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9. Purvaroopa
of Sthoulya
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10. Samanya
laxana of
Sthoulya
अतिफथूलफय िावदायुर्ो ह्रासो जवोपरोधः
कृ च्रव्यवायिा दौबषल्यां दौगषन््यां फवेदाबाधः
क्षुदतिमात्रां वपपासातियोगश्चेतिभवन्त्यष्टौ
दोर्ाः|
1. Reduced lifespan,
2. Constricted or limited movement,
3. Reduced sexual activities or impotence
4. Debility
5. Emit bad smell
6. Profuse sweating,
7. Excessive hunger
8. Excessive thirst
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11. Definition of karshya
शुष्कस्फिगुदरग्रीवो धमनीजालसन्ििः|
त्वगस्फथशेर्ोऽतिकृ शः फथूलपवाष नरो मिः||१५||
Ca.Su 21
The excessively lean person has dried up
buttocks, abdomen and neck, the prominent
vascular network is mostly “skin and bones”
with thickened nodes
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12. Nidana of
karshya
सेवा रूक्षान्नपानानाां लङ्क्घनां प्रममिाशनम्|
क्रक्रयातियोगः शोकश्च वेगतनद्राववतनग्रहः||११||
रूक्षफयोद्विषनां फनानफयाभ्यासः प्रकृ तिजषरा|
ववकारानुशयः क्रोधः क
ु वषन्त्यतिकृ शां नरम्||१२||
Ca.Su 21
Indulgence in the intake of dry diets and
drinks, fasting, intake of food in inadequate
quantity, overuse of therapeutic purificatory
measures, grief, suppression of natural urges,
inadequate sleep or sleep deprivation, dr
powder massage, indulgence in baths,
heredity, old age, continued illness and anger
make a person too lean.
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13. Laxana of
Karshya
व्यायाममतिसौदहत्यां क्षुस्त्पपासामयौर्धम् |
कृ शो न सहिे िद्वदतिशीिोष्णमैथुनम्||१३||
प्लीहा कासः क्षयः श्वासो गुल्मोऽशाांफयुदराणण
च| कृ शां प्रायोऽमभधावस्न्ि रोगाश्च
ग्रहणीगिाः||१४|| Ca.Su 21
The excessively lean person does not tolerate
physical exercise, intake of food in large
quantities, hunger, thirst, diseases, and drugs.
They also cannot tolerate too much cold, heat
and sexual intercourse.
Such a person is often associated with splenic
diseases, cough, wasting, dyspnoea, gulma,
piles, abdominal disorders and disorders of
grahanі.
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14. Summary
Define Sthoulya
State Nidana of
Sthoulya
Explain Samprapti of
Sthoulya
List Purvaroopa of
Sthoulya
Enumerate Samanya
laxana of Sthoulya
Define of karshya
State Nidana of
Karshya
Enumerate Laxana of
Karshya
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15. References
• Charaka Samhita
• Madhava Nidana
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16. Tha
nk
you
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