Excellence in Action: Multidisciplinary Ayurvedic management of Sthoulya (Obesity) and Sandhigata Vata (Osteoarthritis): Integrating Shamana Aushadhi, Shodhana, Diet, Physiotherapy, and Mansika Upchara – A Case Report.
1Tanmay Rakhecha, 2Naresh Kore and 3Shivangi Choube
1-3Department of Kayachikitsa, Parul University, Parul Institute of Ayurved and Research, Limda, Vadodara - 391760 (India) Contact number: 8657722577; E-mail: tanmayrakhecha24@gmail.com *Corresponding Author: Dr. Naresh Kore Professor, Department of Kayachikitsa, Parul University, Parul Institute of Ayurved and Research, Limda, Vadodara, Gujarat, India. Email: naresh.kore86275@paruluniversity.ac.in
ABSTRACT
Sthoulya and its complication – Sandhigatavata are multifactorial disorders requiring a comprehensive management strategy. This case study demonstrates a multidisciplinary - Ayurvedic approach combining Shamana Aushadhi, Shodhana, Pathya Ahara, physiotherapy, Mansika Upchara to address both - metabolic and musculoskeletal aspects of disease. A 56-year-old male with Class II Obesity (BMI 37.0kg/ m²) and chronic knee pain presented with symptoms of Medovaha Strotodushti. The management protocol included: Shamana Aushadhi: Varunadi Kashaya, Arogyavardhini Vati, and Medohar Guggulu to correct metabolism. Shodhana: Sarvanga Udwartana with Yava and Vacha Churna and Lekhana Basti targeting metabolic correction. Ahara: A specialized Pathya-Apathya regimen was enforced to ignite Agni. Physiotherapy: Targeted knee joint and lower back exercises were prescribed to improve mobility. Mansika Upchara: Counseling was performed to alleviate anxiety regarding the procedures, resulting in a reported state of mental clarity and happiness post-therapy