Changes

Any course of treatment for obesity suggested by modern medical practitioners primarily includes dietary changes and physical exercise followed by anti-obesity drugs that help reduce appetite or inhibit fat absorption. In severe cases, various invasive and non-invasive surgical procedures could be prescribed - such as partial gastrectomy, gastric bypass, banding, gastric balloons, etc.<ref>Puhl R, Brownell KD (December 2001): "Bias, discrimination, and obesity". Obes. Res.9 (12): 788–805. doi:10.1038/oby.2001.108. PMID 11743063. </ref> However, [[Ayurveda]]’s approach to weight management is very different. Instead, [[Ayurveda]] advocates dietary restrictions according to the [[prakriti]] (basic constitution), moderate exercise, practice of yoga postures (yogasanas) and breathing exercises( pranayama), besides certain ayurvedic medications and bio-purificatory measures for its management.<ref>Pandey A.K. (2013-2014): Conceptual background on obesity ([[sthaulya]]/[[medoroga]]) & an approach for its management through [[ayurveda]], chapter published in a book ‘Integrative approach to metabolic syndrome’ published by Mahima research foundation and social welfare, Varanasi, UP, India, 2013-2014, p.no.-47-59.</ref>

Any course of treatment for obesity suggested by modern medical practitioners primarily includes dietary changes and physical exercise followed by anti-obesity drugs that help reduce appetite or inhibit fat absorption. In severe cases, various invasive and non-invasive surgical procedures could be prescribed - such as partial gastrectomy, gastric bypass, banding, gastric balloons, etc.<ref>Puhl R, Brownell KD (December 2001): "Bias, discrimination, and obesity". Obes. Res.9 (12): 788–805. doi:10.1038/oby.2001.108. PMID 11743063. </ref> However, [[Ayurveda]]’s approach to weight management is very different. Instead, [[Ayurveda]] advocates dietary restrictions according to the [[prakriti]] (basic constitution), moderate exercise, practice of yoga postures (yogasanas) and breathing exercises( pranayama), besides certain ayurvedic medications and bio-purificatory measures for its management.<ref>Pandey A.K. (2013-2014): Conceptual background on obesity ([[sthaulya]]/[[medoroga]]) & an approach for its management through [[ayurveda]], chapter published in a book ‘Integrative approach to metabolic syndrome’ published by Mahima research foundation and social welfare, Varanasi, UP, India, 2013-2014, p.no.-47-59.</ref>

The etiology, pathogenesis, clinical features and consequences of extreme leanness ([[atikrisha]]), as an outcome of decrease of [[rasa dhatu]]), [[meda dhatu]], and [[mamsa dhatu]] have also been described in this chapter. The two basic approaches for management of [[atikrisha]] and [[atisthula]] are augmentation ([[brimhana]]) and depletion ([[karshana]]) of body tissues respectively. Various drug and non-drug modalities have been suggested for the replenishment of [[dhatu]] and their nourishment to attain good health. In this regard, [[Rasayana]] drugs help balance hormones, promote essential nutrition and enhance immunity to [[atisthula]] and [[atikrisha]] respectively. As mentioned earlier, this chapter also emphasizes the role of good [[nidra]] (sleep) in maintaining a healthy life. In fact, as per [[Ayurveda]], after [[ahara]] (diet), [[nidra]] is one of the three sub-pillars of life (''trayopastambha'') and has a significant place in preventive medicine because normal sleep helps prevent diseases and unwholesome sleep may lead to fatal diseases. In [[Ayurveda]], [[nidra]] is considered a [[brimhana]] (nourishing) agent that promotes physical and mental health and enhances immunity. [[Tistraishaniya_Adhyaya|[Cha.Sa.[[Sutra Sthana<nowiki>]]</nowiki> 11/35]]]

The etiology, pathogenesis, clinical features and consequences of extreme leanness ([[atikrisha]]), as an outcome of decrease of [[rasa dhatu]]), [[meda dhatu]], and [[mamsa dhatu]] have also been described in this chapter. The two basic approaches for management of [[atikrisha]] and [[atisthula]] are augmentation ([[brimhana]]) and depletion ([[karshana]]) of body tissues respectively. Various drug and non-drug modalities have been suggested for the replenishment of [[dhatu]] and their nourishment to attain good health. In this regard, [[Rasayana]] drugs help balance hormones, promote essential nutrition and enhance immunity to [[atisthula]] and [[atikrisha]] respectively. As mentioned earlier, this chapter also emphasizes the role of good [[nidra]] (sleep) in maintaining a healthy life. In fact, as per [[Ayurveda]], after [[ahara]] (diet), [[nidra]] is one of the three sub-pillars of life (''trayopastambha'') and has a significant place in preventive medicine because normal sleep helps prevent diseases and unwholesome sleep may lead to fatal diseases. In [[Ayurveda]], [[nidra]] is considered a [[brimhana]] (nourishing) agent that promotes physical and mental health and enhances immunity. [[Tistraishaniya_Adhyaya|[Cha.Sa.[Sutra Sthana]11/35]]]

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