Changes

'''This article is based on lecture delivered by Dr. Mukund Sabnis in Prof.M.S.Baghel Memorial Lecture Series on May 09, 2021.'''  

'''This article is based on lecture delivered by Dr. Mukund Sabnis in Prof.M.S.Baghel Memorial Lecture Series on May 09, 2021.'''  

 

The metabolic syndrome is a group of several cardiovascular risk factors like insulin resistance, obesity, atherogenic dyslipidemia and hypertension. These conditions are interrelated and share underlying mediators, mechanisms and pathways. There has been recent controversy about its definition and its utility. Metabolic syndrome is not an ultimate diagnosis.  Metabolic syndrome is a subgroup of patients with shared pathophysiology who are at high risk of developing cardiovascular disease and type 2 diabetes. Pathophysiology and disease pathogenesis can be better understood by observing the clinical features of metabolic syndrome and their interrelation.

The metabolic syndrome is a group of several cardiovascular risk factors like insulin resistance, obesity, atherogenic dyslipidemia and hypertension. These conditions are interrelated and share underlying mediators, mechanisms and pathways. There has been recent controversy about its definition and its utility. Metabolic syndrome is not an ultimate diagnosis.  Metabolic syndrome is a subgroup of patients with shared pathophysiology who are at high risk of developing cardiovascular disease and type 2 diabetes. Pathophysiology and disease pathogenesis can be better understood by observing the clinical features of metabolic syndrome and their interrelation.

Obesity can lead to many complications and comorbid conditions as shown in figure 3.

Obesity can lead to many complications and comorbid conditions as shown in figure 3.

===Principles of management===

==Principles of management==

Breaking the chain of pathogenesis is the treatment. Merely weight reduction do not indicate management of obesity. It is an outcome of obesity management. The focus of treatment should be to provide nutrition to other tissues ([[dhatu]]). Improvement in the functioning of [[agni]] at each level is of prime importance in treating the metabolic disorder.

Breaking the chain of pathogenesis is the treatment. Merely weight reduction do not indicate management of obesity. It is an outcome of obesity management. The focus of treatment should be to provide nutrition to other tissues ([[dhatu]]). Improvement in the functioning of [[agni]] at each level is of prime importance in treating the metabolic disorder.

   

   

'''A:''' Bhutagni works like a vehicle. Bhutagni carries the fuel (food) to the tissues ([[dhatu]]). The fuel is filled in a vehicle (body gut) only when it is empty (hungry state). If we overfill the tank (gut) beyond its capacity, it leads to engine dysfunction (agnivaishamya). Likewise, when there is excess body fluid (kleda) formation,aapbhutagni becomes less. In this condition, the diet control and medicines advised should work on aapmahabhutaagni. The water intake must be restricted. The astringent medicines should be given as they have kledashoshana (drying) and stambhana (obstructing) property.

'''A:''' Bhutagni works like a vehicle. Bhutagni carries the fuel (food) to the tissues ([[dhatu]]). The fuel is filled in a vehicle (body gut) only when it is empty (hungry state). If we overfill the tank (gut) beyond its capacity, it leads to engine dysfunction (agnivaishamya). Likewise, when there is excess body fluid (kleda) formation,aapbhutagni becomes less. In this condition, the diet control and medicines advised should work on aapmahabhutaagni. The water intake must be restricted. The astringent medicines should be given as they have kledashoshana (drying) and stambhana (obstructing) property.