Obesity is a disease of chronic imbalance that results from an intake of calories.
WHO definition includes a BMI greater than or equal to 25 is overweight.
A BMI greater than or equal to 30 is obesity.

Types of obesity includes abdominal or are Apple shaped and peripheral or pear shaped. Causes of obesity includes lack of access to healthy foods, hereditary, hypothyroidism, PCOD, alcoholism, smoking, lack of sleep, an inactive lifestyle, antidepressants tablets.
Complications of obesity are nonalcoholic fatty liver, gallbladder disease, gynecological abnormality (infertility PC OS abnormal menstrual cycle), diabetes, hypertension, osteoarthritis.

Marmachikitsa: Manipulation technique all over the feet helps to activate the systems related to increase in weight. The proper functioning of system helps to reduce the excess weight.

Ayurveda and Obesity: Ayurveda defines the obesity ( sthoulya ) as the excessive depositions of malformed fat (medas) due depletion of agni (metabolism).

It is caused by kaphadosha and meda dhatu.

The treatment protocol includes:

  • Regulation of nourishment by strict diet and exercise.
  • Liquefication of fat/ adipose.
  • Elimination of fat by panchakarma.

Udwarthana: it helps in removingkapha and liquification of accumulated fat. Udvartana removes the foul smell and restricts the process of excessive sweating.

Swedana: It is done to liquify the vitiated dosha.

Vamana: It is considered best for kaphadosha and medas.

Virechana: Virechana is advised in patients to remove the liquified dosha after udwartana and swedana karma. The rugs used for virechana karma also helps in increasingagni (metabolic rate).

Basti karma: Lekhanabasti reduces the meda and kapha.