“Ayurvedic Insights Into Sthaulya (Obesity): A Comprehensive Review Of Pathogenesis And Management”

Abstract

Obesity (Sthaulya) is one of the most prevalent metabolic disorders globally, characterized by abnormal or excessive fat accumulation that poses a risk to health. From an Ayurvedic perspective, Sthaulya arises due to Kapha-predominant dietary habits, sedentary lifestyle, and mental factors, leading to MedaDhatuVriddhi (increase in adipose tissue) and Agni Mandya (digestive impairment). This article aims to review the etiology, pathogenesis, clinical features, complications, and therapeutic management of Sthaulya based on Ayurvedic principles. Various classical texts describe its multifactorial origin involving Agnimandya, VataDushti, and Dhatvagnimandya, with modern parallels in endocrinological and lifestyle disorders. Management strategies include Ahara (diet), Vihara (lifestyle), Shodhana (detoxifying Panchakarma therapies), Shamana (palliative therapies), and use of herbal drugs like Guggulu, Triphala, and Lekhanadravyas. This review highlights the clinical relevance of traditional approaches in managing a contemporary health crisis.