CASE PRESENTATION

OF STHOULYA
BY: PRAJWALA G BHAJANTRI
GUIDED BY: DR RAJUR MAM
 HISTORY TAKING

• Age: 35 years

• Date of Case Taking: 2/01/2025 • Name: Mr. Rohan Kumar

• Case No: 001 • Address: banahatti

• UHID No: 95918456 • Sex: Male

• OPD No: 41406 • Phone No: 9876543210

• IP No: 118 • Occupation: Software Engineer

• Date Of admission: 2/01/2025 • Income: ₹100,000 per annum

• Discharge:17/01/2025 • Marital Status: Married

• Total Duration:15 days
Presenting Complaints:
Excessive weight gain, indigestion, and lethargy.
History of Present Illness:
Patient reports gradual weight gain, indigestion, and lethargy over the
past 6 months. Symptoms worsened over the past 2 months.
History of Past Illness with Treatment: None
Treatment History of Present Illness:
Patient has tried various weight loss programs and medications
without significant improvement.
• Family History: Mother has hypertension, father has diabetes
mellitus.
• Personal History: Patient has a sedentary lifestyle, consumes junk
food regularly.
• Fetal History: Normal
• Birth History: Normal
• Menstrual History: Not applicable (male patient)
• Diet: Sedentary, consumes junk food regularly
• Habits: Smokes occasionally, consumes 2-3 cups
of tea/coffee per day
. General Examination
• Physical Examination:
Systemic Examination
• Temperature: 98.6°F
Gastrointestinal System:
• Pulse Rate: 80/min
Indigestion, nausea
• Heart Rate: 80/min
Respiratory System: Normal
• B.P: 130/80 mmHg
Cardiovascular System: Normal
• Body Weight: 75 Kg
• Koshta (Bowel Habits): Constipation Skin & Appendages: Ache

• Respiratory Rate: 16/min

Before
treatment
• Dashavidha Pareeksha (Tenfold Examination)

• • Dushyam (Abnormality): Obesity

• • Dosham (Dosha Involved): Kapha

• • Desam (Location):Whole body

• • Deham (Body Type): Kapha dominant • Vyadhyavastha (Disease Stage): Chronic

• • Dhatu (Tissue): Meda Dhatu (adipose tissue) • • Anala (Digestive Fire): Normal

• • Balam (Strength): Normal • • Prakruti (constitution) : kapha

• • Roga (Disease): Sthoulya (obesity) • • Satva (Mental State): Normal

• • Rogam (Disease Type): Kaphaja • • Satmya (Habitation) : excessive intake

of oily and junk foods.
• • Malam (Waste Products): Normal
• • Ahara (Diet): Junk food, irregular
• • Kalam (Time): Chronic
meals
• • Vyadhivridhi (Disease Progression): Gradual
• • Vihara (Lifestyle): Sedentary
weight gain
• • Jaranasakthi(Digestive Power):Normal
 • Laboratory Investigations
• Ashtasthana Pareeksha • • Blood: Fasting blood sugar, lipid
(Eightfold Examination) profile, thyroid function tests
• • Nadi (Pulse): Normal • • Urine: Routine examination
• • Jihva (Tongue): Normal • • Stool: Routine examination
• • Malam (Stool): Constipated • • Sputum: Not applicable
• • Drik (Vision): Normal
• Provisional Diagnosis
• • Sabdam (Hearing): Normal
• Sthoulya (Obesity)
• • Sparsam (Touch): Normal
• • Mutram (Urine): Normal
• • Kaphaja Sthoulya

• • Akruthi (Shape): Obese

Vishabheda: Doosheevishajanya Roga Anubandha
Doosheevisha (Diseases Caused by Internal Upadrava
Poisoning) (Complications)
Dooshevisha • Obesity • Dehydration
Lakshanaani (Signs • Insulin resistance • Electrolyte imbalance
and Symptoms) • Hypothyroidism • Organ damage (e.g.,
• Excessive weight gain Indriya Pareeksha (Sensory kidney damage, liver
• Indigestion Examination) damage)
• Lethargy • Visual Examination: Skin color and •Respiratory problems
texture, eye color and clarity (e.g., asthma, chronic
• Nausea and vomiting • Olfactory Examination: Breath odor,
• Constipation obstructive pulmonary
body odor
• Acne • Auditory Examination: Bowel sounds,
disease (COPD))
• Excessive sweating heart sounds • Mental health issues
• Tactile Examination: Skin (e.g., anxiety,
temperature and texture, abdominal depression)
tenderness and guarding
Vishopama Samprapti:
Srotas & Dushti
Virudhahara Dosha & Vikruta Lakshanaani (Symptoms of
:(Incompatible Foods) Lakshanaani (Symptoms Channel Imbalance)
• Consumption of heavy, of Dosha Imbalance) • Blockage in the digestive
oily, and spicy foods • Kapha dominance with channel (Annavaha Srotas)
Type of Virudha: symptoms like lethargy, leading to indigestion
• Virudha due to heaviness, and excessive Vyaadhyadhishtaanam
incompatible food sweating (Disease Location)
combinations Dooshya & Vikruta • Amashaya (digestive system)
Samanya Lakshana Lakshanaani (Symptoms Vyadhi Margam (Disease
(General Symptoms) of Tissue Imbalance) Pathogenesis)
• Nausea and vomiting • Imbalance in Meda Dhatu • Improper digestion leading to
• Abdominal pain and (adipose tissue) leading to the formation of Ama, which
discomfort obesity further imbalances the Kapha
• Diarrhea or constipation
dosha, resulting in obesity
• Fever and fatigue
Diagnosis: Treatment Details
Differential Bahirparimarjana chikitsa :
Diagnosis (with Udvartana with triphala and trikatu churna.(15days)
reason)
• Hypothyroidism
(due to similar Samana Chikitsa (Pacification Treatment)
symptoms like weight • Herbal medications like
gain and lethargy, but Triphala Guggulu, (1 BD=2times a day)
the presence of Ama Medohara Guggulu(1BD)
and Kapha dominance Bilwadi agada (1BD) should be given for 15days to balance Kapha and aid
points towards digestion
Vishopama
Samprapti).
Actual Diagnosis:
Sthoulya Vishopama
Samprapti
Pathya (Dietary Recommendations):
• Ahara (Diet): Light, easy-to-digest foods Advice given at the time of
like rice, dal, and vegetables discharge
• Vihara (Lifestyle): Regular exercise, yoga,
and meditation.
| SLNo | Medicine | Dose | Duration |
• Apathya (Prohibited Foods): Anupana |
• Ahara (Diet): Heavy, oily, and spicy foods | --- | --- | --- | --- | --- |
• Vihara (Lifestyle): Sedentary lifestyle,
excessive sleep | 1 | Triphala Guggulu | 1 BD | 5 days |
Chikitsaphalam (Treatment
Warm water |
Outcome) | 2 | Medohara Guggulu | 1 BD | 5
• Weight loss: 5 kg days| Warm water |
• Improvement in digestion and energy
levels
| 3 | Bilwadi Agada | 1 BD | 5 days |
• Reduction in symptoms of Sthoulya Warm water |
After
treatment