UNDERSTANDING THE ROLE OF ASHTADOSHA IN THE COMPLICATIONS OF ATISTHAULYA
DOI:
https://doi.org/10.22159/prl.ijayush.v15i06%20(June).2132Keywords:
Atisthaulya, Ashtadosha, Meda Dhatu, Santarpana, Agni Dushti, SrotorodhaAbstract
Background Atisthaulya (obesity) is described in Ayurveda as a Santarpanajanya Vyadhi caused mainly by excessive nourishment leading to Meda Vriddhi. Acharya Charaka has clearly explained eight specific defects (Ashtadosha) associated with Sthoulya, which are responsible for various complications and poor prognosis. These defects provide a deep understanding of the pathological progression and clinical severity of obesity. Aim
To understand the role of Ashtadosha in the development of complications associated with Atisthaulya. Objectives To describe the concept of Atisthaulya in Ayurveda To analyze the eight defects (Ashtadosha) of Sthoulya To correlate Ashtadosha with complications of obesity Materials and Methods This is a conceptual and literary study based on classical Ayurvedic texts such as Charaka Samhita, Sushruta Samhita, and Ashtanga Hridaya, along with relevant modern medical literature on obesity and its complications. The data were collected, analyzed, and interpreted to establish conceptual correlations. Results The Ashtadosha of Atisthaulya include Ayushkshaya (reduced lifespan), Javoparodha (decreased physical activity), Krucchra Vyavayata (difficulty in sexual activity), Daurbalya (weakness), Daurgandhya (foul body odor), Swedadhikya (excessive sweating), Kshudha Atimatra (excessive hunger), and Pipasa Atimatra (excessive thirst). These defects reflect metabolic imbalance, impaired Agni, Meda Dhatu Dushti, and Srotorodha, leading to complications such as cardiovascular disorders, diabetes mellitus, reduced mobility, and hormonal imbalance. Conclusion Ashtadosha serves as an important clinical framework in understanding the complications of Atisthaulya. It highlights the systemic impact of obesity and emphasizes the need for early diagnosis and holistic management focusing on Agni Deepana, Medohara Chikitsa, and lifestyle modification.
References
Agnivesha, Charaka, & Dridhabala. (2020). Charaka Samhita (V. J. Trikamji Acharya, Ed.). Chaukhambha Surbharati Prakashan. (Sutra Sthana 21/3–4).
Agnivesha, Charaka, & Dridhabala. (2020). Charaka Samhita (V. J. Trikamji Acharya, Ed.). Chaukhambha Surbharati Prakashan. (Sutra Sthana 23/3).
Agnivesha, Charaka, & Dridhabala. (2020). Charaka Samhita (V. J. Trikamji Acharya, Ed.). Chaukhambha Surbharati Prakashan. (Sutra Sthana 21/9–10).
World Health Organization. (2000). Obesity: Preventing and managing the global epidemic. WHO Press.
Agnivesha, Charaka, & Dridhabala. (2020). Charaka Samhita (V. J. Trikamji Acharya, Ed.). Chaukhambha Surbharati Prakashan. (Sutra Sthana 21/4–5).
Sushruta. (2020). Sushruta Samhita (V. J. Trikamji Acharya, Ed.). Chaukhambha Surbharati Prakashan. (Sutra Sthana 15/32).
Vagbhata. (2019). Ashtanga Hridaya (K. R. Srikantha Murthy, Trans.). Chaukhambha Krishnadas Academy. (Sutra Sthana 11/1–3).
Sushruta. (2020). Sushruta Samhita (V. J. Trikamji Acharya, Ed.). Chaukhambha Surbharati Prakashan. (Sutra Sthana 15/34).
Agnivesha, Charaka, & Dridhabala. (2020). Charaka Samhita (V. J. Trikamji Acharya, Ed.). Chaukhambha Surbharati Prakashan. (Sutra Sthana 21/9–10).
Agnivesha, Charaka, & Dridhabala. (2020). Charaka Samhita (V. J. Trikamji Acharya, Ed.). Chaukhambha Surbharati Prakashan. (Sutra Sthana 21/20–22).
Guyton, A. C., & Hall, J. E. (2021). Textbook of medical physiology (14th ed.). Elsevier.
Harrison, T. R., Kasper, D. L., Fauci, A. S., Hauser, S. L., Longo, D. L., & Jameson, J. L. (2022). Harrison’s principles of internal medicine (21st ed.). McGraw Hill.

