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VOL 3

ISSUE 1 (2015) INTERNATIONAL JOURNAL INTERNATIONAL JOURNAL INTERNATIONAL JOURNAL INTERNATIONAL JOURNAL OF AYURVEDA & ALTERNATIVE MEDICINEOF AYURVEDA & ALTERNATIVE MEDICINEOF AYURVEDA & ALTERNATIVE MEDICINEOF AYURVEDA & ALTERNATIVE MEDICINE

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Parul K. Shah et. al., Effect of Vidangadi Churna on Obesity, Int. J. Ayu. Alt. Med., 2015; 3(1):28-32

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RESEARCH ARTICLE eISSN 2348- 0173

Impact Factor (2014) – 0.815 by International Scientific Indexing (ISI) UAE

EFFECT OF VIDANGADI CHURNA ON OBESITY

Parul K. Shah1*

, Nitin M. Kamat2

1. Reader, Dept. of Panchakarma, N. A. M. College, Nallasopara, Dist. Thane, Maharashtra, Contact No.+918108032251, Email - [email protected]

2. Retd. Principal, Sheth R. V. Ayurved Mahavidyalaya, Sion, Mumbai, Contact No. +919820632772

Article Received on - 6th

Feb 2015

Article Revised on - 25th

Feb 2015

Article Accepted on - 28th

Feb 2015

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© 2013 IJAAM

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RESEARCH ARTICLE eISSN 2348- 0173

*Corresponding Author

Parul K. Shah Reader, Dept. of Panchakarma, N. A. M. College, Nallasopara, Dist. Thane, Maharashtra, Contact No. +918108032251, Email - [email protected]

QR Code IJAAM

ABSTRACT: Obesity is a gift of present life style. It’s a mother of several diseases which makes

the life either dependent or restricted; these diseases are Diabetes, CAD,

Rheumatism, Arthritis, Hypertension, Renal failure, cerebral hemorrhage, Gall

bladder disease, Cancer etc. So obesity may hamper the quality of life to a great

extent. In the present study 30 patients were selected & given ‘Vidangadi Churna’

orally, the duration of the study was two months & follow up was done with

parameters like weight, inches & BMI. Result by all means is highly significant

(P<0.001).

Key Words: Obesity, Vidangadi churna, Lekhan

INTRODUCTION

Obesity occurs when more calories are consumed

than expend. Genetic, metabolic and

environmental factors play a role in energy

regulation, this difference explains why some

people gain weight through dieting while others

eat whatever and never gain an ounce. Obesity is

an excess of fatty tissue with weight exceeding the

ideal by 20% +. Morbid obesity is a term applied to

individuals at least 50% above their “ideal body

weight” or 100 pounds in excess of their ideal body

weight. >40% of Indian population is above 20% +

the ideal body weight, while 20% is >40% above

this value. Dietary restriction decreases

metabolism and weight loss reduces the number of

calories expended during physical activity. But

patient who exercise vigorously are more likely to

keep off all or most of the weight they lose. This

clinical study was carried out without altering

their diet & routine regimen, though significant

result observed. Now a day’s pharmaceutical

companies claim of weight loss without diet

change & exercise. This combination proves to be

blessing for obese who has similar psychology. By

this medicine goal of weight loss can be gained

without hampering health & nutrition.

OBJECTIVE

To evaluate the effect of vidangadi churna in obese

patients.

MATERIALS AND METHODS

A detailed study of santarpanjanya

sthoulya(Obesity) was done, along with study of

drugs selected for the present study. Various texts

of Ayurveda, Modern science and internet related

to the subject were referred.

Drug

The trial drug ‘vidangadi churna” is the

combination of six ingredients described in Astang

Hriday [1]. The ingredients are as below,

Name Latin name Part used Quantity/Proportion

Vidang Embelia ribes Burm. f Fruit 1 part

Shunthi Zingiber Officinale Root 1 part

Yavaxar - - 1 part

Kal-loh-raja Iron - 1 part

Yava Hordeum Valgare Linn Fruit 1 part

Amalki Embelica officinalis Gaertn Fruit 1 part

All in equal proportion, the fine powder of the

drugs in the dose of 2gms is to be licked with

honey before meal at morning & night.

Criteria for selection

For the clinical study, patients consulting the OPD,

Dept. of Kayachikitsa, Sheth R. V. Ayurved Hospital,

Sion, Mumbai were selected. Patients having signs

and symptoms of Sthoulya (Obesity) along with

EFFECT OF VIDANGADI CHURNA ON OBESITY

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whose BMI are more than 20 were selected. A

special Performa including all the etiological

factors of Sthoulya with dushti laxana of dosha,

dushya, srotas etc. was made for assessing the

patients.

Inclusion Criteria

• Age 20 – 60 years.

• Cardinal symptoms of Sthoulya –

Dourbalya, Daurgandhyata, Sweda-dhilya,

Kshudhadhikya, Trushadhikya,

Nidradhikya, Kshudrashwas,Alasya, Anga-

gaurav.

• BMI 20 & above

Exclusion Criteria

• Patients suffering from Heart disease,

Diabetes, Cancer and patients undergone

any abdominal surgery.

• Patients suffering from Hypothyroidism.

• Patients who got obesity due to

consumption of corticosteroid.

• Pregnant & lactating women.

• Age less than 20 years and above 60 years.

Investigations

Laboratory Investigations

1. Blood : CBC, ESR

2. Bio – chemical : Blood sugar – Fasting and

post prandial, serum lipid profile, T3, T4,

TSH

3. Urine – Routine and microscopic

examination.

Other

• ECG

Plan of treatment

Informed consent was taken from the patients for

participation in the study. The drug ‘Vidangadi

Churna’ was given to the patients.

Dose: 2gm twice a day, before meal, morning and

evening (Breakfast/lunch and dinner)

Duration: 2 months

Follow up

Follow up was carried out after every 15 days of

the treatment.

Dietary Restrictions

Patients were advised not to change their diet,

routine and exercise.

Criteria for assessment

1. Height & weight ratio

2. BMI Index

3. Measurement of following circumferences in

inches

� Chest

� Abdomen

� Lumber region

� Mid of thigh

� The questionnaire relating to eight dosha

described by Charaka ( Ch.Su.21/4 )

Scoring

The scoring of each question is as follows

Very severe 4

Severe 3

Moderate 2

Mild 1

Nil 0

OBSERVATION

Clinical study observed on 30 patients by sorting

the patients as per sex, age, occupation, diet,

prakruti (constitution), koshtha & Agni. 93.3%

patients were female, 6.6% patients were male,

33.3% patients belonged to the age between 20 to

40 years, while 66.6% patients were between 40 to

60 years, 6.6% patients were students, 20%

belonged to sedentary life style, 6.6% labor class,

20% belong to office going class & 46.6% were

housewife, Diet wise 23.3% were pure vegetarian,

76.6% belong to mix diet. As per prakruti 36.6%

belong to vatpittaj, 36.6% kaphapittaj & 26.6%

belong to vatkaphaj prakruti. Koshtha wise 30%

patients were of krur koshtha, 56.6% madhyam &

13.3% patients were of mrudu koshtha. Agni wise

66.6% patients had vishmagni, 33.3% tixnagni. The

mean of weight decreased from 80.7 kgs to 77.18

kgs, BMI from 34.64 to 33.12, chest diameter from

41.07 to 40.2 inches, abdomen from 39.51 to 37.46

inches, thigh from 46.18 to 43.95 inches & arm

from 13.6 to 12.85 inches, mid thigh from 23.43 to

22.75 inches.

Markable symptomatic relief observed (P<0.001)

in Dourbalya (Debility), Dourgandhya (foul smell),

Swedadhikya (excess sweating), Kshudhadhikya

(excess appetite), Trushdhikya (excess thirst),

Nidradhikya (excess sleep), xudrashwas

(dyspnoea), Aalasya (lethargy), Ang-gourav

(heaviness).

Statistical Observation

From the table & graphs it is evident that on

statistical evaluation of the various symptoms of

Sthoulya there is a significant improvement (P <

0.001), BMI reduced from average 34.64 + 4.90 to

33.12 + 4.92, which is statistically highly

significant. Significant reduction in all

measurements like Urah – parinaha, Udar –

parinah, Sphik – parinah, Praganda – Madhya

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parinah & Uru – Madhya parinah (Diameter of

chest, abdomen, lumber, arm & mid thigh

respectively) [Table 1]

DISCUSSION

Charaka has described ‘Vidangadi churna’ in 21st

chapter of sutrasthan [2] for the treatment of

obesity (Atisthoola). It is useful for the

complications of the same. In this clinical trial

significant result observed by all parameters of

obesity viz. weight, BMI & inches reduction.

Significant reduction after 15 days of treatment

and this improvement continued even after 60days

of treatment. Kshudhadhikya, Trushadhikya, and

Nidradhikya showed a statistically significant

reduction at every follow up. Kshudra shwasa,

alasya and Ang-gourava showed significant

reduction.

CONCLUSION

This clinical study shows that females are more

prone towards obesity. Age group above 40 yrs

should be conscious towards obesity. Housewife,

people taking mixed diet & people having

vishmagni have more chances of getting obesity.

Vidangadi churna is useful in the treatment of

obesity.

Table 1 : Showing the statistical values of the effect of treatment with Vidangadi Churna on symtoms of Sthoulya at 4

follow ups

Symptom Value Initial After 15 days After 30 days After 45 Days After 60 days

Daurbalya Mean

SD

SE

T

P

2.4

± 0.89

1.63

±0.71

0.07

9.76

P < 0.001 (HS)

1.13

± 0.68

0.12

10.03

P < 0.001 (HS)

0.8

± 0.48

0.12

12.99

P < 0.001 (HS)

0.26

± 0.52

0.17

12.47

P < 0.001 (HS)

Daurgandhaya Mean

SD

SE

T

P

0.9

± 10.9

0.53

± 0.73

0.08

4.09

P < 0.001 HS)

0.33

± 0.54

0.13

4.26

P < 0.001 (HS)

0.06

± 0.25

0.18

4.47

P < 0.001 (HS)

0.03

± 0.18

0.19

4.55

P < 0.001 (HS)

Sweda

Adhikaya

Mean

SD

SE

T

P

2.26

± 0.86

1.63

± 0.66

0.08

7.08

P < 0.001(HS)

1.1

± 0.71

0.13

8.56

P < 0.001 (HS)

0.76

± 0.27

0.16

9.13

P < 0.001 (HS)

0.53

± 0.62

0.18

9.35

P < 0.001 (HS)

Kshudha

Adhikaya

Mean

SD

SE

T

P

2.66

± 0.47

2.16

± 0.37

0.09

5.38

P < 0.001(HS)

1.73

± 0.63

0.11

7.99

P < 0.001 (HS)

1.36

± 0.61

0.11

10.93

P < 0.001 (HS)

1.26

± 0.52

0.11

12.34

P < 0.001 (HS)

Trusha

Adhikaya

Mean

SD

SE

T

P

2.6

± 0.49

2.33

± 0.54

0.08

3.24

P < 0.001(HS)

1.93

± 0.78

0.12

5.13

P < 0.001 (HS)

1.6

± 0.77

0.13

7.37

P < 0.001 (HS)

1.53

± 0.73

0.12

8.45

P < 0.001 (HS)

Nindra

Adhikaya

Mean

SD

SE

T

P

1.9

± 0.99

1.36

± 0.76

0.09

5.75

P < 0.001(HS)

1.16

± 0.74

0.11

6.28

P < 0.001 (HS)

1

± 0.64

0.12

6.92

P < 0.001 (HS)

0.73

± 0.58

0.14

8.07

P < 0.001 (HS)

Kshudra

Swasa

Mean

SD

SE

T

P

2.33

± 1.15

1.9

± 1.09

0.10

4.17

P < 0.001(HS)

1.46

± 1.10

0.13

6.50

P < 0.001 (HS)

1.1

± 1.02

0.17

7.22

P < 0.001 (HS)

0.86

± 0.97

0.17

8.25

P < 0.001 (HS)

Alasya Mean

SD

SE

T

P

2

± 0.94

1.36

± 0.80

0.10

6.24

P < 0.001(HS)

0.93

± 0.73

0.13

7.90

P < 0.001 (HS)

0.5

± 0.57

0.14

10.02

P < 0.001 (HS)

0.2

± 0.40

0.17

10.26

P < 0.001 (HS)

Anga Gaurav Mean

SD

SE

T

P

1.26

± 1.17

0.83

± 0.83

0.09

4.71

P < 0.001(HS)

0.66

± 0.80

0.14

4.26

P < 0.001 (HS)

0.43

± 0.62

0.16

5

P < 0.001 (HS)

0.16

± 0.46

0.21

5.21

P < 0.001 (HS)

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Table 2 : Showing the statistical values of the effect of treatment with Vidangadi Churna on various body measurements in

Sthoulya patients at Initial and Final follow ups

Symptom values Initial After 60 days

Uro Ayam

Mean

SD

SE

T

P

41.07

± 2.99

40.2

± 3.01

0.14

6.14

P < 0.001 (HS)

Udar Ayam

Mean

SD

SE

T

P

39.51

± 3.04

37.46

± 3.04

0.23

8.67

P < 0.001 (HS)

Sphik Ayam

Mean

SD

SE

T

P

46.18

± 3.46

43.95

± 3.80

0.18

11.76

P < 0.001 (HS)

Praganda Madhya

Ayam

Mean

SD

SE

T

P

13.6

± 1.37

12.85

± 1.25

0.10

7.42

P < 0.001 (HS)

Uru Madhya Ayam

Mean

SD

SE

T

P

23.43

± 1.86

22.75

± 1.93

0.10

6.82

P < 0.001 (HS)

Table 3 : Showing the statistical values of the effect of treatment with Vidangadi Churna on two important parameters of

Sthoulya Weight and BMI

Parameter Values Initial Final

Weight in Kgs

Mean

SD

SE

T

P

80.7

± 11.61

77.18

± 11.69

0.27

12.60

P < 0.001 (HS)

BMI ( Wt in Kgs

/Height square in

Meters)

Mean

SD

SE

T

P

34.64

± 4.90

33.12

± 4.92

0.12

12.62

P < 0.001 (HS)

REFERENCES 1. Astang Hridayam Su.14/24, edited with the ‘vidyotini’

hindi commentary by kaviraj Atridev gupta, Varanasi,

chaukhambha prakashan 2010, p.137.

2. Caraka samhita, su 21/23, edited with ‘vaidyamanorama’

hindi commentary by Acharya Vidyadhar shukla, Delhi,

Chaukhamba Sanskrit pratishthan, 2010, p.303.

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