Evaluating the Lekhana Basti?s Effectiveness in the Modified Kalabasti Pattern for Managing Sthoulya Vis-A-Vis Obesity

Background: Sthoulya in ayurveda is the most common santharpanottha vyadhi and one among the ashtaninditiya purusha. The condition sthoulya is similar to that of obesity described in western medical science. Obesity is a state of excess adipose tissue and is characterized by increased body mass index of more than 30 kg/m2. Objective of the study: To evaluate the efficacy of Lekhanabasti in a modified kalabasti pattern in the management of sthoulya vis~a~vis obesity. Methods: Study design: Single group, open clinical study with pre and post - test design with sample size 53. Intervention: Lekhaneeya gana kashaya niruha basti with Murchhita tila taila as the sneha dravya and the material of anuvasana basti was administered during first 9 days of intervention in a modified pattern of 15 basti in 9 days. Lekhaneeya gana kashaya was started on 10th day of intervention after the completion of basti, 45 ml in three equally divided doses before administration food given with equal quantity of warm water. Results: Data was recorded and assessed before intervention (day 0), after basti (10th day), after intervention (30th day). Intervention showed significant results in individual parameters such as Weight (p value 0.001), BMI (p value 0.001), Hip circumference (p value 0.001), Waist circumference (p value 0.001), Waist Hip Ratio (p value 0.001) also in additional parameters such as Mid arm circumference (p value 0.006), Mid thigh circumference (p value 0.006), Dourbalya (p value 0.006), Nirutsaha (p value 0.001) and Shwasakruchrata (p value 0.034). Intervention showed non significant results in additional parameters such as Dourgandhya (p value 0.687), Atikshudha (p value 0.123), Atipipasa (p value 0.714) and Atisweda (p value 0.167). Conclusion: An attempt was made to evaluatethe efficacy of Lekhana basti in modified kalabasti pattern in the management of sthoulya. Lekhanabasti in modified kalabasti pattern along with Lekhaneeyaganakashaya internally showed significant results in reducing signs and symptoms of sthoulya.