Efficacy of Shigru Patra Kashaya (Moringa oleifera) and structured yoga protocol in the management of obesity: A case series.

Background: Obesity has transformed into a global epidemic, amidst insulin resistance and chronic inflammation as a predominant contributor. Ayurveda explains Sthoulya as excess Meda Dhatu, in analogous to obesity. Modern management like surgery and certain medications have notable side effects, highlighting the need for safer, effective alternatives. The study seeks to evaluate the efficacy of Shigru Patra Kashaya combined with a yoga protocol for Sthoulya management. Clinical findings: Patients coming to xxx opd of department of xxx, having the classical signs and symptoms of Sthoulya according to Ayurveda and BMI more than 25 kg/m^2 according WHO guidelines. 4 Sthoulya patients diagnosed and enrolled in the clinical case study finished their treatment. Intervention: Shigru patra Kashaya 50ml 2 times a day after 1 hr of food along with yoga protocol for 30 days. There was no intervention of any diet chart. Assessments are done through various clinical measures, like Karada scan and anthropometric measurements. Outcome: As a result of the treatment plan, the anthropometric measurements, Karada scan, and Sthoulya signs and symptoms were significantly decreased. Conclusion: This case series highlights that Shigru Patra Kashaya 50ml BD after 1 hr of food, when integrated with a structured yoga protocol for 30 days, without any dietary intervention can present a safe, widespread and effective approach for managing Sthoulya. The intervention demonstrated notable reductions in body weight, BMI, body fat indices and anthropometric measures addressing both metabolic imbalances and lifestyle factors which serve as a sustainable alternative with minimal risk of adverse effects.