ROOKSHANA POORVAKA VIRECHANA” – AN EFFECTIVE TREATMENT PROTOCOL FOR STHOULYA

Abstract

Sthoulya comes under Santarpanajanya²and Medo-Pradoshaja Vikara³ which is also a Kapha Pradhana Vyadhi⁴ where Apatarpana treatment modalities like Rookshana⁵ are indicated because it involves Marma, major Dosha and also for its Abhishyandi nature⁶. Rookshana has been mentioned as Poorvakarma for Mamsala, Medhura, Bhurishleshma and Vishamagni persons for Snehapana prior to Shodhana⁷ . Sthoulya is one such condition. The present study was taken up to evaluate whether Rookshana performed prior to Snehapana in Virechana Karma has any beneficial effect over classical Virechana.

Rookshana alone provided better relief in comparison to Snehapana Poorvaka Virechana in parameters of Chala Stana, Chala Udara, Body Weight, BMI, Skin fold thickness of Biceps, Triceps, Sub scapular, Abdomen and Thigh, Circumference of Chest, Abdomen, Buttock, Mid-Thigh and Mid-Arm. Snehapana Poorvaka Virechana provided better relief in comparison to Rookshana alone in parameters of Atikshudha, Nidradhikya and Gourava.                                                                                                                                                  

Rookshana Poorvaka Virechana provided better relief in comparison to Snehapana Poorvaka Virechana in parameters like Chala Udara, Sphik, Atitrishna, Nidradhikya, Body Weight, BMI, Skin fold thickness of Biceps, Triceps, Scapular, Abdomen and Thigh, Circumference of Chest, Abdomen, Buttock, Mid-Thigh and Mid-Arm.                                                                   

On the whole, it may be concluded that Rookshana Poorvaka Virechana has far better role in providing relief to the patients of Sthoulya.

Key words: Sthoulya, Obesity, Rookshana, Snehapana, Virechana.