A therapeutic review on Trikatu Churna in the management of Sthaulya (Obesity)

Acharya Sushruta has also narrated the etiopathogenesis of Sthaulya Roga based on an endogenous entity being caused due to “Dhatvagni Mandya.” Acharya Charak described that a person in whom excessive and abnormal increase of Medo Dhatu along with Mamsa Dhatu is found which results into pendulous Sphika, Udara and Sthana and having lack of enthusiasm. A person suffering from this condition is called ‘Atisthula.’ The disease Sthaulya is occurring due to the Kaphavardhaka Ahara and Vihara mentioned as Santarpaka Nidana like Atiguru, Atisnigdha, Atipichchhil, Atishita, Navanna-pana, Atinidra, Atiaasana, Avyayama etc, which vitiate Rasa Dhatvagni, Medadhatvagni, Kaphadosha and Vatadosha. Trikatu Churna having Ushna, Laghu, Ruksha Guna and Deepana, Kapha-Vatahara and Sthaulyahara Karma expected to increase the power of Rasa and Medadhatvagni, decrease in Kapha and Vata and thus decrease in further formation of Aama Medadhatu and its deposition in body results in improvement in Sthaulya