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MAIGREUR
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Karshya (Leanness)
Introduction
According to Charaka over lean (karshya) persons are described under
eight despicable persons (ashtau-ninditiya) along with over obese
(medasvi) person. Charaka mentioned the definition of swastha purusha,
in which he described how the ideal proportion should look like i.e.
any person who has balanced proportion of muscles (sama-mansa pramana),
compactness (sama samhanana), firmness of organs (drudhendriya
vikaranam) does not fall prey to the prowess of a disorders. An over
lean person has dried up buttocks, abdomen, neck (shushka-sphic, udar,
greeva), prominent vascular network (dhamanijal santataha), remnant of
skin and bone (twagasthi shesho, ati krusha) and thick nodes (sthool
parva). According to Sushruta, lean and fattiness of body depends upon
rasa-dhatu.
Hetu (etiological factors)
- Indulgence in rough food and drinks
(rukshanna pana seva)
- Fasting (langhana)
- Little diet (pramitashana) or diet that
aggravates vata (dry, astringent etc)
- Excessive subjection to evacuative
therapy (kriyatiyoga)
- Grief (shoka), worries, fear, excess study
- Suppression of natural urges, such as -
sleep (vega- nidravi- nigrah), thirst and hunger
- Excessive exercise, sexual intercourse,
excess bath
- Excess non - unctuous anointing to the
persons (ruksha udvartan)
- Indulgence in bath (snana abhyasa)
- Constitution (prakruti), heredity (beej
dosha)
- Old age (jara)
- Continued disorder (vikar-anushaya)
- Anger (krodha)
Roopa (the signs and symptoms)
- The over lean does not tolerate physical
exercise, over saturation (vyayamum atisauhityam), hunger, thirst,
disease, drugs (kshutpipasamay-aushadham).
- Too much of cold, heat and sexual
intercourse (ati-shitoshna-maithunam).
- The over lean often becomes a victim of
spleen enlargement (pleeha).
- Cough- kasa.
- Wasting- kshaya
- Dyspnoea- Shwasa
- Gascious tumour- gulma
- Piles- arsha
- Abdominal diseases- udara, Raktapitta
- Disorders of vata
- As person is weak in nature (low
immunity), all disease that he suffers is difficult to treat (sampoorna
roga balwan).
Treatment
Following are the conducts that must be followed in order to cure this
ailment:
- Day sleep (diva-swapna)
- Exhilaration (harsha)
- Comfortable bed (sukha shayya) for sleep
- Relaxation of mind (manaso nivrutti)
- Keeping away from mental work, sexual
intercourse and physical exercise.
- To live amongst the people and the
environment one likes
- Tailabhyanga (daily oil massage)
- Snigdha udvartan (unctuous anointing)
- Snana (bath)
- Gandha-mala-neshevanam (using perfumery
and garlands)
- Shukla vasa (wearing white dress)
- Sweet and unctuous food
- New cereals, fresh wine, meat soup
- Meat soup of domestic, marshy and aquatic
animals
- Well-cooked meat
- Curd, ghee, milk, sugarcane, rice, black
gram, wheat
- Products of jaggery
One desirous of giving up the leanness
should follow these:
- Smadhur basti (use of unctuous and sweet
enema)
- Yatha-kala dosha-vasechana (timely
drainage of dosha)
- Regular use of rasayana (bulk promoting)
and vajikarana (aphrodisiac) formulations.
Commonly used drugs
- Some of the bulk promoting drugs:
Vidarikanda, ashwagandha, payassya, vidari, shatavari, bala, atibala
and nagabala.
- Some generally used drug
formulations:
- Suvarna vasant malati
- Laghu malini vasant
- Vasant kusumakar rasa
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