In the recent years, India is under siege of Junk food, alcohol and sedentary life style are leading us to silent self-destruction, making one in every five Indian men and women either obese or overweight. Its prevalence has increased threefold according to WHO estimation in 2016, more than 1.9 billion adults are overweight, of these over 650 million were obese.

In Panchakarma, Sodhana karma is mainly done through Vamana and Virechana , which is strictly contraindicated in Sukumara. And Snehapana, along with Purva , Pradhana, Paschat karma and Samsarjana krama, it is too long which is almost same as Basti schedule or more. Among them Basti stands unique because it expels the vitiated doshas rapidly and easily from body.

 There are different patterns explained like Yoga Basti, Kala Basti, Karma Basti and different research works have been carried out on these three patterns but regarding Chaturbhadra Kalpa Basti krama which is Niratyaya and can be given in Sukumara which is mentioned in Kashyap Samhita; there is less research work has been done. Therefore, it’s the main reason to choose this pattern of Basti as it is mainly indictaed in Sukumara as Niratyaya, which is easy as compared to Vamana and Virechana Karma and this Basti pattern having no complications than Vamana and Virechana karma, but while these two Sodhana karmas has more precautions that are needed to be followed.

 Kasyapa Samhita is mainly used for Bala rogas, and it is not being referred in case of adults. In Kasyapa Samhita, the different Yogas and treatment are mainly for Paediatric age groups, who are generally Sukumara.Hence, here is an attempt to prove the efficacy of Chaturbhadra kalpa Basti pattern in adults also. If it is effective in adults, then further research studies and clinical practices can be done referring Kasyapa Samhita, which is omitted in today’s current research work and clinical practice in adults.

According to Sharangadhara and Sushīruta Samhita it is mentioned that first Utkleshana then Doshahara and in last Samshamaneeya Basti should be given, in this way we can understand Chaturbhadra Kalpa Basti Krama, as first 4 Anuvasana may act as Utkleshana Basti next 4 Niruha Basti may act as Doshahara Basti and last 4 Anuvasana Basti may act as Samshamaneeya Basti.

STUDY DESIGN

AIM: A comparison the efficacy of Lekhan Basti in Yoga Basti krama and Chaturbhadra kalpa Basti krama in the management of Sthoulya.

OBJECTIVES

1. To Study the Effect of Shodhana Karma in Lekhan Basti by Yoga Basti Krama in The Management of Sthoulya.
2. To Study the Effect of Shodhana Karma in Lekhan Basti by Chatur Bhadra Kalpa Basti Krama in The Management of Sthoulya.
3. To Compare the Efficacy of Lekhan Basti In Between Chatur Bhadra Kalpa Basti Krama and Yoga Basti Krama.
4. To prove significant role of Basti Krama for Shodhana Karma in the management of Sthoulya.

RESEARCH QUESTION  - Whether the Shodhana karma by Lekhan Basti in Chaturabhadra Kalpa Basti Krama and Yoga Basti Krama is effective in the management of Sthoulya?

 HYPOTHESIS:

Null Hypothesis (H₀):Neither the Yoga Basti Krama nor the Chaturabhadra Kalpa Basti Krama for Lekhan Basti is effective in the management of Sthoulya..

Alternate Hypothesis

(H₁): Chaturabhadra Kalpa Basti Krama is effective in the management of Sthoulya.

(H₂): Yoga Basti Krama is effective in the management of Sthoulya.

 (H₃): Both Chaturabhadra Kalpa Basti Krama and Yoga Basti Krama is effective in the management of Sthoulya.

MATERIALS AND METHODS

(A)Sources of data

Literature Source:All the classical, modern literatures, journals, websites about the disease and drugs will be reviewed and documented for the planned study.

Pharmaceutical source: Moorchhita Tila Taila for Anuvasan Basti will be prepared in the GMP certified Pharmacy of Parul Institute of Ayurved.Niruha Basti will be prepared at Parul Ayurveda Hospital under proper SOPs.For Abhyanga Karma a Poorva Karma of Basti, Moorchhita Tila Taila will be used and for Swedana Karma Dashmoola Kashaya Nadi Swedana will be used.

METHOD OF COLLECTION OF DATA

Study Design: – Randomized Comparative Clinical Study with Pre and Post assessment.

Treatment Groups:

Study Duration: 18 months

SELECTION CRITERIA: 40 Patient will be selected from OPD and IPD of Parul Ayurveda Hospital, Parul University,and various Health Checkup Camps.

 DIAGNOSTIC CRITERIA: The patients will be examined before Basti karma and after completing basti schedule. Changes in patient’s condition will be noted & following points will be taken in consideration for the assessment of the results.          

INCLUSION CRITERIA

1.     Subject having signs and symptoms of Sthoulya explained in Ayurveda Text.

2.     Age between 18 years to 60 years irrespective of gender, caste, religion.

3.     Subjects having BMI between 25-40.

4.     Subjects who are fit for Basti Karma.

5.     Subjects who are ready to give written informed consent.

 EXCLUSION CRITERIA

1.     Age less than 18 years and greater than 60 years.

2.     Sthoulya associated with other known diseases like Diabetes Mellitus, Hypertension, hypothyroidism, cardiovascular diseases, hemiplegia and from other such disease in which the subjects cannot do his routine physical activities will be excluded.

3.     Sthoulya with Pregnancy and with other significant associated illness, and ongoing menstruation, subjects who will Having cortico-steroids, Oral contraceptive pills will be excluded.

INTERVENTION:

GROUP A: Yoga Basti: 8 Basti [CH.Si.1/48]                

GROUP B: Chaturbhadra Kalpa Basti Krama: 12 Basti [Kashyapa Khila Sthan 8-23]

 Here AB for – Anuvasana Basti; NB for – Niruha Basti

The effect of the Basti (Panchakarma therapy) will be assessed based on the following criteria

1.     Samyak Basti Lakshanas

2.     Retention time of Basti

3.     Number of purisha vega

4.     Possible complications after administration of Basti

5.     Vital data of patients