Background: Obesity is a rapidly escalating global health problem associated with significant morbidity and mortality. Conventional management strategies often face challenges related to long-term adherence and sustainability. Ayurveda describes obesity under Sthaulya or Medoroga (disorder of excessive adipose tissue) and emphasizes dietary regulation as a cornerstone of management. Aim: To conceptualize and present an Ayurveda-based Pathya–Apathya (wholesome–unwholesome) diet chart for the management of obesity based on classical principles. Materials and Methods: Classical Ayurvedic texts including Charaka Samhita, Sushruta Samhita, and Ashtanga Hridaya were reviewed for references related to Sthaulya, Ahara, Pathya–Apathya, and Kapha–Meda Shamana. Relevant modern literature on obesity was also consulted. Results: Obesity is described as a Santarpanajanya Vyadhi (disease due to over-nutrition) with predominant involvement of Kapha Dosha and Meda Dhatu. Classical guidelines advocate intake of Laghu (light), Ruksha (dry), and Ushna (hot) foods while avoiding Guru (heavy), Snigdha (unctuous), and Madhura (sweet) items. A structured Pathya–Apathya diet chart was formulated to aid clinical practice. Conclusion: An Ayurveda-based Pathya–Apathya diet chart provides a rational, holistic, and sustainable approach to obesity management and can serve as an effective adjunct to lifestyle modification and therapeutic interventions.
Dr. Pooja Devi1, Dr. Manisha Sharma*2, Dr. Mohit3 (Fri,) studied this question.