Download - Obesity unani
![Page 1: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/1.jpg)
PRESENTED BY UNDERKIND SUPERVISION OF-ARJUMAND BANO Dr. S.M.S Ashraf(Chairman)(INTERN) D/O Tahaffuzi wa Samaji Tib11BU-14 Faculty of Unani Medicine KEHKASHAN AMU AligarhFARHA MAIRAJ
![Page 2: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/2.jpg)
`
![Page 3: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/3.jpg)
Other Index Used For Obesity
oBrocca index = Ht (cm) – 100 is ideal wt.
oCorpulence index = actual wt/ desirable wt should not be exceed 1.2
oPonderal index = Ht(cm)/cube root of body wt(kg)
![Page 4: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/4.jpg)
![Page 5: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/5.jpg)
Just the Facts! • According to WHO:
As of 2005– 1.6 billion adults (over 15 years old) are
overweight– 400 million are obese – Projects by 2020, 2.3 billion will be overweight
and 700 million obeseRef: World Health Organization.(2008). Obesity and
overweight. Fact sheet #311. Retrieved from http://www.who.int/mediacentre/factsheets/fs311/en
![Page 6: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/6.jpg)
Types of ObesityNow "one-size-fits-all" approach is quit
changed Six Type of Obesity
![Page 7: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/7.jpg)
CAUSES?????What do you think about
the cause of Obesity
![Page 8: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/8.jpg)
![Page 10: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/10.jpg)
![Page 11: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/11.jpg)
Treatment of obesity comes into three categories:
1-behavior modification . {diet and exercise} 2-pharmacotherapy 3-surgical intervention .
![Page 12: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/12.jpg)
Medical intervention
• Medications aren't "magic cures" leading to permanent weight loss.
• They are only for people who are on the high risk of complication from obesity.
• Which may produce adverse effects on long term uses
• Only one drug, orlistat, is currently licensed for long term use.
• Side effect profile has limited the use of many agents like sibutramine and rimonabant.
![Page 13: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/13.jpg)
Surgery is only considered when other weight management
options have not been successful
• gastric surgery• gastric bypass surgery• laparoscopic band surgery• Roux-en-Y gastric bypass• stomach "stapling“• Liposuction• Any advertisement product
![Page 14: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/14.jpg)
Unani concept of Obesity
![Page 15: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/15.jpg)
Obesity = Siman Mufrit Siman = Fats
Mufrit = Excessive • Obesity - Latin word ‘obedere’, to devour (eat
greedily) and in English means very fat.• Excess of shaham is due to ratoobat and baroodat.
• Thus, obesity can be defined as excessive of shaham (fats) in which baroodat (Cold) and ratoobat (moist) is increases in the body.
![Page 16: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/16.jpg)
In famous classical books
• First it was Buqrat (420 BC) who gave detailed description of obesity including its complications, prevention and management in his famous book “Fasoole Buqratia”.
• Al Qanoon (Canon of Medicine) by Ibne Sina • Moalijat-e-Buqratiya by Buqrat• Firdousal Hikmat by Ali Bin Rabban Tabri • Al Havee by Zakariya Razi
![Page 17: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/17.jpg)
Etio - Pathology • Disturbances in Hadhm wa Istehala (Digestion & Metabolism)• Disturbances in temperament (Sue Mizaj)• Disturbances in Six Essential Factors (Asbab-e-Sitta Zarooriyah)
![Page 18: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/18.jpg)
Disturbances in Metabolism (Islahe Hadhm wa Istehala)
• Metabolism & Digestion comes under the Hudhoom Arba
(Four Stages of Digestion)1.Hadhm-e- Medi (Stomach)2.Hadm-e- Mewi (Intestine)3.Hadhm-e -Kabidi (Liver)4.Hadhm-e- Udhvee • (Specific organ)
![Page 19: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/19.jpg)
Temperament & Disturbed temperament (Mizaj & Sue Mizaj)
Balghami Mizaj person’s are prone for the obesity.
Because Balgham is having Barid Ratab Mizaj
Obesity - a condition in which baroodat (Cold) and ratoobat (moist) in the body increases.
![Page 20: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/20.jpg)
Sue-e-Mizaj Balghami
Increase in Baroodat & Ratoobat
Obesity
fat is presence inform of dasoomat (viscous substances) or Lathif & Ghaleez Shahm in blood
Dasoomat of blood, solidifies and deposited in the form of Ghaleez shaham (Bad Cholestrol / LDL).
![Page 21: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/21.jpg)
Causes of Increase Baroodat & Ratoobat
• External: cold climate, cold season, cold bath etc
• Internal: cold foods & cold drinks,
![Page 22: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/22.jpg)
Disturbances in Asbab-e-Sitta Zarooriyah
Hawa-Muheet(Atmospheric Air)
Makoolat wa Mashroobat (Foods
& Drinks)
Harkatwa Sukoon-e-Badni
(Physical Movements & Rest)
Harkat wa Sukoon-e-Nafsani
(Mental Movements & Rest)
Noam wa Yaqza (Sleep &
Wakefulness)
Ehtibas wa Istafragh(Retention of Essentials &
Excretion of Wastes).
![Page 23: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/23.jpg)
Makoolat wa Mashroobat (Foods & Drinks)
Good nutrition is an important part of leading a healthy lifestyle.
• Diet plays an important role in the genesis of obesity.
• These Bad food habit depend:• Personal choices, • advertising, • social customs and cultural influences, • food availability and pricing
![Page 24: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/24.jpg)
Bad Drink Habits
![Page 25: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/25.jpg)
Bad Foods Habit
![Page 26: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/26.jpg)
Harkat-wo-Sukoon-e-Jismiah less bodily Exercise
and More resting condition• There are multiple diseases associated with
obesity and physical inactivity….Obesity • Overweight Employees Are Less Productive• Reasons• In children: Indoor games , T,V, computor,mobil
etc• In females: less house hold works, recent advance
equipments • In males: sitting work, IT sectors,
![Page 27: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/27.jpg)
Naum-o-Yaqzah (Disturbed Sleep pattern)
• Sleep is a natural, periodically recurring state of inactivity.
• It is necessary to have peace full sleep• Work burden, mobile, whatsApp, facebook, internet etc
![Page 28: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/28.jpg)
Ihtebas and Istifragh (Retention and Excretion)
• Qabz - Ummul Amraz• Mother of Diseases is Constipation.• Obese patients generally have the complaint
of constipation, piles, and GIT disturbances.
![Page 29: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/29.jpg)
TREATMENT OF OBESITY
![Page 30: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/30.jpg)
As a preventive measures
• U have to adopts the healthy lifestyle (Asbab Sitta Zarooriya)• Ilaj Bil Ghiza • Ilaj Bil Tadbeer
![Page 31: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/31.jpg)
LINE OF TREATMENT
ILAJ BIL GHIZA
ILAJ BIL TADBEER
ILAJ BIL DAWA
ILAJ BIL YAD
![Page 32: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/32.jpg)
Ilaj Bil Ghiza (Diet therapy)
• Kamiyat wa Qaifiyat (Volume & Calories)• Mizaj (Temperament)• Mosam (Climate)• Umr (Age)• Oqat-e-Ghiza (Timing of Foods)
![Page 33: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/33.jpg)
May increase in Kamiyat (quantity/ Volume)
Food should be decreased in terms of Kaifiyat (quality / Calories)
Kamiyat wa Kaifiyat (Quantity & Quality)
![Page 34: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/34.jpg)
According to Mizaj:
• Most of the patients are Balghami Mizaj. Then avoid the cold foods.
• Hot spices should be added in ghiza (food) e.g. Filfil Daraz, Zeera, Lehsun because they have Mulattif property.
• Use vinegar in cooking • use dry and desiccating food• Promote fasting
![Page 35: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/35.jpg)
Age
• In older age metabolism is slow and Quwwat hazima also weak so avoid the excessive foods
• avoid all roghni ghizayen (fatty diets). • Restrict meat, milk and liquor
![Page 36: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/36.jpg)
Timings of foods (Secret for maintenance)
• Eat less & live best (Taqleel ghiza )..• Frequent small meal…..now a days we are eating too
much • Eat 1/3 of your stomach capacity.. Now a days we
are eating full of stomach• Heavy breakfast.. Less lunch too less dinner• (breakfast like a king, lunch like politician, dinner like
beggar)…now a days we are skipping our breakfast…lunch and full of stomach with dinner
• Always sit down for eating…..now a days dining tables..standing positions or bed etc is our habit
![Page 37: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/37.jpg)
![Page 38: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/38.jpg)
• Chew proper.. at least 20 chews before taking the next mouthful. …now a days we have short time for eating and more time for other activities
• Drinks water before food….always sit and drink in 3 sips… but now a days, by walking, talking, people are drinking water
• After meal immediately don’t drink the water …but now a days its fashion to take cold drinks, ice creams and etc.
• Eat fruits or salads before meal…… • Dinner should be always early (before 3 hrs to the bed
time)…. But now a days.. Dinner at 11-12 o clock at night.• After lunch always take a short nap (Qailoola).. But we
don’t have time for that• After dinner always walk (At least 40 steps of walking)… but
now immediately we are sleeping
![Page 39: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/39.jpg)
Ilaj Bil Tadbeer (Regimenal therapies):
• Increase the physical activity to produce fatigue. • Body massage with hot oils. • Rub the body with rough clothes • Exercise before meals • Reduce sleeping hours (depend on person..5-7 hrs) • Avoid late night sleep• Early morning wakeup• Sleep on hard surface • Bathing before meal • Frequent elimination of morbid matter (Qai ya Ishaal)• Stay for long time in hammam causes excessive sweating &
produce yaboosat (dryness) • Hammam should be taken before meals
![Page 40: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/40.jpg)
Dalak, Riyazat, Hammam
![Page 41: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/41.jpg)
U may adopt out door games like • Swimming • Brisk walking• jogging,• running, • jumping rope• Playing tennis• Skipping• Foot ball• Basket ball• kabaddi & Cricket
![Page 42: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/42.jpg)
Ilaj Bil Dawa (pharmaco therapy):• A number of single and compound drugs have been used by Unani physicians in the management of obesity and studies have also been carried out for its anti obesity activity.
• Correction of Digestion & Metabolism (Islahe Hadhm wa Istehala) eg Azwain desi,badyan,podina,zanjbeel,jaefal,jawitri,darchini
• Muqaavie Kabid (Hepatoproetctive)eg mako, kasni,dabeedulward
• Dafe-fart Advia eg arjun,lahsan,mukul,zanjbeel,kmoon,• Muarrique Advia (diaphoretics)eg khaksi,kafoor,lahsan• Haar wa mohallil (Resolvent)eg methi,mukul,pudina
![Page 43: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/43.jpg)
Nuskha
• Take safoof Mohazzil 5 gm with 20 ml Arq zeera twice a day
• Take 5 ml honey with one cup of water and drink in morning empty stomach
• Lemon juice in 1 glass of water• Safoof ajwain 5 gm with sirka (Vinegar)• Decoction of filfilsiya 2 part, Asaroon ½ part,
Anisoon 1/2part
![Page 44: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/44.jpg)
![Page 45: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/45.jpg)
Be care full about your Foods & Drinks (Makool wa Mashroob)
Hippocrates says
![Page 46: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/46.jpg)
Follow a Healthy habits of foods & drinks
![Page 47: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/47.jpg)
Follow a regular habits of Exercise & Sufficient Sleep
![Page 48: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/48.jpg)
Controllable
FactorsAsbab-e-Sittah Zarooriyah
![Page 49: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/49.jpg)
Today’s message
![Page 50: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/50.jpg)
REFRENCESPARK’S TEXTBOOK OF PSM (345)USOOL-E-TIBDAVIDSON’S PRINCIPLES & P OF MEDICINE SLIDESHARE.COMGOOGLE IMAGES
![Page 51: Obesity unani](https://reader033.vdocuments.us/reader033/viewer/2022061608/587ffb4f1a28ab3a1e8b61a7/html5/thumbnails/51.jpg)
THANK U