Chapter 1.23: Over-nutrition & Under-nutrition Disorders (Santarpaniya Adhyaya / सन्तर्पणीय अध्याय)

Comprehensive chapter on diseases from overnutrition (santarpana) and undernutrition (apatarpana), covering causative foods, disease lists, specific herbal formulations, obesity management, and nourishing preparations for the emaciated.

Source: Astanga Hridaya Sutrasthan by Vagbhata

This chapter comprehensively addresses diseases from both overnutrition and undernutrition. Santarpaniya diseases arise from excessive unctuous/sweet/heavy foods combined with sedentary lifestyle, producing metabolic disorders, obesity, and diabetes-like conditions. Apatarpaniya diseases result from inadequate nutrition causing tissue depletion and vata aggravation. Treatment for overnutrition employs purification, exercise, and reducing herbs; undernutrition requires nourishing foods, rest, and gradual rehabilitation.