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@article{192089,
        author = {Wasnik Komal Purushottam and Belge Archana Raman},
        title = {Integrative Management of Metabolic Dysfunction( Agni Mandya ) in Lean Patients: Ayurveda, Yoga and Public Health Perspectives.},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {12},
        number = {9},
        pages = {261-270},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=192089},
        abstract = {Background: In ayurveda, nearly 70–80% of diseases are attributed to agni mandya, as impaired digestion leads to ama, dosha imbalance, and strotas rodha (obstruction). modern data similarly shows that malnutrition and poor digestion contribute significantly to the global disease burden, including around 45% of child deaths and rising non communicable diseases (NCDs). Agni mandya is a central   pathological state in ayurveda, leading to ama formation, malnutrition, lifestyle diseases, and reduced immunity.
Objective: To explore the management of agni mandya in lean patients (krisha purusha) through pathya–apathya ahara and yogic practices, integrating classical references, modern physiology, and public health perspectives. 
Methods: A narrative review of classical Ayurvedic texts including Charaka Samhita, Sushruta Samhita, Vagbhata Samhita, Gherand Samhita, Hatha Yoga Pradipika and Patanjali Yoga Sutra was undertaken, along with modern sources such as WHO fact sheets, NCCIH resources, PubMed, Scopus, and Web of Science. National health programmes like ICDS, RBSK, RKSK, and NPCDCS, as well as AYUSH initiatives such as the Ayush Mark and Digital AYUSH Portal, were also reviewed for relevance.
Results: Agni Mandya in lean patients involves vata predominance, pitta hypofunction, kapha–Ama obstruction, dhatu depletion, and strotas dushti. management strategies include pathya diet, avoidance of apathya ahar vihara, lifestyle regulation, yogic practices, chakra dhyana, color therapy, and rasayana herbs. Integration with public health programmes highlights applicability in malnutrition, diabetes, and lifestyle disease prevention.
Conclusion: Management of agni mandya in lean patients requires a holistic integrative approach. By combining pathya–apathya ahara, rasayana sevan, lifestyle regulation, yogic practices, chakra dhyana, color therapy, digestive fire can be kindled, ama can be digested, dhatu and strotas function can be restored, and ojas strengthened. This integrative strategy not only addresses malnutrition and weak digestion in lean patients but also prevents lifestyle disorders such as diabetes, obesity, and cardiovascular disease, thereby promoting holistic wellness and strengthening public health sustainability.},
        keywords = {},
        month = {February},
        }