CASE SHEETS

SUBMITTED BY
SATHVIKA
CRRI
SREE RAMAKRISHNA MEDICAL COLLEGE OF
NATUROPATHY AND YOGIC SCIENCES
PADANILAM, KULASEKHARAM
KANYAKUMARI DISTRICT, TAMILNADU -627161
AFFILIATED TO TN. DR. M.G.R. MEDICAL UNIVERSITY -CHENNAI

This is to certify that SATHVIKA bearing the Reg. No. 821810549.

has satisfactorily completed the BNYS COURSE as prescribed by the
[Link]. M.G.R. MEDICAL UNIVERSITY for the CRRI during the year
2023 -2024

DATE: SIGNATURE OF THE HEAD

PLACE: KULASEKHARAM OF THE DEPARTMENT
CASE SHEET -01

Preliminary Data

Name : Mr. Subbarao Krishnan

Age : 43 yrs

Sex : Male.

Address : Telangana

Occupation : IT Marital status

: Unmarried

Religion : Hindu.

CHIEF COMPLAINTS

C/O Low back pain since 2 weeks.

C/O Burning and tingling sensation over both legs since 2 weeks.

HISTORY OF PRESENTING COMPLAINTS:

The patient has the complaint of severe low back pain exactly at the lumbar vertebral
level in the past 2 weeks, it is of spasmodic type of pain it is of shooting type and gets aggravated
during forward bending and weight lifting and get relieved during taking good rest. He also has the
complaint of burning and tingling sensation throughout both the legs along with pain in the past 2
weeks the symptoms get relieved with rest.

PAST HISTORY

No relevant past history.

FAMILY HISTORY
 All family members are said to be healthy.

MEDICAL HISTORY

No relevant medical history.

PERSONAL DATA

Diet : Mixed.

Appetite : Loss of appetite.

Bowel : Constipated [once in 3 days].

Micturition : Normal in frequency [4-5 times /day].

Habit : NIL.

Sleep : Disturbed [due to pain].

Thirst : Normal in frequency [2-3 lit/day].

Addiction : NIL.

Allergy : NIL.

VITAL DATA

HR PR RR BP Temp

76Bpm 76bpm 17cycles/m 110/70mmhg 99F

GENERAL PHYSICAL EXAMINATION

Height : 162 cms

Weight : 78kgs

BMI : 26.7kg/m square

Built : obese

Gait : Antalgic gait.

Edema : Absent.

Cyanosis : Absent. Pallor :

Absent.

Tongue : Clear.

Nails : Clear.

Icterus : Absent.

Lymphadenopathy. : Absent.
Clubbing : Absent.
Expression : Dull.

: Absent.

Varicosity

SYSTEMIC EXAMINATION

CVS : Normal S1 and S2 sound is heard.

CNS : Conscious and well-oriented.

RS : Normal broncho-vesicular sound is heard.

GIT : No abnormality detected.

Renal : No abnormality detected.

ENT : No abnormality detected.

LOCOMOTOR SYSTEM:

G A L S

x ✓ x x

Gait: Antalgic gait

SLR TEST : positive [both legs]

 Pain on raising legs above 60°

Dermatology : No abnormality detected.

FACIAL DIAGNOSIS

Back encumberance

IRIS DIAGNOSIS

Closed lesion seen in 7-8’clock position in left iris and 4-5’clock position in right iris

PUlSE DIAGNOSIS

Vatha dominant

DIFFERENTIAL DIAGNOSIS:

• ? IVDP and Sciatica

• ? Lumbar spondylosis

INVESTIGATION:
X-RAY: Intervertebral disc buldging at the level of L3-L4 and L4-L5 vertebral level and nerve root
compression at L4 level

FINAL DIAGNOSIS:

IVDP and Sciatica

MANAGEMENT: YOGA

MANAGEMENT

Asana – Tadasana, TriyakaTadasana, Vrikshasana, Ushtrasana, Gomukasana, Yyagrasana,

Setubandhasana ,Marjariasana, Janusirsasana ,Shalabasana, Pawanamuktasana ,Bhujangasana

Relaxation - DRT

• Nadishodhana pranayama with internal retention

• Brahmari pranayama with internal retention

• Suryabedhana with internal retention

• Relaxation – PET
NATUROPATHIC MANAGEMENT

• enema

• Hot spinal bath

• Spinal spray

• Hot FIB with Epsom salt

• Fomentation to back

• Mustard pack

• Acupuncture

• Back strengthening exercises

• Towel stretching

• Ultrasound to painful areas

• IFT

• Shortwave diathermy

• Kativasti

• Pichu low back

• Partial massage to back and legs

DIET CHART

6.00 – 6.30 am: fenugreek / cumin/fennel/ ginger/cinnamon /black cumin water/ arugampul juice 7.30

am: Fermented rice water/ ashgourd juice 8.30 am: idly/millet dosai/varaghu kanji/ragiadai/

curry leaves/beetroot / coconut/ mint chutney/ fruit bowl

11.00am: pome/pineapple+ginger/orange /arugampul juice /tender coconut water/coconut milk

1.00pm: millet rice/karuppukavni rice/white rice/ raw vegetables salad/ boiled vegetables

Rasam/ radish sambar/ dhal/green gram gravy/kollurasam/

Bitter gourd/ Ridgegourd/surakkai/pumbkinporiyal

 Agathi/ ponangani/ seerukeeraikootu

3.00pm: mudakathan/ moringa/ pumbkin/ onion soup

5.00pm: hibiscus/tulsi/mint/lemongrass/herbal tea

7.00pm: ragi malt/ sathmavu kanji/varaghu kanji/ poha/upma/ragiidiyappam

Beetroot chutney/ mint chutney/kolluthovaiyal/coconut milk/kadalai curry

PROGNOSIS
After taking naturopathic treatment for 15 days the patient feels very relaxing and comfortable and his
weight also reduced Pain also reduced and he able walk comfortable without pain

CASE SHEET 2

PRELIMINARY DATA
Name : Mr. Venkata Narasimha Chintha Kindi
Age : 52
Sex : Male
Address : Telangana

Occupation : Retired employee

Marital status : Married

Religion : Hindu

CHIEF COMPLAINTS:

C/O muscle weakness on the left side of the body since 10days

C/O loss of sensation on the left side of the body since 10days
C/O slurred speech since 7days

K /O. hypertension since 2years

HISTORY OF PRESENTING COMPLAINTS:

The patient has a complaint of muscle fatigue on the left side of the
body since 10days. It’s gradual onset and progressive in nature and relived by taking treatment and
also associated with loss of sensation. He also had the complaint of dysphasia since 7 days. The patient
has a history of hypertension since 2years. It gets aggravated while working and relieved after taking
medication.

PAST HISTORY

The patient has the complaint of hypertension since 2years

FAMILY HISTORY

No relevant family history

MEDICAL HISTORY

He undergoes allopathic medications since 2years

Drug Dosage Allergy

1-0-1 -
Chlorothiazide

Amilodipine 1- 0 -1 -

PERSONAL DATA

Diet : Mixed

Appetite : Good

Bowel : constipated (1times / 2day)

Micturition : increased frequency (7 -8times /day) with decreased output

Habit : Tea twice a day

Sleep : disturbed

Thirst : Normal

Addiction : alcohol

Allergy : Nil

HR PR RR BP Temp
VITAL DATA:
80 b/min 80b/min 20 cycle/min 160/100mmhg Afebrile

GENERAL PHYSICAL EXAMINATION

Height : 170cm
Weight :75kg

BMI 2
: 26kg/m

Built : Moderate

Oedema : Absent

Cyanosis : Absent

Pallor : Absent

Tongue : Clear
Nails : Normal

Icterus : Nil
Lymphadenopathy : Absent
Clubbing : Absent
Expression : Dull Varicosity :

Absent

SYSTEMIC EXAMINATION
CVS : systolic and diastolic murmur are present

RS : Normal vesicular breathing

CNS : conscious and not oriented

GIT : No abnormality detected

Renal : increased frequency of urination
ENT : No abnormality detected

LOCOMOTOR SYSTEM/MUSCULOSKELETAL SYSTEM

G A L S

x x x

Gait: hemiplegic gait

Inspection: decrease and restricted movements

Range of movement: shoulder flexion less than 130degree, Abduction less than 110-degree, Knee
flexion and extension- 45 degree

Palpation: Test for sensory nerve function = positive Loss

of Pain and temperature sensation

Assessment of muscle tone: decreased(hypotonia)

Muscle strength and power: grade 0 –no muscle contraction is visible

Reflex: plantar reflex –an abnormal extensor plantar response

FACIAL DIAGNOSIS Mixed encumberance

IRIS

DIAGNOSIS

iris lesions noted were radii solaris in the cerebrum and cerebellum regions.

PULSE DIAGNOSIS

Impaired vathadosha

DIFFERENTIAL DIAGNOSIS:

• ? Hemiplegia
• ? paraplegia
INVESTIGATION:
CT /MRI - Developing hyperdense in anterior and posterior view of brain, lesions are
appeared in the brain confirm the intracranial haemorrhage.

FINALDIAGNOSIS

Hemiplegia

MANAGEMENT

YOGA MANAGEMENT

Asana – sukshmavyayama

Chair Surya namaskara

Relaxation - DRT

• Nadishodhana pranayama with internal retention

• Brahmari pranayama with internal retention

• Surya bedhana with internal retention

• Relaxation – PET

• Chin mudra

• Vayu mudra

NATUROPATHIC MANAGEMENT

• Arm and foot bath

• Hot Full immersion bath

• Wet Sauna

• Spinal spray

• Jaccuzi
 • Mud bath

• Pebble walking

• Passive stretching

• Arm movements using smiley ball

• Overhead shoulder exercise assisted by non-affected side

• Facial exercises

• Muscle stimulation therapy

• Interferential current therapy

• Abhyangam&elakizhi

• Navara massage

• Pichu

• Podikizhi

• Acupuncture : sedative point – Du 20 Analgesic point – Li 4

• Specific point.: Influential point muscle and tendon – GB 34

• Influential point bones and cartilage - UB11

• Motor point for muscle stimulation - St 31

• Upper limb paralysis – Li 15

• Aphasia - SI 17

• Lower limb paralysis – GB 30

• Toe paralysis - Ex 36

DIETTHERAPY

6.00 – 6.30 am: fenugreek / cumin/fennel/ ginger/cinnamon /black cumin water/ arugampul juice/
Ashwagandha herbal decotion/ curry leaf juice

7.30 am: Fermented rice water/ ashgourd juice 8.30 am: idly/millet dosai/varaghu kanji/ragiadai/

curry leaves/beetroot / coconut/ mint chutney/ fruit bowl

11.00am: pome/pineapple+ginger /orange /arugampul juice /tender coconut water/coconut milk /

Beetroot juice/ ashgourd juice / Amla juice

1.00pm: millet rice/karuppukavni rice/white rice/ raw vegetables salad/ boiled vegetables

Rasam/ radish sambar/ plantain pith sambar/ dhal/green gram gravy/kollurasam/

Bitter gourd/ Ridgegourd/surakkai/pumbkinporiyal

Agathi/ ponangani/ seerukeeraikootu

3.00pm: mudakathan/ moringa/ pumbkin/ onion soup

5.00pm: hibiscus/tulsi/mint/lemongrass/herbal tea

7.00pm: ragi malt/ sathmavu kanji/varaghu kanji/ poha/upma/ ragiidiyappam

Beetroot chutney/ mint chutney/kolluthovaiyal/coconut milk/kadalai curry

PROGNOSIS
After taking naturopathic treatment for 1 month patient BP was bought to normal and patient is able to
walk without support to minimal distance without fainting and his speech and sensation has improved
far better and improved range of motion and muscle weakness is reduced.
CASE SHEET 3

PRELIMINARY DATA
Name : [Link] Singam

Age : 36 yrs.

Sex : Male

Address : Palanadu, AP

Occupation : Software
Marital status : Unmarried

CHIEF COMPLAINTS:

C/O Pain & Stiffness in the right shoulder in the last 4 months

HISTORY OF PRESENTING COMPLAINT:

The patient has the complaint of pain & stiffness in the right shoulder in the last 4 months. The pain is
gradual in onset & aggravates on prolonged walking and is relieved after taking rest. The pain is of
dull type. Also, he is not able to move the limb as usual to do his own physical activities.

PAST HISTORY

No relevant past history

FAMILYHISTORY

His family members are said to be healthy

MEDICALHISTORY

No relevant history

PERSONAL DATA

Diet : Mixed Appetite.

: Good

Bowel : Regular

Micturition: Normal in frequency [4-6 times/day]

Habit : Tea/Coffee [2-3 cups/days]

HR PR RR BP Temp

99b/min 99b/min 18cycles/min 110/80mmHg Afebrile

Sleep : Disturbed due to pain

Thirst : Normal

Addiction : Nil

Allergy : Nil

VITAL DATA:

GENERAL PHYSICAL EXAMINATION

Height : 167cm
Weight : 72kg

2
BMI
: 25.8kg/m
Built : Moderate

Oedema : Absent
Cyanosis : Absent

Pallor : Absent

Tongue : Non-coated

Nails : Normal

Icterus : Absent
Lymphadenopathy : Absent

Clubbing : Absent Expression : Dull

Varicosity : Absent

SYSTEMIC EXAMINATION
CVS : Normal S1 & S2 sounds heard

RS : Normal bronchovesicular breathing

CNS : Conscious & well-oriented

GIT : No abnormality detected

Renal : No abnormality detected

: No abnormality detected
ENT

LOCOMOTOR SYSTEM:
G A L S

Gait: Normal

Inspection: ROM → Abduction-80-degree, External rotation-30-degree, Internal rotation10degree

Shoulder shrug sign- ‘+’ve

Palpation: Tenderness over right shoulder & scapula region

Dermatology: No abnormality detected

FACIAL DIAGNOSIS

Right Sideencumberance
IRIS DIAGNOSIS

Right Iris: Lesion present over 10 ‘O’ clock position

PULSE DIAGNOSIS

Vatha predominant

DIFFERENTIAL DIAGNOSIS:

• ? Rotator cuff tear

• ? Frozen shoulder

INVESTIGATIONS:
MRI – Tight thickened capsule, Increased signal intensity and thickening of axillary recess with fat
obliteration of rotator interval

FINAL DIAGNOSIS;

FROZEN SHOULDER

MANAGEMENT

YOGA THERAPY

Asana – Tadasana, triyakaTadasana, vrikshasana, ushtrasana, gomukasana, matsyasana,

Setubandhasana ,Marjariasana, ,Bhujangasana, Sushma vyayama,Pranamasana ,pawanamuktasana
series 1 ,Skandha chakra , Grivasanchalana

Relaxation - DRT

• Nadishodhana pranayama with internal retention

• Brahmari pranayama with internal retention

• Surya bedhana with internal retention

• Relaxation – PET
NATUROPATHIC TREATMENT

• Mustard pack

• Nochi pack

• Hot immersion bath

• Fomentation

• Hot affusion to shoulder

• exercises to increase mobility.

• Pendulum stretch ·

• Towel stretch

• Finger walk ·

• Cross-body reach ·

• Armpit stretch.

• Ultrasound

• Tens

• IRR to shoulder region

• Arm massage

• Oil application & sun bath

• Acupuncture

• Moxibustion

DIET CHART

6.00 – 6.30 am:fenugreek / cumin/fennel/ ginger/cinnamon /black cumin water/ arugampul juice 7.30

am: Fermented rice water/ ashgourd juice 8.30 am :idly/millet dosai/varaghu kanji/ragiadai/

curry leaves/beetroot / coconut/ mint chutney/ fruit bowl

11.00am: pome/pineapple+ginger /orange /arugampul juice /tender coconut water/coconut milk

1.00pm: millet rice/karuppukavni rice/white rice/ raw vegetables salad/ boiled vegetables

Rasam/ radish sambar/ dhal/green gram gravy/kollurasam/

Bitter gourd/ Ridgegourd/surakkai/pumbkinporiyal

Agathi/ ponangani/ seerukeeraikootu

3.00pm: mudakathan/ moringa/ pumbkin/ onion soup

5.00pm: hibiscus/tulsi/mint/lemongrass/herbal tea

7.00pm : ragi malt/ sathmavu kanji/varaghu kanji/ poha/upma/ ragiidiyappam

Beetroot chutney/ mint chutney/kolluthovaiyal/coconut milk/kadalai curry

PROGNOSIS
After taking naturopathic treatment for 15 days The patient feels comfortable,pain reduced
and his range of motion is improved and he is able to do all shoulder movement without resistance

CASE SHEET 4

PRELIMINARY DATA

Name : Mr. Srinivas

Age : 33 years
Sex : Male

Address : Vijaywada, AP

Occupation : Employee

Marital status : Married

Religion : Hindu

CHIEF COMPLAINTS

C/O slight deviation of mouth to right side since last night.

C/O salivation on left angle of mouth.

C/O Difficulty in closure of left

HISTORY OF PRESENTINGCOMPLAINT:
The patient had complaint of slight deviation of mouth to right side since last night
and also has complaint of difficulty in chewing food and drippling of saliva is seen and speech is
slurred. Difficulty in closure of left eye and mild numbness felt on affected area and watering on the
left eye is noted.

PAST HISTORY

No relevant past History

FAMILY HISTORY

No relevant family History

MEDICAL HISTORY

No relevant medical History

PERSONAL DATA
Diet : Mixed (Non veg once in a week)

Appetite : Good

Bowel : Once/day (regular)

Micturition : normal in frequency (5-7 times\
day))

Habit : Tea (2 cups\day)

Sleep : Good

Thirst : Normal
Addiction : Nil

: Nil
Allergy
HR PR RR BP Tem
VITAL
DATA: 78 bpm 78 bpm 20 cpm 130/70 mm/Hg Afebrile

GENERAL PHYSICAL EXAMINATION

Height : 1.67 m
Weight : 55 kg

BMI : 19.72Kg/m2

Built : Moderate

Oedema : Absent

Cyanosis : Absent

Pallor : Absent

Tongue : Uncoated

Nails : Normal

Icterus : Absent
Lymphadenopathy. : Absent

Clubbing : Absent

Expression : Dull
Varicosity : Absent

SYSTEMICEXAMINATION
CVS : Normal S1 and S2
sound is heard.

RS : Normal
bronchovesicular breathing
CNS. : Peripheral lesion of Vllth cranial nerve
(LMN). VII the left peripheral cranial nerve palsy.
Forehead frowning: Not Possible on left side

Eyebrow raising: Not Possible on left side

Eye closure: Not Possible on left side

Blowing of cheek: Not Possible on left side

Inspection: Deviation of mouth towards right side, Bell’s phenomenon present (Left side).

Left eye ball move inward and upward when tries to close it along with incomplete close
of eye, lacrimation from left eye,

Dribbling of saliva on left angle of mouth

GIT : No abnormality detected
Renal : No abnormality detected

: Ears: Pain felt beyond the left side of the ear.

ENT

LOCOMOTOR SYSTEM:

G A L S

✓ ✓ ✓ ✓

Gait : Normal

Dermatology : NIL

FACIALDIAGNOSIS:

Front encumbrance

DIFFERENTIAL DIAGNOSIS:

• ? Bell’s palsy
• ? Herpes simplex virus

INVESTIGATION:

MRI: Enhancement of VII th nerve geniculate ganglion

FINAL DIAGNOSIS:

Bell’s Palsy

MANAGEMENT: YOGA

MANAGEMENT

Eye exercise

Shanmuki mudra

Kaki mudra

Shambhavi mudra

Surya bhedana pranayama

NATUROPATHIC MANAGEMENT:

• Exercises For Bell's Palsy

• Smile

• Show Teeth

• Side to Side Movement

• Open Mouth

• Sneer on One Side LevatorAnguliOris

• Jaw Opening

• Neck Crunch Platysma • Puff Cheeks

• Myofunctional therapy

• Facial muscle stimulation therapy

• Nasyam

• Face massage without oil

ACUPUNCTURE POINTS : GB14, GB 20 ,LI4 ,LI11, ST7 ,ST8

ELECTROACUPUNTURE : 25Hz for 30 mins.,GB 14,ST4, ST7,ST17 .

AURICULOTHERAPY : Shenmen

DIET THERAPY:
6.30am: Fennel water / Ginger water/Cinnamon water/Black cumin water/Tulsi water/Cumin /
Arugampul juice

8.30am; Semiya, chutney/Coconut milk with nuts/Veg upma, mint chutney/Poha, beetroot chutney

/Varaghu kanji curry leaf chutney

11.00am: pome juice/carrot juice/Amla juice/arugampul juice/lemon ginger mint juice//pineapple/

Papaya juice

1.30pm: Rice, pineapple rasam, kootu/Boiled vegetables/Thinai rice dhal boiled vegetables/

Millet briyani, boiled vegetables/millet sambar sadham, poriyal/

3.30pm: carrot/onion/mudakkahan/moringa/kollu soup

Sundal/boiled pea nuts/sprouts

5.00pm: thoothuvalai/hibiscus/lemongrass/tulsi/herbal tea

7.00pm: pumbkin soup/mixed veg soup/ idiyappam, Coconut milk/millet dosai, coconut chutney/
Sathmavu kanji

PROGNOSIS:

After taking naturopathic treatment for 30 days the patient is able to eat and speak and able to
blink eyes and watery eyes reduced and salivary dribbling also reduced and the patient is advised to
take Acupuncture and practice facial exercise and advised to avoid cooling foods

CASE SHEET 5
PRELIMINARY DATA:

Name - Mr. Venkatesh Konagiri

Age - 46 years

Gender - Male

Religion - Hindu

Marital status - Married

Occupation - Weaving

Address - Darmavaram

CHIEF COMPLAINTS:

C/O Increased hunger since 3 months

C/O Increased tiredness since 3 months

HISTORY OF PRESENTING COMPLAINTS:

The patient has the complaint of fatigue since 3 months. The patient also has the complaint of
polydipsia & polyphagia since 3 months. This is also accompanied by polyuria & increased sweating,
although the patient is obese.

PAST HISTORY:

No relevant past history.

FAMILY HISTORY:

The patient’s father & grandmother was suffering from diabetes mellitus

MEDICAL HISTORY:

No relevant medical history.

PERSONAL HISTORY:

Diet - Mixed

Appetite - Increased

Bowel - Regular (once a day)

Micturition. - Polyuria (>10 times a day)

Sleep - Sound sleep

Habit. - Tea (2 cups/day)

Thirst. - Increased (polydipsia)

Addiction - Alcohol

Allergy - Nil

Heart rate Blood Pulse rate Temp

VITAL DATAS: Respiratory
pressure
rate

70 bpm 110/70mmHg 70 bpm 18cycles/min Afebrile

GENERAL
PHYSICAL EXAMINATION;

• Height - 150 cm

• Weight - 63 kg

• BMI - 28 kg/m²

• Built - Obese

• Gait - Normal

• Edema - Absent

• Cyanosis - Absent

• Pallor - Absent

• Tongue - Clear
 • Nails - Normal

• Icterus - Absent

• Lymphadenopathy - Absent

• Expression - Good

• Clubbing - Absent

• Varicosity - Absent

SYSTEMIC EXAMINATION:

CVS - Normal S₁ & S₂ sounds are heard

RS- Normal broncho-vesicular breathing

CNS - Conscious & well-oriented

GIT- No abnormality detected

Renal- No abnormality detected

ENT - No abnormality detected

MSK -

Gait Arms Legs Spine

✓ ✓ ✓

DIFFERENTIAL DIAGNOSIS:

• ? Diabetes Mellitus
• ? Hyperglycaemia

FACIAL DIAGNOSIS

Mixed encumbrance

IRIS DIAGNOSIS
 radii Solaris is seen

PULSE DIAGNOSIS

Kapha dominant

INVESTIGATIONS:

Oral glucose tolerance test:

• Fasting blood glucose level – 135 mg/dl

• Post-prandial glucose level – 430 mg/dl

Hba1c – 7.0 % FINAL

DIAGNOSIS:

DIABETES MELLITUS

MANAGEMENT

YOGA THERAPY

• Yoga – Surya namaskara, ardhamatsyendrasana, loosening exercises, padahastasana,

paschimotanasana, udharakarshanasana

• Relaxation QRT, DRT

• Pranayama – nadishodhana pranayama with external retention Brahmari pranayama with

external retention Surya bedhana with external retention

• Mudra – yoga mudra

• PET

NATUROPATHIC MANAGEMENT

• Hip bath

• GH Pack
 • Mud pack to abdomen

• Pool exercises, pool walking

• Magneto therapy – lead 3 (R palm – N pole, L foot – S pole)

• Magnetic hip belt

• Magnetized water drinking

• Yellow colour solarized water drinking

• Abdomen massage

• Full body massage

• Acupuncture

DIET CHART

6.00- 6.30am: ladies finger soaked water/ black cumin water/ fenugreek water/ arugampul juice/

7.30am: fermented rice water/ curry leaf juice/cinnamon water

8.30 am: varaghu kanji/ ragiadai/ green gram does/ upma / semiya

Mint/ coconut/beetroot/ kollu/coriander leaves chutney

11.00am: Amla+ bitter gourd + curry leaves juice/ashgourd juice/cucumber juice/lemon + ginger

/ Orange/ arugampul/muskmelon juice

1.00pm: boiled vegetables/thinai rice/millet briyani/avarampoo / pineapplerasam/bitter gourd/
Ridgegourd/ surrakkai/kovakkai/banana flower poriyal.

3.00 pm: butter milk/ pumbkin soup/carrot/onion/Mudakathan/moringa/kollu soup

Sundal/boiled pea nuts/sprouts

5.00pm: thoothuvalai/hibiscus/lemongrass/tulsi/herbal/ blue pea/ avarampoo/ arugampul tea

7.00pm: varaghu kanji/ millet dosau/ ragiputtu/ragiidiyappam/kambu idly/ veg chappathi

Mint / coriander leaves /kollu / beetroot chutney/ coconut milk

PROGNOSIS
 After taking naturopathic treatment for 15 days The patient’s blood sugar level are under
control and hunger and tierdness reduced patient feels comfortable

CASE SHEET 6

PRELIMINARY DATA:

Name - Ms. Keerthika Malla

Age - 19 years

Gender - Female

Religion - Hindu

Marital status - Single

Occupation - Student
Address - Andhra Pradesh

CHIEF COMPLAINTS:

• C/O cough since 3 weeks

• C/O chest pain since 2 weeks

• C/O shortness of breath since 2 weeks

HISTORY OF PRESENTING COMPLAINTS:

The patient has the complaint of cough since 3 weeks. It gets aggravated at night time and is relieved
by taking tablets. The patient also has the complaint of shortness of breath since 2 weeks & also chest
pain since 2 weeks.

PAST HISTORY:

No relevant past history

FAMILY HISTORY:

No relevant family history

MEDICAL HISTORY:

Codine – 15 mg twice a day

PERSONAL HISTORY:

Diet - Mixed

Appetite - Poor

Bowel - Regular (once a day)

Micturition. - Normal in frequency (4-6 times a day)

Habit. - Coffee, milk (each 1 cup/day)

Sleep - Disturbed due to cough & shortness of breath

Thirst - Normal

Addiction - Nil

Allergy - Dust

Heart rate Blood pressure Pulse rate Temperature

VITAL DATAS: Respiratory
rate

123bpm 110/70mmHg 123bpm 25 cycles/min 100 F

GENERAL
PHYSICAL
EXAMINATION:

Height - 130 cm

Weight - 26kg

BMI - 15.3 kg/m2

Built - Lean

Gait - Normal

Oedema - Absent

Cyanosis - Present

Pallor - Absent

Tongue - Clear

Nails - Blue

Icterus - Absent
 Lymphadenopathy - Absent

Clubbing - Absent

Expression - Dull

Varicosity - Absent

SYSTEMIC EXAMINATION:

CVS - Normal S₁ & S₂ sounds heard

RS - Auscultation – wheeze is heard

CNS - Conscious & well-oriented

GIT - No abnormality detected

Renal - No abnormality detected

ENT - No abnormality detected

MSK - No abnormality detected

DIFFERENTIAL DIAGNOSIS:

• ? Allergic rhinitis
• ? Bronchial asthma

FACIAL DIAGNOSIS

Front encumbrance IRIS DIAGNOSIS

Open lesion seen in 2- 3 clock position in left iris

Open lesion seen in 9-10 clock position in right iris

PULSE DIAGNOSIS

Kapha dominant
INVESTIGATIONS:

Blood - Increased eosinophil count [652 cells/[Link]]

ESR - 60-80mm/hr

Sputum - Colour: yellowish green

Microscopic appearance - Cruschmann’s spiral & Charcot-Layden crystals found

Pulmonary function tests - Forced Expiratory Volume (FEV)-5 seconds FINAL

DIAGNOSIS:

BRONCHIAL ASTHMA

MANAGEMENT

YOGA THERAPY

• Asana – Tadasana, triyakaTadasana, vrikshasana, ushtrasana, gomukasana,

vyagrasana, marjariasana

• Relaxation - DRT

• Nadishodhana pranayama with internal retention

• Brahmari pranayama with internal retention

• Surya bedhana with internal retention

• Relaxation - PET

NATUROPATHIC MANAGEMENT

• Ashtma pack

• Cold chest pack

• Fomentation to interscapular region

• Steam inhalation

• Magnet lead 1 ( right palm – N pole, left palm – S pole)

 • Magnetised water drinking

• Green colour solarized water drinking • IRR to interscapular region

• Acupuncture:

• Auriculotherapy: Shenmen, Lung Point

DIET THERAPY

6.00 – 6.30 am: arugampul juice/ ginger/ cinnamon/ guava leaves /liquorice/cumin/fennel water

7.30 am: curry leaf juice/ashgourd juice

8.30 am: varaghu kanji/ ragiadai/ green gram does/ upma / semiya

Mint/ coconut/beetroot/ kollu/coriander leaves chutney

11.00am: Amla/ashgourd juice/cucumber juice/lemon + ginger

/ Orange/ arugampul/muskmelon juice/ pineapple ginger juice

1.00pm: boiled vegetables/thinai rice/millet briyani/avarampoo / pineapple rasam/bitter gourd/
Ridgegourd/ surrakkai /kovakkai/banana flower poriyal.

3.00 pm: butter milk + cumin & ginger/ pumbkin soup/carrot/onion/Mudakathan/moringa/kollu soup

Sundal//sprouts

5.00pm: thoothuvalai/hibiscus/lemongrass/tulsi/herbal/ blue pea/ avarampoo/ arugampul tea/

Guava leaves tea
7.00pm: varaghu kanji/ millet dosau/ ragiputtu/ragiidiyappam/kambu idly/ veg chappathi
Mint / coriander leaves / kollu / beetroot chutney/ coconut milk

PROGNOSIS
After taking naturopathic treatment for 15 days the patient’s blood report shows reduced
eosinophil count, ESR rate and reduced in cough and breathing difficulty the patient advised to
practice pranayama in home and to avoid exposure to dust

CASE SHEET 7
PRELIMINARY DATA

Name : Mr. Vankatratnam Thirumalla

Age : 62 years

Sex : Male

Address : Thadepalli, AP
Occupation : Farmer

Married
Marital status :
Religion : Hindu

CHIEF COMPLAINTS
C/o severe headache since 1 month

C/o Increased Heart rate since 3weeks

C/o shortness of breath since 2weeks

HISTORY OF PRESENTING COMPLAINT

The patient has the complaint of severe headache which is of pricking type since 1 month and
he tells that it gets relieved by taking analgesic tablet and also has the complaint of palpitation since 3
weeks along with shortness of breath since 2weeks and gets relieved by taking rest and the onset is
sudden.

PAST HISTORY

No relevant past history

FAMILY HISTORY

Mother is a heart patient with complaint of coarctation of aorta.

MEDICAL HISTORY
 Paracetamol 500mg takes during headache.
PERSONAL DATA

Diet : Mixed

Appetite : Good

Bowel : Regular once/day

Micturition : Regular 4-5times /day

Habit : tea or coffee 2cups/day

Sleep : Good 4-5hours

Thirst : Good 1-1.5l/day

Addiction : cigarettes 2to3 puff/day

Allergy : nil

HR PR RR BP Temp
VITAL DATA:

90b/min 90b/min 18cycles 160/100 Afebril

Height : 168cm
Weight : 57kg

BMI :
33.7kg/m2
Built : class 1. obese

Oedema : absent

Cyanosis : absent

Pallor : clear
Tongue : clear
Nails : clear

Icterus : absent

Lymphadenopathy : absent

Clubbing : absent
Expression : stressed

Varicosity : absent

SYSTEMIC EXAMINATION

CVS : normal s1 and s2 sound heard 4th heart sound heard

GENERAL PHYSICAL EXAMINATION

 Occasionally
RS : Norm broncho vesicular

CNS : conscious and well oriented

GIT : no abnormalities detected

Renal : no abnormalities erected

ENT : no abnormalities detected

LOCOMOTOR SYSTEM

G A L S

X X X ✓

Gait: normal

DIFFERENTIAL DIAGNOSIS

• Primary hypertension?
• Coarctation of aorta?

FACIAL DIAGNOSIS

Mixed encumberance

IRIS DIAGNOSIS

Stress ring is seen

PULSE DIAGNOSIS

Imbalance of vatha and pithadosha

INVESTIGATION

• Blood test : Hb : 13gm/dl

• TLC : 13,300cells /cu. Mm

• Neutrophils : 83%(40-75)
 • Lymphocytes : 15%(20-45)

• Eosinophils : 2%(1-6)

• Platelets : 2.56lk/[Link]

• Blood urea : 75mg/d

• Serum. Creatinine : 1.7mg/dl

• Na* : 136meq/l

• K" : 3.9meq/l

• Cl* : 102meq/l

2D, ECHO – CONCENTRIC LVH (left vascular hypertrophy)

CARDIAC OUTPUT is reduced NO RWMA (regional wall motion abnormality)

FINAL DIAGNOSIS

Grade II. Hypertension.

MANAGEMENT

Yoga Therapy

• Asana – Tadasana, triyakaTadasana, vrikshasana, ushtrasana, gomukasana,

vyagrasana,
marjariasanasimhasana,setubandhasana,titaliAsana,namaskarasana,Suryanamaskara,paschimo
ttasana,halasana

• Relaxation - DRT

• Nadishodhana pranayama with internal retention

• Brahmari pranayama with internal retention

• Surya bedhana with internal retention

• Bhastrika pranayama

• Chandra anuloma pranayama

 • Kaki mudra

• Shanmuki mudra

• Relaxation - PET

• Mindfulness meditation

• Yoga nidra

NATUROPATHIC TREATMENT

• Spinal spray

• Spinal bath

• Ice bag to spine

• Hot foot bath

• Steam bath with chest compress

• Acupuncture

• Moxibustion

• Sun bath

• Plantain leaf bath

• Spine massage

• Aroma massage

• Shirodhara

• Head massage

DIET THERAPY

6.00 – 6.30 am:fenugreek / cumin/fennel/ ginger/cinnamon /black cumin water/ arugampul juice/

Ashwagandha herbal decotion/ curry leaf juice

7.30 am: Fermented rice water/ ashgourd juice 8.30 am: idly/millet dosai/varaghu kanji/ragiadai/

curry leaves/beetroot / coconut/ mint chutney/ fruit bowl

11.00am: pome/pineapple+ginger /orange /arugampul juice /tender coconut water/coconut milk /

Beetroot juice/ ashgourd juice / Amla juice

1.00pm: millet rice/karuppukavni rice/white rice/ raw vegetables salad/ boiled vegetables

Rasam/ radish sambar/ plantain pith sambar/ dhal/green gram gravy/kollurasam/

Bitter gourd/ Ridgegourd/surakkai/pumbkinporiyal

Agathi/ ponangani/ seerukeeraikootu

3.00pm: mudakathan/ moringa/ pumbkin/ onion soup

5.00pm: hibiscus/tulsi/mint/lemongrass/herbal tea

7.00pm: ragi malt/ sathmavu kanji/varaghu kanji/ poha/upma/ ragiidiyappam

Beetroot chutney/ mint chutney/kolluthovaiyal/coconut milk/kadalai curry

PROGNOSIS
After taking naturopathic treatment for 15 days The patient’s Bp is under control and patient feels
comfortable while breathing and his heart rate is stable but still the patient is Advised to practice
pranayama and also advised to avoid salt and oily foods.

CASE SHEET 8

PRELIMINARY DATA:

Name - Mrs. Sandhya MH

Age - 32 years Gender

- Female

Religion - Hindu

Marital status. - Married

Occupation - House wife

Address - Visakhapatnam, AP
CHIEF COMPLAINTS:

C/O Loss of appetite since 2 months

C/O Tiredness since 2 months

HISTORY OF PRESENTING COMPLAINTS:

The patient has the complaint of fatigue since 2 months. She also suffers from weakness so that she is
unable to do any heavy works. The patient also has the complaint of anorexia since 2 months.

PAST HISTORY:

No relevant past history

FAMILY HISTORY:

No relevant family history

Tablet Dosage Allergy

MEDICAL HISTORY:
- - -

PERSONAL HISTORY:

Diet - Mixed

Appetite - Poor

Bowel. - Regular (2 times a day)

Micturition - Normal in frequency (4-6 times/day)

Habit - Tea/Coffee (2 cups/day)

Thirst. - Normal

Sleep - Sound sleep

Addiction. - Nil

Allergy - Nil
MENSTRUAL HISTORY:

Menarche - 11 years of age

Cycle. - 20 days cycle (irregular)

Flow. -. 6 days

Dysmenorrhea - Present

Leucorrhea - Absent

Gravida Para Abortion Still Birth Alive MOD

- - - - - -
OBSTETRIC HISTORY:

Heart rate Blood pressure Pulse rate Respiratory rate Temperature

VITAL DATAS:
110 bpm 95/65mmHg 110 bpm 24cycles/min Afebrile

GENERAL PHYSICAL EXAMINATION:

Height - 158 cm

Weight - 45 kg

BMI - 18 kg/m²

Built - Lean

Edema - Absent

Cyanosis - Absent

Pallor - Present Tongue

- Normal

Nails - Pale
Icterus - Absent

Lymphadenopathy - Absent

Clubbing - Absent

Expression - Good

Varicosity - Varicosity

SYSTEMIC EXAMINATION:

CVS - Auscultation – There is a systolic murmur in the apical area

RS - Auscultation – Tachycardia is present

CNS - Conscious & well-oriented

GIT - No abnormality detected

Renal- No abnormality detected

ENT - No abnormality detected

Arms Legs Spine

Gait
MSK -
✓ ✓ ✓

DERMATOLOGY – Inspection: skin colour - pale

DIFFERENTIAL DIAGNOSIS:

• ? Iron deficiency anemia

• ? Megaloblasticanemia

FACIALDIAGNOSIS:

Mixed encumbrance

IRIS DIAGNOSIS

Anaemia in extremities is seen in iris

PULSE DIAGNOSIS

Increased vathadosha

INVESTIGATIONS:

Blood:

Hb – 6g/dl

Red cells – microcytic hypochromic

Serum iron – 25 microgram/dl Serum ferritin – 10 ng/ml

MCV – 35fl MCH – 9pg MCHC – 12g/dl

FINAL DIAGNOSIS:

IRON DEFICIENCY ANEMIA

MANAGEMENT

YOGA THERAPHY

• Loosening exercises, Surya namaskara

• IRT, QRT, DRT

• Nadishodhana pranayama

• Brahmari pranayama

• Yoga nidra

• PET

NATUROPATHIC MANAGEMENT

• Circular jet

• Hip bath

• GH Pack
 • Abdomen mud pack

• Red colour solaraized water drinking

• Magnetised drinking water

• Mud bath

• Acupuncture

• Aroma massage

DIET THERAPY

6.00-6.30 am : curry leaf juice/ sprouted sesame seeds milk/soaked raisins/almond milk/
Cinnamon water/ lemon juice

7.30am: soaked figs/coconut milk with nuts 8.30 am :idly/millet

dosai/varaghu kanji/ragiadai/ curry leaves/beetroot / coconut/

mint chutney/ fruit bowl

11.00am: pome/pineapple+ginger /orange /arugampul juice /tender coconut water/coconut milk /

Beetroot juice/ Amla juice

1.00pm: millet rice/karuppukavni rice/white rice/ raw vegetables salad/ boiled vegetables

Rasam/ radish sambar/ plantain pith sambar/ dhal/green gram gravy/kollurasam/

Bitter gourd/ Ridgegourd/surakkai/pumbkinporiyal

Agathi/ ponangani/ seerukeeraikootu

3.00pm: mudakathan/ moringa/ pumbkin/ onion soup

5.00pm: hibiscus/tulsi/mint/lemongrass/herbal tea/guava leaves tea /sesame ladoos

7.00pm : ragi malt/ sathmavu kanji/varaghu kanji/ poha/upma/ ragiidiyappam Beetroot
chutney/ mint chutney/kolluthovaiyal/coconut milk/kadalai curry

PROGNOSIS
After taking naturopathic treatment for 30 days The patient’s. haemoglobin level and iron get
increased and patient feels energetic and healthy and tiredness and loss of appetite also reduced.
CASE SHEET 9

PRELIMINARY DATA:

Name - Mr. Sathish Ram Kumar

Age - 39 years

Sex - Male

Occupation - Software employee

Address - Vijaywada, AP

Marital status - Married

CHIEF COMPLAINTS:

• C/O Yellowish skin since 3 weeks

• C/O Weakness since 3 weeks

• C/O Itching since 2 weeks

HISTORY OF PRESENTING COMPLAINTS:

The patient has the complaint of general body weakness since 3 weeks and also yellowish
discoloration. The patient also suffers from intense itching over the yellow skin since 2 weeks. The
condition seems to be aggravated after taking meals.

PAST HISTORY

No relevant past history

FAMILY HISTORY

The patient’s father is said to be an alcoholic

MEDICAL HISTORY

No relevant medical history

PERSONAL DATA:

Diet - Mixed

Appetiteb. - Poor

Bowel - Irregular

Micturitionb. - Decreased (<4 times/day)

Habit - Tea (2 cups/day)

Thirst - Reduced

Sleep - Disturbed

Addiction - Alcohol

Allergy - Nil

Heart rate Blood pressure Pulse rate Respiratory rate Temperature

68 bpm 100/70mmHg 68 bpm 14cycles/min Afebrile

VITAL
DATA:
GENERAL PHYSICAL EXAMINATION:
Height - 158 cm
Weight - 58 kg

BMI - 23 kg/m²

Built - Moderate
Edema - Absent

Cyanosis - Absent

Pallor - Absent

Tongue - Coated

Nails - Yellow color

Icterus - Present

Lymphadenopathy - Absent

Clubbing - Absent

Expression - Dull

Varicosity - Absent

SYSTEMIC EXAMINATION:

CVS – Normal S₁ & S₂ sounds heard

RS - Normal bronchovesicular breathing

CNS - Conscious and well-oriented

GIT –

Inspection: hepatomegaly seen in right hypochondrium

Palpation: tenderness felt in right hypochondrium

Renal - No abnormality detected

ENT - No abnormality detected

MSK - Gait Arms Legs Spine

✓ ✓ ✓

-Dermatology: Inspection: Itching and rashes are present

FACIAL DIAGNOSIS - Right side encumberance

IRIS DIAGNOSIS -Radii Solaris is seen

PULSEDIAGNOSIS -Pitta dosha dominant

DIFFERENTIAL DIAGNOSIS:

• Hepatitis

• Liver cirrhosis

INVESTIGATIONS:

Blood - AST level - 100 IU/l

Bilirubin level - 3 mg/l

Albumin - 2 gm/dl

Liver biopsy - presence of active granulomatous lesions showing liver cirrhosis.

FINAL DIAGNOSIS:

LIVER CIRRHOSIS

MANAGEMENT
YOGA MANAGEMENT

• Asana –dhanurasana, bhujangasana,naukasana,mandukasana,ardhaMatsyendrasana

Pawanamuktasana, paschimottasana,Suryanamaskara

• Relaxation- DRT

• Kapalbhati pranayama

• NadiShodhana pranayama

• Anulomavilomapranayama

• PET

NATUROPATHIC MANAGEMENT

• GH pack

• Hip bath

• Douche

• Alternative hot and cold application in liver area

• Acupuncture

• Moxibustion

• Massage

• Aroma massage

HERBAL SUPPLIMENT

• Mukkaratai plant juice

• Karisilankani plant juice

• Keezhanellidecotion

DIET THERAPY

6.00 – 6.30am : arugampul juice/ ginger water/ cinnamon water/ tulsi water/black cumin water

7.30am: keezhanelli/ karisilankani juice/ mukkratai juice 8.30am

:idly/millet dosai/varaghu kanji/ragiadai/ curry leaves/beetroot

/ coconut/ mint chutney/ fruit bowl

11.00am: pome/pineapple+ginger /orange /tender coconut water/coconut milk /

Beetroot juice/ ashgourd juice / Amla juice/ keezhanelli juice/ apple juice/ kiwi juice

1.00pm: millet rice/karuppukavni rice/white rice/ raw vegetables salad/ boiled vegetables

Rasam/ radish sambar/ plantain pith sambar/ dhal/green gram gravy/kollurasam/

Bitter gourd/ Ridgegourd/surakkai/pumbkinporiyal

Agathi/ ponangani/ seerukeeraikootu

3.00pm: mudakathan/ moringa/ pumbkin/ onion soup

5.00pm: hibiscus/tulsi/mint/lemongrass/herbal tea/guava leaves tea

7.00pm : ragimaltp/varaghu kanji/ poha/upma/ ragiidiyappam

Beetroot chutney/ mint chutney/kolluthovaiyal/coconut milk/kadalai curry

PROGNOSIS

After taking naturopathic treatment for 30 daysthe patient feels itching free and reduced serum
bilirubin level and skin shows disappearance of yellowish colour and the patient is advised to take
herbal supplements and GH pack after going home

CASE SHEET 10

PRELIMINARY DATA:

Name - Mrs. Hiran Kancharla

Age - 52 years

Gender - Female

Religion - Hindu

Marital status - Married

Occupation - Home maker

Address - Kolluru
CHIEF COMPLAINTS:

• C/O severe abdominal pain since 5 days

• C/O vomiting since 4 days

• C/O upper back pain since 4 days

HISTORY OF PRESENTING COMPLAINTS:

The patient has the complaint of severe right hypochondrial pain since 5 days.
The pain is of colicky type, usually occurs at night after a heavy meal. The usually persists for more
than 1 hour. The patient also has the complaint of pain between the shoulder blades since 4 days &
also vomiting since 4 days.

PAST HISTORY:

No relevant past history

FAMILY HISTORY:

No relevant family history

Tablet Dosage Allergy

MEDICAL
- - -
HISTORY :

PERSONAL HISTORY:

Diet - Mixed

Appetite - Good

Bowel. - Regular (2 times a day)

Micturition. - Normal in frequency (4-6 times a day)

Habit. - Tea (2 cups/day), Coffee (1 cup/day)

Sleep - Disturbed due to pain

Thirst - Normal

Addiction - Nil

Allergy - Nil

MENSTRUAL HISTORY:

Menarche - 14 years of age

Cycle. - 30 days cycle (regular)

Flow. - 4 days

Dysmenorrhea - Present

Leucorrhea - Absent

Gravida Para Abortion Still Birth Alive MOD

4 3 1 - 3
Normal
vaginal
delivery

OBSTETRIC HISTORY:

VITAL Heart rate Blood pressure Pulse rate Respiratory rate Temperature

DATAS:

76 bpm 100/65mmHg 76 bpm 17 cycles/min Afebrile

GENERAL PHYSICAL EXAMINATION:

Height - 150 cm

Weight - 60 kg

BMI - 26.6 kg/m²

Built - Moderate

Edema - Absent

Cyanosis - Absent

Pallor - Absent

Tongue - Clear

Nails - Yellow

Icterus - Present

Lymphadenopathy - No enlargement

Clubbing - Absent

Varicosity - Absent Expression - Good

SYSTEMIC EXAMINATION:

CVS - Normal S₁ & S₂ sounds heard

RS- Normal broncho-vesicular breathing CNS - Conscious & well-oriented

GIT- Palpation –Tenderness present

Murphy’s sign present

Renal- No abnormality detected

ENT - No abnormality detected

MSK -
Gait Arms Legs Spine

✓ ✓ ✓ ×
 DIFFERENTIAL DIAGNOSIS:

• Cholelithiasis

• Pancreatitis

FACIALDIAGNOSIS:

Right side encumberance

IRISDIAGNOSIS:

Yellowish colour pigmentation seen in iris

PULSEDIAGNOSIS:

Pitta dominant

INVESTIGATIONS:

Abdominal ultrasound – A 3.5mm solid mass is impacted in the neck of the gall bladder

FINAL DIAGNOSIS:

CHOLELITHIASIS

MANAGEMENT:

YOGATHERAPY:

• Asana- Madukasna, Vakarasna, Ardhmatsyendrasna, Gaumukhasna, Pawanmuktasna,

Kati Chakrasana, Trikonasana, Paschimot-anasana(Seated forward), Bhujangasana

(Cobra), Shalabhasana (Locust Pose), Dhanurasana (Bow pose), Chakrasana, Sarvangasana (Shoulder
stand), Halasana,

• NadiShodhana pranayama

• Bhramari pranayama

• Kapalbhatipranayama

NATUROPATHY TREATMENT:
 • GH pack

• Castor oil pack

• Hipbath

• Acupuncture

DIET THERAPY

Fasting: lemon juice + olive oil Specific:

apple juice + olive oil

Black cumin water daily

6.00:6.00 – 6.30am : arugampul juice/ ginger water/ cinnamon water/ tulsi water/black cumin water

7.30am:keezhanelli juice/ karisilankani juice

8.30am :idly/millet dosai/varaghu kanji/ragiadai/ curry leaves/beetroot / coconut/ mint
chutney/ fruit bowl

11.00am: pome/pineapple+ginger /orange /arugampul juice /tender coconut water/coconut milk /

Beetroot juice/ ashgourd juice / Amla juice/ apple juice

1.00pm: millet rice/karuppukavni rice/white rice/ raw vegetables salad/ boiled vegetables Rasam/
radish sambar/ plantain pith sambar/ dhal/green gram gravy/kollurasam/

Bitter gourd/ Ridgegourd/surakkai/pumbkinporiyal.,/keeraichappathi/ vegetable aval. Agathi/

ponangani/ seerukeeraikootu

3.00pm: mudakathan/ moringa/ pumbkin/ onion / ashgourd /soup

5.00pm: hibiscus/tulsi/mint/lemongrass/herbal tea/cinnamon tea

7.00pm : ragi malt/varaghu kanji/ poha/upma/ ragiidiyappam

Beetroot chutney/ mint chutney/kolluthovaiyal/coconut milk/kadalai curry

PROGNOSIS:
After taking naturopathic treatment for 12 days the patient feels pain free and gall stones are
eliminated via stools the patient is advised to drink more water and to avoid fatty foods.
CASE SHEET 11

PRELIMINARY DATA:
Name : Mr. Naresh Kumar

Age : 51 years

Sex : Male
Address : Secunderabad

:
Occupation Business
Marital Status : Married

CHIEF COMPLAINTS:

• C/O Abdominal pain since 1 week

• C/O Vomiting since 4 days

HISTORY OF PRESENTING COMPLAINTS:

The patient has the complaint of pain over epigastric region since a week and is associated with
vomiting since 4 days, the pain is of burning type. The pain gets aggravated while intaking spicy food
and is relieved only after vomiting. The vomitus contains undigested food particles

PAST HISTORY:

No relevant past history

FAMILY HISTORY:

No relevant family history

MEDICAL HISTORY:

No relevant medical history

PERSONAL DATA:

Diet : Mixed

Appetite : Poor
Bowel. : Irregular (once in 4 or 5 days)

Micturation : Normal in frequency (4-6 times/day)

Habit. : Tea (2 cups/day)

Sleep. : Disturbed due to pain

Thirst. : Increased

Addiction : Nil

Allergy : Nil

HR PR RR BP Temp
VITAL
DATA:

90 bpm 90 bpm 18cycles/min 110/70mmHg Afebrile

GENERAL PHYSICAL EXAMINATION:

Height : 160 cm

Weight : 57kg

BMI : 22 kg/m² Built

: Moderate

Edema : Absent

Cyanosis : Absent

Pallor : Absent

Tongue : Clear

Nails. : Normal

Icterus. : Absent

Lymphadenopathy: Absent

Clubbing : Absent

Expression : Dull

Varicosity : Absent
SYSTEMIC EXAMINATION:

CVS : Normal S₁ & S₂ sounds are heard

RS. : Normal bronchovesicular breathing CNS

: Conscious and well-oriented

GIT : Inspection - redness over epigastric region

Palpation - pain over epigastric region

Renal : No abnormality detected

✓ ✓ ✓

A L S
G
ENT : No abnormality detected

MSK :

Dermatology: No abnormalities detected DIFFERENTIAL

DIAGNOSIS:

• ? Gastritis
• ? Duodenal ulcer

FACIAL DIAGNOSIS:

Fronencumberance IRIS DIAGNOSIS;

Radi solaris seen in stomach region

PULSE DIAGNOSIS:

Vatha dominant

INVESTIGATIONS:

Sputum culture- Presence of [Link]

Endoscopy - erythema, patches seen in mucus membrane of stomach

FINALDIAGNOSIS:

GASTRITIS

MANAGEMENT:

YOGA THERAPHY

• Asana – vajrasana ,pawanamuktasana,paschimottasana, supta matsyendrasana,

halasana,trikonasana

• Relaxation –DRT

• Nadishodhana pranayama

• Chandra anuloma viloma

• Sheetali pranayama

• Sheetkari pranayama

• Vayu mudra

• Prana mudra

NATUROPATHIC MANAGEMENT

• Hip bath

• Cold abdomen pack

• Mud bath

• Full immersion bath

• Mud application to abdomen

• Acupuncture

• Blue solarised water

• Magnetised drinking water

 • Lead II application

DIET THERAPY

6.00- 6.30am : ashgourd juice/fenugreek water/ tulsi water/black cumin water/almond milk

7.30am: Fermented rice water

8.30am :coconut milk with nuts / curry leaf juice/tender coconut water/ashgourd juice/fruit bowl

11.00am: pomegranate juice/ coconut milk /apple juice/ lemon mint juice/cucumber juice

Beetroot juice/ ashgourd juice / Amla juice

1.00pm; curd aval/curd rice/butter milk with curry leaf/boiled vegetables/fruit bowl/vegetable Aval

3.00pm: moringa/ pumbkin/ onion / ashgourd /soup/dates ladoo /

5.00pm: hibiscus/tulsi/mint/lemongrass/herbal tea/cinnamon tea

7.00pm: ragi malt/varaghu kanji/ poha/upma/ ragiidiyappam/fruit bowl / raw salad Beetroot
chutney/ mint chutney/coconut milk

Prognosis:
After taking 15 days of naturopathic treatment patient feel pain relief and inflammation also reduced
Culture shows negative of [Link] bacteria .

CASE SHEET 12

PRELIMINARY DATA:

Name : Mr. Venkata Ram

Age : 60 years

Gender : male
Religion : Hindu Marital

status. : Unmarried

Occupation : Business

Address : Kadapa

CHIEF COMPLAINTS:

C/o pain in lower back at right side since 2 weeks.

C/o pain during urination since 5 days.

HISTORY OF PRESENTING COMPLAINT:

Patient has the complaint of lower back pain at right lumbar region since 2 weeks, the pain get
radiating from loin to groin which get aggravated while doing movements and relieved after
sometimes. Patient also has throbbing type of pain during micturition since 5days associated with
nausea.

PAST HISTORY:

No relevant past history.

FAMILY HISTORY:

All his family members are said to be healthy.

MEDICAL HISTORY:

No medical history.

PERSONAL DATA:

Diet : mixed

Appetite : good

Micturition : normal frequency (4-5 times/day)

Bowel : regular (2 times /day)

Habit : tea (2cups/ day)

Thirst : normal

Sleep : disturbed due to pain

Addiction : nil

Allergy : nil

VITAL HR PR RR BP Temp
DATAS:

78 bpm 78 bpm 18cycles/min 110/70mmHg Afebrile

GENERAL
PHYSICAL
EXAMINATION:

Height : 160cm

Weight : 55kg

BMI : 21.4kg /m2

Built : moderate Oedema

: absent

Cyanosis : absent

Pallor : absent

Tongue : clear

Nails : normal

Icterus : absent

Lymphadenopathy : absent

Clubbing : absent

Expression : dull due to pain

Vericosity : absent
SYSTEMIC EXAMINATION:

CVS : s1 and s2 sounds heard normally.

RS : Normal bronchovesicular breathing.

GIT : no abnormality detected.

CNS : conscious and well oriented.

RENAL : Palpation : tenderness on right lumbar region.

ENT : no abnormality detected.

G A L S
LOCOMOTOR SYSTEM:
√ √ √ x

Dermatology:

No abnormality detected.

FACIAL DIAGNOSIS:

Right side encumberance

IRIS DIAGNOSIS:

Lesion seen in 5-6’ clock position in right iris and 6-7’clock position in left iris

PULSE DIAGNOSIS:

Kapha dosha dominant

DIFFERENTIAL DIAGNOSIS:

• ? Renal calculi
• ? UTI

INVESTIGATION:

X ray: appearance of right uretic calculi.

Size: 3.6 mm seen in lower ureter located 3cm from UV junction. (Ureteroopelvic junction )

FINAL DIAGNOSIS:

RENAL CALCULI

MANAGEMENT:

YOGA THERAPY:

• Asana –
padahastasana,paschimottasana,dhanurasana,mandukasana,ustrasana,pawanamuktasa na,ardha
matsyendrasana

• Relaxation –DRT

• Kapalbhati pranayama

• Bhastrika pranayama

• Surya anuloma viloma pranayama

• Shank mudra

• Apana mudra

• PET

NATUROPATHY MANAGEMENT :

• Kidney pack

• Hip bath

• Massage

• Acupuncture

• Magnetised drinking water

DIET THERAPY:

6-6.30 am: cumin /fennel/black cumin /ginger/cinnamon water

7.30 am: fermented rice water

8.30am: lemon juice/Upma, chutney/fruit salad/boiled vegetables

11.00am: mint lemonade, carrot juice, ashgourd juice/orange juice

Papaya juice/pineapple juice

1.00pm: tender coconut water/butter milk/grape juice/soup

3.00pm: mukkratai juice/pomegranate juice/wheatgrass juice/kidney bean broth

5.00pm: guava leaves/lemongrass/tulsi/cinnamon tea

7.00pm: fruit salad/soup/idiyappam,coconut milk,/millet kanji /chutney

PROGNOSIS:
After taking 12 days naturopathic treatment the patient feels pain free urination and also the
size of the renal calculi also reduced patient is advised to drink plenty of water Case sheet 13 CASE
SHEET 13

PRELIMINARY DATA:

Name : Ms. Priyanka Age

: 34 yrs.

Gender : Female

Religion : Hindu Marital

status: unmarried Occupation

: Analyst

Address : Chennai

CHIEF COMPLAINT:

C/o irregular menstruation since 5 months.

C/o increase in weight since 3 months.

C/o loss of hair since 2 weeks.

HISTORY OF PRESENTING COMPLAINT:
The patient has the complaint of metrorrhagia since 5 months associated with dysmenorrhoea.
The patient also has the complaint of weight gain since 3 months from 65 kg to 78kg. She also has hair
loss since 2 week associated with hirsutism in face mainly in lower jaw.

PAST HISTORY:

no relevant past history.

FAMILY HISTORY:

all her family members are said to be healthy.

MEDICAL HISTORY:

no relevant medical history.

PERSONAL HISTORY:

Diet : mixed

Appetite : normal

Bowel : regular (1-2times /day)

Micturition : normal frequency (4-5 times /day)

Thirst : normal

Habit : tea ( 2times / day)

Sleep : sound sleep

Addiction : nil

Allergy : nil

MENSTRUAL HISTORY:

Menarche : at the age of 13 yrs.

Cycle : 30 days cycles /irregular.

Flow : 7-10 days.

Leucorrhoea - present.

Dysmenorrhoea - present.

Gravida Para Abortion Still Birth Alive MOD

- - - - - -
OBSTETRIC HISTORY:

PR RR BP Temp
VITAL DATAS: HR

78 bpm 78 bpm 18cycles/min 110/70mmHg Afebrile

GENERAL PHYSICAL EXAMINATION:

Height : 162cm

Weight : 78kg

BMI : 29.3kg /m2

Built : obese

Oedema : absent

Cyanosis : absent

Pallor : present

Tongue : clear

Nails : normal

Icterus : absent

Lymphadenopathy : absent

Clubbing : absent

Expression : dull due to pain

Varicosity : absent

SYSTEMIC EXAMINATION :

CVS : normal s1 and s2 sounds heard.

RS : normal bronchovesicular breathing.

CNS : conscious and well oriented.

GIT : no abnormality detected.

RENAL : no abnormality detected.

ENT : no abnormality detected.

A L S
G
LOCOMOTOR SYSTEM:

✓ ✓ ✓ ✓

Dermatology: no abnormality detected.

DIFFERENTIAL DIAGNOSIS:

• ? PCOD
• ? Uterine fibroid

FACIAL DIAGNOSIS:

Mixed encumberance

IRIS DIAGNOSIS:

Lesion seen in 5’o clock position in left iris and 7’o clock position in right iris

PULSE DIAGNOSIS:

Kapha dominant

INVESTIGATION:
 Blood : increase in androgen level (170 ng /dl).

Ultrasound: polycystic appearance of both ovaries.

Right ovarian cyst - size : 4-3mm.

Left ovarian cyst - size : 2 -1 mm.

FINAL DIAGNOSIS:

PCOD (polycystic ovarian disease).

MANAGEMENT:

YOGA THERAPY:

• shakhapraksalana

• Surya namaskara 34 rounds, pawanamuktasana series 3, vajrasana series.

• Sukshma vyayamas

• Surya anuloma viloma pranayama with internal retention

• Bhastrika pranayama

• Bhramari pranayama

• Relaxation –IRT, SMET, PET

NATUROPATHIC MANAGEMENT:

• Butter milk enema

• Hip bath

• Mud bath

• Full body massage

• Face pack
 • Head pack

• Jaccuzi

• Full immersion bath

• Steam bath

• Wet sauna

• Magnetised water drinking

• Plantain leaf bath

• Dynamic exercises

• Acupuncture

DIET THERAPY:

Specific: seed cycle 5th-14 days in follicular phase pumpkin seeds and flax seeds

14-28 days sunflower and sesame seeds

6.00-6.30 am: fenugreek-soaked water/black cumin seed water /wheatgrass juice/arugampul
juice/almond milk

7.30 am: fermented rice water/curry leaf juice

8.00am: millet idly/spinach dosa/green gram dosa/mint, coconut, carrot chutney/fruit salad/boiled
Veggies/coconut milk

11.00am: cucumber /ashgourd/pineapple+ginger/papaya/beetroot juice

1.00pm: butter milk/lemon ginger mint juice/boiled vegetables/fruit salad

3.00 pm: moringa/mudakkathan/mixed veg soup/pineapple juice, sprouted sesame milk

5.00pm:tulsi/cinnamon/gingermint/lemongrass/hibiscus tea with roasted pumpkin/sunflower/flax seed

7.00pm: fruit salad/boiled vegetables/ragi malt/spinach chapati/idiyappam/peanut chutney /coconut
milk

PROGNOSIS
 After taking 2 weeks of naturopathy treatment patient weight loss upto 6 kgs and reduced androgen
level and also facial hairs are reduced, patient is advised to follow seed cycle and yoga practice.

CASE SHEET 14

PRELIMINARY DATA:

Name : Mr. Srinivas Reddy

Age : 43 years

Gender : male

Religion : Hindi

Marital status : married

Occupation : software

Address : Hyderabad

CHIEF COMPLAINTS:

Kc/o diabetes mellitus since 10 yrs.

KC/o asthma since 5 yrs.

C/o knee pain since 2 yrs.

HISTORY OF PRESENTING COMPLAINT:

The patient has the complaint of bilateral knee pain since 2yrs and it is a pricking type of
pain and the pain is sudden in onset get aggravated during prolonged standing and get relieved
while sitting. The patient also has known complaint of diabetes mellitus since 10 yrs and
asthma since 5 yrs.

PAST HISTORY:
 Patient had undergone surgery for appendicitis before 2 years.

FAMILY HISTORY:

All his family members are said to be healthy.

MEDICAL HISTORY:

No medical history.

PERSONAL DATA:

Diet : mixed

Appetite : normal

Bowel : regular (2times/day)

Micturition: normal frequency (4-5 times /day)

Habit : tea (2 cups /day)

Sleep : sound sleep

Thirst : normal

Addiction : nil

Allergy : nil

HR PR RR BP Temp
VITAL
DATA: 78 bpm 78 bpm 16cycles/min 110/70mmHg Afebrile

GENERAL PHYSICAL EXAMINATION:

Height : 170 cm

Weight : 63 kg

BMI : 22 kg /m2

Built : normal

Oedema : absent
Cyanosis : absent

Pallor : absent

Tongue : clear

Nails : normal

Icterus : absent

Lymphadenopathy: absent

Clubbing : absent

Expression : dull due to pain

Varicosity : absent

SYSTEMIC EXAMINATION:

CVS : normal s1 and s2 sounds heard.

RS : normal bronchovesicular breathing.

CNS : consious and well oriented.

GIT : no abnormality detected.

RENAL: no abnormality detected.

ENT : no abnormality detected.

G A L S
LOCOMOTOR SYSTEM:

× ✓ X ✓

Gait: antalgic gait due to pain Dermatology:

No abnormality detected.

DIFFERENTIAL DIAGNOSIS:

• ? Osteo arthritis
• ? Rheumatoid arthritis

FACIAL DIAGNOSIS:
 Mixed encumbrance

IRIS DIAGNOSIS:

Stress ring present

PULSE DIAGNOSIS:

Imbalance of kapha and Vatha

INVESTIGATION:

Blood : hb -10gm℅

Fbs – 280mg /dl

Other: xray – diminished joint space with osteophytes are seen. RA test : -ve

DIAGNOSIS:

Kc/o diabetes mellitus type 2

Kc/o asthma

FINAL DIAGNOSE:

Osteo arthritis.

MANAGEMENT:

YOGA MANAGEMENT:

• Asanas –tadasana,surya namskara,sukshma

vyayama,pawanamuktasana 2 series ,ardha

matsyendrasana,marjariasana,vajrasana,paschimottanasana,sedhu bandhasana

• Relaxation –DRT,PET,SMET,YOGA NIDRA

• Nadi shodhana pranayama with internal retention

 • Bhastrika pranaya

• Surya bhedha pranayama

• Bhramarai

• Kaphalbhati pranayama

NATUROPATHIC MANAGEMENT:

• Enema

• Gh pack

• Asthma pack

• Mustard pack

• Hot mud to knees

• Leg pack

• Foot bath

• Fomentation to knee

• Massage to knees

• Elakizhi to knees

• Knee strengthening exercise

• Ultrasound

• IFT

• Acupuncture

• moxibustion

DIET THERAPY:

Specific: kothavarangai juice,mudakathan soup

6.00 – 6.30 am:fenugreek / cumin/fennel/ ginger/cinnamon /black cumin water/ arugampul juice

7.30 am: Fermented rice water/ladies finger soaked water

8.30 am :idly/millet dosai/varaghu kanji/ragiadai/ curry leaves/beetroot / coconut/ mint
chutney/ fruit bowl
11.00am: pome/pineapple+ginger /orange /arugampul juice /tender coconut water/coconut milkCurry
leaf+bittergourd+amla juice

1.00pm: millet rice/karuppukavni rice/white rice/ raw vegetables salad/ boiled vegetables

Rasam/ radish sambar/ dhal/green gram gravy/kollurasam/

Bitter gourd/ Ridgegourd/surakkai/pumbkinporiyal

Agathi/ ponangani/ seerukeeraikootu

3.00pm: mudakathan/ moringa/ pumbkin/ onion soup

5.00pm: hibiscus/tulsi/mint/lemongrass/herbal tea

7.00pm : ragi malt/ sathmavu kanji/varaghu kanji/ poha/upma/ ragiidiyappam Beetroot

chutney/ mint chutney/kolluthovaiyal/coconut milk/kadalai curry

PROGNOSIS:
After taking 15 days of naturopathic treatment the patient is able to walk without pain the
range of pain is decreased,and his blood sugar level is also controlled.

CASE SHEET 15
PRELIMINARY DATA:

Name : Mrs. Leelavathi

Age : 46 years

Gender : female

Religion : hindu

Marital status: married

Occupation : house wife

Address : Prakasam, AP

CHIEF COMPLAINT:

C/O pain in lower abdomen since 6 month.

C/O increased menstrual bleeding since 4 month.

HISTORY OF PRESENTING COMPLAINT:

The patient has the complaint of pain in lower abdomen since 6 month, it is a cramping type
of pain and get aggravated during working and relieved by taking rest. Patient also has a
complaint of menorrhagia with dysmenorrhoea since 4 month.

PAST HISTORY:

No relevant past history.

FAMILY HISTORY :

All her family members are said to be healthy.

MEDICAL HISTORY:

No medical history.

PERSONAL HISTORY:
Diet : mixed

Appetite : good

Bowel : regular (1-2 times /day)

Micturition : normal frequency (4-5 times /day)

Habit : tea (2 cups /day)

Sleep : sound sleep

Thirst : normal

Addiction : nil

Allergy : nil

MENSTRUAL HISTORY:

Menarche : 15 yrs.

Cycle : regular ( 28 days)

Flow : increased flow (7days)

Dysmenorrhoea: present

Leucorrhoea : present

OBSTETRIC HISTORY:

Gravida: 3

Para: 3

Still birth: -

Alive: 3

Abortion: -

Mode of delivery: vaginal delivery

HR PR RR BP Temp
VITAL
78 bpm 78 bpm 16cycles/min 110/70mmHg Afebrile
DATA:
GENERAL PHYSICAL EXAMINATION:

Height : 156 cm

Weight : 70 kg

BMI : 28kg /m2

Built : overweight

Oedema : absent

Cyanosis : absent

Pallor : present on nails

Tongue : clear

Nails : normal

Icterus : absent

Lymphadenopathy : absent

Clubbing : absent

Expression : dull due to pain

Varicosity : absent

SYSTEMIC EXAMINATION:

CVS : normal s1 and s2 sounds heard.

RS : normal bronchovesicular breathing.

CNS : conscious and well oriented.

GIT : inspection – mass present above the pubic symphysis.

Palpation - tenderness present in hypochondrium.

RENAL: no abnormality detected.

ENT : no abnormality detected.

 G A L S

✓ ✓ ✓ ✓

LOCOMOTOR SYSTEM:

Dermatology: No abnormality detected.

DIFFERENTIAL DIAGNOSIS:

• ? Uterine fibroid
• ? Ovarian tumour

FACIAL DIAGNOSIS:

Back encumberance

IRIS DIAGNOSIS:

Lesion seen in 5’clock postion in right iris

PULSE DIAGNOSIS:

Vatha dosha

INVESTIGATION:

Blood: DLC – 13,500 cells /[Link]

Hb - 9.6 gm℅

Platelet – 4 lakhs cu. mm Others:

Ultrasound – right anterior wall: 1.1cm

Right posterior wall: 2.5 ×2.2 cm

FINAL DIAGNOSIS:

Uterine fibroid.
MANAGEMENT:

YOGA MANAGEMENT:

• asanas- vajrasana,ardha matsyendrasana ,pawanamuktasana ,marjariasana ,shakthi

bandhasana series,surya namaskara

• relaxation –DRT,YOGA NIDRA

• nadishodhana pranayama

• kaphalbhati pranayama

• bhramari pranayama

NATUROPATHIC MANAGEMENT:

• enema

• hip bath

• foot bath

• full immersion bath

• full body massage

• dynamic exercise

• magnetised water

DIET THERAPY:

Specific: seed cycle 5th-14 days in follicular phase pumpkin seeds and flax seeds, 14-28 days
sunflower and sesame seeds
6.00-6.30 am :fenugreek soaked water/black cumin seed water /wheatgrass juice/arugampul
juice/almond milk

7.30 am: fermented rice water/curry leaf juice

8.00am: millet idly/spinach dosa/green gram dosa/mint, coconut, carrot chutney/fruit salad/boiled
Veggies/coconut milk

11.00am: cucumber /ashgourd/pineapple+ginger/papaya/beetroot juice

1.00pm: butter milk/lemon ginger mint juice/boiled vegetables/fruit salad

3.00 pm: moringa/mudakkathan/mixed veg soup/pineapple juice, sprouted sesame milk
5.00pm: Tulsi/cinnamon/gingermint/lemongrass/hibiscus tea with roasted pumpkin/sunflower/flax
seed 7.00pm:fruit salad/boiled vegetables/ragi malt/spinach chapati/idiyappam/peanut chutney
/coconut milk

PROGNOSIS:
After taking naturopathic treatment for 30 days the patient menstrual cycle is regulared and irregular
flow is corrected ,patient is advised follow this dietary pattern

CASE SHEET 16

PRELIMINARY DATA:

Name : Mr. Vinay chalamalashetty

Age : 37 years

Gender : male Religion

: hindu

Marital status: Unmarried

Occupation : software employee

Address : Chennai
CHIEF COMPLAINT:

C/o difficulty in passing stool since 1 week.

C/o swelling around anus since 5 days.

HISTORY OF PRESENTING COMPLAINT:

Patient has the complaint of constipation since 1 week associated with severe
pain in anal region which aggravates during passing stool.

He also has the complaint of lump near the anus since 5 days.

PAST HISTORY:

No relevant past history.

FAMILY HISTORY:

All his family members are said to be healthy.

MEDICAL HISTORY:

No relevant medical history.

PERSONAL DATA:

Diet : mixed

Appetite : normal

Bowel : constipation

Micturition : normal frequency (4-5 times a day).

Thirst : normal

Habit : coffee (2 times /day)

Sleep : disturbed due to pain

Addiction : nil

Allergy : nil

VITAL DATAS:

Temp : afebrile

Pulse rate : 74 beats /min

Heart rate : 74 beats /min

Respiratory rate : 13 cycles / min

Blood pressure : 130 / 80 mm Hg

GENERAL PHYSICAL EXAMINATION:

Height : 160cm Weight

: 62 kg

BMI : 24.2kg /m2

Built : normal

Oedema : absent

Cyanosis : absent

Pallor : absent

Tongue : clear

Nails : normal

Icterus : absent

Lymphadenopathy: absent

Clubbing : absent

Expression : dull due to pain

Vericosity : absent
SYSTEMIC EXAMINATION:

CVS : normal s1 and s2 sounds heard.

RS : normal bronchovesicular breathing.

CNS : conscious and well oriented

GIT : Inspection : presence of lump in anal region.

RENAL: no abnormality detected.

Gait: antalgic gait Dermatology:

No abnormality detected.

DIFFERENTIAL DIAGNOSIS:

• ? Hemorrhoids
• ? Constipation

INVESTIGATION:

Stool : presence of blood cells

Protoscopy : presence of swollen veins around the rectum along with blood clots.

FINAL DIAGNOSIS:

Hemorrhoids.

MANAGEMENT:

YOGA MANAGEMENT:

• asanas – namaskarasana ,vayu nikshasana,

vajrasana,pawanamuktasana,chakkichalanasana,
pawanamuktasana series 2 asanas

• relaxation –DRT,YOGA NIDRA

• mindfulness&OM’meditation

• ashwini mudra

• bhastrika pranayama

• nadishodhana pranayama

NATUROPATHIC MANAGEMENT:

• hip bath with Epsom salt

• sitz bath

• full immersion bath

• foot bath

• triphala wash

• buttermilk wash

• acupuncture

DIET THERAPY:

6.00 Am – aloevera juice/ashgourd juice/fenugreek water/curry leaf juice

7.30am: black cumin water/barley water

8.0 Am – idiyappam / coconut chutney/coconut milk with nuts/fruit salad/apple
juice/broccoli,cauliflower beans boiled vegetables

11.00Am – banana milk shake/sapota smoothie/lemonmint juice/liquorice water/cucumber juice

1.00PM – half cup cooked veggies / pumpkin soup/moringa soup/boiled vegetables/buttermilk/curd

rice/lentils soup/cauliflower soup

4.00 PM – buttermilk / fig/almond milk/apple juice/bean broth

8.00 PM –dosa / tomato chutney/kanji/fruits/soups

PROGNOSIS:
After taking 15 days of naturopathic treatment swelling reduced and bleeding also reduced patient
advised to follow this diet pattern

CASE SHEET 17

PRELIMINARY DATA:

NAME : Mr. Sai Teja

AGE : 25 years

SEX : Male

RELIGION : Hindu

OCCUPATION : Student

ADDRESS : AP

MARITAL STATUS: Unmarried

CHIEF COMPLAINTS:

C/O, Tiredness and lack of sleep since 8 months

HISTORY OF PRESENTING COMPLAINTS:

The patient complaints of tiredness and difficulty in falling asleep. He is
unable to fall asleep until at least an hour after going to bed. Also complaints of daytime fatigue and is
unable to concentrate on his work and experiencing a feeling of irritation.

PAST HISTORY:
 No relevant past history

FAMILY HISTORY:

All family members are said to be healthy

MEDICAL HISTORY:

No relevant past history

PERSONAL DATA:

DIET : Mixed

APPETITE : Poor

DIGESTION : Poor

BOWEL : Constipated (Once in 2 days)

MICTURITION : Normal in frequency (6-7 times per day)

HABIT : Tea (2cups per day)

SLEEP : Disturbed sleep

ADDICTION : Nil

HR PR RR BP Temp
VITAL
DATA: 78 bpm 78 bpm 16cycles/min 110/70mmHg Afebrile

GENERAL PHYSICAL EXAMINATION:

HEIGHT : 170 cm

WEIGHT : 49

BMI :19

BUILT : Lean

PALLOR : Absent
TONGUE : Clear

NAILS : Clear

ICTERUS : Absent

CLUBBING : Absent

VARICOSITY : Absent

EXPRESSION : Dull

SYSTEMIC EXAMINATION:

CVS : S1 and S2 sound heard normally

RS : Normal Broncho-vesicular breathing

CNS : Patient in confused state and uncoordinated due to disturbed sleep.

GIT : No abnormality detected

RENAL : No abnormality detected.

ENT : No abnormality detected.

X X X √

G A L S

LOCOMOTOR

SYSTEM:

DERMATOLOGY: No abnormality detected

DIFFERENTIAL DIAGNOSIS :

• ? Depression
• ? Insomnia
INVESTIGATION:

Blood : Haemoglobin – 14 gm%

ESR - 30mm / hour

Others: Mental status examination

Talk – Volume is not audible Mood –

Depressed mood and not able to take

strong decision Thoughts – Negative

thoughts and confused mind.

PET : Increase of blue and green color indicates decreased brain metabolic activity.

FINAL DIAGNOSIS:

DEPRESSION

MANAGEMENT:

YOGA MANAGEMENT:

• Asana-sukshmavyayama

• Nadishodhana pranayama

• Relaxation-DRT,SMET,PET,YOGA NIDRA

• OM’meditation

• Mantra chanting

NATUROPATHIC MANAGEMENT:

• Hot foot bath

• Full body massage

• Aroma massage
 • Dry head massage

• Thailadhara

ACUPUNCTURE:

• Sedative point: GV - 20

• EX- 8 ( Animan I)

• Ex – 9 ( Animan II)

• P-6,LI – 4,LU – 7

• Heart area (in apex of tragus)

• Shenmen (area- 26) (In triangular fossa)

• Subcortex (area 52)(meadial wall of antitragus)

• Sympathy (area 31) (superior brim of inferior crus of anti helix)

DIET THERAPY:

6.00 – 6.30 am:fenugreek / cumin/fennel/ ginger/cinnamon /black cumin water/ arugampul juice
7.30 am: Fermented rice water/ ashgourd juice 8.30 am :idly/millet dosai/varaghu kanji/ragiadai/ curry
leaves/beetroot / coconut/ mint chutney/ fruit bowl

11.00am: pome/pineapple+ginger/orange /arugampul juice /tender coconut water/coconut milk

1.00pm: millet rice/karuppukavni rice/white rice/ raw vegetables salad/ boiled vegetables

Rasam/ radish sambar/ dhal/green gram gravy/kollurasam/

Bitter gourd/ Ridgegourd/surakkai/pumbkinporiyal

Agathi/ ponangani/ seerukeeraikootu

3.00pm: mudakathan/ moringa/ pumbkin/ onion soup

5.00pm: hibiscus/tulsi/mint/lemongrass/herbal tea

7.00pm :ragi malt/ sathmavu kanji/varaghu kanji/ poha/upma/ragiidiyappam

Beetroot chutney/ mint chutney/kolluthovaiyal/coconut milk/kadalai curry

PROGNOSIS:
After taking 10 days of treatment patient sleep cycle is improved advise to follow meditation
practice and acupuncture treatment.

CASE SHEET 18

PRELIMINARY DATA:

Name : Mrs. Asmabeevi

Age : 62

Sex : female

Address : Kanyakumari

Occupation : Housewife

Religion : Muslim

Marital status : married

CHIEF COMPLAINTS:

c/o both knee pain since 4 months

c/o white patches on both knees

k/c hypo thyroid since 3 years k/c

DM

K/C Hypertension

HISTORY OF PRESENTING COMPLAINTS:

The patient has the compliant of pain on both knees it aggrevated during any work or by
using stair case it relieved after taking [Link] has the complaint of patches on the both legs knee to
ankle joint ,she have itching and slight bleeding while itching,when sweating itching aggrevated,also
has known case of DM,hypertension,thyroid.
PAST HISTORY:

No relevant past history

FAMILY HISTORY:

No relevant family history

MEDICAL HISTORY:

1. Atorvastatin
2. Galvesmet
3. Amlodipine
4. Thyronorm
5. Ca suppliment

PERSONAL HISTORY:

Diet : mixed

Appetite : good

Thirst : normal

Bowel : regular

Micturition : normal in frequency

Habit : habit of black coffee

Sleep : disturbed

Addiction : nil

Allergy : nil

BP HR PR RR TEMP
VITAL
DATAS: 150/90 mm/hg 78bpm 79bpm 17 cycles per afebrile
minute

MENSTRUAL HISTORY:

Menarche: at 14th age Menopause: at 45yrs of age Cycle:

Flow:
Dysmenorrhea:

Leucorrhea:

Gravid Para Abortion Stillbirth Livebirth MOD

4 4 0 0 4 normal

OBSTETRIC HISTORY:

GENERAL PHYSICAL EXAMINATION:

Height : 155cm

Weight : 50kg

Built : moderate

BMI : 21,7kg/m

Cyanosis : absent

Icterus : absent

Pallor : present

Oedema : present

Nails : normal

Tongue : normal

Clubbing : absent

Expression : dull

Vericosity : absent

SYSTEMIC EXAMINATION:

CVS : normal s1s2 sound heard

RS : normal broncho vesicular sound heard

CNS : conscious and well oriented

RENAL : no abnormality detected

LOCOMOTOR SYSTEM:
G
A L S

X ✓
X

DERMATOLOGY: No abnormality detected

DIFFERENTIAL DIAGNOSIS:

• ? OA OF KNEE
• ? OSTEOPOROSIS
INVESTIGATIONS:

HB - 12.5 g%

FBS - 120 Mg\dl

Triglycerides- 140 mg/dl

LDL - 85mg/dl

HDL - 90MG\DL

FINAL DIAGNOSIS:

OSTEO ARTHRITIS OF KNEE

MANAGEMENT:

YOGA MANAGEMENT:

• Asanas – sukshma vyayama,pawanamuktasana series 1 & 2

• Relaxation- DRT

• Pranayama – Chandra bhedana,Nadi shodhana pranayama. & Mudras

NATUROPATHY MANAGEMENT:
 • Wet sauna

• Spinal bath

• Arm and foot bath

• Hot foot bath

• Full body mud

• Abdomen mud pack

• Ganji turmeric bath

• Leg pack

• Knee pack

• Mustard pack

DIET THERAPY:

6 am-Fenugreek boiled water or Ashgourd juice

8 am -ragi or oats

11 am -drumstick boiled water

1 pm- cooked salads or soups or brown rica

4 pm bottleguard juice

5 30 pm-tulsi tea

7 pm -any veg soups or salads+beetroot juice

PROGNOSIS:

After taking 7 days of naturopathic treatment patient feels comfortable and pain also reduced
CASE SHEET 19

PRELIMINARY DATA:
Name : Mrs. Rekha

Age : 68yrs

Sex : Female

Address : kadalore Occupation

: home maker

Religion : Christian

Marital status : married

CHIEF COMPLAINTS:

k/c/o hypertension k/c/o obesity

grade 1 c/o right knee pain since

6 months c/o bloating since 6

months

HISTORY OF PRESENTING COMPLAINTS:

The patient is having the complaint of right knee pain which is radiating till toes
since 6 months which gets aggrevates while walking and relieves after taking rest or sitting .the patient
also complaints of bloating since 6 months which causes discomforet while lying on back and relieves
after sitting and standing.

PAST HISTORY:

p/o uterine fibroid (15yrs) p/o RTA (3yrs)

family history no relevant family history

medical history no relevant medical

history

PERSONAL DATA:

Diet : mixed

Appetite : normal
Bowel : constipation

Micturition : normal frequency (4-5 times a day).

Thirst : normal

Habit : coffee (2 times /day)

Sleep : disturbed due to pain

Addiction : nil

Allergy : nil

MENSTRUAL HISTORY:

Menarche: at 14th age Menopause: at 45yrs of age Cycle:

Flow:

Dysmenorrhea:

Leucorrhea:

Gravid Para Abortion Stillbirth Livebirth MOD

2 2 0 0 2 normal

OBSTETRIC HISTORY:

HR PR RR BP Temp
VITAL
78 bpm 78 bpm 16cycles/min 110/70mmHg Afebrile
DATA:

GENERAL PHYSICAL EXAMINATION:

Height : 156 cm

Weight : 70 kg

BMI : 28kg /m2

Built : overweight
Oedema : absent

Cyanosis : absent

Pallor : absent

Tongue : clear

Nails : normal

Icterus : absent

Lymphadenopathy : absent

Clubbing : absent

Expression : dull due to pain

Varicosity : absent

SYSTEMIC EXAMINATION:

CVS : normal s1 and s2 sounds heard.

RS : normal bronchovesicular breathing.

CNS : conscious and well oriented.

GIT : inspection – mass present above the pubic symphysis.

Palpation - tenderness present in hypochondrium.

RENAL: no abnormality detected.

ENT : no abnormality detected.

LOCOMOTOR SYSTEM:

G A L S

× ✓ X restricted X
movements due
to knee pain

Gait: antalgic gait

DIFFERENTIAL DIAGNOSIS:

• ? Hypercholesterolemia
• ? osteoarthritis
INVESTIGATION:

Total cholesterol : 285mg/DL

LDL : 189mg/dl

FINAL DIAGNOSIS:

HYPERCHOLESTEROLEMIA MANAGEMENT:

YOGA MANAGEMENT:

• Asanas – sukshma vyayama, pawanamuktasana series 1&2

• Pranayama cooling pranayama

• Relaxation DRT,YOGA NIDRA

NATUROPATHIC MANAGEMENT:

• Mud pack

• Full immersionbath with Epsom salt

• Janu vasti

• Steam bath

• Mustard pack to legs

• Massage to legs

• Foot bath

DIET THERAPY:

6.00- 6.30am: ladies finger soaked water/ black cumin water/ fenugreek water/ arugampul juice/
7.30am: fermented rice water/ curry leaf juice/cinnamon water

8.30 am: varaghu kanji/ ragiadai/ green gram does/ upma / semiya

Mint/ coconut/beetroot/ kollu/coriander leaves chutney

11.00am: Amla+ bitter gourd + curry leaves juice/ashgourd juice/cucumber juice/lemon + ginger

/ Orange/ arugampul/muskmelon juice

1.00pm: boiled vegetables/thinai rice/millet briyani/avarampoo / pineapplerasam/bitter gourd/
Ridgegourd/ surrakkai/kovakkai/banana flower poriyal.

3.00 pm: butter milk/ pumbkin soup/carrot/onion/Mudakathan/moringa/kollu soup

Sundal/boiled pea nuts/sprouts

5.00pm: thoothuvalai/hibiscus/lemongrass/tulsi/herbal/ blue pea/ avarampoo/ arugampul tea

7.00pm: varaghu kanji/ millet dosau/ ragiputtu/ragiidiyappam/kambu idly/ veg chappathi

Mint / coriander leaves /kollu / beetroot chutney/ coconut milk

PROGNOSIS:
The patient feels relaxed and her cholesterol levels are under control after taking 15 days
of naturopathic treatment her knee pain also reduced.

CASE SHEET 20

PRELIMINARY DATA:

Name : Mrs. Sita Ratnam

Age : 70 years

Sex : female

Address : Guntur

Occupation : Retired employee

Religion : Hindu

Marital status : married

CHIEF COMPLAINTS:

c/o sleeplessness since 2 weeks

k/c DM since 6 years

K/C Vertigo k/c hypertension

since

2 years

HISTORY OF PRESENTING COMPLAINTS:

The patient has the compliant of insomnia since 2 weeks, she also have known case of
DM ,hypertension and vertigo, she feels giddiness when she is sitting in bus or bike also have pain on
both knees, it aggrevates only when she is using staircase otherwise no problem at all,she is undergone
allopathic medications.

PAST HISTORY:

No relevant past history

FAMILY HISTORY:

No relevant family history

MEDICAL HISTORY:

1. T. Metformin Amlodipine
2. Atorvastatin
3. Doxycycline

PERSONAL HISTORY:

Diet : mixed

Appetite : good

Thirst : normal Bowel

: regular

Micturition : normal in frequency Habit

: habit of 2 cup of tea

Sleep : disturbed
Addiction : nil

Allergy : nil

VITAL BP HR PR RR TEMP
130/80mmhg 78bpm 83bpm 17 cycles per afebrile
min
DATAS:

MENSTRUAL HISTORY:

Menarche : at 13 yrs

Menopause : at 46 yrs Cycle:

Flow:

Dysmenorrhea:

Leucorrhea:

Gravida Para Abortion Stillbirth Livebirth MOD

2 2 0 0 2 normal
OBSTETRIC HISTORY:

GENERAL PHYSICAL EXAMINATION:

Height : 160cm

Weight : 56kgs

Body build : moderate

BMI : 22.5kg/m

Cyanosis : absent

Icterus : absent

Pallor : present

Oedema : absent
Nails : normal

Tongue : normal

Clubbing : absent

Expression : dull

Vericosity : present

SYSTEMIC EXAMINATION:

CVS : normal s1s2 sounds heard

RS : normal brocho vesicular sound heard

CNS : conscius and oriented

RENAL : no abnormality detected

G
LOCOMOTOR
SYSTEM: A L S

√
√ √ √

DERMATOLOGY: no abnormality detected

DIFFERENTIAL DIAGNOSIS:

• ?Insomnia
• ?depression

INVESTIGATIONS:

Fbs - 140mg/dl

Triglycerides- 220mg/dl

FINAL DIAGNOSIS:
▪ DM
▪ VERTIGO
 ▪ INSOMNIA
▪ HYPERTENSION

MANAGEMENT:

YOGA MANAGEMENT:
• Asanas – Surya namaskara,tadasana,vriksasana,suksa vyayama

• Pranayama- Nadi Shodhana, bhastrika,bhramari

• Mudra- shambhavi,shanmuki mudra

• Relaxation- DRT, YOGA NIDRA

• Hand stretch breathing

NATUROPATHIC MANAGEMENT:

• spinal bath

• spinal spray

• steam bath

• foot and arm bath

• gastro hepatic pack

• abdomen pack

• full body mud

DIET THERAPY:

6.00- 6.30am: ladies finger soaked water/ black cumin water/ fenugreek water/ arugampul juice/

7.30am: fermented rice water/ curry leaf juice/cinnamon water

8.30 am: varaghu kanji/ ragiadai/ green gram does/ upma / semiya, Mint/ coconut/beetroot/
kollu/coriander leaves chutney

11.00am: Amla+ bitter gourd + curry leaves juice/ashgourd juice/cucumber juice/lemon + ginger

/ Orange/ arugampul/muskmelon juice

1.00pm: boiled vegetables/thinai rice/millet briyani/avarampoo / pineapplerasam/bitter gourd/
Ridgegourd/ surrakkai/kovakkai/banana flower poriyal.

3.00 pm: butter milk/ pumbkin soup/carrot/onion/Mudakathan/moringa/kollu soup

5.00pm: thoothuvalai/hibiscus/lemongrass/tulsi/herbal/ blue pea/ avarampoo/ arugampul tea

7.00pm: varaghu kanji/ millet dosau/ ragiputtu/ragiidiyappam/kambu idly/ veg chappathi

Mint / coriander leaves /kollu / beetroot chutney/ coconut milk

PROGNOSIS:
After takin 14 days of treatment sleep cycle improved,and blood glucose levels& blood pressure are
under control

CASE SHEET 21

PRELIMINARY DATA:

Name :Mrs. Rani Nunavath

Age : 63 yrs

Sex : female

Address : Telangana

Occupation : Agriculture

Religion : Hindu

Marital status : married

CHIEF COMPLAINTS:

c/o pain on toes and fingers since 3 yrs.

c/o knee pain since 4 months c/o

increasing weight since 2 months c/otired

ness since last 2 weeks c/o sleeplessness

since 2 weeks c/o dry mouth since 1 week

HISTORY OF PRESENTING COMPLAINTS:

The patient has the complaint of severe joint pain in early morning,stiffness and
swelling on the joints ,a nodule is present on the small joints ,pain aggrevated in early morning and
relieved after taking sun bath,also have insomnia ,dry mouth and severe knee pain while walking and
long standing,

PAST HISTORY:

No relevant past history

FAMILY HISTORY:

No relevant family history

MEDICAL HISTORY:

1. Rheumatrex
2. sulfasalazine

PERSONAL HISTORY:

Diet : mixed

Appetite : poor

Thirst : good

Bowel : regular

Micturition: normal in frequency

Habit : habit of 2 cups of tea

Sleep : disturbed

Addiction : nil

Allergy : nil

VITAL BP HR PR RR TEMP

140/80mmhg 79bpm 80bpm 17 cycles per afebrile

min
DATAS:

MENSTRUAL HISTORY:
Menarche : at 13 yrs.

Menopause: at 44 yrs.

Cycle:

Flow:

Dysmenorrhea:

Leucorrhea:

Gravida Para Abortion Stillbirth Livebirth MOD

2 2 0 0 2 normal

OBSTETRIC HISTORY:

GENERAL PHYSICAL EXAMINATION:

Height : 156 cm

Weight : 80 kgs

Bodybuild : obese

BMI : 28.6kg/m

Cyanosis : absent

Icterus : absent

Pallor : present

Oedema : present

Nails : brittle

Tongue : coated

Clubbing : absent

Expression : dull

Vericosity : absent

SYSTEMIC EXAMINATION:
CVS: normal s1s2 sounds heard

RS: normal broncho vesicular sounds heard

CNS: conscious and oriented

GIT: no abnormalities detected

RENAL: no abnormalities detected

G
A L S

✓ × ✓
LOCOMOTOR:

DERMATOLOGY: -

DIFFERENTIAL DIAGNOSIS:

• ? RHEUMATOID ARTHRITIS
• ? OSTEOARTHRITIS
INVESTIGATIONS:

Rh factor -positive. (24.0mg/DL)

HB -11G%

WBC -10,000CELLSPERCUB

CRP -POSITIVE.

FINAL DIAGNOSIS:

RHEUMATOID ARTHRITIS.

MANAGEMENT:
YOGA MANAGEMENT:

• Asanas – sukshma vyayama , pawanamuktasana series 1&2

• Pranayama – nadishodhana,bhramari, bhastrika

• Relaxation- DRT

NATUROPATHIC MANAGEMENT:

• Hot spinal bath

• Neutral hip bath

• Hot foot and arm bath

• Full body hot mud applications

• Abdomen pack

• Abdomen mud pack

• Knee pack with epsam salt

• Hot oil applications

• Full body massage

• Mustard pack

• Januvasti

• Accupuncture

• Reflexology

• Walking

• Moxibustion

DIET THERAPY:
Specific: kothavarangai juice

Mudakathan soup

Pineapple+ ginger juice

6 am-ashgourd +ginger or curryleaf juice

8 30 am -any millet dosa +veg or ragi or muesli or fruit bowl

11 am -amla +turmeric or buttermilk

1pm -cooked salads or vegetable salad or brown rice +veggies

3 pm- bottle guard +ginger juice

5 pm-shangupushpam tea

7 pm -any veg soups or boiled vegetables

3 days monodiet fasing with watermelon.

PROGNOSIS:
After taking 15 days of naturopathic treatment patient pain reduced and weight losses up to
4 kgs and sleep improved.
CASE SHEET 22

PRELIMINARY DATA:

Name : Mr. Rosy Reddy

Age : 55Yrs.

Sex : Male Address

: AP

Occupation : Farmer

Religion : Hindu

Marital status : married.

CHIEF COMPLAINTS:

c/o Recurrent cold and cough since 10 years

c/o white patches on the skin since 4 years c/o

itching of scalp and legs since 3 months. c/o

loss of appetite since 3 months.

HISTORY OF PRESENTING COMPLAINTS:

The patient has the complaint of recurrent cold cough and dyspnoea since many
years it aggravated when exposure to cold and dust it can relieved after taking cetirizine or
nebulisation, also have white coloured patches on scalp, legs, knees and elbow with severe itching with
little bleeding in it. also he have anorexia and insomnia.

PAST HISTORY:

No relevant past history

FAMILY HISTORY:

No relevant family history

MEDICAL HISTORY:

He underwent naturopathic treatments.

PERSONAL HISTORY:

Diet : mixed

Appetite : poor Thirst

: normal

Bowel : regular.

Micturition: normal in frequency Habit: habit of 2 cups of tea.

Sleep : disturbed.

Addiction : nil

Allergy : nil

VITAL BP HR PR RR TEMP

DATA’S:
120/90mmhg 78bpm 82bpm 17 cycles per min Afebrile

GENERAL PHYSICAL EXAMINATION:

Height : 163 cm

Weight : 55kgs

Body build: moderate

BMI : 21.8kg/m

Cyanosis : absent

Icterus : absent

Pallor : present

Oedema : absent

Nails : clear
Tongue : coated

Clubbing : absent

Expression : dull

Vericosity : absent

SYSTEMIC EXAMINATION:

CVS : normal s1s2 sound heard

RS : normal broncho vesicular sound heard

CNS : Conscious and well oriented

GIT : No abnormalities detected DERMATOLOGY : White coloured patches present on

the scalp, knees and elbow

LOCOMOTOR SYSTEM:

G A L S

√ √ √ √

DIFFERENTIAL DIAGNOSIS:

• ? Allergic dermatitis
• ? eczema

INVESTIGATIONS:

Hb ;11.6g%

Ige-400iu/l

FINAL DIAGNOSIS:

ALLERGIC DERMATITIS

MANAGEMENT:
YOGA MANAGEMENT:

• Asanas – sukshma vyayama,Surya namaskara

• Pranaya- bhramari, nadishodhana

• Relaxation DRT, YOGA NIDRA

NATUROPATHIC MANAGEMENT:

• GH pack

• Abdomen pack

• Cucumber pack

• Hot hip bath with turmeric +neem powder

• Hot foot bath 10 m

• Acupuncture

• Full immersion bath with Epsom salt

• Ganji turmeric bath

• Fenugreek application on elbows, knees

• Coconut scrub

• Herbal mud bath

• Virgin coconut oil application

DIET THERAPY:

6 AM- ash gourd juice or cucumber juice or fermented rice water

8 am-fruit bowl or smoothies or beetroot cutlet

Or basil bowl or fermented rice

11 am-ABC juice dressed with olive oil.

1 pm-brown rice and veg, cooked salads, kanji,

3 30 pm-Cabbage juice

5 30 pm -green tea

7 pm- any veg soup

3 Days fasting with tender coconut water.

PROGNOSIS:
After taking 1 month of naturopathic treatment patient IgE level reduced and improvement in
condition itchiness is reduced

CASE SHEET 23 PRELIMINARY

DATA

Name : Mr. Srinivas Reddy

Age : 43 years

Sex : Male

Address : Telangana
Occupation : Software

Religion : Hindu

Marital status: married.

CHIEF COMPLAINTS:

c/o abdominal pain since 2 weeks c/o tiredness

since 2 weeks c/o burning sensation on chest

region since 1 week c/o painful swallowing

since 1 week

HISTORY OF PRESENTING COMPLAINTS:

The patient has the complaint of severe abdominal discomfort with bloating and
acid reflux after taking food. Also has the complaint of fatigue heart burn and dysphagia also
there .also he has the compliant of nausea and sore throat with cough,

PAST HISTORY:

No relevant past history

FAMILY HISTORY:

No relevant family history

MEDICAL HISTORY:

No relevant medical history

PERSONAL HISTORY:

Diet : mixed

Appetite : poor Thirst

: normal

Bowel : constipated.

Micturition: normal in frequency Habit

: habit of 2 cups of tea. Sleep :

disturbed.

Addiction : nil

Allergy : nil

BP HR PR RR TEMP
VITAL
130/90mmhg 93bpm 82bpm 18 cycles per min Afebrile
DATA’S:

GENERAL PHYSICAL EXAMINATION:

Height : 163 cm

Weight : 55kgs

Body build: moderate

BMI : 21.8kg/m

Cyanosis : absent

Icterus : absent

Pallor : present

Oedema : absent

Nails : clear

Tongue : coated

Clubbing : absent

Expression : dull

Vericosity :absent
SYSTEMIC EXAMINATION:

CVS : normal s1s2 sound heard

RS : normal broncho vesicular sound heard CNS : Conscious and well

oriented

GIT : bloating and heart burn present

DERMATOLOGY : NAD

G A L S
LOCOMOTOR SYSTEM:
√ √ √ √

DIFFERENTIAL DIAGNOSIS:

• ? GERD
• ? GASTRITIS

INVESTIGATIONS:

Hb ;11.6g% PH of oesophagus-3.7 FINAL

DIAGNOSIS:

GERD

MANAGEMENT:

YOGA MANAGEMENT:

• Asanas – vajrasana,
pawanamuktasana,bhadrasana,simhasana,veerasana,chakkichalasana

• Pranayama sheetali,sheetkari,bhramari

• Mudra- - vayu ,prana mudra

NATUROPATHIC MANAGEMENT:

• GH pack

• Abdomen pack
 • Cucumber pack

• Hot hip bath with turmeric

• Hot foot bath 10 mins

• accupuncture

• Abdomen mud pack 20 minutes For abdomen and lower back.

• Cold hip bath

• Herbal pack

• castor oil application

DIET THERAPY:

6 AM- ash gourd juice or cucumber juice or fermented rice water

8 am-fruit bowl or smoothies or beetroot cutlet

Or basil bowl or fermented rice

11 am-ABC juice dressed with olive oil or butter milk.

1 pm-brown rice and veg, cooked salads, kanji,

3 30 pm-apple juice

5 30 pm -green tea

7 pm- ash gourd veg soup

PROGNOSIS:
After taking 15 days of naturopathic treatment patient feels reduced burning sensation and appetite
improved
CASE SHEET 24

PRELIMINARY DATA:

Name : Mr. Aasif Khan

Age : 38Yrs.

Sex : Male

Address : Pune, Maharashtra

Occupation : Teacher

Religion : Muslim Marital

status: married.

CHIEF COMPLAINTS:

K/c bronchitis since 4 years. c/o tiredness since

2 months. c/o increasing body temperature

since 1 week c/o cough since 1 week

HISTORY OF PRESENTING COMPLAINTS:

 The patient has the known case of bronchitis since many years, productive cough
also noted in early morning, wheezing aggravated in early morning and it is relieved after taking
nebulisation. Also have fatigue and feverish symptoms recurrently,

PAST HISTORY:

No relevant past history

FAMILY HISTORY:

No relevant family history

MEDICAL HISTORY:

Salbutamol nebulisation.

PERSONAL HISTORY:

Diet : mixed

Appetite : poor Thirst

: normal

Bowel : regular.

Micturition: normal in frequency Habit

: habit of 2 cups of tea. Sleep :

disturbed.

Addiction :nil

Allergy :nil

VITAL BP HR PR RR TEMP
DATA’S: 120/90mmhg 80bpm 82bpm 20 cycles per 99 F
min
GENERAL PHYSICAL EXAMINATION:

Height : 167cm

Weight : 79kgs

Body build: obese

BMI :25.8kg/m

Cyanosis : absent

Icterus : absent

Pallor : present

Oedema : absent

Nails : clear

Tongue : coated

Clubbing : absent

Expression : dull

Vericosity : absent

SYSTEMIC EXAMINATION:

CVS : normal s1s2 sound heard

RS : auscultation-wheezing sound heard on expiratory phase.

CNS :Conscious and well oriented

GIT :No abnormalities detected

DERMATOLOGY: No abnormalities detected

G A L S

LOCOMOTOR SYSTEM: √ √ √ √
DIFFERENTIAL DIAGNOSIS:

• ? BRONCHITIS
• ? BRONCHIAL ASTHMA

INVESTIGATIONS:

Ige -220u/l

Hb-12.3g%

CXR-hyperinflation Of Lung.

FINAL DIAGNOSIS:

BRONCHITIS

MANAGEMENT:

YOGA MANAGEMENT:

• Asanas- tadasana,triyka tadasana,natrajasana,marjariasana,ushtrasana,sukshma

vyayama,Surya namaskara,matsyasana

• Pranayama- Nadi Shodhana,Surya bhedhana with internal retention,suryaanulo

viloma,kaphalbhati

• Relaxation- DRT, PET

NATUROPATHIC MANAGEMENT:

• Asthma pack

• Abdomen pack

• Chest pack with betel leaves

• Facial steam

• Hot hip bath with henna leaf paste

 • Hot foot bath 10 mins

• Acupuncture

• Moxibustion

• Abdomen mud pack 20 minutes

• Onion extract application on chest region.

DIET THERAPY:

Specific: betel leaves kashayam

Ashwagandha

6 AM- ash gourd juice or cucumber juice or Luke warm turmeric water

8 am-fruit bowl or smoothies or beetroot cutlet

Or basil bowl or millet dosa

11 am-ABC juice dressed with olive oil OR liquorice root boiled water or orange juice

1 pm-brown rice and veg,cooked salads, kanji,

3 30 pm- pome juice or ABC juice 5 30 pm -green tea with nuts.

7 pm- any veg soup

3 Days fasting with tender coconut water.

PROGNOSIS:

After taking 15 days of naturopathic treatment breathing difficulty is reduced and cough also reduced
CASE SHEET 25

PRELIMINARY DATA:

Name : Mr. Ajinkya

Age : 65Yrs.

Sex : Male

Address : Mumbai

Occupation : Business

Religion : Hindu

Marital status: married.

CHIEF COMPLAINTS:

C/O of bilateral leg pain since 1 month

C/O numbness of soles since 4 days

HISTORY OF PRESENTING COMPLAINTS:

The patient has the complaint of bilateral leg pain since 1 month,the pain is of
squeezing type radiating from knees to soles it’s aggrevates in early morning and while walking it’s
relived by taking rest,and also has the complaint of numbness of soles since 4 days

PAST HISTORY:

No relevant past history

FAMILY HISTORY:

No relevant family history

MEDICAL HISTORY:

No relevant medical history.

PERSONAL HISTORY:

Diet : mixed
Appetite : good Thirst

: normal

Bowel : regular.

Micturition: normal in frequency Habit

: habit of 2 cups of tea.

Sleep : disturbed.

Addiction :nil

Allergy : nil

BP HR PR RR TEMP
VITAL
DATA’S: 120/90 mm/hg 80bpm 82bpm 20cycles per Afebrile
min

GENERAL PHYSICAL EXAMINATION:

Height : 167cm

Weight : 79kgs

Body build: obese

BMI :25.8kg/m

Cyanosis : absent

Icterus : absent

Pallor : present

Oedema : present around knees

Nails : clear

Tongue : coated

Clubbing : absent

Expression : dull

Vericosity : absent
SYSTEMIC EXAMINATION:

CVS : normal s1s2 sound heard

RS : auscultation-wheezing sound heard on expiratory phase.

CNS : Conscious and well oriented

GIT : No abnormalities detected

DERMATOLOGY: No abnormalities detected

G A L S
LOCOMOTOR
X √ X √
SYSTEM:

Numbness from knees to soles

Restricted movements

FACIAL DIAGNOSIS:

Whole body encumbrance

PULSE DIAGNOSIS:

Vatha dominant

DIFFERENTIAL DIAGNOSIS:

• ? Rheumatoid arthritis
• ? Gouty arthritis

INVESTIGATION:

Blood test: urea 34.7 mg/dl

Creatinine: 0.7mg/dl

Uric acid : 10.5mg/dl

FINAL DIAGNOSIS:

GOUTY ARTHRITIS

MANAGEMENT:

YOGA MANAGEMENT:

• Sukshma vyayama

• Surya namaskara

• Pranayama- nadishodhana , bhastrika,bhramari

• Relaxation- DRT,YOGA NIDRA NATUROPATHIC MANAGEMENT

• Enema

• Pm to legs

• Mustard pack

• Hot foot bath

• Elakizhi

• Coconu oil application with Epsom salt

DIET THERAPY:

Specific: drinking raw papaya water instead of normal water

6.30 am: ginger/ black cumin/cinnamon water

7.30am: fermented rice water

8.30am: idly/ragi adai/ dosa/ragimalt/ fruit salad (apple, pineapple, orange, papaya)
 Mint chutney/ beetroot chutney/ coconut chutney

11.00am: Amla/pineapple+ ginger/ mint & lemon juice/ orange juice

1.00pm: millet rice/ mint rice/karuppukavni rice

Plantain pith sambar/kollu rasam/radish gravy

Banana flower poriyal/ridge gourd poriyal/

Boiled vegetables (carrot, beans,cauliflower,pumbkin)

3.30pm: pomegranate juice/kidney beans broth / pumbkin soup/ mixed veg soup

5.00pm: tulsi tea /hibiscus tea/herbal tea

7.30 pm: fruit salad, idiyappam + coconut milk,dosa/ idly ,mint/ coriander/ kollu chutney.

PROGNOSIS:
After taking 20 days of naturopathic treatment patient uric acid level reduced and pain also reduced
patient is able to walk without pain.