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Breakthrough Approaches to Chronic Kidney Disease

1.Introduction:

Mrs. Ramani, a 62-year-old woman from Hyderabad, has faced numerous health challenges over the past decade, including hypertension, hypothyroidism, chronic kidney disease, varicose veins, cervical spondylitis, pulmonary stenosis, frozen shoulder, palpitations and breathlessness since 2015. Despite these hurdles, her proactive approach and tailored treatments, including physiotherapy, medication, and naturopathy, have significantly improved her health. During her visit to SLNS in November 2024, she embraced holistic therapies like yoga, hydrotherapy, mud baths, and diet therapy.

2.Patient Information:

NAME: Ramani

AGE: 62 Years

In 2012, her health challenges began when she experienced a severe fall accompanied by

vomiting. In 2014 she noticed sudden weight gain and sought help at Steel Plant

Hospital, where a thyroid test confirmed hypothyroidism. In 2015, she experienced palpitations and breathlessness where she diagnosed mild pulmonary stenosis. An angiogram revealed 40%-60% blockages. In 2021, frequent urinary irritation led her to nephrologist, who discovered kidney stones and an infection through an abdominal scan. However, her creatinine and protein levels rose after medication. By 2024, seeking a more holistic approach for her kidney issues, she visited SLNS Nature Cure Hospital, embracing natural treatments for better recovery and well-being. Her story highlights resilience and a commitment to healing through nature’s care.

3. Medication History
S. No.MedicationAfter Treatment Mechanism of Action
1ROSYTAB-A-75 (Aspirin gastro resistant 75 mg& Rosuvastatin 10 mg) -0 -0-1TaperedRosuvastatin increases hepatic LDL receptors and enhance uptake.Aspirin reduces the gastric acid secretion 
2CILIDAX-1 (Cilnidipine 10 mg)1-0-1TaperedCalcium channel blocker-reduces the blood pressure
3UA RITE (Febuxostat 40mg)
0-1-0
TaperedReduces uric acid level by inhibiting the Xanthine oxidase
4SODOCEL EC-50mg (Enteric coated sodium HCO3)1-0-1TaperedNeutralizes the acidity in stomach
5CELERAB-DSR 10mg (Rabeprazole sodium& Domperidone)1-0-1TaperedProton pump inhibitor.Inhibitors the H+,K+ ATPase.

Mrs. Ramani’s medication regimen prior to treatment included Rosytab-A-75 (Aspirin and Rosuvastatin, 0-0-1), which enhances hepatic LDL receptor uptake and reduces gastric acid secretion; Cilidax-10 (Cilnidipine, 1-0-1), a calcium channel blocker for blood pressure reduction; UA Rite 40mg(Febuxostat, 0-1-0), which lowers uric acid levels by inhibiting xanthine oxidase; Sodocel EC-500 mg (Enteric-coated sodium bicarbonate, 1-0-1) to neutralize stomach acidity; and Celerab-DSR 10mg(Rabeprazole sodium and Domperidone, 1-0-1), a proton pump inhibitor that blocks H+, K+ ATPase. Post-treatment, all medications were successfully tapered off under medical supervision as her condition improved.

4. Naturopathic and Lifestyle Interventions:

Diet Therapy: Follow a balanced, anti-inflammatory diet rich in fruits, vegetables, whole grains, nuts, and seeds to support cardiovascular and kidney health.

Hydrotherapy and Detoxification:Regular sessions of hydrotherapy, including mud baths, neem baths, and steam baths, to enhance circulation, reduce inflammation, and promote detoxification.

Yoga and Physical Activity: Brisk walking or light aerobic exercises to maintain weight and promote joint mobility.

Stress Management: Engage in meditation and mindfulness practices to lower cortisol levels, reduce hypertension, and improve emotional well-being.

Long-Term Preventive Measures: Regular health checkups to monitor cholesterol, kidney function, and blood pressure. Adopt preventive measures like continue physiotherapy for joint health.

5. Results and Follow-Up
S. NoBiomarkerBefore TreatmentAfter Treatment
1APOLIPOPROTIEN B149 84 
2APO B/APO A1 RATIO1.20.6
3HBA1C5.8 5.4
4VLDL45.6130.22
5LDL20796
6TOTAL CHOLESTEROL296150
7NON HDL252.1107.6
8URIC ACID8.147.88
9URINARY PROTEIN3+1+
10VITAMIN D7.07100.2

The treatment outcomes reveal significant improvements in key biomarkers, reflecting enhanced metabolic and cardiovascular health. Apolipoprotein B reduced from 149 to 84, and the Apo B/Apo A1 ratio improved from 1.2 to 0.6, indicating better lipid profile and reduced cardiovascular risk. HbA1c levels dropped from 5.8 to 5.4, reflecting better blood sugar control. VLDL and LDL levels reduced significantly from 45.61 to 30.22 and 207 to 96, respectively, contributing to improved lipid metabolism. Total cholesterol decreased from 296 to 150, and Non-HDL cholesterol dropped from 252.1 to 107.6, enhancing overall cardiovascular health. Uric acid levels showed a slight reduction, while urinary protein levels improved from 3+ to 1+, indicating better kidney function. Most notably, Vitamin D levels increased from 7.07 to 100.2, promoting bone health, immunity, and overall wellness. These improvements highlight the efficacy of the treatment in achieving holistic health benefits.

6.Discussion:

Mrs. Ramani’s case demonstrates the power of combining conventional medical treatments with naturopathic interventions. Over the years, she managed several chronic conditions, including hypertension, hypothyroidism, varicose veins, and chronic kidney disease. Despite these challenges, her adherence to a personalized treatment plan, which included medication tapering, a balanced diet, yoga, hydrotherapy, and natural supplements, resulted in remarkable improvements. Her biomarkers showed significant reductions in cholesterol, LDL, and VLDL levels, improved kidney function (urinary protein reduction), and a substantial rise in Vitamin D levels. These positive changes highlight the efficacy of integrative healthcare in managing chronic conditions, enhancing overall well-being, and reducing dependency on medications. 

7. Conclusion:

Mrs. Ramani’s case illustrates the transformative impact of an integrative approach to healthcare. By combining conventional medical treatments with naturopathic interventions such as diet therapy, yoga, hydrotherapy, and natural supplements, she achieved substantial improvements in her health. Her biomarkers revealed significant progress, with reductions in cholesterol, LDL, and VLDL levels, enhanced kidney function, and a remarkable increase in Vitamin D levels. The successful tapering of medications further demonstrates the effectiveness of this holistic approach. Mrs. Ramani’s journey underscores the potential of personalized, multifaceted treatment plans in managing chronic health conditions and improving long-term well-being, offering valuable insights into the benefits of integrative healthcare.

Symptom tracker:

S.NOSYMPTOMS BEFORE AFTER 
1HEADACHE31
2FAINTNESS20
3TROUBLE SLEEPING31
4HAIR LOSS42
5INABILITY TO LOSS WEIGHT42
6SWELLING IN LEGS31
7RESTLESSNESS20
8BREATHLESS30
9PALPITATION41
10TOTAL288

With naturopathy treatment, these symptoms began to improve as blood pressure stabilized, kidney function improved, and overall circulation and metabolism were restored. Headaches and faintness reduced as blood pressure became more regulated, sleep improved with stress reduction, hair loss decreased due to better circulation, and weight loss became more achievable. Swelling in the legs and breathlessness subsided as fluid retention was managed, while restlessness and palpitations diminished due to the calming effects of the naturopathic approach. This led to a significant reduction in symptoms, from 28 to 8, reflecting the positive impact of nature cure.