1.Introduction:
Mr. Anil Kumar Mouriya, a 66-year-old resident of Lucknow, has been managing bronchitis for the past ten years, with onset at the age of 56. Two years ago, he began experiencing severe joint pain, which he initially attributed to the cold winter weather. As the pain persisted, blood investigations revealed that he was positive for rheumatoid arthritis. Following this diagnosis, he developed chronic pain involving both arms, forearms, shoulders, and wrists, which significantly affected his daily activities and overall quality of life. At present, he reports severe flank pain over the past 15 days, along with disturbed sleep over the last few months, likely linked to his persistent pain and physical discomfort. He was advised by Tucker, IAS, to visit SLNS Nature Cure for further management and supportive care.
2.Patient Information:
NAME: Mr. Anil Kumar Mouriya
GENDER: Male
AGE: 66
DURATION OF STAY: 23 days
Mr. Anil Kumar Mouriya, a 66-year-old resident of Lucknow, Uttar Pradesh, has a ten-year history of bronchitis and was diagnosed with rheumatoid arthritis two years ago after persistent joint pain failed to resolve over time. Since his diagnosis, he has experienced chronic pain across both arms, forearms, shoulders, and wrists, along with more recent flank pain and disturbed sleep. He was admitted to SLNS Nature Cure Hospital for a 23-day stay, during which his weight was recorded at 51.1 kg and blood pressure at 110/70 mmHg, forming the baseline for his naturopathic care plan.
3.Naturopathic And Lifestyle Intervention:
Massage & Steam Therapy: Improved blood circulation, relaxed muscles, relieved joint stiffness, opened pores, eliminated toxins, and reduced inflammation, supporting better metabolism, relaxation, and hormonal balance.
Kizhi Therapy: Helped alleviate pain, stiffness, and inflammation in the muscles and joints while enhancing blood flow, supporting detoxification, and restoring flexibility.
Turmeric & Neem Baths: Aided detoxification, reduced inflammation, helped fight bacterial and fungal infections, soothed skin irritation, and boosted immunity and joint health.
Mud Baths: Supported toxin elimination, improved circulation, eased joint and muscle pain, nourished and softened the skin, and reduced inflammation.
Plant-Based Diet: Supported weight management, improved digestion, naturally balanced hormones, lowered inflammation, and enhanced energy through nutrient-rich, fibre-filled foods.
4.Results And Follow Up:
| S.NO | BIOMARKER | BEFORE TREATMENT | AFTER TREATMENT |
| Cardiac Risk Markers | |||
| 1 | Lipoprotein(a) | 39.5 | 33.2 |
| Vitamin Profile | |||
| 2 | Vitamin D | 21.03 | 70.7 |
| 3 | Vitamin B5 | 177.49 | 97.39 |
| Hemogram | |||
| 4 | RBC | 3.83 | 4.09 |
| 5 | PCT | 0.14 | 0.20 |
| 6 | Basophils (Absolute Count) | 0.01 | 0.04 |
| 7 | MPV | 14.1 | 0.2 |
| 8 | PLCR | 56.3 | 28.5 |
| 9 | Eosinophils % | 8.3 | 4.6 |
| 10 | Monocytes (Absolute Count) | 0.15 | 0.23 |
| Lipid Profile | |||
| 11 | HDL/LDL Ratio | 0.36 | 0.33 |
| 12 | Calcium | 8.69 | 9.13 |
| 13 | Lipase | 98.5 | 73.9 |
| 14 | Urine Creatinine | 24.67 | 71.06 |
| Complete Urinogram | |||
| 15 | Urine Specific Gravity | <1.003 | 1.010 |
| Allergy | |||
| 16 | Allergy Phadiatop Adult | >100 | 90 |
Several biomarkers showed measurable improvement following treatment. Vitamin D rose sharply from a deficient 21.03 to a healthy 70.7, supporting bone strength, immunity, and muscle function, while Calcium improved from 8.69 to 9.13 in line with this recovery. RBC count increased from 3.83 to 4.09, indicating better oxygen-carrying capacity and possible recovery from mild anemia. Lipoprotein(a), a cardiac risk marker, decreased slightly from 39.5 to 33.2, a modest but positive sign for long-term cardiovascular health, though it still warrants monitoring through a heart-healthy lifestyle. Markers linked to platelet activity and inflammation also improved: PCT rose from 0.14 to 0.20, reflecting better platelet volume, PLCR fell from 56.3 to 28.5, indicating reduced platelet activation, and Eosinophils dropped from 8.3% to 4.6%, suggesting reduced allergic tendency and inflammation. MPV was recorded as falling from 14.1 to 0.2; while a reduced MPV can indicate lower inflammatory activity, a value of 0.2 is physiologically unusual and should be clinically re-verified rather than taken at face value. Lipase decreased from 98.5 to 73.9, suggesting reduced pancreatic stress, and Urine Creatinine improved markedly from 24.67 to 71.06, along with Urine Specific Gravity moving from a very dilute <1.003 to a more normal 1.010, both pointing to better hydration and fluid balance. Vitamin B5 eased from an elevated 177.49 to 97.39, closer to the normal range, while Basophils and Monocytes absolute counts showed mild increases (0.01 to 0.04 and 0.15 to 0.23 respectively) that are not clinically significant in isolation. The HDL/LDL ratio dipped slightly from 0.36 to 0.33, a reminder that diet, exercise, and weight management remain important for cardiovascular health going forward. Finally, the Allergy Phadiatop Adult marker eased slightly from over 100 to 90, suggesting a mild improvement in allergic sensitisation, though some allergy tendency may still be present.
PAIN SCALE
| S.NO | PAIN SCALE | BEFORE TREATMENT | AFTER TREATMENT |
| 1 | Shoulder Pain | 5/10 | 2/10 |
| 2 | Joint Pain | 8/10 | 2/10 |
| 3 | Back Pain | 1/10 | 0/10 |
| 4 | Knee Pain | 6/10 | 2/10 |
| TOTAL | 20/40 | 6/40 |
SYMPTOM TRACKER
| SYMPTOM | BEFORE TREATMENT | AFTER TREATMENT |
| Headache | 2 | 0 |
| Faintness | 1 | 0 |
| Food Cravings | 4 | 0 |
| Irritability | 2 | 0 |
| Fatigue | 2 | 1 |
| Arthritis | 8 | 4 |
| Muscle Pain | 6 | 2 |
| TOTAL | 25 | 7 |
Mr. Mouriya’s pain and symptom scores both fell substantially over the course of his stay. His total pain score dropped from 20/40 to 6/40, with joint pain showing the sharpest improvement (8/10 to 2/10), and his overall symptom score fell from 25 to 7, with complete resolution of headache, faintness, food cravings, and irritability.
5.Discussion:
Rheumatoid arthritis is a chronic, systemic autoimmune disorder characterised by persistent inflammation, progressive joint involvement, pain, stiffness, and functional limitation. In this case, Mr. Anil Kumar Mouriya developed chronic pain involving both arms, forearms, shoulders, and wrists following his diagnosis of rheumatoid arthritis two years ago, significantly affecting his daily activities, sleep quality, and overall wellbeing. The prolonged inflammatory process and multi-site joint involvement reflect the progressive and debilitating nature of the disease.
6.Conclusion:
This case illustrates the progression of a chronic autoimmune musculoskeletal disorder in a patient with a past history of bronchitis. Mr. Mouriya was diagnosed with rheumatoid arthritis two years ago, following which he developed persistent pain involving both arms, forearms, shoulders, and wrists. The chronic inflammatory nature of the disease significantly affected his physical comfort, sleep quality, and daily activities.
His presentation highlights the progressive and debilitating nature of rheumatoid arthritis, particularly when multiple joints are involved over a prolonged duration. The recent onset of severe flank pain, along with disturbed sleep over the past few months, further reflects the systemic impact of chronic pain and ongoing inflammation on his overall wellbeing.
This case underscores the importance of early recognition and continuous monitoring of inflammatory joint disorders to prevent functional limitation and deterioration in quality of life. Chronic pain conditions are often associated with fatigue, reduced mobility, sleep disturbances, and psychological stress, all of which require comprehensive clinical attention. Through naturopathic therapies including massage, Kizhi therapy, herbal baths, mud therapy, and a plant-based diet, Mr. Mouriya experienced measurable improvements across several biomarkers, pain scores, and symptom severity, reflecting the value of an integrative, holistic approach to managing chronic autoimmune conditions.