1.Introduction:
Mrs. Yashoda, a 55-year-old woman, has faced a series of health challenges over the years, including chronic kidney disease (CKD), coronary artery disease (CAD), diabetes, hypertension, and hypothyroidism. Her medical journey started in 2000 when she underwent surgery for kidney stones and cholelithiasis, followed by a hysterectomy in her 40s due to severe menstrual bleeding and uterine cysts. Despite following prescribed treatments, including medications for CKD and other health conditions, she continued to experience pain, fatigue, and rising creatinine levels. After learning about SLNS Nature Cure Hospital through a televised speech by Dr. Manthena Satyanarayana Raju, she sought alternative, naturopathic treatments with hopes of achieving natural recovery and better management of her chronic conditions.
2.Patient Information:
Name: Mrs. Yashoda
Age: 55 years
Gender: Female
Mrs. Yashoda – at 35 years old, she was admitted to Pramila Nursing Home, Hyderabad in 2000, with severe lower back pain. Dr. Ramesh Ramaiah diagnosed her with bilateral kidney stones using ultrasound, and she underwent successful surgery to remove the stones. However, just one month after the procedure, she began experiencing intense central abdominal pain. Returning to the same hospital, she was diagnosed with cholelithiasis and underwent a cholecystectomy, again performed by Dr. Ramaiah.At 47, she sought medical attention at Yashoda Hospital, Secunderabad, due to excessive menstrual bleeding and severe lower abdominal pain. Dr. Usharani, a gynecologist, diagnosed her with cystic formations in the uterus via ultrasound and performed a hysterectomy to address the severity of her condition.
In 2013, at age 50, she was diagnosed with chronic kidney disease (CKD), coronary artery disease (CAD), diabetes, hypertension, and hypothyroidism during a routine check-up at Yashodha Hospital by Dr. Usharani, who then referred her to Dr. Suresh Babu V., a consultant nephrologist. Despite being on prescribed medication and undergoing regular check-ups, she saw no improvement in her symptoms, including pain and fatigue. Her creatinine levels continued to rise, indicating the progression of chronic CKD.
In April 2024, she visited Star Hospital for her chronic CKD. There, Dr. Jyothsna, a nephrologist, recommended specific medications, which she followed for two weeks. Despite the extensive medical history and ongoing treatment, she continues to seek better management of her chronic conditions.
The patient has come to know about the SLNS Nature cure hospital by Manthena Satyanarayana Raju garu’s speech in the television where he mentioned Dr. Karthik Reddy and the location of the hospital. Then the patient was inspired by the naturopathic treatments explained by him and hoping for natural recovery.
3.Medication History:
| S.No | Present medication | Medication (After treatment) | Mechanism of the drug |
| 1 | Carvedilol phosphate extended ( 1-0-1) | 1-0-1 | Reducing total peripheral resistance by blocking alpha-1-adreno receptor |
| 2 | Nifedipine sustained release tablets IP 10mg ( 1-0-1) | 1-0-1 | Inhibits the entry of calcium ions by blocking these voltage dependent L- type calcium channel |
| 3 | Aspirin gastro resistant tablet IP 75mg (0-1-0) | 0-1-0 | Inhibits the action of enzyme, which makes platelet aggregate together to form blood clot |
| 4 | Gliclazide extended release tablets (1-0-1) | TAPERED ( Reduced to half) | Stimulates insulin secretion through beta cells sulphonyl urea receptor |
| 5 | Desidustat tablet 50mg (1-0-0) Alternately | 1-0-0 (alternately) | Inhibits prolyl hydroxylasedomain enzymes and stimulate erythropoietin production & erythropoiesis |
| 6 | Sodium bicarbonate USP 500mg (0-1-0) | 0-1-0 | Increasing plasma bicarbonate levels |
| 7 | Esomeprazole tablets IP (1-0-0) | 1-0-0 | Supresses gastric acid secretion by specific inhibition of H+ & K+ ATP ase in gastric cell |
| 8 | Multivitamin 100mg (0-1-0) | 0-1-0 | Supports overall health & well being |
| 9 | Febuxostat tablets (1-0-0) | 1-0-0 | Decreasing serum uric acid in dose dependent manners |
| 10 | Torsemide 10mg (1-0-0) – Only if swelling is present | 1-0-0 (if swelling is present) | Supports kidney to eliminate excess water and salt from body |
| 11 | Levothyroxine (1-0-0) | TAPERED (Reduced to half) | Replacing the thyroind hormone where the production is insufficient |
After incorporating naturopathic treatments, her medication regimen has shown promising improvements, leading to a favorable prognosis. Carvedilol phosphate (1-0-1) continues to reduce peripheral resistance, promoting better blood circulation. Nifedipine (1-0-1) effectively blocks calcium entry, supporting smooth cardiovascular function. Aspirin (0-1-0) remains essential in preventing blood clots. Notably, Gliclazide has been tapered, reflecting improved insulin sensitivity and better diabetes management. Desidustat (1-0-0, alternately) continues to stimulate erythropoiesis, enhancing red blood cell production. Sodium bicarbonate (0-1-0) helps maintain balanced pH levels, and Esomeprazole (1-0-0) ensures optimal gastric health by reducing acid secretion. Multivitamins (0-1-0) and Febuxostat (1-0-0) continue to support overall health and lower uric acid levels, respectively. Torsemide (1-0-0 as needed) assists in managing fluid retention, and Levothyroxine has been reduced, indicating improved thyroid function.
The integration of naturopathic therapies has led to the tapering of certain medications, demonstrating enhanced metabolic and immune function. This holistic approach has not only stabilized her condition but also paved the way for long-term health benefits, including better cardiovascular health, improved kidney function, and overall vitality.
4.Naturopathic And Lifestyle Intervention:
Plant-Based, Anti-Inflammatory Diet: Focused on reducing inflammation and supporting overall health.
Detoxification and Natural Remedies: Used to cleanse the body and promote kidney function.
Yoga and Pranayama: Helped manage stress and improve circulation.
Sleep Hygiene and Hydration: Prioritized to support kidney health and overall recovery.
Regular Herbal Teas: Enhanced detoxification and well-being.
Mindfulness Practices: Promoted relaxation and mental clarity.
5.Results And Follow Ups:
| S.No | Parameter | 20/05/2024 | 05/06/2024 |
| 1 | Vitamin D | 27.66 | 107 |
| 2 | Ferritin | 198 | 221.4 |
| 3 | Lipoprotein A | 65.2 | 57.34 |
| 4 | Platelet count | 453 | 359 |
| 5 | Urinary microalbumin | 321.2 | 238.4 |
| 6 | UA/C ratio | 411.3 | 267.2 |
| 7 | Urinary protein | 2+ | 1+ |
| 8 | FBS | 121.97 | 104.71 |
The integration of naturopathic therapeutics has significantly advanced her health metrics, showcasing substantial benefits. Vitamin D levels surged from 27.66 to 107, boosting bone health and immune function. Improved ferritin levels from 198 to 221.4 indicate enhanced iron storage and overall vitality. Cardiovascular health showed marked improvement, with Lipoprotein A decreasing from 65.2 to 57.34, reducing cardiovascular risk. The platelet count normalized from 453 to 359, and kidney function improved, evident in the reduction of urinary microalbumin from 321.2 to 238.4 and the UA/C ratio from 411.3 to 267.2. Additionally, urinary protein levels decreased from 2+ to 1+, and fasting blood sugar improved from 121.97 to 104.71, indicating better glucose control. These positive changes reflect the effectiveness of naturopathic therapies in enhancing overall health and promoting long-term wellness.
6.Discussion:
The significant improvements in Mrs. Yashoda’s biomarkers reflect the positive impact of naturopathic therapies on her health. Her Vitamin D, ferritin, and Lipoprotein A levels all showed improvement, boosting immunity, iron storage, and cardiovascular health. Kidney function markers, such as urinary microalbumin and protein, also improved, signaling better kidney health. Additionally, fasting blood sugar levels decreased, indicating better diabetes control. These changes highlight the effectiveness of combining naturopathic treatments with traditional medicine to enhance overall well-being and manage chronic conditions.
7.Conclusion:
Mrs. Yashoda’s health journey underscores the power of integrating naturopathic therapies with conventional medical treatments for managing chronic conditions. Since beginning her treatment, Mrs. Yashoda has experienced notable improvement in her symptoms. The most significant reductions include a decrease in her chronic pain, including joint and back pain, as well as a reduction in fatigue. Her kidney function is more stable, and her blood pressure is under better control. The significant improvement in her biomarkers, such as enhanced kidney function, better glucose control, and improved vitamin and iron levels, highlights the positive effects of her holistic approach. These changes demonstrate that with the right combination of treatments, lifestyle adjustments, and patient determination, chronic health challenges can be better managed, leading to improved quality of life and long-term wellness.