1. Introduction:
Mr. Pratap, a lively 69-year-old, had been battling multiple health issues for years, including hypertension for 20 years and Type-2 diabetes for 12. Recently, he developed mild COPD and struggled with uncontrollable blood pressure, reaching alarming levels of 220/100. His symptoms included dizziness, sleepless nights, and mood swings. After seeking treatment for breathing difficulties in October 2023, he was diagnosed with reduced lung function, a result of years of smoking. In January 2024, his blood pressure fluctuations persisted, leading him to Dr. Narsa Raju, who diagnosed severe sleep disturbances. Seeking alternative treatments, Mr. Pratap’s life took a positive turn at SLNS Nature Cure Hospital in March 2024.
2.Patient Information:
Mr. Pratap, a sprightly 69-year-old with a twinkle in his eye, had been grappling with a host of health issues for decades. Hypertension had been his unwelcome companion for 20 years, while Type-2 diabetes had lingered for 12. Recently, he had developed mild COPD, and his blood pressure was soaring uncontrollably, reaching alarming levels of 220/100. This turbulent mix of ailments brought on goosebumps, giddiness, sleepless nights, and unexpected bursts of anger.
In October 2023, his breathing troubles and persistent cough led him to Dr. Ravi Teja, a pulmonologist at Virinchi Hospital, Banjara Hills. A spirometry test and CT scan revealed that only 60% of his lungs were functioning, a grim consequence of years of smoking. After a week of nebulization, he felt better and was discharged with an influenza vaccine to bolster his recovery.
However, by January 2024, his blood pressure fluctuations returned with a vengeance. He sought the expertise of Dr. Narsa Raju, a cardiologist at Apollo Hospital, Hyderguda. A sleeping pattern test unveiled severe sleep disturbances and snoring, leading to a diagnosis of oxygen saturation deterioration during sleep. A CPAP device was recommended to stabilize his breathing at night.
Despite taking numerous medications, his blood pressure remained resistant. A PET scan and a suggestion for surgery on the blood vessels leading to his kidneys seemed like the only options left. Yet, the outcome was uncertain.
Fate took a fortunate turn when a friend, T. Narasimma Das, advised him to visit the Holistic Wellness Clinic in Jubilee Hills. On March 2nd, Mr. Pratap met Dr. Karthik Reddy, who recommended a 20-day stay at SLNS Nature Cure Hospital. Here, under the nurturing guidance of Dr. Reddy and S.P. Tucker IAS, Mr. Pratap’s life transformed.
3.Medication History:
| S.No | Present medication | Medication (After treatment) | Mechanism of the drug |
| 1 | Rosuvastatin 10mg (0-0-1) | 0-0-1 | Inhibits HMG CoA reductase, reducing cholesterol production. |
| 2 | Hydralazine and isosorbide dinitrate 1mg (1-1-1) | 1-1-1 | Vasodilators, reduce blood pressure and improve heart function. |
| 3 | Spironolactone and torsemide (0-1-0) | Tapered | Blocks Na+/K+/2Cl cotransport, increasing urine output and reducing fluid accumulation. |
| 4 | Prazosin hydrochloride 2.5mg (1-0-0) | Tapered | Alpha blocker relaxes blood vessels to lower blood pressure. |
| 5 | Levodopa 100mg (1-0-1) | 1-0-1 | Increase dopamine levels. |
| 6 | Voglibose 2mg (0-1-0) | Tapered | Alpha-glucosidase inhibitor delays glucose absorption to manage diabetes |
| 7 | Silodosin 8mg (0-0-1) | 0-0-1 | Selective alpha 1 antagonist, improves urine flow in benign prostatic hyperplasia. |
| 8 | Pantaprazole 40mg (1-0-0) | Tapered | Binds to H+/K+ ATP pump to inhibit gastric acid and basal acid secretion. |
| 9 | Clonidine 100mcg (½-0-½) | ½-0-½ | Stimulates presynaptic alpha 2 adrenoceptors, lowering blood pressure. |
| 10 | Metoprolol 10mg (1-0-1) | 1-0-1 | Beta-blocker, reduces heart rate and blood pressure. |
The medication adjustments made after treatment provided significant benefits to the patient’s overall health. Rosuvastatin, continued at a reduced dose, helped maintain cholesterol levels by inhibiting cholesterol production. Hydralazine and isosorbide dinitrate, vasodilators, effectively reduced blood pressure and supported heart function. Spironolactone and torsemide, tapered over time, helped control fluid retention and reduce swelling by enhancing urine output. Prazosin hydrochloride and metoprolol were adjusted to further lower blood pressure and improve cardiovascular function. Levodopa was maintained for managing symptoms of Parkinson’s disease, while voglibose was tapered to manage blood glucose levels. Silodosin improved urinary flow in benign prostatic hyperplasia, and pantaprazole reduced gastric acid secretion to support gastrointestinal health. Clonidine’s dose reduction still provided effective blood pressure control. These interventions, combined with other natural and conventional treatments, contributed to the patient’s improved health and symptom relief.
4. Naturopathic And Yogic Understanding:
Lifestyle Modifications: Regular physical activity, stress management techniques, and a balanced sleep routine were introduced.
Dietary Adjustments: A diabetic-friendly diet focusing on low glycemic index foods, high fiber intake, and reduced refined sugars was designed to improve blood glucose control.
Medication Adjustment: Conventional medications, including insulin and oral agents, were gradually tapered as his blood glucose levels improved.
Regular Monitoring: Blood glucose, HbA1c levels, and other biomarkers were closely monitored to assess the effectiveness of the treatment plan.
5.Results And Follow Ups:
| S.No | Parameter | Initial Value (Day 1) | Final Value (Day 20) |
| 1 | Blood Pressure | 150/90 | 128/74 |
| 2 | Weight | 66.70 | 61.30 |
| 3 | HS-CRP | 9.2 | 0.6 |
| 4 | Creatinine | 1.29 | 1.11 |
| 5 | eGFR | 56 | 67 |
| 6 | Cystatin-C | 2.38 | 1.95 |
| 7 | Urinary Microalbumin | >400 | 321.9 |
| 8 | Iron | 20.2 | 66.5 |
| 9 | Transferrin | 7.91 | 24.54 |
After 20 days of treatment, the patient experienced significant improvements in multiple health parameters. Blood pressure decreased from 150/90 to 128/74, reflecting better cardiovascular health. Weight reduced from 66.7 kg to 61.3 kg, indicating effective management of body composition. The High-sensitivity C-reactive protein, a marker of inflammation, dropped from 9.2 to 0.6, suggesting a reduction in systemic inflammation. Kidney function also showed improvement, with creatinine decreasing from 1.29 mg/dL to 1.11 mg/dL and estimated glomerular filtration rate rising from 56 to 67 mL/min/1.73m². Cystatin-C levels decreased from 2.38 mg/L to 1.95 mg/L, further confirming kidney function improvement. Urinary microalbumin levels also decreased, showing a reduction in kidney stress. Iron and transferrin levels improved significantly, from 20.2 µg/dL to 66.5 µg/dL and 7.91 mg/dL to 24.54 mg/dL, indicating better iron metabolism and improved nutritional status. These positive changes reflect the overall success of the treatment, contributing to enhanced health and well-being.
6.Discussion:
Mr. Pratap, a 69-year-old man, had a long-standing battle with hypertension and Type-2 diabetes, along with the recent development of mild COPD. His hypertension was particularly concerning, as his blood pressure remained uncontrolled, even reaching alarming levels of 220/100. Despite treatment for these conditions, he struggled with debilitating symptoms like dizziness, giddiness, insomnia, and mood swings, which significantly impacted his quality of life. In addition, his COPD and reduced lung function further compounded his health problems, leaving him with breathing difficulties.
In October 2023, he was diagnosed with reduced lung function due to years of smoking, which led to his visit to Virinchi Hospital for spirometry and CT scans. Although nebulization helped alleviate his breathing problems, his hypertension and blood pressure remained uncontrolled. This led him to Dr. Narsa Raju, a cardiologist, who identified severe sleep disturbances that were worsening his blood pressure fluctuations. Despite several medications and treatments, Mr. Pratap’s condition did not improve. Doctors even suggested a PET scan and potential surgery, leaving him with uncertain prospects.
However, a turn of fate came when he was introduced to SLNS Nature Cure Hospital. On the advice of a friend, Mr. Pratap met Dr. Karthik Reddy at the Holistic Wellness Clinic, who recommended a 20-day stay at the nature cure hospital. This marked the beginning of a transformative healing journey.
7.Conclusion:
Following the holistic treatment at SLNS Nature Cure Hospital, Mr. Pratap experienced significant improvement in his health. His blood pressure, once dangerously high and resistant to treatment, stabilized to normal levels. His Type-2 diabetes became more manageable, and he experienced a noticeable reduction in symptoms. The lethargy that had previously hindered his daily activities disappeared, and his insomnia significantly improved. His mood swings, which had been a challenge, were also greatly alleviated, allowing him to regain emotional stability and feel more in control of his life. Through a combination of natural therapies, lifestyle changes, and personalized care, Mr. Pratap’s condition improved remarkably, offering him a brighter, healthier future without the constant burden of his previous ailments.
