1.Introduction:
A 45-year-old woman, had been living with the intense and often debilitating pain of trigeminal neuralgia since 2020, primarily affecting the right side of her face. Alongside this, she experienced widespread body pain that worsened at night, difficulty in eating and chewing, and a pronounced Lhermitte’s sign felt on her forehead—indicators that severely impacted her daily life. Despite long-term use of medications like Oxetol 300, Zeptol CR 200 and Gabantip AT 300, her relief remained limited. Seeking a more holistic and sustainable approach, she turned to SLNS Nature Cure Hospital, where she stayed for a month and underwent comprehensive naturopathy treatments. Through tailored diet plans, therapeutic interventions, and natural healing practices, she began to experience significant improvements in her symptoms, marking a turning point in her journey toward recovery.
2.Patient Information:
NAME:SWARNADURGA
AGE:45 YEARS
GENDER: FEMALE
She had been suffering from trigeminal neuralgia since 2020, primarily affecting the right side of her face. Along with this sharp, electric shock-like facial pain (Jolt pain), she experienced widespread body pain, which intensified especially at night, making it difficult for her to eat or chew. She also reported experiencing Lhermitte’s sign—an electric-shock sensation radiating from the forehead when bending the neck—a symptom often associated with nerve pathway irritation or demyelination. For symptom management, she had been on multiple medications including Oxetol 300 (oxcarbazepine), Zeptol CR 200 (carbamazepine), and Gabantip AT 300 (gabapentin and amitriptyline), alongside Punarnava, an Ayurvedic herb known for its anti-inflammatory and nerve-soothing properties. The root of her condition is believed to lie in chronic nerve inflammation and possible nerve sheath degradation, where the trigeminal nerve becomes hypersensitive, leading to severe pain triggered by minimal stimuli like chewing or wind exposure. Seeking holistic support, Swarnadurga enrolled in a month-long naturopathic program at SLNS Nature Cure Hospital. Through a structured plan involving anti-inflammatory diet, detoxifying therapies, hydrotherapy, acupuncture, and stress-relief techniques like yoga and meditation, she observed a significant reduction in pain frequency and intensity. Her ability to chew improved, pain was better managed, and she experienced improved energy levels and emotional well-being, showing how an integrative approach helped modulate her nervous system and reduced the drug dependency.
3.Medication History:
| S.NO | MEDICATION | AFTER TREATMENT | MECHANISM |
| 1 | OXETOL 300 (OXCARBAZEPINE 300mg) 1-0-0 | CONTINUED | It works by stabilizing overactive nerve activity in the brain, primarily by blocking voltage-sensitive sodium channels. This helps reduce abnormal electrical discharges that cause seizures and nerve pain. |
| 2 | ZEPTOL CR 200 (CARBAMAZEOINE 200mg) 1-1-1 | CONTINUED | It works by stabilizing hyperexcited nerve membranes and inhibiting repetitive neuronal firing. It reduces synaptic transmission, helping to relieve nerve pain and control seizures. |
| 3 | GABANTIP AT 300 (GABAPENTIN 300mg and AMITRIPTYLINE 10mg) 0-1-0 | CONTINUED | Gabapentin, which modulates calcium channels to reduce nerve pain, and Amitriptyline, a tricyclic antidepressant that enhances serotonin and norepinephrine levels to further relieve neuropathic pain. Together, they help calm overactive nerves and reduce pain sensitivity. |
| 4 | PUNARNAVA(AYURVEDIC MEDICINE) 1-0-0 | CONTINUED | Punarnava works by reducing inflammation and promoting diuresis, which helps in detoxifying the body and relieving swelling. It also supports nerve function and may help ease neuropathic pain through its antioxidant properties. |
Her treatment included a combination of allopathic and Ayurvedic medications aimed at controlling her nerve pain and related symptoms. Oxetol 300 (Oxcarbazepine 300 mg), taken once daily, works by stabilizing overactive nerve activity in the brain by blocking voltage-sensitive sodium channels, thereby reducing abnormal electrical discharges. Zeptol CR 200 (Carbamazepine 200 mg), taken thrice daily, helps by stabilizing hyperexcited nerve membranes and inhibiting repetitive neuronal firing, which aids in relieving nerve pain and controlling seizures. Gabantip AT 300, a combination of Gabapentin 300 mg and Amitriptyline 10 mg, taken once in the evening, targets nerve pain through two mechanisms—Gabapentin modulates calcium channels, while Amitriptyline enhances serotonin and norepinephrine levels to calm nerve activity and reduce pain sensitivity. Additionally, she was taking Punarnava, an Ayurvedic medicine with anti-inflammatory and diuretic properties, once daily; it supports detoxification, reduces swelling, and aids nerve function through its antioxidant effects. Together, these medications provided symptomatic relief, while her shift to naturopathy further enhanced her healing.
4. Naturopathy And Lifestyle Intervention:
Dietary Changes: Followed a nerve-calming, anti-inflammatory diet rich in seasonal fruits, boiled vegetables, and herbal teas. Avoided refined sugars, gluten, dairy, and spicy foods to reduce neural sensitivity and enhance digestion.
Natural Therapies: Received regular naturopathic to relieve trigeminal pain. Hydrotherapy and mud applications helped reduce inflammation and support detoxification.
Stress Management: Engaged in guided meditation, deep breathing (pranayama), and yoga nidra to calm the nervous system, reduce anxiety, and improve pain tolerance.
Supplements: introduced to nerve-strengthening herbs and natural antioxidants, helping reduce dependency on painkillers under supervision.
5.Results And Follow Up:
| S. No. | Biomarker | Before Treatment | After Treatment |
| 1 | FRUCTOSAMINE | 296.02 | 253.22 |
| 2 | APO B | 105 | 98 |
| 3 | HOMOCYSTEINE | 19.89 | 15.99 |
| 4 | LIPOPROTEIN A | 59.3 | 44.5 |
| 5 | GGT | 100.9 | 75.7 |
| 6 | VITAMIN D | 47.65 | 63.2 |
| 7 | WBC | 6.72 | 4.97 |
| 8 | EOSINOPHIL | 13.4 | 7.2 |
Follow-up lab results reflected significant improvements across various biomarkers, each indicating a specific health benefit. Her Fructosamine dropped from 296.02 to 253.22, suggesting better short-term blood sugar control. The reduction in Apo B from 105 to 98 indicated a lowered risk of plaque formation and cardiovascular disease. A decrease in Homocysteine from 19.89 to 15.99 is beneficial for both nerve health and heart function. The drop in Lipoprotein(a) from 59.3 to 44.5 further reduced her risk of arterial blockages. GGT, a liver enzyme, declined from 100.9 to 75.7, showing improved liver detoxification capacity. Her Vitamin D level rose from 47.65 to 63.2, supporting bone health, immunity, and nerve repair. A lower WBC count from 6.72 to 4.97 indicated reduced inflammation or immune system stress.The sharp reduction in Eosinophils from 13.4% to 7.2% indicates a significant decrease in allergic or inflammatory responses associated with nerve irritation and jolt pain, reflecting systemic healing.
6. Discussion:
This case demonstrates the effectiveness of an integrative approach in managing chronic neuropathic pain such as trigeminal neuralgia. A significant shift occurred when the patient enrolled in a one-month residential naturopathic program at SLNS Nature Cure Hospital. During this period, she adopted a soothing anti-inflammatory diet and received natural therapies including hydrotherapy and mud applications, alongside mind-calming techniques like yoga nidra and pranayama. These holistic interventions complemented her existing medication, addressing underlying factors such as nerve inflammation, oxidative stress, and heightened nervous system sensitivity. The use of targeted supplements and carefully guided medication tapering helped reduce her reliance on painkillers. This case underscores the potential of combining nutrition, detoxification, naturopathic treatments, and conventional medicine to achieve substantial relief and long-term improvement in chronic neurological disorders.
7. Conclusion:
This case exemplifies the powerful impact of naturopathic medicine in managing complex chronic conditions like trigeminal neuralgia. By integrating an anti-inflammatory diet, specialized naturopathic treatments, yoga for stress management, and supplements supporting nerve health, the patient experienced profound healing. Symptoms such as intense facial pain, chewing difficulties, and sudden shocks subsided significantly. The healing process also brought broader health benefits, including better blood sugar control, improved cardiovascular and liver function, enhanced immunity, and reduced inflammation—reflecting the comprehensive and sustainable nature of naturopathic care.