1.INTRODUCTION:
At 48, Mr. Srinivas Rao’s life shifted dramatically as he began a long battle with multiple health challenges. Initially diagnosed with diabetes at Naidu Hospital, his struggles soon expanded to include cervical spondylitis, persistent numbness, and other unexplained neurological symptoms. Despite visits to several hospitals and trying Ayurveda for relief, definitive diagnosis remained elusive for years. In 2020, his health concerns deepened when hypertension and Parkinsonism were identified, marking a pivotal point in his medical journey. Now managing tremors, stiffness, and slow movements associated with Parkinson’s Disease, Mr. Rao relies on lifelong medications and comprehensive care to navigate the complexities of his condition.
2.PATIENT INFORMATION:
Name: Mr. Srinivas Rao
Age: 54 years
At 48, Mr. Srinivas Rao’s life took an unexpected turn when he visited Naidu Hospital in Hyderabad, seeking relief from ankle pain. Diagnosed with diabetes by Dr. Naidu, he began a regimen of medications. However, the challenges didn’t stop there. In 2009, severe neck pain and dizziness led him to BHEL Hospital, where Dr. Prakash Reddy’s thorough examination revealed cervical spondylitis. This diagnosis brought more medications and the addition of a neck belt to his daily routine. Despite these interventions, symptoms persisted, leading him to Medcity Hospital in 2012 for numbness in his hands and legs. A ten-day hospitalization and numerous medications later, the exact cause remained elusive. Seeking alternative solutions, he turned to Ayurveda at Vaidhyanada Medical Store under the guidance of Dr. Manika Reddy, experiencing symptomatic relief but no definitive diagnosis.
By 2014, walking and waking up became difficult, prompting visits to ESI and Deccan Hospitals. Although his insulin was stopped, and a vague neurological condition was suggested, no concrete diagnosis emerged. Undeterred, Mr. Rao continued with lifelong medications and regular check-ups. His journey took a concerning turn in 2020 when dizziness and fatigue brought him to Archena Hospital. Here, Dr. Srinivasa Naidu diagnosed him with hypertension and an increased blood glucose level, necessitating insulin and hypertensive medications. A new layer was added to his health puzzle when Parkinson’s Disease was identified by his spouse’s sister, leading to additional medications.
Mr. Srinivas Rao’s Parkinsonism condition, diagnosed in 2020, manifests as tremors, stiffness, and slow movement. It affects his daily activities and requires lifelong medication for management. This neurological disorder, characterized by the degeneration of nerve cells in the brain, leads to symptoms that progressively worsen over time.
3. MEDICATION HISTORY:
| S.No | Present medication | Medication (After Treatment) | Mechanism of the drug |
| 1 | Telmisartan 40mg Hydrochlorothiazide 12.5 mg(1-0-0) | TAPERED | Inhibits binding of angiotensin II to its receptor which lowers blood pressure, reduces cardiovascular risks, and protects kidney function in hypertensive patients. |
| 2 | Glimepiride 0.5 mg Metformin hydrochloride 500 mg (0-1-0 ) | 0-1-0 | Stimulates insulin release from pancreatic β cells, managing type 2 diabetes. Inhibit hepatic glucose production induced by glucagon used for type 2 diabetes management. |
| 3 | Metoprolol succinate – 23.75 mg (1/2-0-1/2) | 0-1-0 | Cardioselective beta blocker acts on beta 1 adrenergic receptors which Lowers blood pressure, reduces heart rate, and decreases risk of heart attacks. |
| 4 | Atorvastatin calcium 40 mg (0-0-1) | TAPERED | Inhibits HMG- CoA reductase |
| 5 | Aceclofenac – 100 mg paracetamol 325 mg (0-0-1/2) | TAPERED | Anti-inflammatory & analgesic by inhibition to prostaglandin synthesis and Reduces pain and inflammation, improves joint mobility |
| 6 | Levodopa 100 mg Carbidopa 10 mg (1/2-1/2-1/2 ) | 1/2-1/2-1/2 | Increases dopamine levels in brain & decreases symptoms of parkinsonism which Improves motor function, reduces tremors |
| 7 | Aspirin 150 mg (0-1-0) | 0-1-0 | NSAIDs, inhibits the activity of COX. Reduces pain and inflammation, prevents blood clots, and lowers risk of heart attack and stroke. |
| 8 | Multivitamin (0-1-0) | TAPERED | Supplements |
| 9 | Biphasic isophane insulin injection (30/70) (24units-0-22 units) | TAPERED | Lowers blood sugar by stimulating glucose uptake and Controls blood sugar levels, reduces diabetes complications, and improves overall glycemic control. |
Mr. Srinivas Rao’s treatment regimen has undergone significant changes after following a holistic approach. His current medications have been tapered to reflect his improved health. Previously, he was on Telmisartan 40mg and Hydrochlorothiazide 12.5mg to manage hypertension and protect kidney function, but this has now been reduced. For diabetes, he was using Glimepiride 0.5mg and Metformin hydrochloride 500mg, which helped manage blood glucose levels, but these have remained stable with minimal dosage adjustments. Metoprolol succinate 23.75mg, a cardioselective beta-blocker, was used to lower blood pressure and reduce heart rate but has now been adjusted to further improve cardiovascular health. He was also on Atorvastatin 40mg for cholesterol management, which has been tapered as well. Pain management involved Aceclofenac 100mg and paracetamol 325mg, which were reduced as inflammation and discomfort decreased. Additionally, Levodopa 100mg and Carbidopa 10mg, used for Parkinsonism symptoms like tremors and motor issues, have been stabilized to maintain balance. Aspirin 150mg was prescribed to prevent blood clots and manage inflammation, but this medication has been maintained at a minimal dose. His multivitamin supplementation has been tapered, and his insulin dosage for diabetes management, previously at 24 units, has been tapered 20 units of insulin, indicating better blood sugar control. These adjustments highlight the positive changes in his condition, significantly improving his quality of life while reducing reliance on medications.
4.NATUROPATHIC AND LIFESTYLE INTERVENTION:
Nutrient-Rich Diet: An anti-inflammatory diet focusing on fresh fruits, vegetables, whole grains, and omega-3 fatty acids can help reduce systemic inflammation and support neurological health.
Herbal Remedies: Ashwagandha known for their neuroprotective properties, may boost dopamine production, alleviating tremors, stiffness, and other symptoms.
Physical activity: Incorporating yoga, Physiotherapy into the daily routine can improve flexibility, balance, and muscle strength while reducing rigidity.
Stress Management: Mindfulness meditation, deep breathing, and guided relaxation techniques can effectively manage anxiety and emotional stress associated with chronic illnesses.
Hydration and Sleep Hygiene: Staying hydrated, maintaining good sleep hygiene, and reducing screen exposure before bedtime are vital for brain health and overall well-being.
Gut Health Support: Probiotic-rich foods and supplements can enhance gut health, which plays a critical role in neurological conditions.
5.RESULTS AND FOLLOWUP:
| S.No | PARAMETER | Day 1 | Day 31 |
| 1 | FBS | 191.09 | 146.54 |
| 2 | Homa IR | 4.30 | 3.28 |
| 3 | HS CRP | 8.5 | 5.7 |
| 4 | Vitamin D | 17.85 | 60.73 |
| 5 | Triglycerides | 155 | 86 |
| 6 | Alkaline phosphatase | 134.7 | 128.2 |
| 7 | Urinary micro albumin | 32.4 | <5.5 |
Srinivas Rao’s improved biomarkers over 31 days highlight the benefits of naturopathic treatments. His fasting blood sugar dropped from 191.09 to 146.54, indicating better glucose control. The HOMA-IR score, a marker of insulin resistance, improved from 4.30 to 3.28, showing enhanced insulin sensitivity. HS CRP, a marker of inflammation, decreased from 8.5 to 5.7, suggesting reduced systemic inflammation. Vitamin D levels increased dramatically from 17.85 to 60.73, supporting bone health and immune function. Triglycerides fell from 155 to 86, lowering the risk of cardiovascular disease. Alkaline phosphatase levels, indicative of liver and bone health, slightly improved from 134.7 to 128.2. Notably, urinary microalbumin levels dropped from 32.4 to <5.5, demonstrating significant kidney function improvement.
6.DISCUSSION:
Mr. Srinivas Rao’s health journey highlights the power of integrative care. Initially battling diabetes, cervical spondylitis, and Parkinsonism, his condition worsened despite extensive medications. Turning to naturopathy, he adopted an anti-inflammatory diet, stress management techniques, and yoga. In just 31 days, his fasting blood sugar, inflammation, and triglycerides improved significantly, while vitamin D levels soared. This holistic approach reduced his reliance on medications, enhancing his overall well-being and quality of life.
7.CONCLUSION:
Mr. Srinivas Rao’s health journey, marked by challenges including diabetes, cervical spondylitis, hypertension, and Parkinson’s Disease, has taken a transformative turn. Through a holistic approach incorporating naturopathic treatments, lifestyle changes, and dietary interventions, he has achieved significant relief from his long-standing symptoms. His blood glucose levels are now better managed, reducing his dependence on insulin and other medications. Symptoms like dizziness, fatigue, and numbness have substantially diminished, restoring his ability to move and function more freely. Tremors and stiffness associated with Parkinsonism are now better controlled, improving his overall quality of life. Mr. Rao’s story exemplifies resilience and the potential for better prognosis through integrative care. From enduring debilitating conditions to reclaiming vitality, he is living proof that comprehensive healing can lead to a life far better than before.