1.INTRODUCTION:
An 80-year-old resident of Hyderabad, has experienced a remarkable journey of resilience and health challenges. For over a decade, he battled diabetes mellitus, which initially manifested as body weakness, and was managed with temporary success through allopathic treatments. He has been living with Parkinsonism since his diagnosis in 2020. Muscle stiffness limits his mobility, often resulting in discomfort and a reduced range of motion. However, his health took a more serious turn when he experienced severe perspiration during a routine walk, leading to the discovery of cardiac blockages. After undergoing successful bypass surgery by Dr. Mullapudi Venkatarathnam at Usha Mullapudi Cardiac Centre, Mr. Rao’s perseverance continued despite ongoing health concerns. Persistent calf pain and gastric issues brought him to various hospitals with minimal relief, but it was his son-in-law who suggested SLNS Nature Cure Hospital. At SLNS, Mr. Rao saw significant improvements, including a drastic reduction in knee pain and a remarkable drop in insulin dosage, all while maintaining optimal blood glucose levels. This holistic approach marked a pivotal chapter in his health recovery.
2.PATIENT INFORMATION:
Name: Mr. Mohan Rao
Age: 80 years
Gender: Male
In the vibrant city of Hyderabad, 80-year-old Mr. Mohan Rao embarked on a remarkable journey battling the complexities of his health. For over a decade, diabetes mellitus had been a constant companion, initially manifesting as weakness throughout his body. A visit to an allopathic hospital revealed his condition, leading to a regimen that temporarily stabilized his sugar levels and parkinsonism. Mr. Rao, has been living with Parkinsonism since his diagnosis in 2020. This progressive neurological condition presents with a classic triad of symptoms—tremors, stiffness, and bradykinesia (slowness of movement)—which significantly impact his ability to perform daily activities independently. His tremors, predominantly affecting his hands, make tasks such as writing, eating, and holding objects challenging. Muscle stiffness limits his mobility, often resulting in discomfort and a reduced range of motion.
Life took an unexpected turn when, during a routine walk, Mr. Mohan Rao experienced profuse perspiration. Seeking answers, he visited Usha Mullapudi Cardiac Centre, where an angiography exposed cardiac blockages. Dr. Mullapudi Venkatarathnam skillfully performed a bypass surgery, marking a pivotal moment in Mr. Mohan Rao’s resilience against health adversities.
Undeterred by his diabetes diagnosis, Mr. Mohan Rao continued his daily walks until severe pain in his calf muscles forced him to halt. Persistent gastric issues manifested through loud belching, led him to Sunshine Hospital. Determined to find a solution for his knee pain, he consulted Srikara Hospital in Secunderabad, receiving prescriptions that yielded minimal relief.
It was his son-in-law who pointed him towards SLNS Nature Cure Hospital, a decision that would alter the course of his health significantly. Admitted to SLNS Hospital, Mr. Mohan Rao experienced a substantial reduction in knee pain, accompanied by a surprising revelation – his insulin dosage plummeted from 20 to 5 units. Even more astonishing, his blood glucose levels maintained optimal levels, a testament to the transformative impact of holistic care.
3.MEDICATION HISTORY:
| S.No | Present medication | Medication (After treatment) | Mechanism of the drug |
| 1 | HUMSTARD 30/70 (20 – 0 -20) | (5-0-5) | Mimics natural insulin response which controls blood sugar levels in diabetes. |
| 2 | Teneligliptin 20mg (0 – 1 -0) | Tapered | DPP-4 inhibitor increases incretin hormones which improves glycemic control in type 2 diabetes. |
| 3 | Diltiazem 60mg (1 – 0 -0) | Tapered | Inhibits calcium ion inflow into cardiac muscle during depolarization. Treats hypertension and angina, reducing heart workload. |
| 4 | Glyceryl trinitrate 2.6mg (1 – 0 – 1) | Tapered | Nitrate relaxes blood vessels which Prevents and treats angina pectoris. |
| 5 | Sodium bicarbonate 1000mg (1 – 1 -1) | Tapered | Increases blood and urine pH. Treats metabolic acidosis, relieves acid indigestion, and alkalinizes urine to enhance drug excretion. |
| 6 | Silodosin 8mg. (0 – 0 -1) | Tapered | Alpha-1 antagonist relaxes prostate muscles which eases urination in prostatic hyperplasia. |
| 7 | Torsemide 10mg (1 – 0 -0) | Tapered | Blocks Na+/K+/2Cl cotransport mechanism, reducing fluid accumulation, treats edema and hypertension by increasing urine output. |
| 8 | 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 |
Mr. Mohan Rao’s treatment plan has been significantly adjusted following improvements in his condition. His insulin regimen, previously HUMSTARD 30/70 (20-0-20), has been reduced to 5-0-5, better controlling blood sugar levels. Teneligliptin 20mg, a DPP-4 inhibitor used to improve glycemic control in type 2 diabetes, has been tapered. Diltiazem 60mg, which treated hypertension and angina by inhibiting calcium ion flow into cardiac muscles, has also been reduced. Similarly, Glyceryl trinitrate 2.6mg, used to prevent and treat angina, has been tapered. Sodium bicarbonate 1000mg, initially used to treat metabolic acidosis and alkalinize urine, has been adjusted as symptoms improved. Silodosin 8mg, prescribed for prostatic hyperplasia, has been reduced to ease urination. Torsemide 10mg, which helped manage edema and hypertension by increasing urine output, has been tapered as well. Mr. Mohan Rao is prescribed Levodopa 100 mg / Carbidopa 10 mg (1/2-1/2-1/2) to manage his Parkinsonism symptoms. The dosage of 1/2 tablet in the morning, afternoon, and evening helps increase dopamine levels in the brain.These adjustments reflect significant progress in Mr. Rao’s health, resulting in a reduced need for medications while maintaining effective control over his conditions.
4.NATUROPATHIC AND LIFESTYLE INTERVENTION:
Dietary Adjustments: His diet was tailored to include low-glycemic foods to stabilize blood sugar levels and anti-inflammatory foods to support joint health.
Physical Activities: Regular walking and stretching exercises were introduced to improve circulation, enhance mobility, and alleviate knee pain.
Natural Therapies: Therapies such as hydrotherapy, massage, and yoga were integrated into his regimen to promote relaxation, reduce stress, and aid in detoxification.
Stress and Sleep Management: Relaxation techniques like meditation helped him manage stress, while maintaining a proper sleep schedule supported overall well-being.
5.RESULTS AND FOLLOW UPS:
| S.No | Biomarker | Day 1 | Day 31 |
| 1 | HbA1c (Without insulin) | 7.4% | 6.9% |
| 2 | Insulin Fasting | 42.27 | 12.42 |
| 3 | Vitamin D | 28.12 | 82.03 |
| 4 | HDL | 35 | 47 |
| 5 | Triglycerides | 188 | 91 |
| 6 | BUN | 35.41 | 20.34 |
| 7 | Urinary Albumin/Creatinine Ratio | 1098.3 | 116.5 |
Mohan Rao’s case has profound benefits of naturopathic treatments over 31 days. His HbA1c decreased from 7.4% to 6.9%, indicating better blood sugar control. Fasting insulin levels significantly dropped from 42.27 to 12.42, reflecting enhanced insulin sensitivity. Vitamin D levels soared from 28.12 to 82.03, boosting bone health and immunity. HDL improved from 35 to 47, enhancing cardiovascular protection. Triglycerides fell from 188 to 91, reducing heart disease risk. BUN levels decreased from 35.41 to 20.34, indicating better kidney function. Notably, the urinary albumin/creatinine ratio improved dramatically from 1098.3 to 116.5, showcasing significant kidney health recovery. These improvements collectively illustrate the transformative power of naturopathic treatments in achieving better health than before.
6.DISCUSSION:
Mr. Mohan Rao’s case highlights the significant impact of naturopathic treatments in improving his overall health in just 31 days. The reduction in HbA1c indicates better long-term blood sugar control, which is crucial for managing diabetes. The sharp decline in fasting insulin levels demonstrates enhanced insulin sensitivity, reducing the need for exogenous insulin and supporting better metabolic health. Additionally, the significant rise in Vitamin D levels not only boosts immune function but also contributes to better bone health. His cardiovascular health showed remarkable improvements, with HDL cholesterol increasing and triglycerides decreasing, reducing his risk of heart disease. Collectively, these results demonstrate the power of combining naturopathic therapies such as diet, exercise, and stress management to achieve transformative health improvements, making a strong case for holistic care in managing chronic conditions like diabetes.
7.CONCLUSION:
At 80 years old, Mr. Mohan Rao’s health journey has been nothing short of remarkable. After years of managing diabetes, undergoing bypass surgery for cardiac blockages, and struggling with persistent knee pain and gastric issues, Mr. Rao found a transformative solution at SLNS Nature Cure Hospital. Naturopathy, with its herbal remedies like Ashwagandha and Brahmi, along with anti-inflammatory diets, can help reduce tremors and muscle stiffness while promoting overall health. Yoga, focusing on flexibility, mobility, and controlled movements, can enhance motor function, alleviate muscle rigidity, and improve coordination.Through holistic care, his knee pain was significantly reduced, and his reliance on insulin was dramatically reduced from 20 to just 5 units. Remarkably, his blood glucose levels remained well-controlled, demonstrating the profound impact of integrated naturopathic treatment on his overall health. This shift towards natural healing has not only improved his physical well-being but also restored his quality of life, proving that even at 80, a comprehensive approach to health can bring about a better prognosis. Mr. Rao’s resilience and recovery stand as a testament to the effectiveness of holistic care in managing complex health conditions, allowing him to enjoy life with renewed vitality.