1 718 99 EFFECT OF INTEGRATIVE NATUROPATHY AND YOGA IN A PATIENT WITH RHEUMATOID ARTHRITIS ASSOCIATED WITH TYPE 2 DIABETES AND HYPERTENSION. A 54-YEAR OLD MARRIED WOMAN WAS DIAGNOSED WITH RHEUMATOID ARTHRITIS IN 2002, ESSENTIAL HYPERTENSION IN 2008, TYPE-2 DIABETES IN 2011 AND GANGRENE OVER 2(ND) TOE OF RIGHT FOOT. SHE UNDERWENT CONVENTIONAL MANAGEMENT IN PRIVATE HOSPITALS. HER SYMPTOMS, BEGAN WITH MODERATE TO SEVERE PAIN ASSOCIATED WITH SWELLING, STIFFNESS (MORE IN THE MORNING) IN MULTIPLE JOINTS ESPECIALLY OVER SMALL JOINTS. IN JULY-2014 SHE VISITED OUR COLLEGE HOSPITAL WITH THE COMPLAINTS OF PAIN, MILD SWELLING AND STIFFNESS OVER MULTIPLE JOINTS ASSOCIATED WITH POOR QUALITY OF SLEEP (QOS) AND QUALITY OF LIFE (QOL). SUBJECT RECEIVED INTEGRATIVE NATUROPATHY AND YOGA THERAPIES (INYT) WITH CONVENTIONAL MEDICINE DAILY FOR 10-DAYS. AFTER 10-DAYS, IMPROVEMENTS IN PAIN, BLOOD SUGAR, DEPRESSION, ANXIETY, STRESS, QOS, QOL, BLOOD ANALYSIS WITH NORMAL BLOOD PRESSURE (BP) WAS OBSERVED. THIS SUGGESTS THAT INYT COULD BE CONSIDERED AS AN ADJUVANT TO CONVENTIONAL MEDICINE IN RA ASSOCIATED WITH TYPE-2 DIABETES AND ESSENTIAL HYPERTENSION. 2017 2 776 31 EFFECT OF YOGA AND NATUROPATHY-BASED LIFESTYLE MODIFICATION ON LEFT VENTRICULAR EJECTION FRACTION IN A PATIENT WITH SEVERE TRIPLE VESSEL DISEASE: A CASE REPORT. A 75-YEAR-OLD, MARRIED MAN WAS DIAGNOSED WITH CORONARY ARTERY DISEASE (CAD) [SEVERE TRIPLE VESSEL DISEASE (TVD)] IN THE 2(ND) WEEK, JUNE-2018. THE PHYSICIAN ADVISED HIM TO UNDERGO CONVENTIONAL MEDICATION AND CORONARY ARTERY BYPASS GRAFT. SINCE THE PATIENT REFUSED TO UNDERGO SURGERY HE WAS ADMITTED IN OUR HOSPITAL AND UNDERWENT YOGA AND NATUROPATHY-BASED LIFESTYLE MODIFICATION (YNLM) ALONG WITH CONVENTIONAL MEDICINES FOR 16 WEEKS [12 WEEKS OF INTENSIVE CARE AT INPATIENT DEPARTMENT AND 4 WEEKS AT OUTPATIENT DEPARTMENT (OPD)]. AFTER 16 WEEKS, THE PATIENT VISITED OUR OPD ONCE/TWICE A MONTH FOR 6 MONTHS. AN INCREASE IN LEFT VENTRICULAR EJECTION FRACTION FROM 35 TO 48%; AND A REDUCTION IN WEIGHT FROM 77.5 TO 71-KG, AND BMI FROM 26.60 TO 24-KG/M(2) WERE OBSERVED AFTER 6 MONTHS OF FOLLOW-UP COMPARED WITH BASELINE. THUS, YNLM MIGHT BE CONSIDERED AS AN ADJUVANT IN REDUCING RISK FACTOR AND IN IMPROVING LEFT VENTRICULAR SYSTOLIC DYSFUNCTION IN PATIENTS WITH CAD (SEVERE-TVD). HOWEVER, FURTHER STUDIES ARE REQUIRED TO ESTABLISH THE EFFICACY OF YNLM FOR CAD. 2020 3 775 35 EFFECT OF YOGA AND NATUROPATHY ON LIVER, RENAL AND CARDIORESPIRATORY FUNCTIONS OF A PATIENT WITH HEPATIC CIRRHOSIS WITH PORTAL HYPERTENSION AND ASCITES: A CASE REPORT. A 39-YEAR-OLD, MARRIED MAN WAS DIAGNOSED WITH HEPATIC CIRRHOSIS WITH PORTAL HYPERTENSION AND ASCITES IN FEBRUARY 2016. HIS SYMPTOMS AS DESCRIBED BY HIM BEGAN WITH GENERALIZED BODY WEAKNESS, BREATHLESSNESS AND SUDDEN WEIGHT GAIN OF 16KG WITHIN 3 WEEKS. HISTORY OF REGULAR INTAKE OF ALCOHOL SINCE 7 YEARS AND TREMENDOUS FAMILY STRESS WERE PRESENT. PATIENT UNDERWENT CONVENTIONAL MEDICATION FOR 6 MONTHS AND AYURVEDIC MEDICATIONS FOR 4 MONTHS. IN JANUARY 2017, HE VISITED OUR HOSPITAL WITH THE SAME COMPLAINTS AND UNDERWENT INTEGRATED NATUROPATHY AND YOGA THERAPIES (INYTS) FOR 4 WEEKS ALONG WITH AYURVEDA AND CONVENTIONAL MEDICATIONS. THE RESULTS OF THIS STUDY SHOWED A BETTER REDUCTION IN BODY WEIGHT, BODY MASS INDEX, ABDOMINAL GIRTH, SYSTOLIC BLOOD PRESSURE AND DIASTOLIC BLOOD PRESSURE ALONG WITH IMPROVEMENT IN BREATH HOLDING TIME, HEMOGLOBIN LEVEL, LIVER FUNCTION TEST AND RENAL FUNCTION TEST. IT SUGGESTS THAT 4 WEEKS OF INYT WITH AYURVEDA AND CONVENTIONAL MEDICATIONS WAS EFFECTIVE IN PATIENTS WITH HEPATIC CIRRHOSIS WITH PORTAL HYPERTENSION AND ASCITES. FURTHER STUDIES ARE REQUIRED TO WARRANT THESE RESULTS. 2018 4 1476 30 INTEGRATED YOGA AND NATUROPATHY MODULE IN MANAGEMENT OF METABOLIC SYNDROME: A CASE REPORT. A 50-YEAR-OLD MALE PARTICIPANT WITH SEDENTARY LIFESTYLE, DIAGNOSED WITH METABOLIC SYNDROME (METS) [OBESITY, TYPE-2 DIABETES MELLITUS, HYPERTENSION] AND HYPOTHYROIDISM SINCE 2013, WAS ADMINISTERED INTEGRATED YOGA AND NATUROPATHY (IYN) FOR 6 WEEKS AS A TAILOR MADE INDIVIDUALIZED PROTOCOL AT THE RESIDENTIAL INTEGRATIVE MEDICAL FACILITY IN BANGALORE BETWEEN OCTOBER AND NOVEMBER 2015. THE RESULTS SHOWED REDUCTION IN WEIGHT (97.9 KG TO 74.6 KG), BODY MASS INDEX (BMI) (35.1 KG/M(2) TO 27.86 KG/M(2)), TOTAL CHOLESTEROL (192 MG% TO 145 MG%), TRIGLYCERIDES (153 MG% TO 90 MG%), LOW DENSITY LIPOPROTEIN (LDL) (124 MG% TO 81 MG%), HIGH DENSITY LIPOPROTEIN (HDL) (40 MG% TO 46 MG%), FASTING BLOOD GLUCOSE (110 MG/DL TO 75 MG/DL), POSTPRANDIAL GLUCOSE (267 MG/DL TO 100 MG/DL), GLYCATED HEMOGLOBIN (HBA1C) (7.8%-7.1%), THYROID STIMULATING HORMONE (TSH) (6.90 MUIU/ML TO 3.052 MUIU/ML). FOLLOWING THE INTERVENTION, THE ANTI-HYPERTENSIVE, ORAL HYPOGLYCEMIC, THYROID RAISING AND ANALGESIC MEDICINES WERE NOT REQUIRED TO BE CONTINUED. HIS KNEE PAIN MINIMIZED ON DISCHARGE AS OBSERVED ON A VISUAL ANALOG SCALE. HE HAD AN IMPROVED FEELING OF WELLNESS AND OVERALL FUNCTIONAL HEALTH. ALL HIS PARAMETERS WERE WITHIN NORMAL RANGE AT THE 12-WEEKS FOLLOW-UP, AS HE HAD INCORPORATED THE LIFESTYLE PROGRAM INTO HIS DAILY ROUTINE. THIS CASE REPORT SUGGESTS THAT LIFESTYLE CHANGE BY INTEGRATION OF SPECIFIC NON-DRUG YOGA AND NATUROPATHIC INTERVENTION IS USEFUL IN THE MANAGEMENT OF METS. 2017 5 1665 31 NATUROPATHY AND YOGA FOR IMPROVING QUALITY OF LIFE IN PEMPHIGUS VULGARIS AND MANAGING CO-MORBID TYPE 2 DIABETES: A CASE REPORT. A 57 YEARS OLD MALE PATIENT WAS ADMITTED TO AN INPATIENT NATUROPATHY AND YOGA (N&Y) HOSPITAL, DIAGNOSED WITH PEMPHIGUS VULGARIS (PV) FOR ONE YEAR AND CO-MORBID TYPE 2 DIABETES (T2DM) FOR 10 YEARS, ASSOCIATED WITH POOR QUALITY OF LIFE (QOL). HE WAS ADMINISTERED N&Y THERAPIES FOR 10 DAYS, ALONG WITH CONVENTIONAL MEDICINES. THERE WAS IMPROVED QOL AND REDUCED DOSAGE OF INSULIN, ALONG WITH REDUCTION IN BODY WEIGHT. THESE CHANGES WERE SUSTAINED AND IMPROVED FURTHER DURING THE 60-DAY FOLLOW-UP PERIOD. ALTHOUGH THERE WAS NO IMPROVEMENT IN THE SKIN LESIONS, THE IMPROVEMENT IN QOL INDICATE A POSSIBLE ROLE OF N&Y IN MANAGEMENT OF PV AND T2DM. THIS CASE REPORT ALSO WARRANTS FURTHER STUDIES FOR N&Y IN THE MANAGEMENT OF DERMATOLOGICAL CONDITIONS AS WELL AS METABOLIC SYNDROME. 2020 6 704 22 EFFECT OF INTEGRATED APPROACH OF YOGA AND NATUROPATHY ON POLYCYSTIC OVARIAN SYNDROME: A CASE STUDY. OWING TO STRESS, SEDENTARY LIFESTYLE AND CHANGES IN DIET PATTERN, THERE IS AN INCREASE IN THE SURGE OF LIFESTYLE AND METABOLIC DISORDERS. POLYCYSTIC OVARIAN SYNDROME (PCOS) AFFECTS 8-13% OF REPRODUCTIVE-AGED WOMEN. PCOS IS CHARACTERISED BY MENSTRUAL IRREGULARITY, HYPERANDROGENISM AND POLYCYSTIC OVARIAN MORPHOLOGY (PCOM). THE EFFICACY OF YOGA AS A THERAPY TO TACKLE THE DIRECT AND INDIRECT CAUSE OF AILMENT IN THE MANAGEMENT OF PCOS IS TO BE DOCUMENTED. THIS IS THE CASE STUDY OF A FEMALE PATIENT AGE 25 YEARS, A DIAGNOSED CASE OF PCOS WAS REGISTERED AT THE AYURVEDA, YOGA, UNANI,SIDDHA,HOMEOPATHY (AYUSH), YOGA OPD, WITH COMPLAINTS OF IRREGULAR MENSTRUATION, TREATED SUCCESSFULLY BY YOGA AND NATUROPATHY (Y AND N), I.E., YOGA, DIET AND LIFESTYLE MODIFICATION. THIS IS EVIDENT FROM THE REDUCTION IN WEIGHT, REGULARISATION OF THE MENSTRUAL CYCLE ALONG WITH MORPHOLOGICAL CHANGES IN THE OVARY AFTER A FOLLOW-UP OF 6 MONTHS. 2022 7 1850 15 RAISING BURDEN OF NON-COMMUNICABLE DISEASES: IMPORTANCE OF INTEGRATING YOGA AND NATUROPATHY AT PRIMARY CARE LEVEL. PRIMARY HEALTH CARE IS A VITAL COMPONENT IN HEALTH CARE DELIVERY. NON-COMMUNICABLE DISEASES (NCD'S) ARE RISING LIKE A MAJOR THREAT TO HUMAN SURVIVAL, WHICH IS EXPECTED TO ACCOUNT FOR 75% OF THE TOTAL MORTALITY BY 2030. LIFESTYLE AND BEHAVIOURAL CHANGES ARE RECKONED AS THE WAY AHEAD. YOGA AND NATUROPATHY, A DRUGLESS SYSTEM OF MEDICINE HAS INTERSECTING PARADIGMS WHICH ADDRESSES ALL PLANES OF HEALTH EFFECTIVELY. YOGA AND NATUROPATHY THROUGH ITS HOLISTIC APPROACH EDUCATE AND MAKE THE PEOPLE RESPONSIBLE FOR THEIR OWN HEALTH. IT HAS SHOWN ITS EFFICACY IN ALLEVIATING AND PREVENTING VARIOUS NCD'S. A SYSTEMATIC APPROACH SHOULD BE INITIATED, WHICH CAN CHANNELIZE THE INTEGRATION OF YOGA AND NATUROPATHY AT THE PRIMARY CARE LEVEL CONSIDERING ITS COST-EFFECTIVENESS AND EFFICACY OVER NCD'S. 2020 8 1664 20 NATUROPATHY AND YOGA AS AN ADJUVANT FOR PEOPLE LIVING WITH HIV/AIDS - A CASE SERIES REPORT. HUMAN IMMUNODEFICIENCY VIRUS (HIV) IS AN INFECTION THAT POSES A GREAT THREAT TO BOTH DEVELOPED AND DEVELOPING COUNTRIES. HEALTH FACILITIES OFFERING COMPLEMENTARY CARE, ALONG WITH STANDARD CARE, HAVE BEEN CONSIDERED AS A USEFUL STRATEGY TO OVERCOME THE BURDEN OF HIV AND PROMOTE QUALITY AND WELLBEING AMONG PEOPLE LIVING WITH HIV/AIDS (PLWHA). IN THIS REPORT, WE MAKE REFERENCE TO SEVEN PARTICIPANTS DIAGNOSED WITH HIV, WHO UNDERWENT NATUROPATHY AND YOGA BASED LIFESTYLE INTERVENTION (NYLI), FOR VARYING DURATIONS, AT A SANATORIUM FOR PLWHA. THE CASES SUGGEST THAT NYLI FUNCTIONS AS AN ADJUVANT THERAPY THAT COMPLEMENTS STANDARD CARE, IMPROVES ADHERENCE AND PROMOTES HEALTH-RELATED OUTCOMES IN HIV AFFILIATED CLINICAL MARKERS, SUCH AS HAEMOGLOBIN, WEIGHT AND CD4+ COUNTS. HOWEVER, FURTHER CONTROLLED TRIALS ARE REQUIRED TO ESTABLISH WARRANTING EVIDENCE. 2019 9 913 19 EFFECTIVENESS OF LIQUID FASTING WITH YOGA AND NATUROPATHY TREATMENTS IN REDUCING METABOLIC AND CARDIOVASCULAR RISKS IN OBESITY. CONTEXT: OBESITY IS ASSOCIATED WITH CHRONIC DISEASES, INCLUDING METABOLIC SYNDROME AND CARDIOVASCULAR DISEASES (CVDS). FASTING IS COMMONLY EMPLOYED BY OBESE PEOPLE TO REDUCE THEIR WEIGHT. LIKEWISE, YOGA AND NATUROPATHY (YN) THAT INCLUDE LIQUID FASTING (LF) HAVE BEEN SHOWN TO BE BENEFICIAL IN REDUCING WEIGHT FOR PEOPLE WITH METABOLIC DISORDERS. HOWEVER, THE SAFETY OF LF DURING YN TREATMENTS AND ITS EFFECTS ON METABOLIC AND CARDIOVASCULAR RISK FACTORS HAVEN'T YET BEEN REPORTED. OBJECTIVE: THE STUDY INTENDED TO EVALUATE THE SAFETY OF LF DURING YN TREATMENTS AND ITS EFFECTS ON METABOLIC AND CARDIOVASCULAR RISK FACTORS IN PEOPLE WITH OBESITY. DESIGN: A SINGLE-GROUP, PRETEST-AND-POSTTEST DESIGN WAS ADOPTED FOR THE STUDY. SETTING: THE STUDY TOOK PLACE IN A YN HOSPITAL LOCATED IN SOUTH INDIA. PARTICIPANTS: PARTICIPANTS WERE 176 OBESE PEOPLE AGED BETWEEN 18 AND 65 YEARS. INTERVENTION: TOGETHER WITH YN TREATMENTS, ALL PARTICIPANTS UNDERWENT LF USING LIME JUICE WITH JAGGERY, ASH GUARD JUICE, VEGETABLE SOUP, BUTTERMILK, AND KOKUM JUICE FOR A PERIOD OF 5 CONSECUTIVE DAYS. OUTCOME MEASURES: ASSESSMENTS SUCH AS BODY WEIGHT, BODY MASS INDEX (BMI), FAT MASS, LIPID PROFILE, AND BLOOD PRESSURE WERE TAKEN AT BASELINE AND POSTINTERVENTION. RESULTS: PARTICIPANTS SHOWED A SIGNIFICANT REDUCTION IN BODY WEIGHT, BMI, FAT MASS, TRIGLYCERIDES (TG), TOTAL CHOLESTEROL (TC), LOW-DENSITY LIPOPROTEIN CHOLESTEROL (LDL-C), VERY-LOW-DENSITY LIPOPROTEIN CHOLESTEROL (VLDL-C), HIGH-DENSITY LIPOPROTEIN CHOLESTEROL (HDL-C), SYSTOLIC BLOOD PRESSURE (SBP), AND DIASTOLIC BLOOD PRESSURE (DBP). CONCLUSIONS: THE RESULTS SUGGEST THAT LF DURING YN TREATMENT CANBE EFFECTIVE IN REDUCING METABOLIC AND CARDIOVASCULAR RISK FACTORS IN PEOPLE WITH OBESITY. 2021 10 1644 26 MORBIDITY PROFILE OF PATIENTS SEEKING NATUROPATHY AND YOGA TREATMENT IN SOUTH INDIA: A DESCRIPTIVE STUDY. BACKGROUND YOGA AND NATUROPATHY (Y&N) IS ONE OF THE APPROVED COMPLEMENTARY AND TRADITIONAL SYSTEMS OF MEDICINE PRACTICED IN INDIA. UNLIKE OTHER SYSTEMS, IT IS A DRUGLESS SYSTEM AIMED TO OPTIMIZE AND FACILITATE THE INHERENT ABILITY OF THE HUMAN BODY TO HEAL ITSELF. THERE IS LACK OF LITERATURE ON THE TYPE OF PATIENTS SEEKING YOGA AND NATUROPATHY TREATMENTS IN INDIA. THIS STUDY WAS DESIGNED WITH AN OBJECTIVE TO ASSESS THE MORBIDITY PROFILE OF THE IN-PATIENTS TREATED IN A NATUROPATHY AND YOGA HOSPITAL. METHODS DESCRIPTIVE STUDY DESIGN BASED ON CLINICAL CASE RECORDS. SIX HUNDRED AND FOUR CASES TREATED AS IN-PATIENTS BETWEEN APRIL 2017 AND JULY 2018 WAS ANALYZED. RESULTS THE AVERAGE AGE OF THE PATIENTS WAS 47.4 (SD +/- 16.1) YEARS, WITH 56% WERE FEMALES AND 44% MALES. ABOUT 50 DIFFERENT TYPES OF MORBIDITY RANGING FROM GENERAL REJUVENATION TO CHRONIC DISEASES HAD BEEN REPORTED. HIGHEST REPORTED DISEASES WERE CHRONIC IN NATURE, WITH HIGHER REPORTING FOR MULTIPLE SYSTEM MORBIDITY, FOLLOWED BY OBESITY, DIABETES MELLITUS, HYPERTENSION, ARTHRITIS, AND BACK PAIN. VARIATIONS WERE OBSERVED IN THE MORBIDITIES BASED ON AGE AND GENDER OF THE PATIENTS. THE MEDIAN DURATION OF TREATMENT WAS 8DAYS. CONCLUSIONS PATIENTS SEEK YOGA & NATUROPATHY CARE MAINLY FOR CHRONIC CONDITIONS, FURTHER OBSERVATIONS ON TREATMENT OUTCOMES, QUALITY OF LIFE, AND TREATMENT SEEKING BEHAVIOR CAN BE EXPLORED FOR THE EFFICACY AND FEASIBILITY OF YOGA & NATUROPATHY CARE IN MANAGING CHRONIC DISEASES. 2020 11 774 42 EFFECT OF YOGA AND NATUROPATHY ON DISEASE ACTIVITY AND SYMPTOM BURDENS IN A PATIENT WITH ACTIVE ULCERATIVE COLITIS: A CASE REPORT. OBJECTIVES: ULCERATIVE COLITIS (UC) IS A CHRONIC IDIOPATHIC INFLAMMATORY DISEASE THAT AFFECTS THE LARGE BOWEL. THE OBJECTIVE OF THIS STUDY IS TO FIND THE EFFECT OF YOGA AND NATUROPATHY (YN) IN A PATIENT WITH ACTIVE MODERATE PANCOLITIS. CASE PRESENTATION: AN 18-YEAR OLD UNMARRIED FEMALE DIAGNOSED WITH UC IN 2017. PATIENT'S SYMPTOMS BEGAN WITH ABDOMINAL PAIN, NAUSEA, VOMITING AND DIARRHEA WITH/WITHOUT BLOOD STAINS MORE THAN SEVEN TIMES A DAY, DAILY. THE SYMPTOMS REDUCED AFTER TAKING REGULAR CONVENTIONAL MEDICATION FOR A PERIOD OF ONE-YEAR. HOWEVER, IN FEBRUARY-2019, THE PATIENT VISITED OUR HOSPITAL WITH THE SAME COMPLAINTS AND RECEIVED 21-DAYS OF YN TREATMENTS. RESULTS SHOWED A BETTER REDUCTION IN THE ABDOMINAL PAIN, DISEASE ACTIVITY, STRESS AND DEPRESSION AND A BETTER IMPROVEMENT IN HEMOGLOBIN LEVELS, QUALITY OF SLEEP, AND QUALITY OF LIFE WITH NO ADVERSE EFFECTS. CONCLUSIONS: YN COULD BE CONSIDERED AS AN ALTERNATIVE THERAPY IN THE MANAGEMENT OF UC. HOWEVER, FURTHER STUDIES ARE REQUIRED TO WARRANT THIS EFFECT. 2021 12 1568 14 MAINSTREAMING OF AYURVEDA, YOGA, NATUROPATHY, UNANI, SIDDHA, AND HOMEOPATHY WITH THE HEALTH CARE DELIVERY SYSTEM IN INDIA. INDIA HAS A POPULATION OF 1.21 BILLION PEOPLE AND THERE IS A HIGH DEGREE OF SOCIO-CULTURAL, LINGUISTIC, AND DEMOGRAPHIC HETEROGENEITY. THERE IS A LIMITED NUMBER OF HEALTH CARE PROFESSIONALS, ESPECIALLY DOCTORS, PER HEAD OF POPULATION. THE NATIONAL RURAL HEALTH MISSION HAS DECIDED TO MAINSTREAM THE AYURVEDA, YOGA, NATUROPATHY, UNANI, SIDDHA, AND HOMEOPATHY (AYUSH) SYSTEM OF INDIGENOUS MEDICINE TO HELP MEET THE CHALLENGE OF THIS SHORTAGE OF HEALTH CARE PROFESSIONALS AND TO STRENGTHEN THE DELIVERY SYSTEM OF THE HEALTH CARE SERVICE. MULTIPLE INTERVENTIONS HAVE BEEN IMPLEMENTED TO ENSURE A SYSTEMATIC MERGER; HOWEVER, THE ANTICIPATED RESULTS HAVE NOT BEEN ACHIEVED AS A RESULT OF MULTIPLE CHALLENGES AND BARRIERS. TO ENSURE THE ACCESSIBILITY AND AVAILABILITY OF HEALTH CARE SERVICES TO ALL, POLICY-MAKERS NEED TO IMPLEMENT STRATEGIES TO FACILITATE THE MAINSTREAMING OF THE AYUSH SYSTEM AND TO SUPPORT THIS SYSTEM WITH STRINGENT MONITORING MECHANISMS. 2015 13 1011 27 EFFECTS OF NATUROPATHY AND YOGA INTERVENTION ON CD4 COUNT OF THE INDIVIDUALS RECEIVING ANTIRETROVIRAL THERAPY-REPORT FROM A HUMAN IMMUNODEFICIENCY VIRUS SANATORIUM, PUNE. BACKGROUND: HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION IS ONE OF THE MOST DEBILITATING CONDITIONS WHICH HAVE AFFECTED NEARLY 32 MILLION PEOPLE ACROSS THE GLOBE. ANTIRETROVIRAL THERAPY (ART) IS THE STANDARD CARE GIVEN TO THE HIV POSITIVE INDIVIDUALS. BUT THE PATIENT ADHERENCE TO ART IS FOUND TO BE VERY LESS AS PER PREVIOUS STUDIES. COMPLEMENTARY AND ALTERNATIVE MEDICINE IS BECOMING A PILLAR IN THE REHABILITATIVE EFFORTS FOR MANY LIVING WITH HIV/AIDS. AIM: TO EVALUATE THE EFFECT OF NATUROPATHY AND YOGA INTERVENTION ON CD4 COUNTS OF HIV PATIENTS. METHODS: NINETY-SIX PATIENTS PREDIAGNOSED AS HIV POSITIVE WERE ENROLLED AFTER OBTAINING WRITTEN CONSENT AND TREATED WITH NATUROPATHY AND YOGA INTERVENTIONS LIKE HYDROTHERAPY, DIET THERAPY, MUD THERAPY, COUNSELING, ETC., FOR VARIOUS DURATIONS AT NATIONAL INSTITUTE OF NATUROPATHY SANATORIUM. THEY WERE GROUPED INTO FOUR GROUPS (G1: 1-7 DAYS, G2: 8-15 DAYS, G3: 16-30 DAYS, G4: >30 DAYS) BASED ON DURATION OF STAY. CD4 COUNT OF EACH INDIVIDUAL WAS RECORDED PRE- AND POST-STAY. RESULTS: ALL ANALYSES WERE CONDUCTED USING R PACKAGE VERSION 3.01. DEPENDENT SAMPLE T-TESTS WERE CONDUCTED TO EXAMINE THE SIGNIFICANCE AT 95% CONFIDENCE INTERVAL. OF THE 96 PATIENTS, MALE PATIENTS CONSTITUTE 55.2% AND FEMALE PATIENTS 44.8% WITH MEAN AGE 34.74 RECEIVED 1-180 DAYS (MEAN 28.75, STANDARD DEVIATION: 14.16) TREATMENT. SIGNIFICANT INCREASE IN THE CD4 COUNT WAS OBSERVED IN TWO OUT OF THE FOUR GROUPS (G2: P = 0.052, AND G4: P = 0.00038, RESPECTIVELY). CONCLUSION: AN INCREASING TREND IN THE CD4 COUNT WAS OBSERVED THAT WAS PROPORTIONAL TO THE LENGTH OF THE STAY OF PARTICIPANTS AT THE HIV SANATORIUM. THIS INDICATES THE POSSIBILITY OF LIFESTYLE CHANGES CAN BRING POSITIVE OUTCOMES IN PEOPLE LIVING WITH HIV/AIDS WHEN USED AS AN ADJUVANT WITH ART CARE. THE LACK OF CONTROL GROUP IS A MAJOR LIMITATION OF THIS STUDY. NO ATTEMPT WAS MADE TO STUDY THE SUBJECTIVE CHANGES IN THE QUALITY OF LIFE, VIRAL LOAD, ETC., HOWEVER, LARGER CONTROLLED STUDIES ARE WARRANTED FOR CONCLUSIVE RESULTS. 2015 14 1915 27 ROLE OF NATUROPATHY AND YOGA TREATMENT IN THE MANAGEMENT OF HYPERTENSION. AIM: THE PRIMARY AIM WAS TO STUDY THE EFFECT OF NATUROPATHY AND YOGA INTERVENTIONS IN TREATMENT OF MILD TO MODERATE HYPERTENSION. DESIGN: THE VARIABLES OF INTEREST WERE MEASURED AT THE BEGINNING AND END OF THE INTERVENTION USING A PRE-POST DESIGN. SETTING: THE STUDY WAS CONDUCTED BY INYS MEDICAL RESEARCH SOCIETY IN JINDAL NATURE CURE INSTITUTE, BANGALORE. SUBJECTS: A TOTAL OF 104 SUBJECTS, ALREADY DIAGNOSED WITH MILD TO MODERATE HYPERTENSION AND ON TREATMENT WITH ANTIHYPERTENSIVE MEDICINES WERE INCLUDED IN STUDY. INTERVENTIONS: THE INTERVENTION CONSISTED OF VARIOUS INPATIENT ADMINISTRATION OF DIFFERENT NATUROPATHY TREATMENTS, YOGA THERAPIES, LOW CALORIE AND LOW SODIUM DIET FOR 21 DAYS. ANTIHYPERTENSIVE MEDICINES WERE WITHDRAWN FOR SOME PATIENTS IN ONE WEEK BASED UPON RESPONSE TO THE TREATMENT. OUTCOME MEASURES: THE OUTCOME MEASURES WERE VALUES OF DIASTOLIC AND SYSTOLIC BLOOD PRESSURE AND BODY WEIGHT. SUBJECTS WERE FOLLOWED FOR A PERIOD OF ONE YEAR AFTER EVERY 3 MONTHS. RESULTS: AFTER STARTING NONPHARMACOLOGICAL APPROACH OF NATUROPATHY AND YOGA, SYSTOLIC BLOOD PRESSURE CAME DOWN FROM MEAN OF 139.6 TO 129.6 WHERE AS IT CAME DOWN FROM 91.2 TO 86.1 FOR DIASTOLIC BLOOD PRESSURE. AT THE SAME TIME FAVORABLE EFFECT WAS ALSO SEEN IN OTHER VARIABLES LIKE LIPID PROFILE AND BODY WEIGHT. AT THE END OF ONE YEAR OUT OF 57 PATIENTS WHO CAME FOR FOLLOW-UP, 14 CASES WERE FOUND TO HAVE BLOOD PRESSURE WITHIN NORMAL RANGES WITHOUT ANY MEDICATION OVER THE PREVIOUS 12 MONTHS. CONCLUSION: NATUROPATHY AND YOGA THERAPY CAN BE CONSIDERED AS A VALUABLE NONPHARMACOLOGICAL APPROACH IN TREATMENT OF HYPERTENSION. 2011 15 839 32 EFFECT OF YOGA ON PLASMA GLUCOSE, LIPID PROFILE, BLOOD PRESSURE AND INSULIN REQUIREMENT IN A PATIENT WITH TYPE 1 DIABETES MELLITUS. OBJECTIVES: THE OBJECTIVE OF THE STUDY IS TO EVALUATE THE SHORT-TERM EFFECT OF YOGA ON PLASMA GLUCOSE, LIPID PROFILE, BLOOD PRESSURE AND INSULIN REQUIREMENT IN A PATIENT WITH TYPE 1 DIABETES MELLITUS (T1DM). CASE PRESENTATION: A 28-YEARS OLD FEMALE WAS DIAGNOSED WITH T1DM AT THE AGE OF SEVEN. SHE WAS UNDER HUMAN MIXTARD INSULIN 30-70, THRICE/DAY FOR 15-15-15 UNITS. SHE HAD A HISTORY OF POOR GLYCEMIC CONTROL, DIABETIC KETOACIDOSIS AND HYPOGLYCEMIC SHOCK. AT THE AGE OF 27, SHE GOT ADMITTED WITH COMPLAINTS OF GENERAL WEAKNESS, JOINTS STIFFNESS AND WEIGHT LOSS IN OUR HOLISTIC HEALTH CENTRE AND UNDERWENT TWO WEEKS OF YOGA. RESULTS SHOWED A BETTER REDUCTION IN THE PLASMA GLUCOSE LEVELS, LIPID PROFILE, BLOOD PRESSURE AND INSULIN DOSE AND AN INCREASE IN HEMOGLOBIN LEVELS WITH NO EPISODES OF HYPOGLYCEMIA AFTER YOGA. CONCLUSIONS: YOGA MIGHT BE CONSIDERED AS A SAFER AND EFFECTIVE ADJUVANT IN THE MANAGEMENT OF T1DM. 2021 16 1122 13 EFFICACY OF NATUROPATHY AND YOGA IN BRONCHIAL ASTHMA--A SELF CONTROLLED MATCHED SCIENTIFIC STUDY. ASTHMA IS ONE OF THE COMMON PSYCHOSOMATIC ILLNESS INFLUENCED BY MANY FACTORS. BRONCHODILATORS GIVE TEMPORARY RELIEF AND HAVE SIDE EFFECTS. THE PRESENT STUDY IS AIMED AT FINDING THE EFFICACY OF A NON-PHARMACOLOGICAL APPROACH OF NATUROPATHY AND YOGA IN BRONCHIAL ASTHMA. A TOTAL NO OF 37 PATIENTS (19 MEN, 18 WOMEN) WITH MEAN AGE 35.06 YRS (MEN), 40.74 YRS (WOMEN) ADMITTED TO INYS, BANGALORE, FOR THE PERIOD OF 21 DAYS. THE TREATMENT INCLUDED 1. DIET THERAPY 2. NATURE CURE TREATMENT AND 3. YOGA THERAPY. THE VARIOUS PARAMETERS INCLUDING LUNG FUNCTION TEST WERE MEASURED ON ADMISSION AND ONCE A WEEK. RESULTS SHOWED THE SIGNIFICANT IMPROVEMENT IN PEFR, VC, FVC, FEV1, FEV/FEC %, MVV, ESR AND ABSOLUTE EOSINOPHIL COUNT. THE PATIENTS REPORTED A FEELING OF WELL BEING, FRESHNESS AND COMFORTABLE BREATHING. NATUROPATHY AND YOGA HELPS IN INDUCING POSITIVE HEALTH, ALLEVIATING THE SYMPTOMS OF DISEASE BY ACTING AT PHYSICAL AND MENTAL LEVELS. 2001 17 382 18 BELIEFS, ATTITUDES AND SELF-USE OF AYURVEDA, YOGA AND NATUROPATHY, UNANI, SIDDHA, AND HOMEOPATHY MEDICINES AMONG SENIOR PHARMACY STUDENTS: AN EXPLORATORY INSIGHT FROM ANDHRA PRADESH, INDIA. OBJECTIVES: TO ASSESS THE BELIEFS, ATTITUDES AND SELF-USE OF AYURVEDA, YOGA AND NATUROPATHY, UNANI, SIDDHA, AND HOMEOPATHY (AYUSH) MEDICINES AMONG SENIOR PHARMACY STUDENTS. METHODOLOGY: THIS WAS A DESCRIPTIVE CROSS-SECTIONAL STUDY CONDUCTED AMONG PHARMACY STUDENTS IN FOUR PHARMACY SCHOOLS LOCATED IN ANDHRA PRADESH IN SOUTH INDIA. THIS STUDY WAS CONDUCTED FROM THE AUGUST TO SEPTEMBER 2014. THE STUDY POPULATION INCLUDED ALL PHARMACY STUDENTS ENROLLED IN DOCTOR OF PHARMACY, BACHELOR OF PHARMACY AND DIPLOMA IN PHARMACY PROGRAMS IN STUDIED PHARMACY SCHOOLS. THE PRETESTED AYUSH SURVEY HAD 8 QUESTIONS ON AYUSH RELATED BELIEFS AND 8 QUESTION ON AYUSH RELATED ATTITUDES. THE SURVEY ALSO ASKED PARTICIPANTS ABOUT AYUSH RELATED KNOWLEDGE, FREQUENCY OF USE OF AYUSH AND THE REASON FOR USING AYUSH. THE DATA ANALYSIS WAS PERFORMED USING SPSS VERSION 20. CHI-SQUARE TEST AND MANN-WHITNEY U-TEST WERE EMPLOYED TO STUDY THE ASSOCIATION BETWEEN THE INDEPENDENT AND DEPENDENT VARIABLES. RESULTS: A TOTAL OF 428 PHARMACY STUDENTS PARTICIPATED IN THE SURVEY. 32.2% OF THE STUDY POPULATION WAS FEMALES AND 32.5% OF THE POPULATION RESIDED IN RURAL AREAS. MALES WERE MORE LIKELY TO HAVE POSITIVE BELIEFS ABOUT AYUSH WHEN COMPARED TO FEMALES (ODD RATIO [OR] = 4.62, CONFIDENCE INTERVAL [CI] = 2.37-8.99, P < 0.001). SIMILARLY, STUDENTS LIVING IN HOSTELS WERE MORE POSITIVE IN THEIR BELIEFS ABOUT AYUSH COMPARED WITH STUDENTS LIVING AT HOME (OR = 2.14, CI = 1.12-4.07, P < 0.05). STUDENTS LIVING IN HOSTEL ALSO HAD A POSITIVE ATTITUDE ABOUT AYUSH USE (OR = 1.74, CI = 1.03-2.93, P < 0.05). CONCLUSION: PHARMACY STUDENTS HELD FAVORABLE ATTITUDE AND BELIEFS ABOUT AYUSH USE. THIS BASELINE SURVEY PROVIDES IMPORTANT INFORMATION ABOUT THE PHARMACY STUDENT'S PERCEPTION ABOUT AYUSH. FURTHER RESEARCH IS NEEDED TO EXPLORE THE REASONS THAT SHAPE THE PHARMACY STUDENT'S BELIEFS AND ATTITUDES ABOUT AYUSH. 2014 18 1381 25 IMPACT OF NATUROPATHY, YOGA, AND DIETARY INTERVENTIONS AS ADJUVANT CHEMOTHERAPY IN THE MANAGEMENT OF STAGE II AND III ADENOCARCINOMA OF THE COLON. INTRODUCTION: NATUROPATHY, YOGA AND DIETARY INTERVENTIONS ARE KNOWN TO IMPROVE THE QUALITY OF LIFE IN CANCER PATIENTS. WE AIM TO EVALUATE THE EFFECT OF NATUROPATHY INTERVENTIONS ALONG WITH ADJUVANT CHEMOTHERAPY IN PATIENTS WHO UNDERWENT SURGERY FOR ADENOCARCINOMA OF THE COLON. METHODS: A TOTAL OF 116 ADULT PATIENTS WERE RANDOMISED IN TO ONE OF THE TWO GROUPS; THE EXPERIMENTAL GROUP RECEIVED NATUROPATHY, YOGA AND DIETARY INTERVENTIONS AND THE CONTROL GROUP RECEIVED PSYCHO-SOCIAL COUNSELLING IN ADDITION TO STANDARD CHEMOTHERAPY. HAEMATOLOGICAL, BIOCHEMICAL AND PSYCHOLOGICAL EVALUATIONS WERE PERFORMED AT SET INTERVALS DURING A TOTAL PERIOD OF EIGHTEEN MONTHS STARTING FROM THE FIRST CYCLE OF ADJUVANT CHEMOTHERAPY. RESULTS: RESULTS SHOWED THAT THE OVERALL HEMOGLOBIN (P < 0.0001) AND CARCINOEMBRYONIC ANTIGEN (CEA) (P = 0.0038) LEVELS WERE STATISTICALLY SIGNIFICANT IN PATIENTS ON THE EXPERIMENTAL ARM. THE REST OF THE LABORATORY PARAMETERS, VIZ. TOTAL LEUKOCYTE COUNT, PLATELET COUNTS, AND SERUM CREATININE LEVELS, FOR OVERALL DATA WAS NOT STATISTICALLY SIGNIFICANT IN BOTH THE GROUPS. PSYCHOLOGICAL ATTRIBUTES SUCH AS ANXIETY, DEPRESSION, SYMPTOM SEVERITY, AND FUNCTIONAL LIVING INDEX: CANCER (FLIC) WERE FOUND TO BE STATISTICALLY SIGNIFICANT (P < 0.0001) IN THE EXPERIMENTAL SUBJECTS AS COMPARED WITH THOSE IN THE CONTROL. ON THE WHOLE, MEN BENEFITED MORE THAN WOMEN FROM THE STUDY INTERVENTIONS. CONCLUSIONS: WE CONCLUDE THAT YOGA AND NATUROPATHY INTERVENTIONS IN ADDITION TO CHEMOTHERAPY SHOW IMPROVEMENT IN OVERALL FUNCTIONAL LIFE INDEX ALONG WITH IMPROVEMENT IN HAEMOGLOBIN IN PATIENTS WITH STAGES II AND III ADENOCARCINOMA OF COLON. 2020 19 685 21 EFFECT OF AN INTEGRATED NATUROPATHY AND YOGA PROGRAM ON LONG-TERM GLYCEMIC CONTROL IN TYPE 2 DIABETES MELLITUS PATIENTS: A PROSPECTIVE COHORT STUDY. AIM: LIFESTYLE IS AN IMPORTANT RISK FACTOR FOR INCREASING THE PREVALENCE OF DIABETES IN THE INDIAN POPULATION. IN THIS STUDY, WE EVALUATE THE EFFECTS OF NATUROPATHY TREATMENT, SALT-RESTRICTED LOW-CALORIE DIETS, AND YOGA IN LONG-TERM GLYCEMIC CONTROL IN PATIENTS WITH TYPE 2 DIABETES MELLITUS. METHODS: IN THIS PROSPECTIVE, LONGITUDINAL, TWO-ARM COHORT STUDY, PATIENTS WITH TYPE 2 DIABETES MELLITUS REFERRED FROM A TERTIARY CARE CENTER UNDERGOING A 3-MONTH RESIDENTIAL NATUROPATHY TREATMENT WERE COMPARED WITH THOSE UNDERGOING ONLY CONVENTIONAL MANAGEMENT ON GLYCEMIC CONTROL. BOTH FASTING AND POSTPRANDIAL BLOOD GLUCOSE (PPBG) LEVELS WERE ASSESSED AT BASELINE, 3 MONTHS FOLLOWING INTERVENTION, AT 6 MONTHS, AND 12 MONTHS FROM THE STUDY START. DATA WERE ANALYZED USING REPEATED-MEASURES ANOVA WITH POST HOC BONFERRONI CORRECTION. RESULTS: NATUROPATHY AND YOGA INTERVENTION SIGNIFICANTLY REDUCED PPBG LEVELS (P < 0.001), GLYCATED HEMOGLOBIN LEVELS (P < 0.001), AND REDUCED REQUIREMENT FOR ANTIDIABETIC MEDICATIONS (P < 0.008) IN THE INTERVENTION GROUP COMPARED TO CONTROLS. THE EFFECTS WERE MORE PROFOUND IMMEDIATELY FOLLOWING INTERVENTION AND LASTED UP TO 6 MONTHS FROM THE START OF THE STUDY. CONCLUSION: THE RESULTS SUGGEST BENEFIT WITH AN INTENSIVE RESIDENTIAL NATUROPATHY-BASED LIFESTYLE INTERVENTION PROGRAM. RANDOMIZED CONTROLLED TRIALS ARE NEEDED TO FURTHER VALIDATE THE FINDINGS. 2020 20 689 26 EFFECT OF AYURVEDA INTERVENTION, LIFESTYLE MODIFICATION AND YOGA IN PREDIABETIC AND TYPE 2 DIABETES UNDER THE NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF CANCER, DIABETES, CARDIOVASCULAR DISEASES AND STROKE (NPCDCS)-AYUSH INTEGRATION PROJECT. BACKGROUND: TYPE 2 DIABETES IS A LIFESTYLE-RELATED DISORDER THAT AFFECTS AROUND 422 MILLION INDIVIDUALS IN INDIA. INTEGRATION OF AYUSH (AYURVEDA) WITH THE NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF CANCER, DIABETES, CARDIOVASCULAR DISEASES AND STROKE (NPCDCS) WAS CONCEIVED ON PILOT BASIS AT GAYA, BIHAR, TO PROVIDE INTEGRATIVE TREATMENT FOR NON-COMMUNICABLE DISEASE PATIENTS AND TO MANAGE THE BURDEN OF NON-COMMUNICABLE DISEASES IN INDIA. OBJECTIVES: THE OBJECTIVE OF THIS STUDY WAS TO ANALYZE THE EFFECT OF AYURVEDA INTERVENTION, LIFESTYLE MODIFICATION AND YOGA IN THE MANAGEMENT OF TYPE 2 DIABETES UNDER NPCDCS-AYUSH INTEGRATION PROJECT. MATERIALS AND METHODS: A MULTI-CENTRIC, OPEN-LABELED, PROSPECTIVE, COMPARATIVE CLINICAL STUDY WAS CONDUCTED AT 17 COMMUNITY HEALTH CENTERS AND 1 DISTRICT HOSPITAL. POPULATION OVER 30 YEARS OF AGE WAS SCREENED AND PREDIABETIC OR TYPE 2 DIABETIC INDIVIDUALS WERE ENROLLED IN TWO COHORTS, I.E., PRE-DIABETIC (COHORT A) AND TYPE 2 DIABETIC (COHORT B). EACH COHORT WAS FURTHER DIVIDED INTO TWO GROUPS: GROUP A1 WAS ADVISED FOR LIFESTYLE MODIFICATION AND YOGA AND GROUP A2 WAS GIVEN AYURVEDA MEDICATION IN ADDITION TO LIFESTYLE MODIFICATION AND YOGA. SIMILARLY, GROUP B1 WAS ADVISED FOR LIFESTYLE MODIFICATION AND YOGA ALONG WITH ALLOPATHIC MEDICATION AND GROUP B2 WAS GIVEN AYURVEDA MEDICATION, I.E., MAMAJJAKA, AMALAKI AND GUDUCHI POWDER IN ADDITION TO LIFESTYLE MODIFICATION AND YOGA ALONG WITH ALLOPATHIC MEDICATION. TREATMENT WAS GIVEN FOR 6 MONTHS. DATA WERE ANALYZED THROUGH PAIRED T-TEST. RESULTS: A SIGNIFICANT REDUCTION WAS OBSERVED IN FASTING BLOOD SUGAR LEVEL IN GROUPS A2 AND B2 (P = 0.001) AND ALSO IN THE POSTPRANDIAL BLOOD SUGAR LEVEL IN GROUPS A2 AND B2 (P = 0.001). FURTHER, IMPROVEMENT IN SUBJECTIVE SYMPTOMS SUCH AS POLYURIA, POLYDIPSIA, POLYPHAGIA, BLURRED VISION AND WEAKNESS WAS FOUND IN ALL THE GROUPS, WHILE NON-HEALING ULCER DOES NOT SHOW ANY IMPROVEMENT. CONCLUSION: THE STUDY REVEALS THAT AYURVEDA INTERVENTION, I.E., MAMAJJAKA CHURNA (1 G), AMALAKI CHURNA (3 G) AND GUDUCHI CHURNA (3 G) TWO TIMES A DAY EFFECTIVELY CONTROLS BLOOD SUGAR LEVEL IN PRE-DIABETIC AND TYPE 2 DIABETIC PATIENTS AND IMPROVES THE DISEASE MANAGEMENT WITH LIFESTYLE MODIFICATION AND YOGASANA AS WELL AS WITH ALLOPATHIC TREATMENT. 2019