Penuel Naturopathy Presentation PYPH 671

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Case study

in clinical
naturopathic
practice
BY

PENUEL PANUEL
6636535 PYPH/M
Outline
• Patient Profile
• Suggestive symptoms
• Herbal medicine
• Dosage
• Therapeutic approach
Case Study
• Patient Name: Rona
• Age: 21 years
• Main Presenting Issues: Rona reported main issues of constipation
and abdominal discomfort. She also noted fatigue, feeling sleepy after
lunch, taking up to one hour to fall asleep, and often waking
unrefreshed. She has a history of recurrent common colds and hay
fever. Rona has been avoiding gluten for three years due to constipation
and tiredness. She experienced bloating except when consuming
specific foods like cereals and gluten-free toast. She mentioned that all
meals caused bloating except for a few specific foods, and she often
did not feel fully evacuated unless she consumed coffee.
Suggestive symptoms

Abdominal
Constipation Bloating Fatigue
discomfort

Recurrent
Difficulty
common Hay fever
falling asleep
colds
Irritable Bowel Syndrome (IBS)

Risk factors
• Genetic disposition
• History of enteric infections
• Indiscriminate use of antibiotics
• History of stressful life events
• Concurrent anxiety
• Depressive disorders
Naturopathic
treatment aims for IBS
• Optimise GIT microflora
• Promote daily, easy-to-pass
bowel movements
• Manage GIT symptoms
• Support the nervous system
• Decrease gut inflammation
• Improve liver function
Herbal Medicine
Prescription 1- Combination Herbal Formula (100ml)

• Matricaria chamomilla (Chamomile) (1:2)


• Cynara scolymus (Globe Artichoke) (1:2)
• Taraxacum officinale (Dandelion) (1:2)
• Althea officinalis (Marshmallow) (1:5)
• Lavandula angustifolia (Lavender) (1:2)

Dosage: 5ml tds in water fifteen to twenty minutes before food, wash
around the mouth and over tongue before swallowing
Herbal medicine cont’d
Prescription 2 - Herbal Treatment (70ml)

• Eschscholzia californica (California Poppy) (1:2)


• Scutellaria lateriflora (Skullcap) (1:2)

• Dosage: 3.5ml bd nocte or 7ml once nocte


Matricaria chamomilla 1:2
• Common Names: German chamomile,
Wild chamomile
• Family Name: Asteraceae (Daisy family)
• Plant Part Used: Flowers
• Medicinal Uses: Chamomile is commonly
used for its calming and soothing
properties, particularly for digestive issues
such as indigestion, bloating, and
flatulence. It's also used as a mild
sedative to promote relaxation and
alleviate anxiety.
Cynara scolymus 1:2
• Common Names: Artichoke, Garden
artichoke, French artichok
• Family Name: Asteraceae (Daisy family)
• Plant Part Used: Leaves
• Medicinal Uses: Globe artichoke is
known for its liver-protective properties
and its ability to support healthy digestion
by stimulating bile production. It's often
used to aid digestion, lower cholesterol
levels, and support liver function.
Taraxacum officinale 1:2
• Common Names: Common dandelion,
Lion's tooth, Blowball
• Family Name: Asteraceae (Daisy family)
• Plant Part Used: Leaves and Roots
• Medicinal Uses: Dandelion is a diuretic
herb that supports kidney function and
helps to eliminate toxins from the body.
It's also used for its bitter properties to
stimulate digestion, improve appetite, and
support liver health.
Althea officinalis 1:5
• Common Names: Marshmallow root,
White mallow, Mallards
• Family Name: Malvaceae (Mallow family)
• Plant Part Used: Roots
• Medicinal Uses: Marshmallow root is
known for its demulcent properties, which
help to soothe and protect irritated
mucous membranes, particularly in the
respiratory and digestive systems. It's
often used to relieve sore throat, cough,
and digestive discomfort.
Lavandula angustifolia 1:2
• Common Names: Common lavender,
True lavender
• Family Name: Lamiaceae (Mint family)
• Plant Part Used: Flowers
• Medicinal Uses: Lavender is valued for its
calming and relaxing properties, both
physically and mentally. It's commonly
used to alleviate stress, anxiety, and
insomnia, as well as to relieve headaches
and promote skin healing.
Eschscholzia californica 1:2
• Common Names: California poppy, Golden
poppy
• Family Name: Papaveraceae (Poppy family)
• Plant Part Used: Aerial parts (mainly
flowers)
• Medicinal Uses: California Poppy is known
for its sedative and analgesic properties,
making it useful for promoting relaxation,
reducing anxiety, and alleviating mild pain
and discomfort. It's often used as a natural
remedy for insomnia and nervous tension.
Scutellaria lateriflora 1:2
• Common Names: Blue skullcap, Hooded
skullcap
• Family Name: Lamiaceae (Mint family)
• Plant Part Used: Aerial parts
• Medicinal Uses: Skullcap is a nervine
herb that is commonly used to calm the
nervous system, reduce anxiety, and
promote relaxation. It's also used as a
mild sedative and antispasmodic, making
it beneficial for conditions such as
insomnia, muscle tension, and nervous
irritability.
Lifestyle Recommendations

SLEEP HYGIENE: AVOIDANCE OF ALL TECHNOLOGY MINDFULNESS PRACTICES: MINDFUL EATING IN A


(MOBILE PHONE, COMPUTER, TV, ETC.) SIXTY RELAXED STATE SITTING DOWN AND TAKING TIME TO
MINUTES PRIOR TO BED. CHEW FOOD THOROUGHLY, SUGGESTING 10 – 20
CHEWS PER MOUTHFUL.
Dietary
Recommendations

• Water Consumption: Increased to 2L per day.


• Other Dietary Changes:
1. Inclusion of apple cider vinegar.
2. Daily consumption of animal proteins
3. Consumption of three or more cups of
vegetables daily e.g onions, garlic, leeks,
spring onion, and green leafy vegetables.
4. Consumption of 2-3 pieces of fruit daily.
5. Inclusion of whole grains such as brown rice,
millet, quinoa, and buckwheat in the diet.
Conclusion
This case illustrates the naturopathic
principle of treating the individual as a
whole, utilizing natural remedies and
lifestyle interventions to promote
healing and well-being. The use of a
tailored herbal formula, along with
dietary and lifestyle modifications,
underscores the personalized and
integrative nature of naturopathic
medicine in managing gastrointestinal
complaints.
References
• Carter T, Goldenberg JZ, Steel A. An examination of naturopathic treatment of
non-specific gastrointestinal complaints: comparative analysis of two cases.
Integrative medicine research. 2019 Sep 1;8(3):209-15.
• Sarris, J. and Wardle, J. Clinical naturopathy: an evidence-based guide to
practice. Sydney, Australia. Elsevier Inc. 2010.
• Agah S, Taleb A, Moeini R, et al. Chamomile efficacy in patients of the irritable
bowel syndrome. Der Pharma Chemica 2015;7:41-44
• Bundy R, Walker AF, Middleton RW, et al. Artichoke leaf extract reduces
symptoms of irritable bowel syndrome and improves quality of life in
otherwise
• healthy volunteers suffering from concomitant dyspepsia: a subset analysis.
Journal of Alternative & Complementary Medicine 2004;10(4):667-69.
THANK YOU FOR
LISTENING

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