Sachin Yelve Arogyadhama Report
Sachin Yelve Arogyadhama Report
Sachin Yelve Arogyadhama Report
For
Neurology & Oncology, Asthma & Hypertension, Anxiety &
Depression, Arthritis, Back pain, Diabetes Mellitus, Gastro-
Intestinal Disorders and Obesity& PPH.
A Report submitted
By
Sachin S. Yelve
40717047
I am grateful to Dr. H.R Nagendra and Dr. Nagarathna for sharing their
dreams with other people.
2
TABLE OF CONTENTS
1 INTRODUCTION 4
12 ABBREVIATIONS 113
13 BIBLIOGRAPHY 114
3
Part I: YOGA & HEALTH
1. INTRODUCTION
Today's fashion and even goal of all is, “Keep fit, disease free and be handsome and
beautiful. Since Yoga helps a great deal in achieving this goal it has become popular
all over the world and its popularity is growing day by day. Yoga calms the restless
mind and cures the sick body. People at large use Yoga for memory development,
intelligence, and creativity growth. Yoga is so useful that it has become part of the
curriculum in many institutions and others following the lead.
The modern medical system has replaced almost all the traditional systems of
medicines in different parts of the globe because of its rational basis. It has proved
itself most effective in saving humans from the fatal hands of contagious and infectious
diseases. However, the fast and competitive lives due to industrialization, have
introduced several, psychosomatic ailments and psychiatric problems. Modern Medical
System is unable to face this great challenge. Yoga removes this inadequacy of MMS
either independently or as supplement to other medical systems.
Yoga is the science of mind. It teaches us how to control our mind, our desires
and our reaction to stress. This means that Yoga calms the mind and thus helps us to
maintain inner peace always, in all our actions and thus promotes physical and mental
health. Yuj the Sanskrit word of meaning “joining' is the root of the word Yoga: The
Sanskrit saying “Yujyate anena iti yogaù” means, “Yoga is that which joins”. In other
words Yoga joins jévätmä the individual self with Paramätmä, the universal Self, or to put
it in another way, Yoga is transformation of narrow constricted egoistic personality into all-
pervasive, eternal and blissful state of Reality.
yaegiíÄìitinraex .2.
Yoga means the restraint of the modification of the citta with awareness. (1.2)
4
Nirodha means restraining the chitta with awareness. It means restraint with skill and efforts.
Maharshi Patanjali is not suggesting suppression, but talking about the awareness towards the
roots of the modification of the chitta, with a view to restrain them.
योगस्थ: कुरुकर्माणिसङ्गंत्यक्त्वमधनञ्जय|
Be steadfast in the performance of your duty, O Arjun, abandoning attachment to success and
failure. Such equanimity is called Yog. (2.48)
One who prudently practices the science of work without attachment can get rid of both good
and bad reactions in this life itself. Therefore, strive for Yoga, which is the art of working
skilfully (in proper consciousness). (2.50)
Separation from the union with pain/sorrow is known as Yoga. This Yoga should be practised
with determination and with an underspending mind. (6.23)
5
less ness as health. This is in tune with what we just saw in the previous section. Health is a
positive state, not just an absence of a negative state. Secondly, it lists three dimensions of
wellbeing. Let us look at each of these dimensions individually.
The first dimension of health acknowledged here is physical wellbeing (and not mere absence
of diseases). Psychological soundness would also be an integral part of health. Here too, a
positive state of psychological wellbeing is sought, and not just an absence of psychological
disorders. Accordingly, WHO describes mental health as "a state of well-being in which the
individual realizes his or her own abilities, can cope with the normal stresses of life, can work
productively and fruitfully, and is able to make a contribution to his or her community"
social health forms the third dimension of wellbeing in the definition of health. As in the case
of physical and psychological health, social health refers not just to the absence of unlawful
acts, but a positive state of wellbeing. It implies an expansion of one's awareness, and
harmony with the bigger whole, which in turn rewards the individual with a sense of
belonging and connectedness.
In the tradition of Yoga and Upanishads there are five aspects of existence of man.
o The first and the grossest - the physical frame which we are all so familiar is called
Annamaya kosa.
o The second subtler sheath is the Pranamaya kosa featured by the predominance of
Prana, the life principle.
6
The next sheaths in the order of subtlety are
o Manomaya Kosa
o Vijnanamaya Kosa and
o Ananadamaya Kosa.
Anandamaya Kosa as the outer most and the subtlest. As the sheaths become subtler, the
freedom of operation in the living being’s increases, the bondage decreases and the bliss
associated with it also increases. While in Manomaya Kosa the creative power predominates,
in Vijnanamaya Kosa it is the power to discern and discriminate. Bliss is embodied in
Anandamaya Kosa, the highest stage of evolution in the manifested existence. It is the
subtlest among the five sheaths of existence. In his journey towards the Ultimate, Man
crosses these sheaths of existence one by one. Through analysis called 'Panch Kosa Viveka'
(Knowing through experience, one's five sheaths of existence) and the associated practices
called 'Tapas', man transforms himself by gradually getting relieved from the bondages and
constrictions of each sheath. This is one of the methods of reaching the ultimate goal
enumerated and described in the Upanishads.
7
The Adhis (primary diseases) are two fold Samanya (ordinary) and Sara (essential). The
former includes the diseases incidental to the body while the latter is responsible for rebirth to
which all men are subject. The Samanya are normally produced during the interactions with
the world. These may be termed as psychosomatic ailments. When dealt with by suitable
techniques and congenial atmosphere, Adhis of the ordinary type will vanish. Along with it
are destroyed the physical ailments i.e., the Vyadhis caused by these Adhis -Adhijah
Vyadhayah. The subtler Adhis of the essential type (Sara) which cause the birth of the
physical body can be destroyed only by the realization of the causal states of mind and a
corresponding ability to live in Vijnanamaya and Anandamaya Kosas. In that state, man
transcends the cycles of birth and death.
The second category of ailments are Anadhijah Vyadhayah- those not originating in the mind.
These would probably include the infectious and contagious diseases. The text says that
Anadhij Vyadhis can be handled through conventional medicines (the chemotherapy of
modern medicine and Ayurveda), mantras (with their natural vibrational characteristics) and
good actions.
8
the asanas and stretch your mus- cles, muscular tension is released and you are more able to
relax Like- wise, when you relax the mind and release suppressed emotions you tend to
become less tense on a physical level. Every element of yoga brings benefits throughout, and
also acts to amplify the effect of the other types of practices. This is the essence of yoga
therapy —both as a preventive and as a curative Daily practice of a complete yoga session
can restore your natural balance and harmony, bringing positive good health to all parts of
your life - physical, mental, and spiritual.
9
PART II – SPECIFIC THERAPIES
3.1.3 Therapist
- Mr Parmeshwar Some
- Mr Narbaranjan Panda
3.1.4 Consultant
Dr R. Nagarathna
3.1.5 Section – Ailments treated
This section deals with the cases of disorders like:
▪ Neurology: Epilepsy, Migraine, Parkinson's, Muscular dystrophy, Cerebral Palsy,
Multiple Sclerosis, Mental retardation.
▪ Oncology: Breast cancer stage 1,2,3,4, Colon, Prostate, Blood, Myelomas
The department in charge is Dr Uma Shankar, and senior therapist Mr Parmeshwar and
Mr Panda. The participants do three special technique sessions and the parameters session
in the Section while the common sessions of OM meditation, Pranayama, Cyclic
Meditation, Maitrimilan, Lectures, Bhajans, Trataka PET and MSRT are attended by all
sections.
10
Cancer sometimes begins in one part of the body before spreading to other areas. This
process is known as metastasis.
More than 1 in 3 people will develop some form of cancer during their lifetime. The 4
most common types of cancer are:
● breast cancer
● lung cancer
● prostate cancer
● bowel cancer
There are more than 200 different types of cancer, and each is diagnosed and treated in a
particular way.
Causes, signs and symptoms
Changes to your body's normal processes or unusual, unexplained symptoms can
sometimes be an early sign of cancer.
● unexplained bleeding
But in many cases your symptoms won't be related to cancer and will be caused by other,
non-cancerous health conditions.
o Treatment: Surgery is the first treatment to try for most types of cancer, as solid tumours
can usually be surgically removed.
11
3.4 Section A – Case 1
3.4.1 Biographic Data
Name: GP
Address: Ganlam, Odisha
Age: 50 years
Sex: Female
Marital Status: Married
Educational Qualification: 12th
Occupation: House wife
Date of Admission: 20/11/2019
Date of Discharge: 12/12/2019
12
3.4.5 Family History of illness
No cancer in family
(1) Paternal: High Blood Pressure
(2) Maternal: No major ailment
(3) Sibling: NA
13
2. Anthropometric measurement
a. Height (cm) 153 cm
b. Weight (kg) 50 kg
c. BMI 24 (Normal)
o Naturopathy
o Row foods, sprouts, boiled vegetables, juices and satvic food to prevent
constipation
3.4.12 Parameters
14
VARIABLES BEFORE YOGA AFTER YOGA % CHANGE
Weight (kg) 50 50 0%
Parameters
140
120
100
80
60
40
20
0
Pulse RR Rate Sys BP Dias BP Bhramari Weight (kg) BMI SS
3.4.13 Conclusion
o Participant feedback
15
The participant has learnt the techniques and has understood the importance of
relaxation and deep rest for healing. The participant symptom score has improved
from 6 and 5 and participant is happy likely to revisit after 3 months. Improvement
was seen in constipation and sleep without medication.
o Positive suggestions by participant to improve IAYT
Participant found MSRT very helpful before sleeping and when very anxious.
3.5 Neurology
o Causes
Major causes include
- Diseases caused by faulty genes, such as Huntington's disease and muscular dystrophy
- Problems with the way the nervous system develops, such as spinal bifida
- Degenerative diseases, where nerve cells are damaged or die, such as Parkinson's disease
and Alzheimer's disease
- Diseases of the blood vessels that supply the brain, such as stroke
- Injuries to the spinal cord and brain
- Seizure disorders, such as epilepsy
- Cancer, such as brain tumour
- Infections, such as meningitis
16
▪ Poor cognitive abilities
▪ Unexplained pain
▪ Decreased alertness
Source: Extracted from NHS, Psycguides.com, Medline plus, UCSF Health Web pages
Frequency
3.5
2.5
1.5 Frequency
0.5
0
Atrophy Parkinson Speech loss Epilepsy RTA Carcinoma
17
Name: Mis SB
Address: J.P. Nagar, Karnataka
Age: 43 years
Sex: Female
Marital Status: Married
Educational Qualification: BCOM
Occupation: Bank Employee
Date of Admission: 29/11/2019
Date of Discharge: 12/12/2019
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3.5.6 Personal History
(1) Addictions if any: None
(2) Nutrition Pattern
a. Vegetarian / Non-Vegetarian: Vegetarian
b. Typical daily food intake: 2 meals and snack in the evening daily
c. Typical daily fluid intake: 1.5 litres daily
d. Weight loss/gain? Amount? : No significant change in weight in last year
e. Appetite: Normal
(3) Elimination Pattern
(a) Bowel: One or two time a day.
(b) Bladder: 4 to 5 time a day
(c) Sweat: None
(4) Menstrual History – NA
(5) Activity – Exercise pattern
(a) Duration / type of exercise: physical therapy
(b) Spare time activity – Watching Television
(6) Sleep Rest Pattern: Disturbed three to five-hour sleep because of pain.
2. Anthropometric measurement
a. Height: 158 cm
b. Weight: 65.7 kg
c. BMI: 26.2kg/m2(Overweight)
20
Parameter
120
100
80
60
40
20
0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS
21
4. SECTION B: Komala - Cardiology & Pulmonology
o Definition
Cardiology (from Greek καρδίᾱ kardiā, "heart" and -λογία -logia, "study") is a branch of
medicine that deals with the disorders of the heart as well as some parts of the circulatory
system. The field includes medical diagnosis and treatment of congenital heart defects,
coronary artery disease, heart failure, valvular heart disease and electrophysiology.
22
Source: Extracted from Wikipedia
o Causes
Major causes include:
o Heart defects you're born with (congenital heart defects)
o Coronary artery disease
o High blood pressure
o Diabetes
o Smoking
o Excessive use of alcohol or caffeine
o Drug abuse
o Stress
o Some over-the-counter medications, prescription medications, dietary supplements
and herbal remedies
o Valvular heart disease
23
● Balloon Angioplasty
Surgery
● Closure of "Hole-in-the-Heart" (ASD, VSD) Arterial Switch (ASO)
● Modified Blalock Taussig Shunt (BTS)
● Cavo-Pulmonary Shunt (CPS)
● Fontan Procedure
● Norwood Procedure
● Pulmonary Artery Band (PAB)
● Rastelli Operation
● Ross Procedure
● Ligation of Patent Ductus Arteriosus
Disease Frequency
Pulmonology 14
Cardiology 13
Frequency
14.2
14
13.8
13.6
13.4
13.2 Frequency
13
12.8
12.6
12.4
Pulmonology Cardiology
24
4.4 Section B – Cardiology – Case 1
4.4.1Biographic Data
Name: Mr K PK
Address: Mumbai
Age: 69 years
Sex: Male
Marital Status: Married
Educational Qualification: B.com (Hon) DBM
Occupation: Retired
Date of Admission: 22/11/2019
Date of Discharge: 15/12/2019
4.4.3 History:
– The Burning sensation in foot since 2-3 year,
– Reduced hearing capacity since 1-2 year.
– Gait imbalance since 3yrd.
– Increase urine frequency since 3 yrs. Hypertension since 10yrs
4.4.4 Past History:
(1) Childhood disease – None
(2) Allergies – no major allergies
(3) Accident and injuries – Nil
(4) Hospitalization – None
(5) Medication – Tab Saptamrita leha
25
(1) Addictions if any: Tea 2 times a day
(2) Nutrition Pattern
a. Vegetarian / Non-Vegetarian: Non Vegetarian
b. Typical daily food intake: 2 meals and snack in the evening daily
c. Typical daily fluid intake: 3 litres daily
d. Weight loss/gain? Amount: Increase of 10 kg in last 3 years
e. Appetite: Good
(3) Elimination Pattern
(a) Bowel: Regular 1 or 2 times a day
(b) Bladder: Frequently (9 to 10 times)
(c) Sweat: Tendency to perspire moderately
(4) Menstrual History – NA
(5) Activity – Exercise pattern
(a) Duration / type of exercise:30 min
(b) Spare time activity – Social media and reading New Paper
(6) Sleep Rest Pattern: Disturbed sleep 5-7 hrs of sleep
4.4.7 Stress History:
The participant has stress due to age.
26
o Annamaya Kosha
- Special techniques as per section B - Cardiology for 1 hour a day. The participant is not
permitted to do the dynamic movements of the section as he has hypertension.
- Kriya – Jalaneti and LSP once a week
o Pranayama Kosha
- Vaibhagiya Pranayama, Chandra anulom vilom, Nadhishuddhi, Sitkari & Brahmari
- Manomaya Kosha – Nadanusandhana, CM, MSRT, Om meditation, Devotional
music/Bhajans
- Vijnamaya Kosha – lecture and counselling
- Anandamaya kosha – Happy assembly, time in nature and karma yoga philosophy
Diet: satvic diet which is fasting on juices – morning water melon juice and afternoon
lemon water and Naturopathy diet of boiled vegetables, sprouts, juices and fruits. (Kapha
Diet)
Allopathy:
- Amlovas 1-0-0
Ayurveda:
- On homeopathy so no Ayurveda medication
4.4.11 Parameters
Diastolic blood 80 80 0%
pressure (mmHg)
27
Breath holding time 8 16 -100%
(sec)
Parameter
140
120
100
80
60
40
20
0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS
28
4.5 Section B – Case 2 - Pulmonology
Pulmonology
o Definition
Pulmonology is a medical speciality that deals with diseases involving the respiratory
tract. The term is derived from the Latin word pulmō, pulmōnis("lung") and
the Greek suffix -λογία, -logia ("study of"). Pulmonology is synonymous
with pneumology (from Greek πνεύμων ("lung") and λογία), respirology and respiratory
medicine. Pulmonologists are specially trained in diseases and conditions of the chest,
particularly pneumonia, asthma, tuberculosis, emphysema, and complicated chest
infections.
- Palpation of the cervical lymph nodes, trachea and chest wall movement.
- Auscultation (with a stethoscope) of the lung fields for diminished or unusual breath
sounds.
29
o Surgery in case of severe conditions where surgical intervention is required.
o Medication is the most important treatment of most diseases of pulmonology, either
by inhalation (bronchodilators and steroids) or in oral form (antibiotics, leukotriene
antagonists). A common example being the usage of inhalers in the treatment of
inflammatory lung conditions such as asthma or chronic obstructive pulmonary disease.
Oxygen therapy is often necessary in severe respiratory disease (emphysema and
pulmonary fibrosis). When this is insufficient, the patient might require mechanical
ventilation.
4.5.3 History:
– Left ventricular hypertrophy in 2018.
30
– Later she developed sleeplessness, sleeps only 4 hours
– Also increased weight
– Under medication for Hypertension,
– Participant also Prediabetes metabolic syndrome.
4.5.4 Past History:
(1) Childhood disease – Nil
(2) Allergies – Dust allergies
(3) Accident and injuries – Nil
(4) Hospitalization – nil
(5) Medication
- Thyroloc 50 mg – one tablet daily
- Asthalin inhaler - symptomatic
31
(6) Sleep Rest Pattern: Normal, Feeling exhausted all the time, 5 to 6 hours daily, wakes
up frequently for urination
4.5.7 Stress History:
Participant has not identified any major stressors in personal or work life.
- Anandamaya Kosha – Happy assembly, time in nature and karma yoga philosophy
Diet:
Weight reducing vegetarian diet with raw food, juices and boiled vegetables and fruits.
Holistic diet was prescribed based on participant's Prakruti and Vikruti with an aim for
weight reduction
32
Ayurveda: No Ayurveda medication
Naturopathy:
- Jeera water – 4 times a day to improve digestion
- Facial steam with Tulsi leaves for breathlessness and tiredness
- Acupuncture (Lung Meridian) for breathlessness and tiredness
Allopathy:
- Thyroloc 1 tablet once a day and
- Inhaler for Asthama on an SOS basis
4.5.11 PARAMETERS
VARIABLES BEFORE YOGA AFTER YOGA % CHANGE
33
Parameter
160
140
120
100
80
60
40
20
0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS
34
5 SECTION C: Mamtha – Anxiety & Depression
5.1 Section Introduction
5.1.1 Name: MAMATHA
5.1.3 Therapist:
- Mr Siddhanagraj
- Mr k Dileep Kumar (MSC Yoga)
5.1.4 Consultant
- Dr R. Nagarathna
5.1.5 Ailments treated
This section deals with the cases of disorders like:
- Psychosis
- Neurosis
The department in charge is Dr Kshma, and senior therapist is Mr Siddhanagaraj. The
participants do three special technique sessions and the parameters session in the Section
while the common sessions of OM meditation, Pranayama, Cyclic Meditation,
Maitrimilan, Lectures, Bhajans, Trataka and MSRT are attended by all sections.
5.2.1 Psychosis
o Definition
Psychosis is a mental health problem that causes people to perceive or interpret things
differently from those around them. This might involve hallucinations or delusions.
o Causes
The following conditions have been known to trigger psychotic episodes in some people:
35
-schizophrenia – a mental health condition that causes hallucinations and delusions
- bipolar disorder – a person with bipolar disorder can have episodes of low mood
(depression) and highs or elated mood (mania)
- severe stress or anxiety
- severe depression – feelings of persistent sadness, including postnatal depression, which
some women experience after having a baby
- lack of sleep
- hallucinations – where a person hears, sees and, in some cases, feels, smells or tastes
things that aren't there; a common hallucination is hearing voices
- delusions – where a person has strong beliefs that aren't shared by others; a common
delusion is someone believing there is a conspiracy to harm them
The combination of hallucinations and delusional thinking can cause severe distress and a
change in behaviour.
Disease Frequency
Neurosis 3
Psychosis 9
36
Frequency
10
9
8
7
6
5
Frequency
4
3
2
1
0
Neurosis Psychosis
5.4.3 History:
– Emotional vulnerability, Low mood, apathy and anhedonia since 4 year
– Panic attacks and cannabis since 1 year.
– Depression, Hypersomnia, lack of motivation, no creativity and confidence.
37
5.4.4 Past History:
(1) Addictions if any: alcohol 1 to 2 times a month. Use cannabis since 1 year.
(2) Nutrition Pattern
a. Vegetarian / Non-Vegetarian: Non-Vegetarian
b. Typical daily food intake: 3 meals and snack in the evening.
c. Typical daily fluid intake: 2.5 litres
d. Weight loss/gain? Amount?: No change
e. Appetite: Good
38
(5) Activity – Exercise pattern
(a) Duration / type of exercise: Limited exercise
(b) Spare time activity –
(6) Sleep Rest Pattern: Disturbed sleep. Wake up 2 to 3 time a night.
1. Vital Signs
a. Pulse: 70 beats/min
b. Respiratory Rate: 12 cycle/min
c. Blood Pressure :120/80 mmHg
2. Anthropometric measurement
a. Height: 179 cm
b. Weight: 72.9 kg
c. BMI: 22.8 (Normal)
39
- Pranayama Kosha
- All stimulating and relaxation pranayama which includes sectional breathing, Bhastrika,
Kapalabhati, Ujjayi, cooling pranayamas and brahmari and Surya anulom vilom
- Manomaya Kosha – CM, MSRT, Om meditation, Devotional music/Bhajans
- Vijnamaya Kosha – lecture and counselling
- Anandamaya kosha – Happy assembly, time in nature and karma yoga philosophy
Diet:
Naturopathy vegetarian diet with raw food, juices and boiled vegetables and fruits.
Ayurveda:
- Madiphala Rasayana 15ml before food
- Cap Gasex (2-2-0) After Food
- Shirodhara for 6 Days
Naturopathy:
- Hydrotherapy, salt water gargling
- Acupuncture for sleep and general anxiety
- Walk in open air for sun exposer
Allopathy:
- Continue with the medication Tab Gstexor 135mg once a day, Tab Cinthroid 50
mg (1-0-0), Prapanalol 60 mg
5.4.11 PARAMETERS
40
Diastolic blood 80 86 -7.5%
pressure (mmHg)
Parameter
140
120
100
80
60
40
20
0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS
41
focus on stimulating and then relaxing was helpful and he is going to continue with quite
a few of them.
o Definition:
Depression is a common and serious medical illness that negatively affect how you feel,
the way thinks and how you act.
o Causes
There are a number of factors that may increase the chance of depression, including the
following:
Abuse: Past physical, sexual, or emotional abuse can increase the vulnerability to
clinical depression later in life.
Certain medications. Some drugs, such as isotretinoin (used to treat acne), the antiviral
drug interferon-alpha, and corticosteroids, can increase your risk of depression.
Conflict: Depression in someone who has the biological vulnerability to develop
depression may result from personal conflicts or disputes with family members or
friends.
Death or a loss: Sadness or grief from the death or loss of a loved one, though natural,
may increase the risk of depression.
Genetics: A family history of depression may increase the risk.
Major events: Even good events such as starting a new job, graduating, or getting married
can lead to depression. So can moving, losing a job or income, getting divorced, or
retiring. However, the syndrome of clinical depression is never just a "normal" response
to stressful life events.
42
Other personal problems: Problems such as social isolation due to other mental illnesses
or being cast out of a family or social group can contribute to the risk of developing
clinical depression.
Serious illnesses: Sometimes depression co-exists with a major illness or may be triggered
by another medical condition.
Substance abuse: Nearly 30% of people with substance abuse problems also have major
or clinical depression. Even if drugs or alcohol temporarily make you feel better, they
ultimately will aggravate depression.
8) Feeling guilty and blaming yourself for past failures; feeling unworthy.
10) Disrupted sleeping patterns where you end up sleeping excessively, or are
unable to get adequate sleep.
12) Experiencing frequent headaches or body aches like neck pain, or cramps.
43
There are multiple treatment options available. The course of treatment is decided based
on the severity of the illness and other physiological, cognitive and social factors. In some
cases, medication is prescribed. Alternatively, a combination of medication and
psychotherapy is employed as a mode of treatment. CBT is one of the most commonly
used treatment methods for depression. Interpersonal therapy (IPT).This is a structured
therapy process that focuses on helping the person improve their interpersonal
relationships. DBT (Dialectical behaviour therapy is a conversation-based approach that
focuses on building skills in many areas, such as distress tolerance, mindfulness,
emotional regulation. It helps target specific symptoms of depression and teaches skills to
manage them. It is found to be very useful for people who
5.5.3 History:
1. Suffering from mental depression from past few months. No proper sleep during night.
Not able to concentrate on anything whatever she does. Worry about future. Due to which
she quit her job.
44
(2) Allergies – NIL
(3) Accident and injuries – Nil
(4) Hospitalization – NA
(5) Medication
Allopathy
- Tab Valproali 20mg (0-0-1)
- Tab Neurokind (1-0-0)
Ayurveda
- Shirodhara
- Paternal – NIL
- Maternal - NIL
- Sibling - NIL
45
(b) Spare time activity – TV
(6) Sleep Rest Pattern: Regular, Feels tired and anxious in the night.
2. Anthropometric measurement
a. Height: 165 cm
b. Weight: 62.7 kg
c. BMI: 23 (Normal)
Yogic management:
- Annamaya Kosha
- Special techniques as per section B which includes loosening exercises and asanas
- Kriyas – Jalneti, LSP
- Pranayama Kosha
- All relaxation pranayama which includes sectional breathing, Ujjayi, cooling
pranayamas and brahmari and Chandra anulom vilom
- Manomaya Kosha – CM, MSRT, Om meditation, Devotional music/Bhajans
- Vijnamaya Kosha – lecture and counselling
- Anandamaya Kosha – Happy assembly, time in nature and karma yoga philosophy
46
Diet:
Vegetarian diet with raw food, juices and boiled vegetables and fruits. Holistic diet was
prescribed based on participant's Prakruti and Vikruti of Kapha & Pitta
Ayurveda
- Shirodhara 6 days
Allopathy:
Continue with Tab Valproali, Tab Neurokind
5.5.11 PARAMETERS
47
Parameter
140
120
100
80
60
40
20
0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS
48
6. SECTION D: Karuna – Arthritis
6.1 Section Introduction
6.1.1 Name: KARUNA
6.1.2 Doctor in Charge:
- Yoga: Dr Apar
- Ayurveda: Dr Laxmi
- Naturopathy: Dr Priyanka S
6.1.3 Therapist:
- Mrs Srisha
- Mr Srikente Gowda
6.1.4 Consultant
- Dr R. Nagarathna
6.1.5 Ailments treated
This section deals with the cases of disorders like: - Arthritis
The department in charge is Dr Apar, and senior therapist is Mrs Srisha. The participants do
three special technique sessions and the parameters session in the Section while the common
sessions of OM meditation, Pranayama, Cyclic Meditation, Maitrimilan, Lectures, Bhajans,
Trataka and MSRT are attended by all sections.
49
6.2.2 Causes
The two main types of arthritis — osteoarthritis and rheumatoid arthritis — damage joints in
different ways.
Osteoarthritis
The most common type of arthritis, osteoarthritis involves wear-and-tear damage to your
joint's cartilage — the hard, slick coating on the ends of bones. Enough damage can result in
bone grinding directly on bone, which causes pain and restricted movement. This wear and
tear can occur over many years, or it can be hastened by a joint injury or infection.
Rheumatoid arthritis
In rheumatoid arthritis, the body's immune system attacks the lining of the joint capsule, a
tough membrane that encloses all the joint parts. This lining, known as the synovial
membrane, becomes inflamed and swollen. The disease process can eventually destroy
cartilage and bone within the joint.
The most common signs and symptoms of arthritis involve the joints. Depending on the type
of arthritis you have, your signs and symptoms may include:
● Pain
● Stiffness
● Swelling
● Redness
The treatment of arthritis is very dependent on the precise type of arthritis present. An
accurate diagnosis increases the chances for successful treatment. Treatments available
50
include physical therapy, home remedies, splinting, cold-pack application, paraffin wax dips,
anti-inflammatory drugs, pain medications (ranging from pain-relieving over-the-counter
medications such as acetaminophen [Tylenol] and ibuprofen [Motrin, Advil] to narcotics),
immune-altering medications, biologic medications, and surgical operations (including joint
replacement surgery). Pain from osteoarthritis of the knee can be relieved by hyaluronic acid
injections. Rheumatoid arthritis can require medications that suppress the immune system
(disease modifying medications). Low back arthritis that is irritating nerves of the spine can
require surgical repair.
Disease Frequency
Arthritis 11
Arthritis
12
10
6
Arthritis
4
0
Frequency
51
6.4 Section D – Case 1
6.4.1 Biographic Data
Name: Mr SP
Address: Bangalore
Age: 56 years
Sex: Male
Marital Status: Unmarried
Educational Qualification: Engineering
Occupation: Monk (Sanyasi)
Date of Admission: 08/11/2019
Date of Discharge: 21/11/2019
6.4.3 History
– Pain in both the knees since two years.
52
6.4.6 Personal History
(1) Addictions if any: None
(6) Sleep Rest Pattern: Afternoon half hour & night 6-7 hours
1. Vital Signs
a. Pulse: 74 beats/min
b. Respiratory Rate 17 cycle/min
c. Blood Pressure: 120/80 mmHg
2. Anthropometric measurement
53
a. Height: 163 cm
b. Weight: 75 kg
c. BMI: 28.2 (Over weight)
Yogic management:
- Annamaya Koshaloosening, stretching and strengthening yoga practices for elbow pain
(sukshma vyayama and asanas), Kapalbhati, laghu shankhaprakshalan
- Pranayama Kosha
- Nadhishuddhi and Brahmari
- Manomaya Kosha – CM, MSRT, Om meditation, Devotional music/Bhajans
- Vijnamaya Kosha – lecture and counselling
- Anandamaya kosha – Happy assembly, time in nature and karma yoga philosophy
Diet:
Normal diet for weight loss
- Basti (GT) and Janu Basti
- Tab cefagrain 2 times a day
- Kaishara Guggule 2 time a day
- Pinda Taila
Allopathy:
Coralium D3 – 1 tablet a day
6.4.11 PARAMETERS
54
Respiratory Rate (cycle 20 15 25.00%
/min)
Parameter
140
120
100
80
60
40
20
0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS
o Participant Feedback
The participant experienced good benefits and felt that his tennis elbow pain had
decreased a bit. He felt relaxed and light. Specifically, they were good improvements in
her overall state of being as shown by the parameters. Specifically, his higher level of
relaxation showed up in lower respiratory rate and lower BP. The participant has learnt
55
the techniques and will use them to continue to improve.
o Suggestions from participant for improving IAYT
The participant found 1) the D section Sukshma Vyayama helpful for loosening and
strengthening his elbow and reducing his pain 2) the relaxation practices very helpful to
reduce the over sensitive nature especially the pranayama practices of nadhishudhi and
brahmari 3) the participant also intends to use MSRT to help good sleep.
Osteoarthritis causes cartilage — the hard, slippery tissue that covers the ends of bones
where they form a joint — to break down. Rheumatoid arthritis is an autoimmune
disorder that first targets the lining of joints (synovium).
Causes
The two main types of arthritis — osteoarthritis and rheumatoid arthritis — damage joints
in different ways.
Osteoarthritis
The most common type of arthritis, osteoarthritis involves wear-and-tear damage to your
joint's cartilage — the hard, slick coating on the ends of bones. Enough damage can result
in bone grinding directly on bone, which causes pain and restricted movement. This wear
and tear can occur over many years, or it can be hastened by a joint injury or infection.
Rheumatoid arthritis
In rheumatoid arthritis, the body's immune system attacks the lining of the joint capsule, a
tough membrane that encloses all the joint parts. This lining, known as the synovial
membrane, becomes inflamed and swollen. The disease process can eventually destroy
cartilage and bone within the joint.
56
6.5.1 Biographic Data
Name: Mr DM
Address: Ahmedabad, Gujarat
Age: 60 years
Sex: Male
Marital Status: Married
Educational Qualification: M.S. Microbiology
Occupation: Retired
Date of Admission: 06/12/2019
Date of Discharge: 12/12/2019
6.5.3 History:
– Knee pain developed over the last 1 years.
– Frozen shoulder since séance 1 year
6.5.4 Past History:
1. Vital Signs
a. Pulse: 80 beats/min
b. Respiratory Rate: 24 cycle/min
c. Blood Pressure: 120/80 mmHg
2. Anthropometric measurement
58
a. Height: 166 cm
b. Weight: 81.6 kg
c. BMI: 29.6 kg/m2 (Over weight)
Diet:
Vata diet – Suitable items are sweet, sour and salt tasting items. Not suitable items are
spicy, bitter and astringent tasting items
Ayurveda:
- Kaishora Guggulu – 1 tablet twice a day
- GT Caps - 1 tablet twice a day
- Pinda Taila for external application
Panchakarma – Janu Basti for Knee pain and Abhyanga
Allopathy: Nil
6.5.11 PARAMETERS
VARIABLES BEFORE YOGA AFTER YOGA % CHANGE
59
Respiratory Rate (cycle 24 20 16.7%
/min)
Diastolic blood 80 80 0%
pressure (mmHg)
Parameter
140
120
100
80
60
40
20
0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS
60
day to day life 2) the D section Sukshma Vyayama helpful for loosening and
strengthening his knees and reducing his pain 2) the relaxation practices very helpful to
reduce the over sensitive nature especially the pranayama practices of nadhishudhi and
brahmari 3) the participant also intends to use MSRT to help with his disturbed sleep.
61
7. SECTION E: – Back Pain & Neck Pain
7.2.1 Definition:
Back pain (also known “dorsalgia) is pain felt in the back that usually originate from the
muscles, nerves, bones, joints ot other structures in the spine. It classified as lower back pain,
middle back pain, upper back pain or low back pain with sciatica.
7.2.2 Causes
1) Mechanical 2) Inflammatory 3) Neoplasm 4) Metabolic 5) Postural Defects
6) Psychogenic/ Depression 7) Infection 8) Muscular Insufficiency
62
- Most back pain is what's known as "non-specific" (there's no obvious cause) or
"mechanical" (the pain originates from the joints, bones or soft tissues in and around the
spine).
- Medical conditions that cause back pain Conditions that can cause back pain include:
● Sciatica (irritation of the nerve that runs from the lower back to the feet) – this can
cause pain, numbness, tingling and weakness in the lower back, buttocks, legs and
feet
● Ankylosing spondylitis (swelling of the joints in the spine) – this causes pain and
stiffness that's usually worse in the morning and improves with movement
● Spondylolisthesis (a bone in the spine slipping out of position) – this can cause
lower back pain and stiffness, as well as numbness and a tingling sensation
Very rarely, back pain can be a sign of a serious problem such as:
● a broken bone in the spine
● an infection
● cauda equina syndrome (where the nerves in the lower back become severely
compressed)
Back pain will usually improve within a few weeks or months. There are several things you
can try to help reduce your pain in the meantime.
There are also some specialist treatments that may be recommended if it's thought simple
measures aren't likely to be effective on their own.
63
The main treatments for back pain include:
Specialist treatments
o Exercise classes
o Manual therapy
o Psychological support
o Surgery and procedures
Surgery for back pain is usually only recommended if there's a specific medical reason for
your pain, such as sciatica or a slipped (prolapsed) disc, and other treatments haven't
helped.
(“Section: Introduction to the ailment” has been Extracted from the NHS website)
64
Frequency
12
10
6
Frequency
4
0
Lower Back CLBP Neck Pain Lumbar Spon Sciatica
Pain
7.4.3 History:
– Back pain radiating into upper and lower back, and to neck, chest and abdomen.
– Entire back is stiff.
– Left knee pain by prolonged standing
65
(1) Childhood disease – Asthma
(2) Allergies – sensitive to strong odours and dust
(3) Accident and injuries – car accident 5 years resulted in a disc bulge
(4) Hospitalization – NA
(5) Medication - None
66
7.4.7 Stress History:
Occupational stress as is a senior accountant and has to meet a lot of deadlines.
2. Anthropometric measurement
a. Height: 177 cm
b. Weight: 95 kg
c. BMI: 30.3 kg/m2 (Obese)
Diet:Naturopathy diet – Juices and boiled vegetables and one cooked meal
Allopathy: Nil
Ayurveda: Nil
67
Acupressure to relieve back pain
Physiotherapy massage to relieve stiffness in back
7.4.11 PARAMETERS
Parameter
140
120
100
80
60
40
20
0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS
68
7.4.12 Conclusion and Participant Feedback
- Participant Feedback
The participant's pain in the back has reduced moderately. He felt much calmer and relaxed as
was evidenced by his reduced respiratory rate.
Causes
1) Mechanical 2) Inflammatory 3) Neoplasm 4) Metabolic 5) Postural Defects
6) Psychogenic/ Depression 7) Infection 8) Muscular Insufficiency
signs and symptoms:
- Most back pain is what's known as "non-specific" (there's no obvious cause) or
"mechanical" (the pain originates from the joints, bones or soft tissues in and around the
spine).
- Medical conditions that cause back pain conditions that can cause back pain include:
69
● sciatica (irritation of the nerve that runs from the lower back to the feet) – this can
cause pain, numbness, tingling and weakness in the lower back, buttocks, legs and
feet
● ankylosing spondylitis (swelling of the joints in the spine) – this causes pain and
stiffness that's usually worse in the morning and improves with movement
● spondylolisthesis (a bone in the spine slipping out of position) – this can cause
lower back pain and stiffness, as well as numbness and a tingling sensation
Very rarely, back pain can be a sign of a serious problem such as:
● a broken bone in the spine
● an infection
● cauda equina syndrome (where the nerves in the lower back become severely
compressed)
Back pain will usually improve within a few weeks or months. There are several things you
can try to help reduce your pain in the meantime.
There are also some specialist treatments that may be recommended if it's thought simple
measures aren't likely to be effective on their own.
70
Specialist treatments
o Exercise classes
o Manual therapy
o Psychological support
o Surgery and procedures
Surgery for back pain is usually only recommended if there's a specific medical reason for
your pain, such as sciatica or a slipped (prolapsed) disc, and other treatments haven't
helped.
7.5.3 History:
– The participant developed pain in spinal region after birth of her son (ceasaran) few
years’ back
– morning pain in toes and fingers
– pain in left toe while walking, right heel pain, pain aggravated on long sitting
71
(3) Accident and injuries – NA
(4) Hospitalization – for C-section delivery of baby
(5) Medication - None
(a) Duration / type of exercise: Likes dynamic exercises but is restricted due to back pain
(b) Spare time activity – Social media
2. Anthropometric measurement
a. Height: 177 cm
b. Weight: 57.3 kg
c. BMI: 30.3 (Obese)
73
7.5.11 PARAMETERS
VARIABLES BEFORE YOGA AFTER YOGA % CHANGE
Diastolic blood
72 75 -4.2%
pressure (mmHg)
Parameter
140
120
100
80
60
40
20
0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS
74
o Participant feedback
The participant's pain in the back has reduced moderately. He felt much calmer and relaxed as
was evidenced by his reduced respiratory rate.
o Participant suggestions for improving IAYT
The participant found 1) the stress reducing and slowing down practice of CM very helpful
and has bought Guruji guided audio CD for practicing at home 2) the E section Sukshma
Vyayama helpful for loosening and strengthening his back and reducing his pain 3) the
relaxation practices very helpful to reduce the excess stress built up over the work day
especially the pranayama practices of nadhishudhi and brahmari
75
8. SECTION F: – Diabetes Mellitus
8.2.1. Diabetes
Definition
Diabetes is a condition in which a person has high blood sugar (glucose) level as a result of
the body either not producing enough insulin, or because body cell do not properly respond to
the insulin that is produced. Unfortunately, diabetes shows no symptoms till an advanced
stage. Hence, it is silent killer. Hence, everyone at least those above 40 should have their
blood sugar tested yearly or even often.
Causes
The amount of sugar in the blood is controlled by a hormone called insulin, which is
produced by the pancreas (a gland behind the stomach).
76
When food is digested and enters your bloodstream, insulin moves glucose out of the blood
and into cells, where it's broken down to produce energy.
However, if you have diabetes, your body is unable to break down glucose into energy. This
is because there's either not enough insulin to move the glucose, or the insulin produced
doesn't work properly.
Although there are no lifestyle changes you can make to lower your risk of type 1 diabetes,
type 2 diabetes is often linked to being overweight.
- blurred vision
Many people have type 2 diabetes for years without realising because the early symptoms
tend to be general.
Depending on what type of diabetes you have, blood sugar monitoring, insulin and oral
medications may play a role in your treatment. Eating a healthy diet, maintaining a healthy
weight and participating in regular activity also are important factors in managing diabetes.
77
Source: Extracted from Mayo Clinic website and NHS website
Disease Frequency
Type II 11
Type I 0
Frequency
12
10
8
6
4
2
0
Type II Type I
78
8.4.2 Chief Complaint
– Diabetes for the last 15 years
8.4.3 History:
– The participant was normal 16 years ago. He suddenly developed increased blood
sugar levels (FBS – 170 mg/dl) which was diagnosed as Diabetes.
– He also complained of enlarged prostrate (12 yrs). He also has low back ache which
radiates to left knee. The pain increases on climbing stairs.
– Disc prolapse 3 to 4 years
79
(b) Bladder: Normal - 4 - 5 times in the day and at Night 1 time
(c) Sweat: Tendency to perspire moderately
1. Vital Signs
a. Pulse 78 beats/min
b. Respiratory Rate 17 cycle/min
c. Blood Pressure: 130/70 mmHg
2. Anthropometric measurement
a. Height: 171 cm
b. Weight: 71 kg
c. BMI: 24.3 (Normal)
Diet: Diabetes Mellitus diet which is fasting on juices – morning water melon juice and
afternoon lemon water and Naturopathy diet of boiled vegetables, sprouts, juices and fruits.
Allopathy:
- Injection – Insulin : 10-0-10
- Tab Glycomet 500 mg : 1 – 0 – 1
- Tab Metaxal : 1-0-0
- Tab Urimax 0.4 mg : 1-0-0
- Tab Ecospirin 150 mg : 1-0-0
Ayurveda:
– Kati Basti - 1st day
– Mahayagururaja Guggulu – 1-1-1 for 15 days
– Ksheerabala – 1-0-1
– Madhumerdhana – 1 tsp-0-1 tsp
8.4.11 PARAMETERS
VARIABLES BEFORE YOGA AFTER YOGA % CHANGE
81
/min)
Parameter
140
120
100
80
60
40
20
0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS
82
8.5 Section F – Case 2
Definition
Diabetes is a number of diseases that involve problems with the hormone insulin. Normally,
the pancreas (an organ behind the stomach) releases insulin to help your body store and use
the sugar and fat from the food you eat. Diabetes can occur when the pancreas produces very
little or no insulin, or when the body does not respond appropriately to insulin. As yet, there
is no cure. People with diabetes need to manage their disease to stay healthy.
CausesThe amount of sugar in the blood is controlled by a hormone called insulin, which is
produced by the pancreas (a gland behind the stomach).
When food is digested and enters your bloodstream, insulin moves glucose out of the blood
and into cells, where it's broken down to produce energy.
However, if you have diabetes, your body is unable to break down glucose into energy. This
is because there's either not enough insulin to move the glucose, or the insulin produced
doesn't work properly.
Although there are no lifestyle changes you can make to lower your risk of type 1 diabetes,
type 2 diabetes is often linked to being overweight.
- blurred vision
83
Many people have type 2 diabetes for years without realising because the early symptoms
tend to be general.
8.5.3 History:
– The participant has a long standing Diabetes Mellitus II ailment along with
hypertension.
– He believes this may have developed due to work stress and irregular life style habit
like incorrect food and inadequate rest.
84
8.5.5 Family History of illness
(1) Paternal – Nil
(2) Maternal – Hypertension / DM II
(3) Sibling – DMII
(a) Duration / type of exercise: Walk for 30 min / Yoga for 30 min
(b) Spare time activity – Reading
85
8.5.8 Physical Examination
1. Vital Signs
a. Pulse 60 beats/min
b. Respiratory Rate 21 cycle/min
c. Blood Pressure: 120/90 mmHg
2. Anthropometric measurement
a. Height: 167 cm
b. Weight: 74 kg
c. BMI: 26.5 (Overweight)
86
- Anandamaya kosha – Happy assembly, time in nature and karma yoga philosophy
Diet: Diabetes Mellitus diet which is fasting on juices – morning water melon juice and
afternoon lemon water and Naturopathy diet of boiled vegetables, sprouts, juices and fruits.
Allopathy:
- Insulin 12-0-18 before food
- Ecosprin 0-0-1
- Forxiga 10 mg – 1-0-0
- Olemasar 10 mg 0-1-1 after food
Ayurveda: nil
8.5.11 PARAMETERS
VARIABLES BEFORE YOGA AFTER YOGA % CHANGE
87
Parameter
140
120
100
80
60
40
20
0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS
88
9. SECTION G: - Gastro-intestinal Disorders
9.1 Section Introduction
9.1.1 Name: Swami Vivekananda Yoga Kendra Navi Mumbai
9.1.2 Doctor in Charge:
- Yoga: Dr Jagdish Naik
9.1.3 Therapist:
- Mr Vijaya
9.1 Consultant
9.1.5 Introduction:
This section deals with the cases of disorders like:
- Gastritis
- Peptic Ulcers
- IBS
- Ulcerative Colitis
• malabsorption disorders
• colitis (inflammation of the large intestine that may be triggered by certain foods or
bacterial infections)
89
• ulcers in the stomach or small intestine
Alternatively, the problems may be linked to diet, stress, sedentary lifestyle, food
intolerance or allergy, medications or simply a change in routine. For example,
constipation can develop if you eat too little fibre or too many dairy products and do not
drink enough fluids. Similarly, diarrhoea can ensue from intolerance to certain foods or
too much fibre.
Symptoms may include bloating, diarrhea, gas, stomach pain, and stomach cramps.
90
Frequency
12
10
0
Digestive APD Ovarian Cyst PCOD CKD
9.4.3 History:
– The participant comes with the complaint of constipation for 2-3 years
– Gastritis and Constipation due to empty stomach and sometimes after food
– Burping and acidity for 1 year
– Anxiety since childhood
– Frequent UTI
91
(1) Childhood disease – no major ailment
(2) Allergies – Milk (Buttermilk and curds ok)
(3) Accident and injuries – none
(4) Hospitalization – Operated for Haemorroids
(5) Medication - None
(a) Duration / type of exercise: Daily walk for 30 min and yoga for 30 min
(b) Spare time activity – TV and reading
(6) Sleep Rest Pattern: Disturbed sleep less than 5-7 hrs of sleep
92
9.4.7 Stress History:
The participants have stress and anxiety about family and health issues especially about the
health of mother and son.
2. Anthropometric measurement
a. Height: 152 cm
b. Weight: 55 kg
c. BMI: 23.8 (Normal)
Yogic management:
- Annamaya Kosha
- Special techniques as per section G especially breathing exercises for relaxation, dynamic
practices, yogasanas, Bandhas and Kriyas.
- Pranayama Kosha
- Vaibhagiya Pranayama, Nadhishuddhi, Sitkari & Brahmari
- Manomaya Kosha – Nadanusandhana, CM, MSRT, Om meditation, Devotional
music/Bhajans
- Vijnamaya Kosha – lecture and counselling
93
- Anandamaya kosha – Happy assembly, time in nature and karma yoga philosophy
Allopathy: - Nil
Ayurveda: -Nil
9.4.11 PARAMETERS
Weight (kg) 55 55 0%
94
Parameters
140
120
100
80
BEFORE YOGA
60 AFTER YOGA
% CHANGE
40
20
0
Pulse RR Sys BP Diast BP Bramhari Wgt BMI SS
-20
o Participant Feedback
The participant is overall feeling much better and her constipation symptoms have reduced
substantially.
The participant found 1) the special techniques of section G very helpful .2) The participant
finds the kriya practice very beneficial for reducing the gastric symptoms 3) The relaxing
pranayama were helpful in reducing anxiety.
95
Causes: The causes of general GI problems such as constipation, diarrhoea, nausea and
vomiting vary widely. For instance, they may be a result of disease such as:
• malabsorption disorders
• gastroenteritis (inflammation of the stomach and small intestine due to viral or
bacterial infection from contaminated food, a bad reaction to something you ate or a side
effect of a medication)
• colitis (inflammation of the large intestine that may be triggered by certain foods or
bacterial infections)
• other inflammatory bowel diseases (such as Crohn's disease)
• ulcers in the stomach or small intestine
• cancer of the digestive system
• non-GI disorders and diseases such as depression, Parkinson's disease, diabetes,
underactive or overactive thyroid gland
• previous bowel surgery
Alternatively, the problems may be linked to diet, stress, sedentary lifestyle, food intolerance
or allergy, medications or simply a change in routine. For example, constipation can develop
if you eat too little fibre or too many dairy products and do not drink enough fluids. Similarly,
diarrhoea can ensue from intolerance to certain foods or too much fibre.
Signs and Symptoms:
Symptoms may include bloating, diarrhea, gas, stomach pain, and stomach cramps.
General line of treatment
Treatment includes a combination of medication and lifestyle changes.
96
9.5.2 Chief Complaint
– Constipation since childhood
9.5.3 History:
– The participant comes with the complaint of constipation
– Increased frequency of urine when patient feels constipated
– Lots of flatulence followed by sever unilateral headache when constipated
97
(4) Menstrual History - Menarche 14 yrs, Menopause 41, G2P2A0S0L2
2. Anthropometric measurement
a. Height: 152 cm
b. Weight: 54 kg
c. BMI: 23.4 (Normal)
Yogic management:
- Annamaya Kosha
- Special techniques as per section G especially breathing exercises for relaxation, dynamic
practices, yogasanas, Bandhas and Kriyas.
- Pranayama Kosha
98
- Vaibhagiya Pranayama, Nadhishuddhi, Sitkari & Brahmari
- Manomaya Kosha – Nadanusandhana, CM, MSRT, Om meditation, Devotional
music/Bhajans
- Vijnamaya Kosha – lecture and counselling
- Anandamaya kosha – Happy assembly, time in nature and karma yoga philosophy
Allopathy:Nil
Ayurveda: Nil
9.5.11 PARAMETERS
Diastolic blood 70 70 0%
pressure (mmHg)
99
Parameters
120
100
80
60 BEFORE YOGA
AFTER YOGA
40 % CHANGE
20
0
Pulse RR Sys BP Diast BP Bramhari Wgt BMI SS
-20
100
10. SECTION H: – Obesity & PPH
10.1 Section introduction
10.1.1 Name: Swami Vivekanand Yoga Kendra Navi Mumbai
10.1.2 Doctor in Charge:
- Yoga: Dr Jagdish Naik
10.1.3 Therapist:
- Mis Vijaya
10.1.4 Consultant
10.1.5 Ailments treated
This section deals with the cases of disorders like:
- Obesity
- Thyrotoxicosis
Obesity is excessive accumulation of fat tissues beyond skeletal and muscular requirements.
This leads to flabbiness and body overweight, in turn straining body ‘s all physiological
systems. This condition often leads to various other ailments like cardio-vascular disease,
respiratory disease, diabetes, thyroid, arthritis, etc. In addition, it leads to lowered vitality,
mental dullness, and depression.
10.2.2 Causes
● Breathlessness
101
● Snoring
● Excessive sweating
● Fatigue
● Drowsiness throughout the day
● Overeating due to frustration
Frequency
25
20
15
10
0
Obesity PPH
102
Sex: Female
Marital Status: Married
Educational Qualification: Phd
Occupation: Academician
Date of Admission: 05/10/2020
Date of Discharge: 31/10/2020
10.4.3 History:
– The participant has gained 30-40 kg since 2010 due to sedentary life style
– Hypothyroidism since 3 years
– Depression since 2017
103
b. Typical daily food intake: 3 meals and snack in the evening daily
c. Typical daily fluid intake: 2 litres daily
d. Weight loss/gain? Amount ? : Weight gain; 30 kgs since 2010
e. Appetite: Good
(6) Sleep Rest Pattern: 5-8 hrs of sleep; sleep hours are irregular
2. Anthropometric measurement
a. Height: 160 cm
b. Weight: 103 kg
c. BMI: 40 (Overweight)
104
10.4.9 FINAL DIAGNOSIS
- Obesity & Hypothyroidism
10.4.10TREATMENT / MANAGEMENT
Yogic management:
- Annamaya Kosha
- Special techniques as per section H – Obesity. Lots of dynamic practices.
- Pranayama Kosha
Vaibhagiya Pranayama, Nadhishuddhi, Brahmari and Surya Anuloma Viloma
10.4.11 PARAMETERS
105
(sec)
Parameters
140
120
100
80
BEFORE YOGA
60 AFTER YOGA
% CHANGE
40
20
0
Pulse RR Sys BP Diast BP Bramhari Wgt BMI SS
-20
106
10.5 Section H – Case 2 - PPH
Definition
Obesity is excessive accumulation of fat tissues beyond skeletal and muscular requirements.
This leads to flabbiness and body overweight, in turn straining body‘s all physiological
systems. This condition often leads to various other ailments like cardio-vascular disease,
respiratory disease, diabetes, thyroid, arthritis, etc. In addition, it leads to lowered vitality,
mental dullness, and depression.
Causes
● Breathlessness
● Snoring
● Excessive sweating
● Fatigue
● Drowsiness throughout the day
● Overeating due to frustration
107
Name: Ms JP
Address: Mumbai
Age: 56 years
Sex: Female
Marital Status: Married
Educational Qualification: M.Sc. B.Ed.
Occupation: Service
Date of Admission: 05/10/2020
Date of Discharge: 31/10/2020
10.5.3 History:
– No illness. Participant wants to learn yoga to stay healthy
108
b. Typical daily food intake: 3 meals and snack in the evening daily
c. Typical daily fluid intake: 3 litres daily
d. Weight loss/gain? Amount? : No Weight gain in the last year
e. Appetite: Good
(6) Sleep Rest Pattern: 7 hrs of sleep; sleep hours are regular
2. Anthropometric measurement
a. Height: 150 cm
b. Weight: 51 kg
c. BMI: 22.7 (Normal)
10.5.10TREATMENT / MANAGEMENT
Yogic management:
- Annamaya Kosha
- Special techniques as per section I – PPH. Lots of dynamic practices and relaxation
practices.
- Pranayama Kosha
Vaibhagiya Pranayama, Nadhishuddhi, Brahmari and Kapalbhati.
Diet: Normal
Allopathy:Nil
Ayurveda:Nil
10.5.11 PARAMETERS
Diastolic blood 82 78 5%
pressure (mmHg)
110
Weight (kg) 51 51 0.00%
Parameters
140
120
100
80
BEFORE YOGA
60 AFTER YOGA
% CHANGE
40
20
0
Pulse RR Sys BP Diast BP Bramhari Wgt BMI SS
-20
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11. SUMMARY & CONCLUSION
Arogyadhama is perhaps the oldest therapy centre which combine the best of the east with the
best of the west. To have Guruji and Dr Nagrathna Didi put medical science and yoga therapy
together to provide help to thousands of sufferers over the years is a God sent gift to those
who have come to Arogyadhama.
As part of the MSc (Yoga) course, it is truly a privilege and an unique opportunity to see the
Yoga Therapy theory put into action. As Prof Vinoy Singh mentioned that we and the
participants are perhaps benefiting from our previous good karma to have an opportunity to
learn from all at Prashanti.
With God’s grace, it will be an honour and privilege to spread Guruji and Dr Nagarathna’s
teachings and insights on yoga and yoga therapy to other ailment sufferers.
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12. ABBREVIATIONS
BMI: Body Mass Index
WC: Waist Circumference
HC: Hip Circumference
BP: Blood Pressure
RR: Respiratory rate
PR: Pulse Rate
BHT: Bhrāmari time
PFR: Peak Flow Rate
SLR: Straight Leg Rising
Wt: Weight
Ht. Height
Cm. Centimeter
Kg: Kilogram
Sec: Seconds
hr: Hours
MSRT: Mind Sound Resonance Technique PET: Prānic Energization Technique
SS: Symptom Score
MS: Medication Score
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13. BIBLIOGRAPHY
1. Dr. R. Nagarathna, (1994). Yoga for Health. Swami Vivekananda Yoga Prakashana;
Bangalore.
2. Dr. H.R. Nagendra, Dr. R. Nagarathna, (1999). Yoga its Basis and Application.
Swami Vivekananda Yoga Prakashana; Bangalore
3. Dr. H.R. Nagendra, Dr. R. Nagarathna, (2001). IAYT for Positive Health, Swami
Vivekananda Yoga Prakashana; Bangalore.
4. Special Technique Book. Swami Vivekananda Yoga Prakashana; Bangalore.
5. Dr. H.R. Nagendra, Dr. R. Nagarathna, (2002). Yoga for Gastro-Intestinal Disorders.
Swami Vivekananda Yoga Prakashana; Bangalore.
6. Dr. H.R. Nagendra, Dr. R. Nagarathna, (1998). A New Light for Asthmatics. Swami
Vivekananda Yoga Prakashana; Bangalore.
7. Dr. H.R. Nagendra, Dr. R. Nagarathna, (2001). Yoga for Back pain. Swami
Vivekananda Yoga Prakashana, Bangalore.
8. Dr. H.R. Nagendra, Dr. R. Nagarathna, S.S Shrikantha, (2003). Yoga for Diabetes,
Swami Vivekananda Yoga Prakashana; Bangalore.
9. Dr. H.R. Nagendra, Dr. R. Nagarathna, (2002). Yoga for Hypertension and Heart
Disease. Swami Vivekananda Yoga Prakashana; Bangalore.
10. Dr. H.R. Nagendra, Dr. R. Nagarathna, R (2001). Yoga for Arthritis. Swami
Vivekananda Yoga Prakashana; Bangalore.
11. Dr. H.R. Nagendra, Dr. R. Nagarathna, (2001). Yoga for Anxiety & Depression.
Swami Vivekananda Yoga Prakashanana; Bangalore.
12. Ailment descriptions extracted from websites of NUH - Singapore, NHS - UK,
Psycguides.com, Medlineplus, UCSF, Wikipedia, Mayo Clinic, KK Hospital,
sfnat.org.nz, Medicinenet.com, Nutricia and WebMD.
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