1

NATUROPATHY AND YOGA

MANAGEMENT FOR DIABETES
MELLITUS

DIABETES

By
A.AKILA MARY
IV BNYS (AUG – 2016)
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DEDICATION

“ While you take care of the world we take care of you”

This work is dedicated to

THE ALMIGHTY GOD

MOTHER NATURE

MY BELOVED PARENTS

MY LECTURERS

AND MY COLLEAGUES
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ACKNOWLEDGEMENT

 If words are considered as a symbol of approval and taker

acknowledgement thus let words play role of expressing one’s gratitude.
 I thank God almighty for taking one to complete this project work
successfully.
 I extend my thanks to the MGR UNIVERSITY for giving this wonderful
opportunity to do this dissertation.
 My sincere thanks to Mr.Appunadesan correspondent and
Ms.P.Maheswari Amma General Secretary Sree Rama Krishna College of
Naturopathy and Yogic Sciences for providing the opportunity to
complete this work.
 I solemnly acknowledge that I owe my indebtness to Dr.Anusha BNYS
Principal, Sree Rama Krishna College of Naturopathy and Yogic
Sciences providing the facility needed to carry out this dissertation.
 My heart-felt thanks to Dr.Subhashini Who is also my guide with
inspiring ideas and valuable suggestions to bring out the present work to a
concrete shape.
 Thanks to all my lecturers, Non Lecturing staffs for their timely help and
support.
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CERTIFICATE

This is to certify that Ms. AKHILA MARY a student of

Bachelor of Naturopathy and Yogic Sciences has prepared this
dissertation titled “THE STUDY OF EFFECTIVENESS OF
NATUROPATHY AND YOGA IN MANAGEMENT OF
DIABETES MELLITUS” in fulfilment of the requirements for
BNYS under my guidance
The candidate has put in hard work in bringing out this
dissertation after intensive case studies and philosophy of yoga which
contributed his clarity of thoughts regarding the topic.

Signature of the Lecturers Signature of the Head of the

Department
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CONTENTS
 Introduction
 Definition
 Anatomy and physiology of pancreas
 Classification
o Type 1
o Type 2
o Gestational
 Etiology
 Signs & symptoms
 Clinical Features
 Patho-physiology
 Pathogenesis
 Complications
o Acute
o Chronic
 Naturopathy & Yoga Management
o Effect of water therapy
o Mud Application
o Massage therapy
o Magnetic & Chromo therapy
o Acupuncture & Acupressure
o Diet Therapy
o Role of yoga & Pranayama
 Case History
 Conclusion
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DIABETES MELLITUS

Introduction
Yoga as an ancient Indian traditional physical and meditational posture is
becoming popular throughout the world for calming the mind. Yoga helps in the
development of the physical, mental, emotional, intellectual and spiritual
growth.

Diabetes Mellitus often referred to simply as diabetes (Ancient Greek to

pass through) is a syndrome of metabolic disorder.

Due to a combination of hereditary and environmental causes resulting

abnormally high blood sugar levels (hyperglycemia) Blood glucose levels
controlled by a complex interaction of multiple chemicals and hormones in the
body, including the hormone insulin made in the beta cells of the pancreas.
Diabetes mellitus refers to the group of disease that lead to high blood glucose
levels due to defects in either insulin secretion or insulin action in the body.

Nowadays the cause of diabetic is very common among the public. It is

the leading cause of morbidity and mortality in the world over.

The present study is aimed at finding the efficiency of Yoga in the

management of Diabetes Mellitus.

Definition
Diabetes Mellitus is a chronic disorder affecting carbohydrate, fat, and
protein metabolism. A characteristic feature of Diabetes Mellitus is
hyperglycemia - a reflection of impaired carbohydrate utilization resulting from
defective or deficient insulin secretory response.

Anatomy & Physiology of pancreas

The human pancreas is an amazing organ in with main function-

To produce pancreatic endocrine hormones (Eg. insulin and glucagons)

which help regulate many aspects of our metabolism.
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The pancreas is composed of 2 major types of tissues-

1. Acini

2. The islets of Langerhans

The acini secrete digestive juices in the duodenum and the islets of
langerhans secrete insulin and glucagons directly into the blood.

 Alpha (25 %)
 Beta (60 %)
 Delta Cells (10%)

Secretion from each cell

 Alpha cells secretes ‘glucagons’

 Beta cells secretes ‘insulin’
 Delta cells secretes ‘stomatostain’

These cells are having close inter-relations with the other cell and direct control
of secretion of some of the other hormones.

Eg. Insulin inhibits glucagons secretion

Stomatostatin inhibits both insulin and glucagons secretions.

Insulin
Insulin was first isolated from the pancreas in 1922 by Fredrick Banting
and Charles H. Best. Insulin has been associated with blood sugar and also
related with the carbohydrate metabolism and in abnormalities with fat
metabolism and causes some of the diseases like arteriosclerosis that are the
causes of death in diabetic patient. Also in patients with prolonged diabetes
diminished ability to synthesize proteins leads to wasting of the tissues as well
as many cellular functional disorders.

Insulin chemistry and synthesis

Insulin is a small protein. Human insulin has a molecular weight of 5808.

It is composed of two amino acid chains connected to each other by discilide by
linkages. When the two amino acid chains are split apart the functional activity
of the insulin molecular is lost. Insulin is synthesized in the beta cells by and the
Brockmann body.
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The half -life of insulin is about only 6 min, so it will clear form the circulation
within the 10-15 min.

Except for the portion of insulin that combines with receptor is the target cell,
the remainder is degraded by liver and lesser in kidney muscles.

Classification

1. Primary or idiopathic DM (Type I)

2. Secondary Diabetes mellitus (Type II)

3. Gestational Diabetes mellitus

1) Type 1 Diabetes Mellitus

This form of diabetes mellitus is characterized by loss of insulin. This type of

diabetes is immune mediated or idiopathic, where beta cell are attacked by T-
cell mediated autoimmune attack .Type 1 diabetes can affect children or adults
but was traditional termed ‘Juvenile diabetes’ it commonly affect the children.
Treatment involves the delivery of artificial insulin via Intra-muscular
injection combined with careful monitoring of blood glucose level.

Low level of blood glucose called hypoglycaemia may lead to seizures or

episode of unconsciousness. Must be treated immediately via Emergency high
glucose get placed in the patients mouth via intravenous administration.

2) Type 2 Diabetes Mellitus

Type 2 diabetes mellitus is characterised by insulin resistance or reduced

insulin secretion which in some cases become absolute. The defective
responsiveness of body tissue to insulin almost certainly involves the insulin
receptor in cell membranes.

In the early stage of type 2 there is abnormally reduced insulin sensitivity

characterized by elevated levels of insulin in the blood. Obesity is found in
approximately 55 % of patients diagnosed with type 2 diabetes .It is usually first
treated by increasing physical activity, decreasing carbohydrate intake.
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Gestational Diabetes

Gestational diabetes mellitus (GDM) resembles type2 diabetes in several

respects involving a combination of relatively inadequate insulin secretion and
responsiveness.

It occurs in about 25% of all pregnancy and may improve or disappear

after delivery .About 20% -50% of affected women develops type 2 diabetes
later in life. Risk to baby include- macrosomia (high birth weight) congenital
cardiac and central nervous system anomalies skeletal muscle mal-formation.

Etiology

Type 1A is immune mediated

Type 1B is idiopathic

Gestational diabetes is due to metabolic changes during pregnancy.

Signs and symptoms

The classic symptoms of untreated diabetes are

-Weight loss

- Polyuria (increased urination)

- Polydipsia (increased thirst)

- polyphagia (increased hunger)

Symptoms may develop rapidly (weeks or months) in type1 diabetes. While

they usually develop much more slowly, may be subtle or absent in type2
diabetes.

In addition to the known ones above, include blurry vision, headache, fatigue,
slow heating of cuts, and itchy skin. Prolonged high blood glucose can cause
glucose absorption in the lens of the eye, which leads to changes resulting in
vision changes.

Clinical Feature

Type1DM ( 20 yrs)

-Polyuria
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-Polyphagia

-Polydipsia

-Ketoacidosis

-Plasma insulin is low / absent

-Glucose level are increased

-Infection

-Other forms of stress

-Electrolyte imbalance

-Ketoacidosis

Type 2 DM (+40 yrs)

-Polyuria, Polydipsia,polyphagia

-Frequently they become obese

-Some are unexplained weakness or Weight loss

Diagnosis is made by -

 Routine blood and Urine Test

-Impaired leukocyte function

-Poor blood supply secondary to vascular disease are involved

-Infection in the toe may be lead to complication of Gangrene, bacteremia,

pneumonia.

Pathophysiology

Insulin is stored within vacuoles pending release via exocytosis, which is

primarily triggered by food, chiefly food containing absorbable glucose. The
chief trigger is a rise in blood glucose levels after eating. Insulin is a principal
hormone that regulates uptake of glucose from the blood into most cells
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(primarily muscle and fat cells). Therefore deficiency of insulin or the

insensitivity of its receptors plays a central role in all forms of diabetes mellitus.

Most of the carbohydrates in food are converted within a few hours to the
monosaccharide glucose. It is found in blood and used by the body as fuel. The
most significant exceptions are fructose, most disaccharides (except) sucrose
and in some people lactose) and all more complex polysaccharides with the
outstanding exception of ‘starch’.

 Insulin is released into the blood by beta cells found in the islets of
langerhans in the pancreas in response to rising levels of blood glucose
typically after eating.
 Higher insulin levels increase some anabolic (building up) processes such
as cell growth and protein synthesis and fat storage.

Pathogenesis

 The basic phenomenon in type-I DM is destruction of beta cell mass,

usually leading to absolute insulin deficiency.
 The basic metabolic defect in type2 DM is either a delayed insulin
secretion relative to glucose load or the peripheral tissues are unable to
respond to insulin.
 Insulin resistance
 Increased hepatic glucose synthesis
 Auto immune factors
 Viral infection like mumps measles etc
 Geographical and seasonal variation

Diabetic Ketoacidosis (DKA) is an acute and dangerous complication that is

always a Medical emergency and requires prompt medical attention. Low
insulin levels cause the liver to turn fatty acids to ‘ketone’ for fuel (ie
.Ketosis). Ketone bodies are intermediate substances in that metabolic
sequence. It can become a serious problem if sustained. Elevated levels of
ketone bodies in the blood decrease the blood’s PH, leading to DKA. Patient
is dehydrated, and breathing rapidly. Abdominal pain is common and may be
severe. The level of consciousness is typically normal until late in the
process, with lethargy may progress to coma.
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Ketoacidosis can be severe enough to cause hypotension, shock, and

death. Urine analysis will reveal significant levels of ketone bodies( which
have exceeded their normal threshold blood levels to appear in the urine)
prompt, proper treatments usually results in full recovery, though death can
result from inadequate or delayed treatment or from complications (eg. brain
edema).ketoacidosis is much more common in type1 diabetes than type 2.

Hypoglycemia

Hypoglycemia or abnormally low blood glucose is an acute complication of

severe diabetic treatment. It is rare otherwise, either in diabetic or non
diabetic patients. The patient may become agitated, sweaty, weakened and
have many symptoms of sympathetic activation of the autonomic nervous
system resulting in feelings like to dread and panic.

Consciousness can be altered or even lost in extreme cases, leading to

coma, or even brain damage and death. In patient with diabetes this may be
caused by several factors such as too much or incorrectly timed insulin, too
much or incorrectly timid exercise (exercise decreases insulin requirements)
or not enough food (specifically glucose containing carbohydrates).

Decrements in insulin increments in glucagor and absent the latter

increments in epinephrine are the primery glucose counter regulatory factors
that normally prevent or more or less rapidly correct hypoglycemia in insulin
deficient diabetes (exogenous) insulin levels do not decreases as glucose
levels fail and the combination of deficient glucagon and epinephrine causes
defective glucose counter regulation.

In most cases hypoglycemia is treated with sugary drinks or food. In

severe cases an injection of glucagon (a hormone with effects largely
opposite to those of insulin) or an intravenous infusion of dextrose is used
for treatment, but usually only if the person is unconscious. In hospitals
intravenous dextrose is often used.

Diabetic coma

Diabetic coma is a medical emergency in which a person with diabetes

mellitus is comatose (unconscious) because of one of the acute
complications of diabetes.
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1. Severe diabetic hypoglycemia

2. Diabetic ketoacidosis , advanced enough to result in unconsciousness
from a combination of severe hyperglycemia, dehydration and shock and
exhaustion.

In most Medical contexts, the term diabetic coma refers to the diagnostic
dilemma posed when a physician is confronted with an unconscious patient
about whom nothing is known except that he has diabetes. An example might be
a physician working is an emergency department who receives as unconscious
patient wearing a medical identification tag saying ‘DIABETIC’.

Paramedics may be called to resuscitate an unconscious person by friends who

identify him as diabetic.

An estimated 2 to 15 % of diabetes will suffer from at least one episode

of diabetic coma in their lifetimes as a result of severe hypoglycemia.

Respiratory Infections

The immune response is impaired in individuals with diabetes Mellitus.

Cellular studies have shown that hyperglycemia both reduces the function of
immune cells and increases inflammation. The vascular effects of diabetes also
tend to alter lung function. All of which leads to an increase in susceptibility to
respiratory infections such as pneumonia and influenza among individuals with
diabetes.

Periodontal Disease

Diabetes is associated with periodontal disease (gum disease) and may

make diabetes more difficult to treat. Gum disease is frequently related to
bacterial infection by organisms. A number of trials have found improved blood
sugar levels in type 2 diabetes, in patients who have undergone periodontal
treatment.

CHRONIC COMPLICATION

Mechanism

Chronic elevations of blood glucose level leads to damage of blood vessels

(Angiopathy). The endothelial cells lining the blood vessels take in more
glucose than normal, since they do not depend on insulin. They then form more
surface glycoprotein than normal and cause the basement Membrane to glow
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thicker and weaker in diabetes the resulting problems and grouped under “
Microvascular disease” (due to damage to small blood vessels) and macro
vascular disease (due to damage to the arteries)

However some research challenges the theory of hyperglycemia on the cause of

diabetic complications. The fact that 40% of diabetes who carefully control their
blood sugar nevertheless develop neuropathy control their blood sugar
nevertheless develop neuropathy and that some of those with good blood sugar
control still develop nephropathy requires explanation.

It has been discovered that the serum of diabetes with neuropathy is toxic
to nerves even if its blood sugar content is normal. Recent research suggest s
that in type 1. Diabetes the continuing autoimmune disease which initially
destroyed the beta cells of the pancreas may also cause retinopathy neuropathy
and nephropathy. One researcher has even suggested that retinopathy may be
better treated by drugs to suppress the abnormal immune system of diabetes
than by blood sugar control.

Non diabetic offspring of type 2 diabetic have been found to have

increased arterial stiffness and neuropathy despite normal blood glucose levels
and elevated enzyme levels associated with diabetic renal disease have been
found in non diabetic first degree relatives of diabetics even rapid fightening of
blood glucose levels has been shown to women rathes than improve diabetis
complications, through it has usually been held that complications would
improve over time with more normal blood sugar. Provided this could be
maintained.

However one study continued for 41 months found that the initial
worsening of complications from improved glucose control was not followed by
the expected improvement in the complications in a systematic review with
meta analysis including 6 randomicrd controlled trials involving 27.654 patients
tight blood glucose control reduces the risk for some macrovasculars event
without effect on all cause mortality and cardiovasculars mortality.

The damage to small blood vessels leads to a microangiopathy which can

cause on or more of the following.

Diabetic Neuropathy damages the heart muscle leading to impaired

relaxation and filling of the heart with blood, diastolic dysfunction and
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eventually heart failure this condition can occur independent of damage done to
the blood vessels over time from high levels of blood glucose.

Diabetic Nephropathy damage the kidney which can lead to chronic renal
failure eventually requiring dialysis. Diabetes Mellitus is the most common
cause of adult kidney failure in the developed world.

Diabetic neuropathy abnormal and decreased sensation usually in a glove

and stoking distribution starting with the feet but potentially in other nerves
later often fingers and hands. When combined with damaged blood vessels,this
can lead to diabetic foot.

Other forms of diabetic neuropathy may present as mononeuritis or

autonomic neuropathy, Diabetic amylotrophy is muscle weakness due to
neuropathy.

Diabetic Retinopathy- growth of friable and poor quality new blood

vessels in the retina , macular dema (Swelling of the macula) which can lead to
severe vision loss or blindness. Retinal damage (from microangiopathy) makes
it the most common cause of blindness among non elderly adults in the US.

Diabetic Encephalopathy is the increased cognitive decline and risk of

dementia including (but not limited to) the Alzheimers type observes in
diabetes. Various mechanisms are proposed including alteration to the vascular
supply of the brain and the interaction of insulin with the brain itself.

Macrovascular disease leads to cardiovascular disease to which

accelerated atherosclerosis is a contributor.

Coronary artery disease leading to angina or myocardial infarction (heart

attack)

Diabetic myonecrosis (Muscle Wasting)

Peripheral vascular disease which contributed to intermittent

classdication (Exestion related led and foot pain) as well as diabetic foot.

Diabetic foot often due to combination sensory neuropathy (numbness or

insensitivity) and vascular damage increases rated of skin ulcers (diabetic foot
vessels and infection and in serious cases necrosis and gangrene. This is why
diabetes are prone to leg and foot infection and why it takes longer for them to
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heal from leg and foot wounds. It is the most common cause of non traumatic
adult amputation usually of toes and or feet in the developed world.

However diabetes does cause higher morbidity, mortality and operative risks
with these conditions.

In the developed world, diabetes is the most significant cause of adult

blindness in the non elderly and the leading came of non traumatic amputation
in adults and diabetic nephropathy is the main requiring renal dialysis.

A review of type 1 diabetes came to the result that despite modern

treatment women with diabetes are at increased risk of female infertility such as
reflected by delayed puberty and menarche menstrual irregularities (especially
oligomenorrhoea) mild hyperandrogenism polycystic ovary syndrome. fewer
live born children and possibly earlier menopause animal models indicate that
abnormalities on the molecular leptin, insulin and less peptin signalling.

Restrictive lung defect in known to be associated with diabetes lung

restriction is diabetes could result from chronic low grade tissue inflammation,
microangiopathy, and / or accumulation of advanced glycation and products. In
fact the presence restrictive lung defect in association with diabetes has bun
shows even in presence of obstructive lung diseases like asthma and copd in
diabetic patients.

Lipo-hypertrophy may be caused by insulin therapy repeated insulin injection at

the same site, or near to causes and accumulation of extra subcutaneous fat and
may present as a large lump under the skin. It may be unsightly midly, painful
and may change the timing or completeness of insulin action.

Management

Diabetes cannot be caused completely but very well managed according

to YOGA & NATUROPATHY. It is a usual disorder of digestive system and
may be brought under control within 6 weeks with help of regular yoga practive
and nature cure treatment.

Naturopathy Case of Diabetes

As in the cases of other diseases naturopathy recommends a diet and no

drugs. The main purpose is to help the body to assimilate the sugar into the
system and that can be achieved by a special diet. I would recommend about
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one kilo of curd made from cow’s milk and various types of gourds without salt.
Greener the vegetables the more beneficial It would be. Some fruits like
tomatoes, oranges, Pineapples, Rose Apple, Solarium could be taken with
advantage. The patient can also take one or 2 chapathis made of flour which has
not been passed through sieve. The person suffering from diabetes must take
long walks daily. Remember that the diseases strikes generally those who lead a
sedentary life, and are need to rich diet poor n nutrition.

Cereals, sugar and sugar preparation should be avoided for some time.
The other method of treating the disease is by fasting for a couple of days then
eating some fruit only for a week during which green vegetables may also be
alternated with the fruits. Curd made from cow’s milk or 50gm of germinated
gram may be taken with every meal. After about a fortnight of this regimen the
patient can take bread made of whole flows. During the period of fasting
lukewarm enema should be taken every day.

Diabetes must do physical exercise as that helps to utilize the blood

sugar. Walking, jogging are the best exercises that are recommended. Hip bath
is extremely beneficial in this case of diabetes, particularly, for patients
suffering from constipation to lathery skin most diabetic develop, the best
exercise if vigorous rubbing of the skin with rough towel for fifteen minutes
before bath with cold water. A diabetic must also try yoga and must always try
to remain cheerful and keep his poise.

The approach to the treatment of diabetes may be described under the

following headings

 Life style modification

 Dietary management
 Role of physical exercise
 Role of Yoga
 Yoga Kriya
 Pranayama
 Meditation
 Naturopathy treatment modalities like
 Hydrotherapy
 Mud therapy
 Steam bath
 Massage
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 Magneto-therapy
 Acupuncture
 Acupressure and reflexology

LIFE STYLE MODIFICATIONS

The root cause of diabetes is the improper lifestyle of the individuals. The
stress and tension is the major came for most of the disease.

If the following changes are brought about in the lifestyle of individuals

with diabetes they can bring abou0t long-lasting positive results.

 People with sedentary lifestyle can do regular exercise and be active

throughout the day.
 Stress can be overcome by practising yogasanas, pranayamas, meditation
etc.
 Smoking & consumption of tobacco products like zarda, gutka, ghania
should be avoided.
 Excessive intake of tea, coffee and alcohol should be cut down
drastically.
 Those with obesity, sedentary lifestyle stressful occupation or family
history of diabetes should control their weight, diet activity and attitude
towards life.

DIETARY MANAGEMENT

A well planned and balanced diet is one of the major tools is the
management of diabetes.

OBJECTIVES

 To maintain the blood sugar under sustained control.

 To lower the level of cholesterol & fat in the blood in obese individuals.
 To maintain an ideal weight
 To balance the diet so that all nutrients are available at proper time.
 To enable the patient to live a normal span of life in health and comfort.
 To reduce medical treatment.

FOODS TO BE TAKEN

 Vegetables & fruits

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 Green leafy vegetables like spinach, cucumber bitter gourd, cabbage,

cauliflower, ladies finger.
 Fruits increase the bulk of the meals & satisfy patients hunger without
increasing the total calories.

FOODS TO BE AVOIDED

 Sugar Glucose, Jaggery

 Jam, Jelly
 Honey
 Finned fruits & Fruit Juices
 Sweets & Chocolates.
 Sweet biscuits
 Cream & Cream cheese
 Fried foods
 Ice cream
 Butter ghee
 Wines & bur

REMEDIES FOR DIABETES MELLITUS

Onion: According to several studies both soluble and insoluble fraction of dried
Onion. They demonstrated anti hyperglycemia activity when administered to
diabetic rabbits. Studies in humans have been just as encouraging a single dose
of 50g of onion juice could bring about a significant reduction in post – prandial
glucose levels.

Garlic: In diabetes Mellitus garlic has been shown to excercise significant

hypoglycaemic activity.

Indian gooseberry: The kernels of Indian gooseberry have been used as a

traditional remedy for diabetes in India since ancient times. They are infact an
important ingredient is various herbal formulation that are marketed and used to
treat diabetes. Studies found the hypoglycaemia activity from an extract of
Indian gooseberry pulp to be much more efficient.

In addition to these medicinal plants that have been investigated there are
various plants and herbs that have been used to traditional Indian medicine to
treat diabetes and many of the claims have in fact been supported by modern
scientific evidence bitter gourd, holy basil, fenugreek are just a few of the other
plants founds to be beneficial in the treatment of diabetes.
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While some foods actually work as remedies to minimize and reduce the
symptoms and effect of diabetes, other dietary changes are necessary to manage
the condition. While some foods may be beneficial other foods could react
adversely. You diet plan for diabetes will naturally depend on the type of
diabetes you suffer from.

Until you find out which specific type of diabetes you suffer from it
would be unwise to make any drastic changes to your diet.

 Limit your intake of sugar rich foods.

 Opt for smaller serving sizes and increases the frequency of meals.
 Make sure your meals are evenly spaced through the course of the day.
 Make it point to include whole grains foods in your diet and fresh fruits
and vegetables.
 Be cautious about your carbohydrate intake.
 Reduce your fat intake and cut back on the salt.
 Avoid consuming alcohol as far as possible.

ROLS OF PHYSICAL EXERCISE

In addition to dietary treatment, physical exercise plays an important role

in the management of diabetes exercise is an important part of treatment
programme both for type 1 & type 2 diabetes.

Effects:

Regular physical exercise can increase the efficiency of insulin in

lowering blood sugar and supplying glucose to the body.

In patients with type 1 diabetes where is completing deficiency of insulin,

exercise reduces the requirement of insulin by increasing the sensitivity of body
of insulin.

In type2 diabetes where very little insulin is available in the pancreas.

Exercise can increase the effectiveness of whatever insulin is available to the
body.

Role of Yoga

Certain Asanas are very useful is the treatment of diabetes.

For (Eg)
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 Dhanurasana Paschimottanasana
 Sarvangasana Halasana
 Bhujangasana Ardamatsyendrasana
 Matsyasana Sasangasana
 Pawana Muktasana Chakrasana
 Salabasana Mayurasana

Effects

 All abdominal organs including pancreas are cleaned up.

Enhances the metabolism of food substances

Reduces the blood levels of fat & Sugar

Voluntary control of heart rate, respiratory rate, body temperature,

Regulation of sleep

PRANAYAMAS

Pranayama is the act of control of respiration & an attempt the control of

the flow of prana or vital force is the human body.

Pranayamas such as

 Nadi shodhana pranayama, or alternate nostril breathing, is helpful in

diabetes as alternate nostril breathing has calming effect on nervous
system which reduces stress levels.
 Bhastrika
 Sheetali
 Sheetkari
 Bhramari

Effects

Increased oxygenation of blood vessels

Improve the blood supply to the diaphragm on the abdominal organ

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The pancreatic function is rejuvenated & toxic substances removed from

digestive tract.

For polyphagia & polydypsia practicing pranayama is believed to exert

control over hunger & thirst in individuals who practice it.

Cleansing process

Master cleansing or shankha prakshalana is recommended for diabetes.

Complete shankha prakshalana takes a day and is recommended once in 6
months but smaller version of it can be done 5 times a week. this process
cleanses the gastro intestinal tract completely. This process is done by drinking
2 glasses of warm, salty water and lemon juice is added to it. Then perform 6
different exercises, this exercise helps to evacuate the bowels.

MEDITATION

Main aims are

 Complete relaxation
 Awareness of breathing
 Awareness of body parts
 Awareness of chakras & Psychic control
 Regulation of hormonal function.

Cold Water

Cold water

Relaxes the blood vessels is the abdomen and normalising the blood circulation

Removes the sluggishness of the pancreas & activates its function of digestion
& metabolism.

TYPES OF HYDROTHERAPY TREATMENTS FOR DIABETES

MELLITUS

 Heat compress
 Friction rub
 Alternate hip bath / revulsive hip bath
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 Steam bath

MUD THERAPY

Earth provides in with food our main source of energy

In the same way earth in the form of day packs or poultice or even mud
bath helps in the treatment and prevention of many diseases.

Effects :

In diabetes the basic defects lies in the lack of metabolism if carbohydrate

/ sugar which accumulates in the body.

Mud Therapy

Stimulation of the endocrine organs

Mud pack (should apply 2hrs before & 3-4 hrs after a meal)

Mud bath

MASSAGE

Massage is an excellent form of passive exercise as well as cure for many

ailments

 It boost up the blood circulation digestion & metabolism.

MASSAGE USEFUL FOR TREAMTNET OF DM

Kneading-

Increase blood flow to pancreas & other organs

Enhancing process of digestion & absorption of nutrients

Regular Massage-
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Stimulates the islet cells of pancreas

Increase their metabolic activity.

Clapping -

Produces mechanical stimulation of inlet colts of pancreas

Sensation of insulin & enhance the activity

Vibration

Increase muscular activity

MASSAGE WITH MEDICATED OILS

Treatment of DM. Manage with certain medicated oils gives excellent

results

These are

 Cotton red oil

 Castor oil
 Olive oil
 Sesame oil
 Mustard oil
 Coconut oil

For better results these oils are combined with eucalyptus.

MAGNETOTHERAPY

It is method of treatment by the application of magnets to the body of the

patients without any side effects.

Treatment of diabetes by Magnetotherapy

 N pole of high power cast alloy magnets right palm.

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 S pole left palm

 of this method fails even after 2.3 weeks
 The N pole o the magnet directly placed on the pancreas
 S pole extreme to N pole
 In case of uncontrolled & chronic diabetes electromagnetic are applied
along with the high power magnets at the level of pancreas
 Specially designed belt for patients with recently diagnosed diabetes
 Magnetised water with N & S can be taken simultaneously in the dose of
2-3 ounces 3-4 times daily.

CHROMOTHERAPY

Colour is a form of energy which produces certain physiological changes

in the body

Yellow is the colour of pancreas. It is a mixture of red & green rays.

Red colour stimulations effect

Green colour repair of the disease .

Yellow colour

Stimulation of islets cells of pancreas.

Stimulation of flow of insulin

Improve the digestion of food substances including CHO. Controls the blood
sugar and & prevents the pancreas and delay onset of complications.

COLOUR THERAPY IN THE TREATMENT OF DM

 Direct radiation
 Local application of irradiated oil ghee.
 Drinking irradiated water
 Eating specific coloured food, terms (carrots, oranges Red berries
etc)

ACUPRESSURE

Mainly works on the basis of ‘chi’ or ‘prana’ which is following through

in meridians.

MAJOR POINTS USEFUL FOR DM

 26

 St – 36
 Li – 11
 Point in the upper lip near the entrance to right nostril
 On the soles 1/3rd from the base of the foe next to big toe & 2/3rd above
the heal.
 In the centre of the palm in alignment with the bottom of the ring finger.
 27

CASE HISTORY - 1

Name : Mr. Albin

Age : 47 years

Sex : Male

Religion : Christian

Marital Status : Married

Occupation : Labour

Address : Surandai

CHIEF COMPLAINTS

C/o Giddiness since 2 day

C/o Frequent micturition since 4 weeks

HISTORY OF PRESSNING COMPLAINTS

The patient complaints of giddiness since 2 days and also had frequent
micturition since 4 weeks and also complaints of increased appetite. Now he
feels tired while working.

PAST HISTORY

No relevant past history

MEDICAL HISTORY

Now he is under Naturopathic treatment

FAMILY HISTORY

All his family members are said to be healthy

 28

PERSONAL HISTORY:

Diet : Mixed
Digestion : Increased
Appetite : Good
Bowels : Regular
Micturition : Increased in frequency (7-8 times / days)
Sleep : Disturbed
Allergy : Nil
Addiction : Nil
Habits : Coffee 2 times / day
VITAL DATA

BP : 128/72 mm Hg
PR : 74 beats / min
RR : 15 cycles / min
Temp : Afebrile
GENERAL PHYSICAL EXAMINATION
Height : 156 cm
Weight : 56kg
BMI : 25
Body Built : Average
Pallor : Absent
Oedema : Absent
Cyanosis : Absent
Varicosity : Absent
Clubbing : Absent
Lymphadenopathy : Absent
 29

SYSTEMIC EXAMINATION

CVS : S1 and S2 sounds are heard normally

RS : Normal broncho-vesicular breathing
GIT : NAD
CNS : Conscious and well oriented
DIFFERENTIAL DIAGNOSIS
? Hyperglycemia
? Diabetes Mellitus
INVESTIGATION
Blood test : Hb – 9gm %
Blood Prandial : 240mg/dl
Post prandial : 300 mg/dl
FINAL DIAGNOSIS
Diabetes Mellitus

TREATMENT

YOGIC MANAGEMENT

ASANAS

Surya Namaskara
Tadasana
Yoga Mudrasana
Supta Vajrasana
Patchi Mottanasana
Bhujangasana
Ardha Matyendrasana
Halasana
Sarvangasana
Matsyasana
Gomukasana
Shavasana
Vatayanasana
 30

PRANAYAMA

Nadi Shodana pranayama

Bhramari

Bhastrika

Ujjayi

KRIYAS:

Laghoo shankaprakshalana

Kunjal

Neti

RELAVATION TECHNIQUES

Ajapa Japa

Yoga Mudra

MSRI

PET

PROGNOSIS:

He feels better after yogic management.

 31

CASE HISTORY - 2

Name : Mr. Ravi

Age : 42 years

Sex : Male

Religion : Hindu

Marital Status : Married

Occupation : Cooli

Address : Veeranam

CHIEF COMPLAINTS

C/o Severe tiredness while engaging is work since 2 months

C/o Excessive thirst since 2 months

HISTORY OF PRESSNING COMPLAINTS

The patient complaints of feeling tired while engaging is any work or

while walking a short distance. He has giddiness and profuse sweating while
getting on train. He also has the complaint of excessive thirst and excessive
urination.

PAST HISTORY

No relevance past history

MEDICAL HISTORY

Now he is under Naturopathic treatment

FAMILY HISTORY

All his family members are said to be healthy

 32

PERSONAL HISTORY:

Diet : Mixed
Digestion : Good
Appetite : Good
Bowels : Regular
Micturition : Increased in frequency (8-10 times / day)
Sleep : Disturbed / (due to urgency of micturition)
Allergy : Nil
Addiction : Nil
Habits : Tea 2 cups / day
VITAL DATA

BP : 120/80 mm Hg
PR : 70 beats / min
RR : 18 cycles / min
Temp : Afebrile
GENERAL PHYSICAL EXAMINATION
Height : 160 cm
Weight : 54kg
BMI : 25
Body Built : Average
Pallor : Absent
Oedema : Absent
Cyanosis : Absent
Varicosity : Absent
Clubbing : Absent
Lymphadenopathy : Absent
 33

SYSTEMIC EXAMINATION

CVS : S1 and S2 sounds are heard normally

RS : Normal-broncho vesicular breathing
GIT : NAD
CNS : Conscious and well oriented
DIFFERENTIAL DIAGNOSIS
? Hyperglycemia
? Diabetes Mellitus
INVESTIGATION
Blood test-
Hb : 9gm %
Blood sugar : 260 mg/dl
Post prandial : 350 mg/dl
FINAL DIAGNOSIS
Diabetes Mellitus

TREATMENT

YOGIC MANAGEMENT

ASANAS

Surya Namaskara
Tadasana
Yoga Mudrasana
Supta Vajrasana
Paschi Mottanasana
Bhujangasana
Ardha Matyendrasana
Halasana
Sarvangasana
Matsyasana
Gomukasana
Shavasana
 34

PRANAYAMA

Nadi Shodana pranayama

Bhramari

Bhastrika

Ujjayi

KRIYAS:

Laghoo shankaprakshalana

Kunjal

Neti

RELAXATION TECHNIQUES

Ajapa Japa

Yoga Mudra

MSRI

PET

PROGNOSIS:

He feels better after yogic management.

 35

CASE HISTORY - 3

Name : Mr. Ravi

Age : 50 years

Sex : Male

Religion : Christian

Marital Status : Married

Occupation : Engineer

Address : Madurai

CHIEF COMPLAINTS

C/o Heaviness of right leg since morning

C/o Palpitation since morning

HISTORY OF PRESSNING COMPLAINTS

The patient complaints of heaviness in right leg since morning. He is

unable to move the leg. He also suffers from palpitation which persists for about
20 minutes and is relieved spontaneously. The patients also have generalised
weakness.

PAST HISTORY

No relevant past history

MEDICAL HISTORY

Now he is under Naturopathic treatment

FAMILY HISTORY

All his family members are said to be healthy

 36

PERSONAL HISTORY:

Diet : Mixed
Digestion : Good
Appetite : Good
Bowels : Regular
Micturition : Increased in frequency (5-8 times / days)
Sleep : Disturbed
Allergy : Nil
Addiction : Nil
Habits : Tea 2 Cups / day
VITAL DATA

BP : 120/80 mm Hg
PR : 70 beats / min
RR : 17 cycles / min
Temp : Afebrile
GENERAL PHYSICAL EXAMINATION
Height : 154 cm
Weight : 56kg
BMI : 26
Body Built : Average
Pallor : Absent
Oedema : Absent
Cyanosis : Absent
Varicosity : Absent
Clubbing : Absent
Lymphadenopathy : Absent
 37

SYSTEMIC EXAMINATION

CVS : S1 and S2 sounds are heard normally

RS : Normal broncho vesicular breathing
GIT : NAD
CNS : Conscious and well oriented
DIFFERENTIAL DIAGNOSIS
? Malignant Hyperglycemia
? Diabetes Mellitus
INVESTIGATION
Blood test -
Hb – 10gm %
Blood Sugar : 240mg/dl
Post prandial : 300 mg/dl
FINAL DIAGNOSIS
Diabetes Mellitus

TREATMENT

YOGIC MANAGEMENT

ASANAS

Surya Namaskara
Tadasana
Yoga Mudrasana
Shasankasana
Supta Vajrasana
Paschi Mottanasana
Bhujangasana
Ardha Matyendrasana
Sarvangasana
Matsyasana
 38

PRANAYAMA

Nadi Shodana pranayama

Bhramari

Bhastrika

Ujjayi

KRIYAS:

Laghoo shankaprakshalana

Kunjal

Neti

RELAVATION TECHNIQUES

Ajapa Japa

Yoga Mudra

MSRI

PET

PROGNOSIS:

He feels better after yogic management.

 39

CASE HISTORY - 4

Name : Mr. Charles

Age : 42 years

Sex : Male

Religion : Christian

Marital Status : Married

Occupation : Business

Address : Mariathai puram

CHIEF COMPLAINTS

C/o of late wound healing in his injured arm since 2 weeks.

C/o Giddiness while in work since 1 weeks.

HISTORY OF PRESSNING COMPLAINTS

The patient has an injury in his right arm and the wound has not
recovered even after a number of days. So he doubts himself to be afflicted by
diabetes mellitus. He also complaints of giddiness while engaging in work.

PAST HISTORY

No relevant past history

MEDICAL HISTORY

Now he is under Naturopathic treatment

FAMILY HISTORY

All his family members are said to be healthy

 40

PERSONAL HISTORY:

Diet : Mixed
Digestion : Good
Appetite : Good
Bowels : Regular
Micturition : Increased in frequency (8-10 times / days)
Sleep : Disturbed
Allergy : Nil
Addiction : Nil
Habits : Tea 2 times / day
VITAL DATA

BP : 120/80 mm Hg
PR : 72 beats / min
RR : 16 cycles / min
Temp : Afebrile
GENERAL PHYSICAL EXAMINATION
Height : 160 cm
Weight : 54kg
BMI : 25
Body Built : Average
Pallor : Absent
Oedema : Absent
Cyanosis : Absent
Varicosity : Absent
Clubbing : Absent
Lymphadenopathy : Absent
 41

SYSTEMIC EXAMINATION

CVS : S1 and S2 sounds are heard normally

RS : Normal broncho-vesicular breathing
GIT : NAD
CNS : Conscious and well oriented
DIFFERENTIAL DIAGNOSIS
? Hyperglycemia
? Diabetes Mellitus
INVESTIGATION
Blood test -
Hb : 9 gm%
Blood Sugar : 260mg/dl
Post prandial : 300 mg/dl
FINAL DIAGNOSIS
Diabetes Mellitus

TREATMENT

YOGIC MANAGEMENT

ASANAS

Surya Namaskara
Tadasana
Yoga Mudrasana
Shasankasana
Supta vajrasana
Paschimottansana
Bhujangasana
Ardha matsyendrasana
Halasana
Matsyasana
Gomukasana
Shavasana
Vatayanasana
 42

PRANAYAMA
Nadi Shodana pranayama

Bhramari

Bhastrika

Ujjayi

KRIYAS :

Laghoo shankaprakshalana

Kunjal

Neti

RELAVATION TECHNIQUES

Ajapa Japa

Yoga Mudra

MSRT

PET

PROGNOSIS:

He feels better after yogic management.

 43

CASE HISTORY - 5

Name : Mr. Stanley Joe

Age : 45 years

Sex : Male

Religion : Christian

Marital Status : Married

Occupation : Software Engineer

Address : Kasuvantha

CHIEF COMPLAINTS

C/o Increased blood sugar level since 1 week

C/o tiredness since 7 days

C/o Increased Micturition since 2 weeks

C/o Increased appetite since 7 days

HISTORY OF PRESSNING COMPLAINTS

The patient complaints of increased blood sugar level since 1 week. He

has the feeling of increased appetite and also the frequency of micturition since
2 weeks has also increased which is more uncomfortable during his working
period. He is also suffering from total body tiredness since 7 days and usually
feels exhausted.

PAST HISTORY

No relevant past history

MEDICAL HISTORY

Now he is under Naturopathic treatment

FAMILY HISTORY

All her family members are said to be healthy

 44

PERSONAL HISTORY:

Diet : Mixed
Digestion : Good
Appetite : Good
Bowels : Regular
Micturition : Increased in frequency (5-8 times)
Sleep : Disturbed
Allergy : Nil
Addiction : Nil
Habits : Tea 2 times / day
VITAL DATA

BP : 120/80 mm Hg
PR : 70 beats / min
RR : 16 cycles / min
Temp : Afebrile
GENERAL PHYSICAL EXAMINATION
Height : 156 cm
Weight : 58kg
BMI : 28
Body Built : Average
Pallor : Absent
Oedema : Absent
Cyanosis : Absent
Varicosity : Absent
Clubbing : Absent
Lymphadenopathy : Absent
 45

CVS : S1 and S2 sounds are heard normally

RS : Normal broncho vesicular breathing
GIT : NAD
CNS : Conscious and well oriented
DIFFERENTIAL DIAGNOSIS
? Hyperglycemia
? Diabetes Mellitus
INVESTIGATION
Blood test-
Hb : 9gm %
Blood Sugar : 280mg/dl
Post prandial : 300 mg/dl
FINAL DIAGNOSIS
Diabetes Mellitus

TREATMENT

YOGIC MANAGEMENT

ASANAS

Surya Namaskara
Tadasana
Yoga Mudrasana
Shasankasana
Supta Vajrasana
Paschi Mottanasana
Bhujangasana
Nalasana
Saravangasana
Matyasana
Gomukasana
Shavasana
Vatayanasana
 46

PRANAYAMA
Nadi Shodana pranayama

Bhramari

Bhastrika

Ujjayi

KRIYAS :

Laghoo shankaprakshalana

Kunjal

Neti

RELAXATION TECHNIQUES

Ajapa Japa

Yoga Mudra

MSRT

PET

PROGNOSIS:

He feels better after yogic management.

 47

CASE HISTORY - 6

Name : Mr. Harish

Age : 25 years

Sex : Male

Religion : Hindu

Marital Status : Unmarried

Occupation : Engineer

Address : Madurai

CHIEF COMPLAINTS

C/o Weight loss since 1 weeks

C/o Giddiness since 1 day

HISTORY OF PRESSNING COMPLAINTS

The patient complaints of weight loss and frequent micturition since 2

weeks .He also complains of increased appetite. Now he feels giddiness and
weakness since 1day.

PAST HISTORY

No relevant past history

MEDICAL HISTORY

Now he is under Naturopathic treatment

FAMILY HISTORY

All his family members are said to be healthy

PERSONAL HISTORY:

Diet : Mixed
Digestion : Good
 48

Appetite : Good
Bowels : Regular
Micturition : Increased in frequency (5-8 times / day)
Sleep : Disturbed
Allergy : Nil
Addiction : Nil
Habits : Nil
VITAL DATA

BP : 120/80 mm Hg
PR : 70 beats / min
RR : 15 cycles / min
Temp : Afebrile
GENERAL PHYSICAL EXAMINATION
Height : 160 cm
Weight : 54kg
BMI : 25
Body Built : Average
Pallor : Absent
Oedema : Absent
Cyanosis : Absent
Varicosity : Absent
Clubbing : Absent
Lymphadenopathy : Absent
SYSTEMIC EXAMINATION

CVS : S1 and S2 sounds are heard normally

RS : Normal broncho vesicular breathing
GIT : NAD
CNS : Conscious and well oriented
 49

DIFFERENTIAL DIAGNOSIS
? Hyperglycemia
? Diabetes Mellitus
INVESTIGATION
Blood test-
Hb : 9gm %
Blood Sugar : 260mg/dl
Post prandial : 300 mg/dl
FINAL DIAGNOSIS
Diabetes Mellitus

TREATMENT

YOGIC MANAGEMENT

ASANAS

Surya Namaskara
Tadasana
Yoga Mudrasana
Shasankasana
Supta Vajrasana
Paschi Mottanasana
Bhujangasana
Halasana
Sarvangasana
Matsyasana
Gomukasana
Shavasana
Vatayanasana
PRANAYAMA
Nadi Shodana pranayama

Bhramari

Bhastrika
 50

KRIYAS:

Laghoo shankaprakshalana

Kunjal

Neti

RELAXATION TECHNIQUES

Ajapa Japa

Yoga Mudra

MSRT

PET

PROGNOSIS:

He feels better after yogic management.

 51

CASE HISTORY - 7

Name : Mr. Milton

Age : 45 years

Sex : Male

Religion : Christian

Marital Status : Married

Occupation : Business

Address : Veeranam

CHIEF COMPLAINTS

C/o Tiredness and giddiness while engaging in works since 1 week

HISTORY OF PRESSNING COMPLAINTS

The patient complaints of feeling of tired while engaging in any heavy

work and also complaints of late healing of wound.

PAST HISTORY

No relevant past history

MEDICAL HISTORY

Now he is under Naturopathic treatment

FAMILY HISTORY

All his family members are said to be healthy

 52

PERSONAL HISTORY:

Diet : Mixed
Digestion : Good
Appetite : Good
Bowels : Regular
Micturition : Increased in frequency
Sleep : Disturbed
Allergy : Nil
Addiction : Nil
Habits : Tea 2 times / day
VITAL DATA

BP : 120/80 mm Hg
PR : 70 beats / min
RR : 16 cycles / min
Temp : Afebrile
GENERAL PHYSICAL EXAMINATION
Height : 156 cm
Weight : 58kg
BMI : 28
Body Built : Average
Pallor : Absent
Oedema : Absent
Cyanosis : Absent
Varicosity : Absent
Clubbing : Absent
Lymphadenopathy : Absent
 53

SYSTEMIC EXAMINATION

CVS : S1 and S2 sounds are heard normally

RS : Normal broncho vesicular breathing
GIT : NAD
CNS : Conscious and well oriented
DIFFERENTIAL DIAGNOSIS
? Hyperglycemia
? Diabetes Mellitus
INVESTIGATION
Blood test-
Hb : 9gm %
Blood Sugar : 290mg/dl
Post prandial : 300 mg/dl
FINAL DIAGNOSIS
Diabetes Mellitus

TREATMENT

YOGIC MANAGEMENT

ASANAS

Surya Namaskara
Tadasana
Yoga Mudrasana
Shasankasana
Supta Vajrasana
Paschi Mottanasana
Bhujangasana
Halasana
Saravangasana
Matsyasana
Gomukasana
Shavasana
Vatayanasana
 54

PRANAYAMA
Nadi Shodana pranayama

Bhramari

Bhastrika

Ujjayia

KRIYAS:

Laghoo shankaprakshalana

Kunjal

Neti

RELAXATION TECHNIQUES

Ajapa Japa

Yoga Mudra

MSRT

PET

PROGNOSIS:

He feels better after yogic management.

 55

CASE HISTORY - 8

Name : Mr. Rajan

Age : 25 years

Sex : Male

Religion : Christian

Marital Status : Married

Occupation : Software Engineer

Address : Chennai

CHIEF COMPLAINTS

C/o Excess thirst frequently urination since 1 month

C/o Palpitation since morning

HISTORY OF PRESSNING COMPLAINTS

The patient complaints of feeling thirsty, frequent urination since, 1

month. He also suffered from palpitation which persist about 30min then it gets
relieved spontaneously. The patient also has generalised weakness.

PAST HISTORY

No relevant past history

MEDICAL HISTORY

Now he is under Naturopathic treatment

FAMILY HISTORY

All his family members are said to be healthy

 56

PERSONAL HISTORY:

Diet : Mixed
Digestion : Good
Appetite : Good
Bowels : Regular
Micturition : Increased in frequency (8-10 times /day)
Sleep : Disturbed
Allergy : Nil
Addiction : Nil
Habits : Tea 2 times / day
VITAL DATA

BP : 120/80 mm Hg
PR : 70 beats / min
RR : 15 cycles / min
Temp : Afebrile
GENERAL PHYSICAL EXAMINATION
Height : 178 cm
Weight : 65kg
BMI : 29
Body Built : Average
Pallor : Absent
Oedema : Absent
Cyanosis : Absent
Varicosity : Absent
Clubbing : Absent
Lymphadenopathy : Absent
 57

SYSTEMIC EXAMINATION

CVS : S1 and S2 sounds are heard normally

RS : Normal broncho vesicular breathing
GIT : NAD
CNS : Conscious and well oriented
DIFFERENTIAL DIAGNOSIS
? Hyperglycemia
? Diabetes Mellitus
INVESTIGATION
Blood test-
Hb : 11gm %
Blood Sugar : 290mg/dl
Post prandial : 320 mg/dl
FINAL DIAGNOSIS
Diabetes Mellitus

TREATMENT

YOGIC MANAGEMENT

ASANAS

Surya Namaskara
Tadasana
Yoga Mudrasana
Shasankasana
Paschi Mottanasana
Bhujangasana
Halasana
Saravangasana
Matsyasana
 58

PRANAYAMA
Nadi Shodana pranayama
Bhramari
Bhastrika
Ujjayi
KRIYAS:

Laghoo shankaprakshalana

Kunjal

Neti

RELAXATION TECHNIQUES

Ajapa Japa

Yoga Mudra

MSRT

PET

PROGNOSIS:

He feels better after yogic management.

 59

CASE HISTORY - 9

Name : Mr. Ananth

Age : 42 years

Sex : Male

Religion : Christian

Marital Status : Married

Occupation : Teacher

Address : Madurai

CHIEF COMPLAINTS

C/o Excessive appetite & Thirst since 15 days

HISTORY OF PRESSNING COMPLAINTS

The patient complains of excessive appetite and thirst since 15 days. He

also suffered from palpitation which presented about 10 month ago. It gets
relieved spontaneously .The patient also has generalized weakness.

PAST HISTORY

No relevant past history

MEDICAL HISTORY

Now he is under Naturopathic treatment

FAMILY HISTORY

All her family members are said to be healthy

 60

PERSONAL HISTORY:

Diet : Mixed
Digestion : Increased
Appetite : Good
Bowels : Regular
Micturition : Increased in frequency (7-8 times /day)
Sleep : Disturbed
Allergy : Nil
Addiction : Nil
Habits : Coffee 2 times / day
VITAL DATA

BP : 128/82 mm Hg
PR : 74 beats / min
RR : 15 cycles / min
Temp : Afebrile
GENERAL PHYSICAL EXAMINATION
Height : 156 cm
Weight : 56kg
BMI : 25
Body Built : Average
Pallor : Absent
Oedema : Absent
Cyanosis : Absent
Varicosity : Absent
Clubbing : Absent
Lymphadenopathy : Absent
 61

SYSTEMIC EXAMINATION

CVS : S1 and S2 sounds are heard normally

RS : Normal broncho vesicular breathing
GIT : NAD
CNS : Conscious and well oriented
DIFFERENTIAL DIAGNOSIS
? Hyperglycemia
? Diabetes Mellitus
INVESTIGATION
Blood test -
Hb : 9gm %
Blood Sugar : 260mg/dl
Post prandial : 300 mg/dl
FINAL DIAGNOSIS
Diabetes Mellitus

TREATMENT

YOGIC MANAGEMENT

ASANAS

Surya Namaskara
Tadasana
Yoga Mudrasana
Supta Vajrasana
Paschi Mottanasana
Bhujangasana
Ardha Marsyendrasana
Halasana
Matiyasana
Gomukasana
Shavasana
Vatayanasana
 62

PRANAYAMA
Nadi Shodana pranayama

Bhramari

Bhastrika

Ujjayi

KRIYAS :

Laghoo shankaprakshalana

Kunjal

Neti

RELAXATION TECHNIQUES

Ajapa Japa

Yoga Mudra

MSRT

PET

PROGNOSIS:

He feels better after yogic management.

 63

CASE HISTORY - 10

Name : Mr. Venkat

Age : 22 years

Sex : Male

Religion : Hindu

Marital Status : Unmarried

Occupation : Engineer

Address : Tenkasi

CHIEF COMPLAINTS

C/o Increased blood sugar level since 1week

C/o Increased Micturition

C/o Increased appetite since 7 days

HISTORY OF PRESSNING COMPLAINTS

The patient complaints about increased blood sugar level since week. He
has the feeling of increased appetite and also the frequent Micturition since 2
weeks which is more uncomfortable during this working period.

PAST HISTORY

No relevant past history

MEDICAL HISTORY

Now he is under Naturopathic treatment

FAMILY HISTORY

All his family members are said to be healthy

 64

PERSONAL HISTORY:

Diet : Mixed
Digestion : Good
Appetite : Good
Bowels : Regular
Micturition : Increased in frequency (5-8 times)
Sleep : Disturbed
Allergy : Nil
Addiction : Nil
Habits : Tea 2 times / day
VITAL DATA

BP : 120/80 mm Hg
PR : 70 beats / min
RR : 16 cycles / min
Temp : Afebrile
GENERAL PHYSICAL EXAMINATION
Height : 156 cm
Weight : 58kg
BMI : 28
Body Built : Average
Pallor : Absent
Oedema : Absent
Cyanosis : Absent
Varicosity : Absent
Clubbing : Absent
Lymphadenopathy : Absent
 65

CVS : S1 and S2 sounds are heard normally

RS : Normal broncho vesicular breathing
GIT : NAD
CNS : Conscious and well oriented
DIFFERENTIAL DIAGNOSIS
? Hyperglycemia
? Diabetes Mellitus
INVESTIGATION
Blood test -
Hb : 9gm %
Blood Sugar : 280mg/dl
Post prandial : 300 mg/dl
FINAL DIAGNOSIS
Diabetes Mellitus

TREATMENT

YOGIC MANAGEMENT

ASANAS

Surya Namaskara
Tadasana
Yoga Mudrasana
Shasankasana
Supta Vajrasana
Paschi Mottanasana
Bhujangasana
Halasana
Matsyasana
Gomukasana
Shavasana
Vatayanasana
 66

PRANAYAMA
Nadi Shodana pranayama

Bhramari

Bhastrika

Ujjayi

KRIYAS:

Laghoo shankaprakshalana

Kunjal

Neti

RELAXATION TECHNIQUES

Ajapa Japa

Yoga Mudra

MSRT

PET

PROGNOSIS:

He feels better after yogic management.

 67

CONCLUSION

In Diabetes mellitus various naturopathy treatment modalities will help

reduce or normalise the blood sugar with supportive treatment of yoga and
natural diet. Effects of treatments are already explained. It should be followed
under an naturopathy physician with daily progression of blood sugar level.

Massage and simple physical exercise improve the muscle utilisation of

glucose and reduce the glucose level in blood. Abdomen massage and Yoga
(especially abdomen strengthening) stimulate the pancreas secretion. Abdomen
pails should improve circulation Diet - follow the low carbohydrates diet as it
helps to reduce the glucose level in blood.

Treatment should be taken minimum duration of 7-10 days or more

depending upon patient’s condition.

So Naturopathy is an effective medicine compared to other system of

medicine.
 68

BIBLIOGRAPHY

DIABETES CONTROL
- DR.RAJU

TEXT BOOK OF PATHOLOGY

- ROBINSON

TEXT BOOK OF PHYSIOLOGY

- GUNTON

MEDICAL PHYSIOLOGY
- WILLIAM F.GANONG

WIKIPEDIA .COM