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Integrated Approach of Yoga Therapy (IAYT)

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

In partial fulfilment for the requirement of


MSc (Yoga)

SWAMI VIVEKANANDA YOGA ANUSANDHANA SAMSTHANA

(University Recognized by UGC, Govt. of India through HRD)

Eknath Bhavan, No.19, Gavipuram Circle, K.G.Nagar,

Bangalore- 560019, INDIA


ACKNOWLEDGMENT

I would like to acknowledge the following people who played an


instrumental role in the completion of this project.

I foremost express deepest gratitude to the almighty, to the blessings of


my Shri Ram and salutations to my parents.

I am grateful to Dr. H.R Nagendra and Dr. Nagarathna for sharing their
dreams with other people.

My humble thanks to Dr. Promila Didi, all the Arogydhama Doctors,Dr.


Jagdish Naik sir and the section in-charge therapists.

My deepest gratitude to all the instructors and staff at Prashanti Kutiram


for all the hard work to ensure we move ahead on the path of Yoga.

Finally, thanks to my wife, daughter & friends for support throughout my


work and being the source of inspiration and enthusiasm.

2
TABLE OF CONTENTS

Sr. No. Contents Page No.

Part I : YOGA & HEALTH

1 INTRODUCTION 4

2 INTEGRATED APPROACH OF YOGA THERAPY (IAYT) 8

PART 2 – SPECIFIC THERAPIES

3 SECTION A : Asha - Neurology & Oncology 10

4 SECTION B : Komala - Cardiology & Pulmonology 22

5 SECTION C : Mamtha – Anxiety & Depression 35

6 SECTION D : Karuna – Arthritis 49

7 SECTION E : Back Pain & Neck Pain 62

8 SECTION F : Diabetes Mellitus 76

9 SECTION G : Gastro-intestinal Disorders 89

10 SECTION H : Obesity & PPH 101

11 SUMMARY & CONCLUSION 112

12 ABBREVIATIONS 113

13 BIBLIOGRAPHY 114

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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.

1.1 Definitions of Yoga

1.1.1 Sage Patanjali defines yoga as:

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.

1.1.2 In the Bhagavad Gita, a few definitions of yoga are found:

योगस्थ: कुरुकर्माणिसङ्गंत्यक्त्वमधनञ्जय|

णसद्ध्यणसद्ध्यो: सर्ोभू त्वमसर्त्वं योगउच्यते || 2-48||

Be steadfast in the performance of your duty, O Arjun, abandoning attachment to success and
failure. Such equanimity is called Yog. (2.48)

बु द्धियुक्तोजहमतीहउभे सुकृतदु ष्कृते |

तस्ममद्योगमययुज्यस्वयोग: कर्ासुकौशलर्् ||2-50||

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)

तं णिद्यमद् दु :खसं योगणियोगं योगसद्धञितर्् |

सणनश्चयेनयोक्तव्योयोगोऽणनणिा ण्णचे तसम || 6-23||

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)

1.2 Concept of Health and Yoga


1.2.1 W.H.O.
The World Health Organization (WHO) in 1948 defined health as a state of complete
physical, mental and social well-being and not merely the absence of disease or infirmity.
There are two things to be noticed in this definition. Firstly, it does not sanction mere disease

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.

1.2.2 Yogic Concept


These three factors of physical, mental and social health would seem comprehensive.
However, social health can be extended further into a higher possibility — from a sense of
belonging to a particular community, one may expand his awareness to include the whole of
existence without any favouritism. This then becomes the dimension of spiritual wellbeing,
the culmination of which is self-realization. A spiritual aspirant who is enquiring into his true
nature begins to cast off his assumed identities, and thereby begins to experience a state of
union (yōga) with existence where equal love manifests for all that is.

1.3 Concept of Kosas

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.

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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.

1.4 Concept of Disease in Yoga


In Anandamaya Kosa a man is healthiest with perfect harmony and balance of all his
faculties. At Vijnanamaya Kosa there are movements, but they are channelized in the right
direction. As such, it is in the Manomaya level, the imbalances start, say the yoga texts. Likes
and dislikes have come to play at this level.They start governing our actions; often they are in
the wrong direction. The liking of Gulab Jamoon in a diabetic may lure him to eat the same
against doctor's advice. Thus, going against right knowledge causes imbalances. These
imbalances amplify themselves resulting in illnesses called Adhis. At this stage there are no
symptoms at the physical level. Prompted by the perpetual growth of desires, these mental
diseases concealed in us, begin to manifest themselves externally and gradually they percolate
into the physical frame. Preponderance of Ajnana (ignorance about one's real state of bliss)
leads one to perform wrong actions such as eating of unwholesome food, living in unhealthy
dwellings, doing things at untimely hours, association with the wicked, evil thoughts, etc.
These breed physical diseases called Adhija Vyadhis or secondary diseases.

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.

2. INTEGRATED APPROACH OF YOGA THERAPY (IAYT)

Yoga is fundamentally different from conventional medical practice in its approach to


healthcare Instead of trying to reduce the cause of dis- ease to a single factor and to correct it
using a specific cure, yoga aims to treat illness by improving health on all levels
simultaneously and by restoring inner harmony. Ill health occurs when the total balance of
perfect health is disturbed. And although the original disrupting influence may only affect one
level at first, the disturbance soon spreads All the five sheaths of existence interact, thus
something that primarily affects the mind, say, can soon spread to the body and prank
sheaths. A bad day at work may make you irritable, for example, but it also increases stress
reactions, it may make you tense your muscles, and often depletes your energy level, leading
to chronic fatigue. For this reason, yoga contains elements that address problems at every
level —asanas that relax and tone your muscles and massage your internal organs,
pranayama that slows breathing and regulates the flow of prana, relaxation and meditation
that act to calm your mind, and emotion culturing to heal your spirit For just as negative
influences spread disruption, positive action has repercussions as well The differ- ent types of
yoga practice augment each other and are more effective when done together. When you do

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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.

Reference and Source:

1. Yoga for Common Ailments – Dr H R Nagendra & Dr R Nagarathna


2. Yoga Philosophy and Health – MST 104 – Notes and Study Material
3. Yoga for Diabetes – Dr H R Nagendra & Dr R Nagarathna

9
PART II – SPECIFIC THERAPIES

3. Section A: Asha - Neurology & Oncology


3.1 Section Introduction

3.1.1 Name: ASHA


3.1.2 Doctor in Charge
- Yoga: Dr Umashankar
- Ayurveda: Dr Harish Babu H
- Naturopathy: Dr Kshama

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.

3.2 Introduction – Ailment


3.2.1 Oncology
Definition: Cancer is a condition where cells in a specific part of the body grow and
reproduce uncontrollably. The cancerous cells can invade and destroy surrounding healthy
tissue, including organs.

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.

Symptoms that need to be checked by a doctor include:

● a lump that suddenly appears on your body

● unexplained bleeding

● changes to your bowel habits

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.

Two other commonly used treatment methods are:


● chemotherapy – powerful cancer-killing medication

● radiotherapy – the controlled use of high-energy X-rays

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

3.4.2 Chief Complaint


Uterine sarcoma with secondary metastasis.
3.4.3 History
Un Differential uterine sarcoma since 1 year with liver metastasis. Spinal cord
compression at T11 level since 2 months. Abdominal fullness and distention since 1
month. Patient also had attach of excessive sweating and recently diagnosed as Diabetes
mellitus type II and hypertension.

3.4.4 Past History


(1) Childhood disease – Nil
(2) Allergies – Nil
(3) Accident and injuries – Nil
(4) Hospitalization –
- Surgery to remove the uterus, fallopian tubes and ovaries.
- Chemotherapy 16 round
(5) Medication
- Tab Silybon 14mg
- Tab Uracol 300mg
- Vitamin D3

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

3.4.6 Personal History


(1) Addictions if any: Nil
(2) Nutrition Pattern
a. Vegetarian/Non-Vegetarian - Vegetarian
b. Typical daily food intake: Satvic (Dal, rice, vegetables) – 2 times meal and 1 time
snacks or fruits per day
c. Typical daily fluid intake: 1.5 litres/day
d. Weight loss/gain?: Gradual weight loss due to chemotherapy. Around 5 kgs
e. Appetite: Irregular and reduced due to constipation
(3) Elimination Pattern
(a) Bowel: Irregular / Constipation – once in 2 – 3 days and sometimes constipation
(b) Bladder: Normal – 5 to 6 times a day
(c) Sweat: some time attach of sweating
(4) Menstrual History –Nil
(5) Activity – Exercise pattern – 3times a week
(a) Duration / type of exercise: Normal Walking 30 min
(b) Spare time activity: watching TV

3.4.7 Sleep Rest Pattern: Sleeps 5-6 hours with interruption.


3.4.8 Stress History
Family Internal issues.

3.4.9 Physical Examination


1. Vital Signs
a. Pulse (beats/min) 76 bps
b. Respiratory Rate (cycle/min) 18 cpm
c. Blood Pressure (mmHg) 130/90 mmHg

13
2. Anthropometric measurement
a. Height (cm) 153 cm
b. Weight (kg) 50 kg
c. BMI 24 (Normal)

3.4.10 Final Diagnosis


Uterine Sarcoma with secondary metastasis.
3.4.11 Treatment / Management
o Yogic management:
o Annamaya Kosha
▪ Special techniques as per section A which includes loosening exercises
and Sukshma Vyayama
▪ Kriyas – Jalneti
o Pranayama Kosha
▪ All relaxation pranayama which includes sectional breathing, cooling
pranayamas and brahmari and nadhi shuddhi and nadanusandhana &
PET
o Manomaya Kosha
▪ CM, MSRT, Om meditation, Devotional music / Bhajans
o Vijnamaya Kosha
▪ Lecture and counselling
o Anandamaya kosha
▪ Happy assembly, time in nature and karma yoga philosophy

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

Pulse (beats / min) 76 88 -15.8%

Respiratory Rate (cycle 18 24 -33.3%


/min)

Systolic blood pressure 130 102 21.5%


(mmHg)

Diastolic blood 90 70 22%


pressure (mmHg)

Breath holding time 12 18 -50%


(sec)

Weight (kg) 50 50 0%

Body Mass Index 24 24 0%

Symptom Score 6 5 16%

Parameters
140

120

100

80

60

40

20

0
Pulse RR Rate Sys BP Dias BP Bhramari Weight (kg) BMI SS

Before Yoga After Yoga

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 Definition: A neurological condition occurs when there is damage to the nervous


system. This is often caused by an injury or an illness. This kind of damage can affect the
spinal cord, nerves, brain, muscles and neuro-muscular junction. A neurological condition
can affect anyone of any age and any ethnicity; it can also affect people at any time in
their lives. Some conditions can be incurable, can last a lifetime and can also be life-
threatening in some circumstances.

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

o Signs and symptoms

Physical symptoms of neurological problems may include the following:


▪ Partial or complete paralysis
▪ Muscle weakness
▪ Partial or complete loss of sensation
▪ Seizures
▪ Difficulty reading and writing

16
▪ Poor cognitive abilities
▪ Unexplained pain
▪ Decreased alertness

o General line of Treatment


▪ Key Treatments options include
▪ Brain Mapping
▪ Cyberknife
▪ Deep Brain Stimulation
▪ Gamma Knife

Source: Extracted from NHS, Psycguides.com, Medline plus, UCSF Health Web pages

3.3 FREQUENCY of Disease


Disease Frequency
Atrophy 1
Parkinson 2
Speech loss 1
Epilepsy 1
RTA 3
Carcinoma 1

Frequency
3.5

2.5

1.5 Frequency

0.5

0
Atrophy Parkinson Speech loss Epilepsy RTA Carcinoma

3.5 Section A – Case 2


3.5.1 Biographic Data

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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

3.5.2 Chief Complaint


– Seizure since 16 year and Migraine since 15 year
– Paralysis 6 month back.
– Brain tumour (Grade III)
3.5.3 History
– Left side paralysis cannot able to hold objects and cannot able to walk properly.
– Burning sensation in left toes and finger and also pain in the left side of the body.

3.5.4 Past History


(1) Childhood disease – Ectopic pregnancy 2010
(2) Allergies – no major allergies
(3) Accident and injuries – None
(4) Hospitalization – None
(5) Medication –
- Epilim 500 mg
- Nuhenz tab
- Wysolone 10 mg
- Tryptomer 10 mg

3.5.5 Family History of illness


(1) Paternal – None
(2)Maternal–None
(3) Sibling - None

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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.

3.5.7 Stress History: Family Stress

3.5.8 Physical Examination


1. Vital Signs
a. Pulse: 76 beats /min
b. Respiratory: Rate 18 cycle/min
c. Blood Pressure: 102/68 mmHg

2. Anthropometric measurement
a. Height: 158 cm
b. Weight: 65.7 kg
c. BMI: 26.2kg/m2(Overweight)

3.5.9 Final Diagnosis


Oligodendroglima
3.5.10 Treatment / Management
19
Yogic management
o Annamaya Kosha
- Special techniques as per section A especially breathing exercises for relaxation.
o Pranayama Kosha
- Vaibhagiya Pranayama, Nadhishuddhi & Brahmari
o Manomaya Kosha
- Nadanusandhana, MSRT, Om meditation, Devotional music / Bhajans
o Vijnamaya Kosha – Lecture and counselling
o Anandamaya kosha – Happy assembly, time in nature
o Diet: Holistic diet
o Allopathy: None
o Ayurveda: None
3.5.11 Parameters
VARIABLES BEFORE YOGA AFTER YOGA % CHANGE

Pulse (beats / min) 76 64 13%

Respiratory Rate (cycle 18 18 0%


/min)

Systolic blood pressure 101 110 -8.9%


(mmHg)

Diastolic blood pressure 68 60 11.8%


(mmHg)

Breath holding time (sec) 7 14 -100%

Weight (kg) 65.7 65 1.1%

Body Mass Index 26.2 26 0.8%

Symptom Score 4 2 50%

20
Parameter
120

100

80

60

40

20

0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS

Before Yoga After Yoga

3.5.12 Conclusion and Participant Feedback


o Participant feedback
The participant is overall feeling bit better but his symptom score also improves.
o Positive suggestions by participant to improve IAYT
The participant found the breathing and relaxation practices like MSRT helpful

21
4. SECTION B: Komala - Cardiology & Pulmonology

4.1 Section Introduction


4.1.1 Name: KOMALA
4.1.2 Doctor in Charge
- Yoga: Dr Priyanka
- Ayurveda: Dr Manisha
- Naturopathy: Dr Soumya
4.1.3 Therapist
- Mr Bikash
- Ms Sasmita
4.1.4 Consultant
- Dr R. Nagarathna

4.1.5 Ailments Treated


This section deals with the cases of disorders like:
o Pulmonology: Bronchial Asthama, Nasal Allery, Chronic Bronchitis

o Cardiology: High BP, Low BP, Heart Disease (CAD)


The department in charge is Dr Priyanka, and senior therapist is Mr Bikash and Ms
Sasmita. 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.

4.2 INTRODUCTION TO THE AILMENT:


4.2.1Cardiology

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

Source: Extracted from Mayo Clinic website

o Signs and symptoms

Main symptoms include:


● Cardiac Murmur
● Chest Pain
● Palpitation
● Fainting Spells

o General line of Treatment

Key Treatments options include

Trans catheter Procedures

● Device closure of PDA


● Device closure of ASD
● Balloon Atrial Septostomy
● Balloon Valvuloplasty

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

Source: Extracted from Wikipedia, Mayo Clinic, KK Hospital webpages

4.3 FREQUENCY of Disease

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

4.4.2 Chief Complaint


– Hypertension, Dyslipidaemia, VIT D, B12 deficiency.

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

4.4.5 Family History of illness


(1) Paternal – DM, HTN
(2)Maternal–Hypertension
(3) Sibling - None

4.4.6 Personal History

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.

4.4.8 Physical Examination


1. Vital Signs
a. Pulse: 82 beats/min
b. Respiratory Rate: 14 cycle/min
c. Blood Pressure: 136/80 mmHg
2. Anthropometric measurement
a. Height: 170 cm
b. Weight: 72 kg
c. BMI: 24.9 (Normal)

4.4.9 Final Diagnosis


Hypertension Tension, Dyslipidemia and VIT-D, B12 Deficiency.

4.4.10 Treatment / Management


Yogic management:

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

VARIABLES AFTER YOGA % CHANGE


BEFORE YOGA

Pulse (beats / min) 72 72 0%

Respiratory Rate (cycle 21 18 14.3%


/min)

Systolic blood pressure 136 130 4.4%


(mmHg)

Diastolic blood 80 80 0%
pressure (mmHg)

27
Breath holding time 8 16 -100%
(sec)

Weight (kg) 72.5 72.6 -0.1%

Body Mass Index 25.5 25.1 1.5%

Symptom Score 6 2 66.7%

Parameter
140

120

100

80

60

40

20

0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS

Before Yoga After Yoga

4.4.12 Conclusion and Participant Feedback


o Participant feedback
The participant is relaxed and much better after naturopathy and Yoga therapy. All the
parameter symptom is reduced. The participant is very motivated and is keen to put all
that he has learnt when he gets back home.
o Positive suggestions by participant to improve IAYT
The participant found 1) the special techniques of section B very helpful and is
planning to continue using them when he goes back home. 2) The participant finds the
diet recommendations also very helpful.

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.

o Causes, signs and symptoms


Typical causes are:
- hereditary diseases affecting the lungs (cysticfibrosis[15], alpha 1-antitrypsin
deficiency)
- exposure to toxins (tobacco smoke, asbestos, exhaust fumes, coal mining fumes)
- exposure to infectious agents (certain types of birds, malt processing)
- an autoimmune diathesis that might predispose to certain conditions (pulmonary
fibrosis, pulmonary hypertension)

o Signs and Symptoms

Typical signs and symptoms are:

- Signs of cyanosis or clubbing, chest wall, and respiratory rate.

- Palpation of the cervical lymph nodes, trachea and chest wall movement.

- Percussion of the lung fields for dullness or hyper-resonance.

- Auscultation (with a stethoscope) of the lung fields for diminished or unusual breath
sounds.

- Rales or rhonchi heard over lung fields with a stethoscope.

o General line of treatment

Treatment options include:

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.

Source: Extracted from Wikipedia

4.5.1 Biographic Data


Name: Mr EHN
Address: Bengaluru, Karnataka
Age: 69 years
Sex: Male
Marital Status: Married
Educational Qualification: BA
Occupation: Retired Govt Official
Date of Admission: 29/11/2019
Date of Discharge: 12/12/2019

4.5.2 Chief Complaint


The participant would like to improve breathing capacity. He finds breathing difficulty
during night and early morning due to Asthma.
– Gradually developed dry cough due to exposure to dust.
– Breathing difficulty on lying position during night and early morning since 4 to 5
month
– Asthma since 4 to 5 years
– Dust allergy
– Hypertension, COPD (Chronic obstructive pulmonary disease)

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

4.5.5 Family History of illness


(1) Paternal - NA
(2) Maternal – No major ailments
(3) Sibling - NA

4.5.6 Personal History


(1) Addictions if any: Tea daily
(2) Nutrition Pattern
a. Vegetarian/Non Vegetarian: Non-Vegetarian
b. Typical daily food intake: 2 meals and snack in the evening per day.
c. Typical daily fluid intake: 1.5 litres per day
d. Weight loss / gain? Amount? Increase over the last 5 years by 7 kgs
e. Appetite: Good
(3) Elimination Pattern
(a) Bowel: Clear – once a day and sometimes twice a day
(b) Bladder: 3-4 times in the day and 2-3 times at night
(c) Sweat: Does not sweat easily.
(4) Menstrual History – NA
(5) Activity – Exercise pattern
(a) Duration / type of exercise: walking for 30 min
(b) Spare time activity – TV

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.

4.5.8 Physical Examination


1. Vital Signs
a. Pulse (beats/min) 71 beats/min
b. Respiratory Rate (cycle/min) 18 cycle / min
c. Blood Pressure (mmHg) 140/90 mmHg
2. Anthropometric measurement
a. Height (cm) 167 cm
b. Weight (kg) 78 kg
c. BMI 28 (Over weight)

4.5.9 FINAL DIAGNOSIS


COPD (Chronic obstructive pulmonary disease), Hypertension, Pre diabetic

4.5.10 TREATMENT / MANAGEMENT


Yogic management:
- Annamaya Kosha
- Special techniques as per section B which includes loosening exercises and asanas
- Kriyas – Jalneti, LSP, Kapalbhati, Vamanadhouti
- 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:
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

Pulse (beats / min) 76 70 7.9%

Respiratory Rate (cycle 18 18 0.0%


/min)

Systolic blood pressure 140 140 0.0%


(mmHg)

Diastolic blood 90 90 0.0%


pressure (mmHg)

Breath holding time 8 13 -62.5%


(sec)

Weight (kg) 78 78 0.0%

Body Mass Index 27.3 27.3 0.0%

Symptom Score 08 6 25%

33
Parameter
160

140

120

100

80

60

40

20

0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS

Before Yoga After Yoga

4.5.12 Conclusion and Participant Feedback


o Participant feedback
The participant is relaxed and much better on discharge after Naturopathy and yoga
therapy. All the parameter symptoms are reduced especially weight loss of 5 kgs. All the
vital parameters were within normal range.
o Positive suggestions by participant to improve IAYT
The participant found 1) the weight reducing holistic diet very effective. In addition, 2)
the dynamic yoga practices and activating pranayama practices also very helpful in
reducing weight and removing exhaustion. 3) Finally MSRT was helpful in reducing
patient’s insomnia.

34
5 SECTION C: Mamtha – Anxiety & Depression
5.1 Section Introduction
5.1.1 Name: MAMATHA

5.1.2 Doctor in Charge:


- Yoga & Naturopathy: Dr Kshma
- Ayurveda: Dr Rajani

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 INTRODUCTION TO THE AILMENT:

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

o Signs and Symptoms:

The two main symptoms of psychosis are:

- 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.

Experiencing the symptoms of psychosis is often referred to as having a psychotic


episode.

o General line of Treatment-Treatment for psychosis involves a combination of


antipsychotic medicines, psychological therapies, and social support.

5.3 Frequency of Disease

Disease Frequency

Neurosis 3

Psychosis 9

36
Frequency
10
9
8
7
6
5
Frequency
4
3
2
1
0
Neurosis Psychosis

5.4 Section C - Case 1

5.4.1 Biographic Data


Name: Mr SA
Address: Bangalore
Age: 38 years
Sex: Male
Marital Status: Married
Educational Qualification: Master
Occupation: Therapist
Date of Admission: 09/12/2019
Date of Discharge: 19/12/2019

5.4.2 Chief Complaint


Depression, Anxiety, Pranic attach and Hypothyroidism

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) Childhood disease – (traumatic child experiences) experienced bullying in school


(2) Allergies – Nil
(3) Accident and injuries – Nil
(4) Hospitalization – Nil
(5) Medication:
- Tab Gstexor 135mgonce a day.
- Tab Cinthroid 50 mg (1-0-0)
- Prapanalol 60 mg

5.4.5 Family History of illness

(1) Paternal - Nil


(2) Maternal – Nil
(3) Sibling – Brother has Epilepsy

5.4.6 Personal 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

(3) Elimination Pattern


(a) Bowel: Clear – once a day and sometimes twice a day
(b) Bladder: 4 - 5 times in the day.
(c) Sweat: Sweat during physical exercise otherwise normal

(4) Menstrual History – NA

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.

5.4.7 Stress History:


Participant has been having anxiety issues since many years with the demise of his father
in 2012 after being in coma for 6 months. He became more venerable.

5.4.8 Physical Examination

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)

5.4.9 FINAL DIAGNOSIS


Moderate Depression Disorder in remission, hypothyroidism.

5.4.10 TREATMENT / MANAGEMENT


Yogic management: Fast practices to release the un-manifested speed of mind and then
Slow / relaxing practices to slow down the manifested speed of mind.
- Annamaya Kosha
- Special techniques as per section C especially Dynamic yoga practices for Psychiatric
Disorders like jogging, jumping, spinal twist, back swing, Dhanurasana swing,
Salabhasana, Navasana , Dynamic Suryanamaskar 6 – 12 rounds
- Kriyas – Jalneti, LSP, Kapalbhati, Vamanadhouti

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

VARIABLES BEFORE YOGA AFTER YOGA % CHANGE

Pulse (beats / min) 70 90 -28.6%

Respiratory Rate (cycle 12 12 0.00%


/min)

Systolic blood pressure 120 124 -3.3%


(mmHg)

40
Diastolic blood 80 86 -7.5%
pressure (mmHg)

Breath holding time 12 16 -33.3%


(sec)

Weight (kg) 72.9 73 0.10%

Body Mass Index 22.8 22.8 0.00%

Symptom Score 02 02 0.00%

Parameter
140

120

100

80

60

40

20

0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS

Before Yoga After Yoga

5.4.12 Conclusion and Participant Feedback


o Participant Feedback
The participant did experience some benefits but does tend to slip back to repetitive
negative depressive thoughts. He has stayed for 10 days but needs to stay longer to make
the positive state a natural state. The participant has learnt the techniques and will use
them to continue to improve.
o Positive Suggestions by participant to improve IAYT
The participant found 1) morning yoga session near Vivekananda statue very energizing
and was the best part of his routine 2) hydrotherapy – was very soothing and would
continue that after he leaves. 3) Finally the dynamic yoga practices of Section C which

41
focus on stimulating and then relaxing was helpful and he is going to continue with quite
a few of them.

5.5 Section C – Case 2


Depression

o Definition:

Depression is a common and serious medical illness that negatively affect how you feel,
the way thinks and how you act.

Fortunately, it is also treatable, Depression causes feeling of sadness and/ or a loss of


interest in activities you once enjoyed. It can lead to variety of emotional and physical
problem and can decrease your ability to function at work and at home.

Source: American psychiatric association web Site

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.

Source: Extracted form www.webmd.com


Signs and symptoms
1) Feeling low and sad most of the time.

2) Loss of interest and difficulty in completing daily activities; an inability to


enjoy activities that were enjoyable before.

3) Tiring quickly and feeling a lack of energy throughout the day.

4) Difficulty in concentration; thinking; or making decisions.

5) Loss of self-confidence and self-esteem.

6) Negative thoughts about self, life, and the future.

7) Loss of appetite, or overeating.

8) Feeling guilty and blaming yourself for past failures; feeling unworthy.

9) Frequent absence from work; being unable to work.

10) Disrupted sleeping patterns where you end up sleeping excessively, or are
unable to get adequate sleep.

11) Lack of interest in sex/sexual activity as compared to previous levels of


interest.

12) Experiencing frequent headaches or body aches like neck pain, or cramps.

13) Thoughts about self-harm, suicide or death.

Source: Extracted from whiteswanfoundation.org


o General line of Treatment

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

Source: Extracted from whiteswanfoundation.org

5.5.1 Biographic Data


Name: Mr CND
Address: Hyderabad
Age: 32 years
Sex: Female
Marital Status: Married
Educational Qualification: BCOM, CA inter
Occupation: Accountant
Date of Admission: 22/11/2019
Date of Discharge: 19/12/2019

5.5.2 Chief Complaint


Depressive Disorder

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.

5.5.4 Past History:


(1) Childhood disease – NA

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

5.5.5 Family History of illness

- Paternal – NIL
- Maternal - NIL
- Sibling - NIL

5.5.6 Personal History

(1) Addictions if any: NA

(2) Nutrition Pattern


a. Vegetarian / Non – vegetarian: Vegetarian
b. Typical daily food intake: 3 meals and snack in the evening per day.
c. Typical daily fluid intake: 2 litres per day
d. Weight: 62.7 kg; has been steady over the last 5 years
e. Appetite: Good

(3) Elimination Pattern


(a) Bowel: Clear – Once a day
(b) Bladder: 4 to 5 times in the day and 1-2 times at night
(c) Sweat: does not do dynamic exercise so sweating is limited
(4) Menstrual History – NA
(5) Activity – Exercise pattern
(a) Duration / type of exercise: Limited exercise

45
(b) Spare time activity – TV
(6) Sleep Rest Pattern: Regular, Feels tired and anxious in the night.

5.5.7 Stress History:


Participant likes order and gets stress and anxious when things are not as per routine. Also
gets stressed when leaving home.

5.5.8 Physical Examination


1. Vital Signs
a. Pulse: 68 beats / min
b. Respiratory Rate: 20 cycle / min
c. Blood Pressure: 100/60 mmHg

2. Anthropometric measurement
a. Height: 165 cm
b. Weight: 62.7 kg
c. BMI: 23 (Normal)

5.5.9 FINAL DIAGNOSIS


Depressive disorder

5.5.10 TREATMENT / MANAGEMENT

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

VARIABLES BEFORE YOGA AFTER YOGA % CHANGE

Pulse (beats / min) 68 90 -32.00%

Respiratory Rate (cycle 20 15 25%


/min)

Systolic blood pressure 100 98 2%


(mmHg)

Diastolic blood 60 64 -6.7%


pressure (mmHg)

Breath holding time 15 15 0.00%


(sec)

Weight (kg) 62.7 63 0.5%

Body Mass Index 23 23 0.00%

Symptom Score 5 5 0.00%

47
Parameter
140

120

100

80

60

40

20

0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS

Before Yoga After Yoga

5.5.12 Conclusion and Participant Feedback


o Participant Feedback
The participant is learning that the excessive speed of his mind is creating the anxiety.
Now he is feeling better around 30-40% after one month in Arogyadhama. Participants
constructive suggestions to improve IAYT
The participant found 1) Relaxing pranayamas are giving him good relief especially the
Chandra anuloma viloma, Brahmari and Sectional breathing. 2) During excessive fear and
anxiety, he finds chanting Om gives him the strength to fight the attack.

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.

6.2 Introduction to the Ailment


Arthritis is an acute or chronic inflammation of joints resulting in pain, structural changes and
loss of joint function. Causes of arthritis include injury, infection, autoimmunity, crystal
deposition, and age related degeneration. Arthritis has a considerable impact on health related
quality of life and is responsible for considerable health care costs and inability to perform the
activities of daily life. The most common types of arthritis are osteoarthritis and rheumatoid
arthritis. 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).

6.2.1. Arthritis Definition


Arthritis is inflammation of one or more of your joints. The main symptoms of arthritis are
joint pain and stiffness, which typically worsen with age.

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.

6.2.3 Signs and Symptoms:

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

● Restricted range of motion

6.2.4 General line of treatment

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.

Source: Extracted from Mayo Clinic website and Medicinenet.com website

6.3 Frequency of Disease

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

6.4.2 Chief Complaint


Tennis Elbow and Diabetes

6.4.3 History
– Pain in both the knees since two years.

– Knee pain increase on climbing and seating and redness on rest.


– Constipation since 6 month
– Nephrolithiasis since 1 year

6.4.4 Past History


(1) Childhood disease – NA
(2) Allergies – NA
(3) Accident and injuries – NA
(4) Hospitalization – NA
(5) Medication –On Ayurveda Medicine

6.4.5 Family History of illness


(1) Paternal – Mother Dm type 2
(2) Maternal - Nil
(3) Sibling - Nil

52
6.4.6 Personal History
(1) Addictions if any: None

(2) Nutrition Pattern


a. Vegetarian / Non-Vegetarian: Normal south Indian food
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? : No change
e. Appetite: Good

(3) Elimination Pattern


(a) Bowel: Irregular constipation on/off
(b) Bladder: Normal
(c) Sweat: Normal

(4) Menstrual History - NA

(5) Activity – Exercise pattern


(a) Duration / type of exercise: Walking half hour
(b) Spare time activity – Watching television and Meeting people

(6) Sleep Rest Pattern: Afternoon half hour & night 6-7 hours

6.4.7 Stress History


None

6.4.8 Physical Examination

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)

6.4.9 FINAL DIAGNOSIS


Early osteoarthritis

6.4.10 TREATMENT / MANAGEMENT

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

VARIABLES BEFORE YOGA AFTER YOGA % CHANGE

Pulse (beats / min) 82 84 -2.4%

54
Respiratory Rate (cycle 20 15 25.00%
/min)

Systolic blood pressure 120 120 0.0%


(mmHg)

Diastolic blood 80 60 25%


pressure (mmHg)

Breath holding time 14 13 7.1%


(sec)

Weight (kg) 75.5 73 3.3%

Body Mass Index 28.4 27.5 3.2%

Symptom Score 8 6 25%

Parameter
140

120

100

80

60

40

20

0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS

Before Yoga After Yoga

6.4.12 Conclusion and Participant Feedback

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.

6.5 Section D – Case 2


Arthritis Definition
Arthritis is inflammation of one or more of your joints. The main symptoms of arthritis
are joint pain and stiffness, which typically worsen with age. The most common types of
arthritis are osteoarthritis and rheumatoid arthritis.

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

6.5.2 Chief Complaint


Arthritis of Knee and Shoulder

6.5.3 History:
– Knee pain developed over the last 1 years.
– Frozen shoulder since séance 1 year
6.5.4 Past History:

(1) Childhood disease – no major illness


(2) Allergies –None
(3) Accident and injuries – None
(4) Hospitalization – For Knee Surgery in sept 19.
(5) Medication - None

6.5.5 Family History of illness

(1) Paternal – Arthritis at age of 60


(2) Maternal – Nil
(3) Sibling - Nil

6.5.6 Personal History


57
(1) Addictions if any: Tea once a day
(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: 4-5 litres daily
d. Weight loss/gain? Amount?: No change
e. Appetite: Very Good

(3) Elimination Pattern


(a) Bowel: Clear – once a day
(b) Bladder: Normal - 4 - 5 times in the day.
(c) Sweat: Sweat now low as cannot do dynamic physical exercise

(4) Menstrual History – NA

(5) Activity – Exercise pattern

(a) Duration / type of exercise: Walking


(b) Spare time activity – Reading Books

(6) Sleep Rest Pattern: Good

6.5.7 Stress History:


Nil

6.5.8 Physical Examination

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)

6.5.9 FINAL DIAGNOSIS


Arthritis of Knee and Shoulder

6.5.10 TREATMENT / MANAGEMENT


Yogic management:
- Annamaya Kosha
- Rheumatology Special techniques as per section D especially loosening, stretching and
strengthening yoga practices for knee and shoulder pain (sukshma vyayama and asanas)
- 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:
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

Pulse (beats / min) 80 80 0.00%

59
Respiratory Rate (cycle 24 20 16.7%
/min)

Systolic blood pressure 120 110 8.3%


(mmHg)

Diastolic blood 80 80 0%
pressure (mmHg)

Breath holding time 21 20 4.8%


(sec)

Weight (kg) 81.6 80.6 1.2%

Body Mass Index 29.6 29.2 1.4%

Symptom Score 4 4 0.0%

Parameter
140

120

100

80

60

40

20

0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS

Before Yoga After Yoga

6.5.12 Conclusion and Participant Feedback


o Participant feedback
The participant's pain in the knee shoulder had reduced by over 20%. He felt much calmer
and relaxed as was evidenced by his reduced pulse rate and higher respiratory rate.
o Participant suggestions for improving IAYT
The participant found 1) the Vata diet suggestions helpful and intends to adopt them in his

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

7.1 Section Introduction


7.1.1 Name of Centre: Swami Yivekanand Yoga Kendra Navi Mumbai
7.1.2 Doctor in Charge:
- Yoga: Dr Jagdish Naik
7.1.3 Therapist:
- Miss Vijaya
7.1.4 Consultant:
-
7.1.5 Ailments treated
The of Back Pain deals with the cases of disorders like – Back pain, neck pain, spinal
disorders, etc. The department in charge is Dr Padmini Tekur, MBBS, PhD and senior
therapist Mr Jalandhar and Mr Tulasi. 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.

7.2 Introduction to the Ailment

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

7.2.3 signs and symptoms:

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:

● A slipped (prolapsed) disc (a disc of cartilage in the spine pressing on a nerve) –


this can cause back pain and numbness, tingling and weakness in other parts of
the body

● 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

These conditions are treated differently to non-specific back pain.

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)

7.2.3 General line of Treatment

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:

Treatments you can try yourself


o Acupuncture
o Physiotherapy
o Anti-inflammatory tables can be given
o Hot and cold packs
o Surgery advised for slipped disc, but movement is restricted after that.
o Rest

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)

7.3 Frequency of Disease


Disease Frequency
Lower Back Pain 5
CLBP 11
Neck Pain 3
Lumbar Pain 2
Sciatica 4

64
Frequency
12

10

6
Frequency
4

0
Lower Back CLBP Neck Pain Lumbar Spon Sciatica
Pain

7.4 Section E – Case 1


7.4.1 Biographic Data
Name: Mr MD
Address: MUMBAI
Age: 34 years
Sex: Male
Marital Status: Unmarried
Educational Qualification: MCOM
Occupation: Accountant
Date of Admission: 15/10/2020
Date of Discharge:

7.4.2 Chief Complaint


– Back ache since 5 years
– Obesity since 10 years

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

7.4.4 Past History:

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

7.4.5 Family History of illness


(1) Paternal – Diabetes Mellitus
(2) Maternal – Diabetes Mellitus
(3) Sibling - Nil

7.4.6 Personal History


(1) Addictions if any: Alcohol 2 to 3 time a month

(2) Nutrition Pattern


a. Vegetarian / Non-Vegetarian: Non Vegetarian
b. Typical daily food intake: 3 meals and snack in the evening daily
c. Typical daily fluid intake: 5 litres daily
d. Weight loss/gain? Amount?: Weight gain by 10 kg over last few years
e. Appetite: Good

(3) Elimination Pattern


(a) Bowel: Not regular – gets constipated every now and then
(b) Bladder: Normal - 4 - 5 times in the day and does not wake up at night
(c) Sweat: Tendency to perspire moderately

(4) Menstrual History – NA

(5) Activity – Exercise pattern


(a) Duration / type of exercise: Likes dynamic exercises but is restricted due to back pain
(b) Spare time activity – Watching movies

(6) Sleep Rest Pattern: Disturbed sleep 5-6 hours a day

66
7.4.7 Stress History:
Occupational stress as is a senior accountant and has to meet a lot of deadlines.

7.4.8 Physical Examination


1. Vital Signs
a. Pulse 84 beats/min
b. Respiratory Rate 14 cycle/min
c. Blood Pressure: 96/72 mmHg

2. Anthropometric measurement
a. Height: 177 cm
b. Weight: 95 kg
c. BMI: 30.3 kg/m2 (Obese)

7.4.9 FINAL DIAGNOSIS


CLBP (Chronic Low Back Pain)

7.4.10 TREATMENT / MANAGEMENT


Yogic management:
- Annamaya Kosha
- Back Pain Special techniques as per section E especially breathing exercises, lumbar
stretches, etc for loosening, stretching and strengthening spinal muscles. (sukshma vyayama
and asanas). Mobilizing the stiff back with help of loosening exercise.
- Pranayama Kosha
- 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

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

VARIABLES AFTER YOGA % CHANGE


BEFORE YOGA

Pulse (beats / min) 70 68 2.9%

Respiratory Rate (cycle 20 16 20%


/min)

Systolic blood pressure 114 120 -5.3%


(mmHg)

Diastolic blood 72 70 2.8%


pressure (mmHg)

Breath holding time 19 23 -21.1%


(sec)

Weight (kg) 95 91 4.2%

Body Mass Index 30.3 28.7 5.3%

Symptom Score 11 7 36.4%

Parameter
140
120
100
80
60
40
20
0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS

Before Yoga After Yoga

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.

- 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.

7.5 Section E: Case 2


Definition:
Back pain is pain felt in the back that usually originate from the muscles, nerves, bones, joints
or other structures in the spine.

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:

● a slipped (prolapsed) disc (a disc of cartilage in the spine pressing on a nerve) –


this can cause back pain and numbness, tingling and weakness in other parts of
the body

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

These conditions are treated differently to non-specific back pain.

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)

General line of Treatment

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.

The main treatments for back pain include:

Treatments you can try yourself


o Stay active
o Back exercises and stretches. Simple back exercises and stretches can often help
reduce back pain. These can be carried out at home as often as you need to.
o Painkillers
o Hot and cold packs
o Relax and stay positive

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.

7.5.1 Biographic Data


Name: Ms RK
Address: NAVI MUMBAI
Age: 36 years
Sex: Female
Marital Status: Married
Educational Qualification: Diploma in Aviation
Occupation: Digital marketing
Date of Admission: 01/10/2020
Date of Discharge: 31/10/2020

7.5.2 Chief Complain


– Pain in spinal region since 4 years

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

7.5.4 Past History:


(1) Childhood disease – no major ailment
(2) Allergies – no major allergies

71
(3) Accident and injuries – NA
(4) Hospitalization – for C-section delivery of baby
(5) Medication - None

7.5.5 Family History of illness


(1) Paternal – Hypertension
(2)Maternal–None
(3) Sibling - None

7.5.6 Personal History


(1) Addictions if any: Tea and coffee

(2) Nutrition Pattern


a. Vegetarian / Non-Vegetarian: Non Vegetarian
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 change in weight
e. Appetite: Good

(3) Elimination Pattern


(a) Bowel: Regular
(b) Bladder: Normal - 4 - 5 times in the day and does not wake up at night
(c) Sweat: moderately high

(4) Menstrual History – Regular 3/21; Dysmenorrhea

(5) Activity – Exercise pattern

(a) Duration / type of exercise: Likes dynamic exercises but is restricted due to back pain
(b) Spare time activity – Social media

(6) Sleep Rest Pattern: Disturbed sleep 5-6 hours a day

7.5.7 Stress History:


72
Anxiety attack on simple reason followed by sweating and shivering

7.5.8 Physical Examination


1. Vital Signs
a. Pulse 78 beats/min
b. Respiratory Rate 19 cycle/min
c. Blood Pressure: 110/72 mmHg

2. Anthropometric measurement
a. Height: 177 cm
b. Weight: 57.3 kg
c. BMI: 30.3 (Obese)

7.5.9 FINAL DIAGNOSIS


CLBP, Mid back pain & Neck Pain

7.5.10 TREATMENT / MANAGEMENT


Yogic management:
- Annamaya Kosha
- Back Special techniques as per section E especially breathing exercises, lumbar stretches,
etc for loosening, stretching and strengthening the back (sukshma vyayama and asanas)
- Pranayama Kosha
- 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

Diet: Food must be satvic or balanced fiber rich diet.


Allopathy: Nil
Ayurveda: Nil
Naturopathy: Acupressure to relieve back pain, Physiotherapy massage to relieve stiffness in
back

73
7.5.11 PARAMETERS
VARIABLES BEFORE YOGA AFTER YOGA % CHANGE

Pulse (beats / min) 88 80 9.1%

Respiratory Rate (cycle


20 17 15%
/min)

Systolic blood pressure


110 110 0%
(mmHg)

Diastolic blood
72 75 -4.2%
pressure (mmHg)

Breath holding time


12 14 -16.7%
(sec)

Weight (kg) 57.3 57 0.5%

Body Mass Index 22 22 0.0%

Symptom Score 15 10 33.3%

Parameter
140

120

100

80

60

40

20

0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS

Before Yoga After Yoga

7.5.12 Conclusion and Participant Feedback

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

8.1 Section Introduction


8.1.1 Name Of Centre: Swami Yivekanand Yoga Kendra Navi Mumbai
8.1.2 Doctor in Charge:
- Yoga: Dr Jagdish Naik
- Ayurveda:
- Naturopathy:
8.1.3 Therapist:
- Miss Vijaya
8.1.4 Consultant
8.1.5 Ailments treated
This section deals with the cases of disorders like Diabetes.
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.

8.1 INTRODUCTION TO THE AILMENT:

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.

Signs and Symptoms:

- feeling very thirsty

- urinating more frequently than usual, particularly at night

- feeling very tired

- weight loss and loss of muscle bulk

- itching around the penis or vagina, or frequent episodes of thrush

- cuts or wounds that heal slowly

- blurred vision

Type 1 diabetes can develop quickly over weeks or even days.

Many people have type 2 diabetes for years without realising because the early symptoms
tend to be general.

General line of treatment

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

8.2 FREQUENCY of Disease

Disease Frequency
Type II 11
Type I 0

Frequency
12
10
8
6
4
2
0
Type II Type I

8.4 Section F – Case 1

8.4.1 Biographic Data


Name: Mr R
Address: Navi Mumbai
Age: 60 years
Sex: Male
Marital Status: Married
Educational Qualification: Diploma in Electrical Engineering
Occupation: Consultant
Date of Admission: 01/10/2020
Date of Discharge: 31/10/202

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

8.4.4 Past History:


(1) Childhood disease – no major ailment
(2) Allergies – no major allergies
(3) Accident and injuries – Disc prolapse 3 – 4 years ago which has healed now
(4) Hospitalization – Nil
(5) Medication - None

8.4.5 Family History of illness


(1) Paternal – Diabetes Mellitus
(2) Maternal – None
(3) Sibling - None

8.4.6 Personal History


(1) Addictions if any: Tea and coffee

(2) Nutrition Pattern


a. Vegetarian / Non-Vegetarian: Non Vegetarian
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 change in weight in last 5 years
e. Appetite: Good

(3) Elimination Pattern


(a) Bowel: Regular.

79
(b) Bladder: Normal - 4 - 5 times in the day and at Night 1 time
(c) Sweat: Tendency to perspire moderately

(4) Menstrual History – NA

(5) Activity – Exercise pattern

(a) Duration / type of exercise: Daily walk for 30 min


(b) Spare time activity – Meeting friends and relatives

(6) Sleep Rest Pattern: Disturbed sleep (3-4 hour of sleep)

8.4.7 Stress History:


The participant is a consultant now and has taken on projects with tight deadlines which
causes him to neglect healthy life style habits like taking the right type of food at the right
time and exercising his body and relaxing to reduce his work stress.

8.4.8 Physical Examination

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)

8.4.9 FINAL DIAGNOSIS


Diabetes Mellitus

8.4.10 TREATMENT / MANAGEMENT


80
Yogic management:
- Annamaya Kosha
Back Special techniques as per section F especially breathing exercises for relaxation,
Sithilikarana Vyama – Dynamic exercises for stimulation, Yogasanas like Parivrtta
Trikonasana and Vakrasana amongst others for stimulating and rejuvanating the pancreas and
abdominal muscles and reducing weight (sukshma vyayama and asanas)
- Pranayama Kosha
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

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

Pulse (beats / min) 80 78 2.5%

Respiratory Rate (cycle 20 18 10%

81
/min)

Systolic blood pressure 130 120 7.7%


(mmHg)

Diastolic blood 70 80 -14.3%


pressure (mmHg)

Breath holding time 11 13 -18.2%


(sec)

Weight (kg) 71 68 4.2%

Body Mass Index 24.3 23.3 4.1%

Symptom Score 5 4 20%

Parameter
140

120

100

80

60

40

20

0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS

Before Yoga After Yoga

8.4.12 Conclusion and Participant Feedback


o Participant Feedback
The participant is overall feeling much better and his symptoms have reduced by 20%. His
fasting blood sugar fell from 170 to 130 and the participant is extremely motivated to
continue his practice.
o Participant suggestions for improving IAYT
The participant finds the 1) the importance of techniques to “slow down the mind” very
helpful as it helps him curb his tendency to overeat and to not exercise.

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.

Signs and Symptoms:

- feeling very thirsty

- urinating more frequently than usual, particularly at night

- feeling very tired

- weight loss and loss of muscle bulk

- itching around the penis or vagina, or frequent episodes of thrush

- cuts or wounds that heal slowly

- blurred vision

Type 1 diabetes can develop quickly over weeks or even days.

83
Many people have type 2 diabetes for years without realising because the early symptoms
tend to be general.

8.5.1 Biographic Data


Name: Mr RK
Address: Navi Mumbai
Age: 64 years
Sex: Male
Marital Status: Married
Educational Qualification: Mechanical Engineering
Occupation: Writer
Date of Admission: 02/10/2020
Date of Discharge: 31/10/2020

8.5.2 Chief Complaint


– Diabetes since 1999
– Hypertension since 1974

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.

8.5.4 Past History:


(1) Childhood disease – no major ailment
(2) Allergies – no major allergies
(3) Accident and injuries – Little finger amputated due to factory accident
(4) Hospitalization – For amputation for finger
(5) Medication -
- Insulin 12-0-18 before food
- Ecosprin 0-0-1
- Forxiga 10 mg – 1-0-0
- Olemasar 10 mg 0-1-1 after food

84
8.5.5 Family History of illness
(1) Paternal – Nil
(2) Maternal – Hypertension / DM II
(3) Sibling – DMII

8.5.6 Personal History


(1) Addictions if any: Ex-smoker 3-4 packets a day

(2) Nutrition Pattern


a. Vegetarian / Non-Vegetarian: Non Vegetarian
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?: Lost weight 84 kg to 75 kg in last year
e. Appetite: Good

(3) Elimination Pattern


(a) Bowel: Regular.
(b) Bladder: Frequency and urgency of urine irregular
(c) Sweat: moderately while exercising

(4) Menstrual History – NA

(5) Activity – Exercise pattern

(a) Duration / type of exercise: Walk for 30 min / Yoga for 30 min
(b) Spare time activity – Reading

(6) Sleep Rest Pattern: 6 to 7 Hour

8.5.7 Stress History:


The participant had high stress in his work place which resulted in poor lifestyle habits and
chain smoking.

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)

3. Investigations and findings

– Fasting Blood sugar 172 (>126 Diabetes)


– PPBS 264 (>200 Diabetes)

8.5.9 FINAL DIAGNOSIS


Diabetes Mellitus

8.5.10 TREATMENT / MANAGEMENT


Yogic management:
- Annamaya Kosha
- Special techniques as per section F especially breathing exercises for relaxation,
Sithilikarana Vyama – Dynamic exercises for stimulation, Yogasanas like Parivrtta
Trikonasana and Vakrasana amongst others for stimulating and rejuvanating the pancreas and
abdominal muscles and reducing weight (sukshma vyayama and asanas)
- Pranayama Kosha
- Vaibhagiya Pranayama, Nadhishuddhi, Sitkari & Brahmari
- Manomaya Kosha – Nadanusandhana, CM, MSRT, Om meditation, Devotional
music/Bhajans
- Vijnamaya Kosha – lecture and counselling

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

Pulse (beats / min) 60 60 0%

Respiratory Rate (cycle 21 18 14.3%


/min)

Systolic blood pressure 120 120 0.0%


(mmHg)

Diastolic blood 90 80 11.1%


pressure (mmHg)

Breath holding time 16 18 -12.5%


(sec)

Weight (kg) 74 70 5.4%

Body Mass Index 26.5 25.1 5.3%

Symptom Score 6 4 33.3%

87
Parameter
140

120

100

80

60

40

20

0
Puls RR SYS BP Dias Bp Bhramari Weight BMI SS

Before Yoga After Yoga

Conclusion and Participant Feedback


o Participant Feedback
The participant is overall feeling much better and his symptoms have reduced by 20%. His
fasting blood sugar fell from 172 to 125 and the participant is extremely motivated to
continue his practice.
o Participant suggestion for improving IAYT
The participant finds the 1) Dinacharya or the routine of the day extremely helpful for
managing his condition. He is going to adopt this when he goes home.

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

9.2 INTRODUCTION TO THE AILMENT:


9.2.1 Gastro-intestinal disorders: Gastrointestinal diseases (abbrev. GI diseases or GI
illnesses) refer to diseases involving the gastrointestinal tract, namely the esophagus,
stomach, small intestine, large intestine and rectum, and the accessory organs of
digestion, the liver, gallbladder, and pancreas.
9.2.2 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)

89
• 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.

9.2.3 Signs and Symptoms:

Symptoms may include bloating, diarrhea, gas, stomach pain, and stomach cramps.

9.2.4 General line of treatment

Treatment includes a combination of medication and lifestyle changes.

Source: Extracted from Wikipedia, Nutricia and WebMD website

9.3 FREQUENCY of Disease


Disease Frequency
Digestive 11
APD 1
Ovarian Cyst 1
PCOD 1
CKD 1

90
Frequency
12

10

0
Digestive APD Ovarian Cyst PCOD CKD

9.4 Section G – Case 1


9.4.1 Biographic Data
Name: MK
Address: Mumbai
Age: 42 years
Sex: Female
Marital Status: Married
Educational Qualification: Diploma in Electrical Engineering
Occupation: Govt Service
Date of Admission: 05/10/2020
Date of Discharge: 31/10/2020

9.4.2 Chief Complaint


– Gastritis & Sinusitis

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

9.4.4 Past History :

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

9.4.5 Family History of illness


(1) Paternal – Asthama
(2) Maternal – DM II, Hypertension, Atherosclerosis, Angioplasty
(3) Sibling - Hyperthyroidism

9.4.6 Personal History


(1) Addictions if any: None

(2) Nutrition Pattern


a. Vegetarian / Non-Vegetarian: Vegetarian
b. Typical daily food intake: 3 meals and snack in the evening daily
c. Typical daily fluid intake: 2-3 litres daily
d. Weight loss/gain? Amount? : No change in weight in last 5 years
e. Appetite: Good

(3) Elimination Pattern


(a) Bowel: Once a day when not constipated
(b) Bladder: Normal – Leucorrhoea sometimes due to dehydration
(c) Sweat: Tendency to perspire moderately

(4) Menstrual History – Regular, 28day cycle, G1P1A0L1

(5) Activity – Exercise pattern

(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.

9.4.8 Physical Examination


1. Vital Signs
a. Pulse 100 beats/min
b. Respiratory Rate 20 cycle/min
c. Blood Pressure: 112/76 mmHg

2. Anthropometric measurement
a. Height: 152 cm
b. Weight: 55 kg
c. BMI: 23.8 (Normal)

4.9 Investigations and findings:


- CVS: normal, RS: NVBS, CNS: oriented and high mental function normal
- Musculoskeletal system – GAL (normal)

9.4.9 FINAL DIAGNOSIS


Gastritis and constipation

9.4.10 TREATMENT / MANAGEMENT

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

Diet: Balance and satvic diet

Allopathy: - Nil

Ayurveda: -Nil
9.4.11 PARAMETERS

VARIABLES AFTER YOGA % CHANGE


BEFORE YOGA

Pulse (beats / min) 100 80 20%

Respiratory Rate (cycle 20 18 10%


/min)

Systolic blood pressure 112 120 -7.1%


(mmHg)

Diastolic blood 76 70 7.9%


pressure (mmHg)

Breath holding time 20 18 10%


(sec)

Weight (kg) 55 55 0%

Body Mass Index 23.8 23.8 0%

Symptom Score 5 3 40%

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

9.4.12 Conclusion and Participant Feedback

o Participant Feedback

The participant is overall feeling much better and her constipation symptoms have reduced
substantially.

o Participant suggestions to improve IAYT

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.

9.5 Section G – Case 2


Gastro-intestinal disorders: Gastrointestinal diseases (abbrev. GI diseases or GI illnesses)
refer to diseases involving the gastrointestinal tract, namely the oesophagus, stomach, small
intestine, large intestine and rectum, and the accessory organs of digestion, the liver,
gallbladder, and pancreas.

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.

9.5.1 Biographic Data


Name: Mrs SP
Address: Rajasthan
Age: 47 years
Sex: Female
Marital Status: Married
Educational Qualification: M.Sc.
Occupation: Teacher Hindi Grade 11 & 12
Date of Admission: 05/10/2020
Date of Discharge:

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

9.5.4 Past History :


(1) Childhood disease – constipation
(2) Allergies – no major allergies
(3) Accident and injuries – None
(4) Hospitalisation – None
(5) Medication – Isabgol 3 tsp / Black Raisens boiled in Milk / Tab Naxtam (SOS)

9.5.5 Family History of illness


(1) Paternal – None
(2) Maternal – Constipation
(3) Sibling - None

9.5.6 Personal History


(1) Addictions if any: Tea 2 times a day

(2) Nutrition Pattern


a. Vegetarian / Non-Vegetarian: Vegetarian
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 change in weight in last 5 years
e. Appetite: Good

(3) Elimination Pattern


(a) Bowel: Constipated
(b) Bladder: Normal but increases when constipated
(c) Sweat: Tendency to perspire moderately

97
(4) Menstrual History - Menarche 14 yrs, Menopause 41, G2P2A0S0L2

(5) Activity – Exercise pattern


(a) Duration / type of exercise: Yoga for 30 min
(b) Spare time activity – Reading, TV and friends

(6) Sleep Rest Pattern: 6-7 hrs of sleep

9.5.7 Stress History:


The participants have work related stress due to long working hours.

9.5.8 Physical Examination


1. Vital Signs
a. Pulse: 68 beats /min
b. Respiratory Rate: 16 cycle/min
c. Blood Pressure: 110/70 mmHg

2. Anthropometric measurement
a. Height: 152 cm
b. Weight: 54 kg
c. BMI: 23.4 (Normal)

9.5.9 FINAL DIAGNOSIS


Constipation

9.5.10 TREATMENT / MANAGEMENT

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

Diet: Naturopathy diet – Juices and boiled diet

Allopathy:Nil

Ayurveda: Nil

Acupressure for constipation

9.5.11 PARAMETERS

VARIABLES BEFORE YOGA AFTER YOGA % CHANGE

Pulse (beats / min) 68 70 3%

Respiratory Rate (cycle 16 16 0%


/min)

Systolic blood pressure 98 100 2%


(mmHg)

Diastolic blood 70 70 0%
pressure (mmHg)

Breath holding time 16 16 0%


(sec)

Weight (kg) 54 53 -2%

Body Mass Index 23.4 22.9 -2%

Symptom Score 5 3 -40%

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

9.5.12 Conclusion and Participant Feedback


- Participant feedback
The participant is overall feeling much better and her constipation symptoms have reduced.

- Participant feedback for improving IAYT


The participant found 1) the kriyas practice very helpful in clearing her ailments 2) the overall
IAYT program and schedule very beneficial and will adopt to the extent possible in her daily
schedule.

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

10.2 Introduction to Ailment


10.2.1 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.

10.2.2 Causes

● Heredity or genetic cause


● Sedentary lifestyle
● Metabolic causes
● Endocrine problems
● Wrong food habits
● Liquor consumption

10.2.3 Signs and Symptoms

● Breathlessness

101
● Snoring
● Excessive sweating
● Fatigue
● Drowsiness throughout the day
● Overeating due to frustration

10.2.4 General line of treatment

Treatment includes a combination of medication and lifestyle changes including weight


reducing diet, exercise, fasting, nature cure. Surgical options are only the last line of
treatment.
Source: Extracted from Wikipedia, Nutricia and WebMD website

10.3 FREQUENCY of Disease


Ailment Frequency
Obesity 20
PPH 12

Frequency
25

20

15

10

0
Obesity PPH

10.4 Section H – Case 1 - Obesity


10.4.1 Biographic Data
Name: Ms LS
Address: Navi Mumbi
Age: 30 years

102
Sex: Female
Marital Status: Married
Educational Qualification: Phd
Occupation: Academician
Date of Admission: 05/10/2020
Date of Discharge: 31/10/2020

10.4.2 Chief Complaint


– Obesity and Depression

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

10.4.4 Past History :


(1) Childhood disease – No major ailment
(2) Allergies – no major allergies
(3) Accident and injuries – None
(4) Hospitalisation – None
(5) Medication –
Tab.Thyronom 150 mg 1-0-0
- Prodep 10 mg 1-0-1

10.4.5 Family History of illness


(1) Paternal – None
(2) Maternal – Migraine and depression
(3) Sibling - None

10.4.6 Personal History


(1) Addictions if any: Tea 3 times a day

(2) Nutrition Pattern


a. Vegetarian / Non-Vegetarian: Non Vegetarian

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

(3) Elimination Pattern


(a) Bowel: Irregular
(b) Bladder: Regular
(c) Sweat: Low

(4) Menstrual History - Menarche 11 yrs

(5) Activity – Exercise pattern


(a) Duration / type of exercise: None
(b) Spare time activity – Sleeping, TV and reading

(6) Sleep Rest Pattern: 5-8 hrs of sleep; sleep hours are irregular

10.4.7 Stress History:


Severe stress due to work load

10.4.8 Physical Examination


1. Vital Signs
a. Pulse 96 beats/min
b. Respiratory Rate 16 cycle/min
c. Blood Pressure: 130/80 mmHg

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

- 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: Naturopathy diet – Juices and boiled diet


Allopathy:Nil
Ayurveda:Snehapana
Naturopathy: Mud Therapy and Hydrotherapy

10.4.11 PARAMETERS

VARIABLES BEFORE YOGA AFTER YOGA % CHANGE

Pulse (beats / min) 96 76 -21%

Respiratory Rate (cycle 16 15 -6%


/min)

Systolic blood pressure 130 118 -9%


(mmHg)

Diastolic blood 80 72 -10%


pressure (mmHg)

Breath holding time 16 18 13%

105
(sec)

Weight (kg) 103 97 -6%

Body Mass Index 40 38 -6%

Symptom Score 5 3 -40%

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

10.4.12Conclusion and Participant Feedback


o Participant Feedback
The participant is overall feeling much better and has reduced 6 kgs.

o Participant suggestions for improving IAYT program


The participant found 1) the kriyas practice very helpful in clearing her ailments 2) the overall
IAYT program and schedule very beneficial and will adopt to the extent possible in her daily
schedule. 3) surya anuloma viloma a useful technique to ensure that her metabolic activity
remains at a normal level which will ensure she does not feel lethargic. She believes this will
help her reduce weight.

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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

● Heredity or genetic cause


● Sedentary lifestyle
● Metabolic causes
● Endocrine problems
● Wrong food habits
● Liquor consumption

Signs and Symptoms

● Breathlessness
● Snoring
● Excessive sweating
● Fatigue
● Drowsiness throughout the day
● Overeating due to frustration

General line of treatment

Treatment includes a combination of medication and lifestyle changes including weight


reducing diet, exercise, fasting, nature cure. Surgical options are only the last line of
treatment.

10.5.1 Biographic Data

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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

10.5.2 Chief Complaint


– Promotion of Positive Health

10.5.3 History:
– No illness. Participant wants to learn yoga to stay healthy

10.5.4 Past History :


(1) Childhood disease – No major ailment
(2) Allergies – no major allergies
(3) Accident and injuries – None
(4) Hospitalisation – Hysterectomy (menopause related) 10 yrs back
(5) Medication – Nil

10.5.5 Family History of illness


(1) Paternal – None
(2) Maternal – DM II
(3) Sibling - None

10.5.6 Personal History

(1) Addictions if any: Tea 2 times a day

(2) Nutrition Pattern


a. Vegetarian / Non-Vegetarian: Vegetarian

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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

(3) Elimination Pattern


(a) Bowel: Once a Day
(b) Bladder: 4 to 5 times a day
(c) Sweat: Normal

(4) Menstrual History - Menopause 12 years’ back

(5) Activity – Exercise pattern

(a) Duration / type of exercise: Walking and gym


(b) Spare time activity – Friends and reading

(6) Sleep Rest Pattern: 7 hrs of sleep; sleep hours are regular

10.5.7 Stress History:


Mild stress at wok

10.5.8 Physical Examination


1. Vital Signs
a. Pulse 88 beats/min
b. Respiratory Rate 18 cycle/min
c. Blood Pressure: 132/82 mmHg

2. Anthropometric measurement
a. Height: 150 cm
b. Weight: 51 kg
c. BMI: 22.7 (Normal)

10.5.9 FINAL DIAGNOSIS


109
Participant is a PPH participant

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.

- 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: Normal
Allopathy:Nil
Ayurveda:Nil

10.5.11 PARAMETERS

VARIABLES BEFORE YOGA AFTER YOGA % CHANGE

Pulse (beats / min) 88 74 -16%

Respiratory Rate (cycle 18 18 0.0%


/min)

Systolic blood pressure 132 116 -14%


(mmHg)

Diastolic blood 82 78 5%
pressure (mmHg)

Breath holding time (s) 17 17 0.0%

110
Weight (kg) 51 51 0.00%

Body Mass Index 22.7 22.7 0.00%

Symptom Score 0 0 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

10.5.12 Conclusion and Participant Feedback


o Participant Feedback
The participant is overall feeling fitter and more knowledgeable about how to manage her
health.

o Participant Feedback to improve IAYT


The participant found 1) IAYT theory very helpful in ensuring she is leading a completely
balanced lifestyle 2) She found the meditation techniques of OM, CM and MSRT helpful and
is planning to incorporate into her daily life.

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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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