“Integrated Approach of Yoga Therapy”

For

Neurology & Oncology, Asthma & Hypertension, Anxiety &

Depression, Arthritis ,Back pain ,Diabetes mellitus, Gastro- intestinal
Disorders and Obesity & PPH

A Report submitted
By
RAJESH KUMAR
In partial fulfillment for the requirement of
MSc(Yoga)
SWAMI VIVEKANANDA YOGA ANUSANDHANA SAMSTHANA
(University Recognized by UGC ,Govt of through HRD)
Eknath Bhavan ,#19 , Gavi Puram Circle, K. G. Nagar,
Banglore-560019,INDIA
 ACKNOWLEDGMENT
• I would like to acknowledge the following people who played an
instrumental role in the competition of this project.
• I foremost express deepest gratitude to the almighty, to the blessing of My
gurus and salutations to my parents.
• I am grateful to Dr. H.R Nagendra and Dr. Nagarathna of Yoga research for
sharing their dreams with other people.
• My humble thanks to Dr.Promila Choudhary and Guru Abodh Shrivastava ji.
• My gratitude to all Participants as they were the true inspiration and
purpose of my work.
DEFINATION OF YOGA
 DEFINATION OF HEALTH

WHO define health

“Health is a state of complete physical ,mental and

social well-being and not merely absence of diseases or
infirmity”
CONCEPT OF KOSHAS

ANANDMAYA

VIJNANAMAYA

MANOMAYA

PRANAMAYA

ANNAMAYA
 Concept of Diseases

Vyadhi
(Ailments)

Adhi Vyadhi
Anadhi Vyadhi
(originates by
(non-stress-related)
conflicts of mind)

Samanya
Sara(essential)conge Injury, infection,
(ordinary)
nital birth defects and toxins
psychosomatic
(remedy: self (remedy: available
ailments (remedy:
realization) medications)
life style change)
Integrated Approach of Yoga Therapy

KARMA YOGA

SATSANG-SPIRITUAL
DISCOURSE

MEDITATION
ANANDAMAYA
BREATHING PRACTICES
VUJNANAMAYA & PRANAYAMA
MANOMAYA
PRANAMAYA
ASANAS AND
ANNAMAYA
KRIYAS
 AROGYADHAMA
MSC(YOGA)

STUDENT: RAJESH KUMAR REG NO: 40121148

COORDINATOR: DR PROMILA CHOUDHARY

 CONTENTS

Section: Specific Therapies

Section A-ASHA Neurology and Oncology
Section B-KOMALA Asthma and Hypertension
Section C-MAMATHA Anxiety and Depression
Section D-KARUNA Arthritis
Section E-BHAVANA Back Pain and neck pain
Section F-DAYA Diabetes Mellitus
Section G-GHAMBIRA Gastro-Intestinal Disorders
Section H-OUDARYA Obesity & PPH
 AROGYADHAMA CASE STUDY
NEUROLOGY AND ONCOLOGY

1. INTRODUCTION TO THE SECTION

Neuro-oncology is the study of cancer and how it affects
the nervous system, and neuro-oncologists care for patients with
primary brain tumors, cancer metastatic to the nervous system,
neurologic complications of cancer therapy and neurologic
paraneoplastic syndromes.
CAUSES
DEFINATION
• Hypertension or high blood pressure is a condition in which the blood
pressure in either arteries or veins is abnormally high.

• Blood pressure is the force exerted by the blood against the walls of the
blood vessels, and it is this force with which the heart pumps blood through
arteries and so allows the blood to reach all parts of the body.

• Normal systolic blood pressure is in between 110-140mm of Hg, and diastolic

70 to 90mm of Hg for the age group 20-50years, although with age and
personality it may differ. So the BP exceeding 140 over 90mmHg for more
than 6 months, it is considered a condition of high blood pressure.
CAUSES
• Hypertension can have primary causes or secondary causes.

• The primary causes are no organic cause is found, but the risk factors
are aging, hereditary, diet, obesity and smoking.

• In Secondary causes are lack of exercises and stress are the major
causes, but also renal or endocrine disease, pregnancy and drugs;
other causes may be excess of alcohol, obesity lack of exercise, stress,
air pollution, perfume, tobacco and food allergens ( chocolate, coffee,
milk, sugar, salt, nuts).
2.3. SIGNS & symptoms

• Hypertension can be either non symptomatic or symptomatic.

• So in no symptomatic cases the patient doesn’t have any symptoms,
but after 30-35 years one should check regularly.
• The symptomatic patients may feel headache, breathlessness,
dizziness, blurred vision, palpitation, disturbed sleep, recurrent
backache, depression, anxiety, chest pain, loss of appetite and
decreased memory and concentration.

• If the hypertension persists can lead to severe problems as kidney

damage, cardiac and cerebral complications.
2.4. MEDICAL MANAGEMENT

• The aim is to decrease the blood pressure using rest, diet, drugs, and
avoidance of stress. Normally the treatment is the combination of
counselling and elimination of possible causes and drugs.

• The drug therapy can include: diuretics, that by promoting elimination of

water in urine, blood volume decreases; betablockers that by reducing the
secretion of lenin makes the heart beat to reduce, and vasodilators.

• Some life style modifications may include: weight loss, through a proper
diet and physical activity, salt restrictions and avoidance of alcohol, coffee
or tea.
CASE STUDY
• 3.1. BIOGRAPHIC DATA:
• Name: S. S.
• Address: Delhi
• Age: 49
• Sex: male
• Marital status: married
• Educational qualification: Graduation
• Occupation: Business
• Date of admission: 05/02/2021
• Date of discharge: 11/02/2021
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
3.4. PAST HISTORY
1. Childhood disease: nil
2. Allergies: no
3. Accidents and injuries: no
4. Hospitalization: no
5. Medication: + Fluxotime capsule ALF morning
+ Petril Beta – 10 ALF Evening

3.5. FAMILY HISTORY OF ILLNESS:

1.Paternal: paralysis on the left side of the body
2. Maternal: stomach CA
3. Sibilings: brother has BP and DM2, sister BP
CASE STUDY 2
• 3.6. PERSONAL HISTORY:
• 1.Addictions: frequently alcohol
• 2.Nutrition pattern:
• a)Non veg
• b)Typical daily food intake: 3 times. Roti, dal, chicken
• c)Typical fluid intake: normal, around 1l
• d)Weight/variations: regular
• e)Appetite: good
• 3.Elimination Pattern:
• a)Bowel: constipated
• b) Bladder: normal
• c) Sweat: normal
CASE STUDY 2
4. Menstrual History: no
• 5. Activity – Exercise: Tv, mobile, family, walking
• 6. Sleep: good, but Sleep apnea sometimes

• 3.7. STRESS HISTORY: Business and family stress

• 3.8. PHYSICAL EXAMINATION:

1) Vital Signs:
• a. Pulse: 72bpm b. Respiratory Rate: 15cpm c. Blood Pressure: 130/90 mmHg
• 2) Anthropometric measurements:
• a. Height: 186cm b. Weight: 84,9kg c. BMI: 25,1 kgm2
CASE STUDY 2
• 3.9. INVESTIGATIONS AND FINDINGS:
• Routine check up done in Jan 2021

• 4. FINAL DIAGNOSIS:
• Hypertension
• Acidity and Constipation

• 5. TREATMENT/MANAGEMENT:
• - Naturopathy and Acupressure
• - Sattvic diet, low salt diet, low cholesterol, avoid non veg and alcohol
• - According to Yoga Therapy, the Pancha Kosha management:
CASE STUDY 2
1. Annamaya kosha:

• Kriyas like neti, vamana dhauti, but kapalabhati, agnisara kriya and nauli.
• Loosening exercises and asanas, like surya namaskar, and other dynamic practices
like jogging exercises (forward-backward and sides with speed)
• Asanas: bhujangasana, dhanurasana,ardha cakrasana, pascimottanasana, ardha kati
cakrasana, trikonasana, vrksasana, vakrasana, mayurasana, ustrasana.

• 2. Pranamaya kosha:
• Surya Anuloma Viloma is proved that when practiced 27 rounds and 4 times a day
thus reduces the body weight, Bhramari, Nadi Suddhi.
CASE STUDY 2
• 3. Manomaya kosha:
• Meditations like Om Meditation, Cyclic Meditation, Japa and Bhajan
sessions, reduces the speed of the mind.

• 4. Vijnanamaya kosha:
• Yogic counseling and lectures, and through happiness analysis.

• 5. Anandamaya kosha:
• Karma Yoga and happy assembly/family.
140

120

100

80

60

40

20

0
Pulse Rate (bpm) Respiartory Rate Systolic BP (mmHg) Diastolic BP (mm Brahmari (sec) Weight (kg) BMI (kgm2) Symptom Score Medication Score
(cpm) hg)

BY AY
CASE STUDY 2
• 7. CONCLUSION:
• There was an improvement of his condition, he maintain the BP, and he
was calmer.

• 7.1. Participant feedback: He enjoyed the routine, to wake up early and

do the Yoga sessions: he also felt lighter and was able to forget his
problems/stresses of outside life.

• 7.2. Practices found benefitial: Yoga sessions, kryias, tunning with nature
and Maitri Milan.
2 SECTION B

•HYPERTENSION
1. INTRODUCTION TO THE SECTION
1.1. Section Name: Section B: Komala – Cardiology & Pulmonology
1.2. Doctor in Charge: Dr Harish, Dr Priyanka, Dr Rupa
1.3. Therapist: Sasmita Yashaswini
1.4. Consultant: Dr R Nagaratna
DEFINATION

• A lung disorder characterised by narrowing of the airways, the

tubes which carry air into the lungs, that are inflamed and
constricted, causing shortness of breath, wheezing and cough.
 
CAUSES
• The causes of asthma are unknown, but it is most probably due to either genetic or
environmental factors. Certain factors are known to trigger asthmatic symptoms
they are:
• Allergens like dust mites, animal dander, pollen, molds, cigarette smoke, chemical
pollutants, and cold air
• Sinusitis
• Extreme emotional responses and physical exercise
• Medications like aspirin, beta-blockers or NSAIDs
• Gastro oesophageal reflux disease
• Other factors like dietary insufficiencies in vitamins C and E, and omega-3 fatty
acids
• Foods with sulphites and preservatives may also trigger symptoms
2.3. SIGNS & symptoms

• Symptoms of asthma vary from person to person. There could be sudden outbursts
of symptoms. Most common symptoms of asthma are:
• Dyspnoea or difficult breathing
• Wheezing
• Chest tightness
• Persistent coughing, more commonly at night. Most commonly cough with mucus or
phlegm
• During Asthma attack, the patient presents below symptoms:
• Very low blood pressure
• Abnormally rapid breathing
• Wheezing sounds may accompany both inspiration and expiration or expiration alone
2.4. MEDICAL MANAGEMENT

• Asthma can be managed with medications. Medications vary depending on

the severity of symptoms. The medications are administered through
inhalers or nebulizers. The medication through tablets helps manage the
condition.
• Medication
• Inhaled short-acting beta-2-agonists: Quick relief inhalators reduces the
symptoms like shortness of breath. Usually prescribed for quick relief of
symptoms.
Albuterol · Terbutaline
• Inhaled steroids: Help in reducing the airway inflammation. Usually given for
severe symptoms.
Fluticasone · Budesonide
CASE STUDY
• 3.1. BIOGRAPHIC DATA:
• Name: S. S.
• Address:
• Age:
• Sex:
• Marital status:
• Educational qualification: Graduation
• Occupation:
• Date of admission:
• Date of discharge:
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
3.4. PAST HISTORY
1. Childhood disease: nil
2. Allergies: no
3. Accidents and injuries: no
4. Hospitalization: no
5. Medication: + Fluxotime capsule ALF morning
+ Petril Beta – 10 ALF Evening

3.5. FAMILY HISTORY OF ILLNESS:

1.Paternal: paralysis on the left side of the body
2. Maternal: stomach CA
3. Sibilings: brother has BP and DM2, sister BP
CASE STUDY 2
• 3.6. PERSONAL HISTORY:
• 1.Addictions: frequently alcohol
• 2.Nutrition pattern:
• a)Non veg
• b)Typical daily food intake: 3 times. Roti, dal, chicken
• c)Typical fluid intake: normal, around 1l
• d)Weight/variations: regular
• e)Appetite: good
• 3.Elimination Pattern:
• a)Bowel: constipated
• b) Bladder: normal
• c) Sweat: normal
CASE STUDY 2
4. Menstrual History: no
• 5. Activity – Exercise: Tv, mobile, family, walking
• 6. Sleep: good, but Sleep apnea sometimes

• 3.7. STRESS HISTORY: Business and family stress

• 3.8. PHYSICAL EXAMINATION:

1) Vital Signs:
• a. Pulse: 72bpm b. Respiratory Rate: 15cpm c. Blood Pressure: 130/90 mmHg
• 2) Anthropometric measurements:
• a. Height: 186cm b. Weight: 84,9kg c. BMI: 25,1 kgm2
CASE STUDY 2
• 3.9. INVESTIGATIONS AND FINDINGS:
• Routine check up done in Jan 2021

• 4. FINAL DIAGNOSIS:
• Hypertension
• Acidity and Constipation

• 5. TREATMENT/MANAGEMENT:
• - Naturopathy and Acupressure
• - Sattvic diet, low salt diet, low cholesterol, avoid non veg and alcohol
• - According to Yoga Therapy, the Pancha Kosha management:
CASE STUDY 2
1. Annamaya kosha:

• Kriyas like neti, vamana dhauti, but kapalabhati, agnisara kriya and nauli.
• Loosening exercises and asanas, like surya namaskar, and other dynamic practices
like jogging exercises (forward-backward and sides with speed)
• Asanas: bhujangasana, dhanurasana,ardha cakrasana, pascimottanasana, ardha kati
cakrasana, trikonasana, vrksasana, vakrasana, mayurasana, ustrasana.

• 2. Pranamaya kosha:
• Surya Anuloma Viloma is proved that when practiced 27 rounds and 4 times a day
thus reduces the body weight, Bhramari, Nadi Suddhi.
CASE STUDY 2
• 3. Manomaya kosha:
• Meditations like Om Meditation, Cyclic Meditation, Japa and Bhajan
sessions, reduces the speed of the mind.

• 4. Vijnanamaya kosha:
• Yogic counseling and lectures, and through happiness analysis.

• 5. Anandamaya kosha:
• Karma Yoga and happy assembly/family.
140

120

100

80

60

40

20

0
Pulse Rate (bpm) Respiartory Rate Systolic BP (mmHg) Diastolic BP (mm Brahmari (sec) Weight (kg) BMI (kgm2) Symptom Score Medication Score
(cpm) hg)

BY AY
CASE STUDY 2
• 7. CONCLUSION:
• There was an improvement of his condition, he maintain the BP, and he
was calmer.

• 7.1. Participant feedback: He enjoyed the routine, to wake up early and

do the Yoga sessions: he also felt lighter and was able to forget his
problems/stresses of outside life.

• 7.2. Practices found benefitial: Yoga sessions, kryias, tunning with nature
and Maitri Milan.
Anxiety and Depression
DEFINATION
• Depression is more than just feeling down or having a bad
day. When a sad mood lasts for a long time and interferes
with normal, everyday functioning, you may be depressed.
CAUSES
• The exact cause of depression is unknown. It may be caused by a combination
of genetic, biological, environmental, and psychological factors. 2 Everyone is
different‚ but the following factors may increase a person’s chances of
becoming depressed:1
• Having blood relatives who have had depression
• Experiencing traumatic or stressful events, such as physical or sexual abuse,
the death of a loved one, or financial problems
• Going through a major life change‚ even if it was planned
• Having a medical problem, such as cancer, stroke, or chronic pain
• Taking certain medications. Talk to your doctor if you have questions about
whether your medications might be making you feel depressed.
• Using alcohol or drugs
2.3. SIGNS & symptoms

• Symptoms of depression include:1

• Feeling sad or anxious often or all the time
• Not wanting to do activities that used to be fun
• Feeling irritable‚ easily frustrated‚ or restless
• Having trouble falling asleep or staying asleep
• Waking up too early or sleeping too much
• Eating more or less than usual or having no appetite
• Experiencing aches, pains, headaches, or stomach problems that do not improve with
treatment
• Having trouble concentrating, remembering details, or making decisions
• Feeling tired‚ even after sleeping well
• Feeling guilty, worthless, or helpless
• Thinking about suicide or hurting yourself
2.4. MEDICAL MANAGEMENT

•  Many people with depression find that taking prescribed

medications called antidepressants can help improve their
mood and coping skills. Talk to your doctor about whether
they are right for you. If your doctor writes you a
prescription for an antidepressant‚ ask exactly how you
should take the medication.
CASE STUDY
• 3.1. BIOGRAPHIC DATA:
• Name:
• Address:
• Age:
• Sex:
• Marital status:
• Educational qualification: Graduation
• Occupation: Business
• Date of admission: 05/02/2021
• Date of discharge: 11/02/2021
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
3.4. PAST HISTORY
1. Childhood disease: nil
2. Allergies: no
3. Accidents and injuries: no
4. Hospitalization: no
5. Medication: + Fluxotime capsule ALF morning
+ Petril Beta – 10 ALF Evening

3.5. FAMILY HISTORY OF ILLNESS:

1.Paternal: paralysis on the left side of the body
2. Maternal: stomach CA
3. Sibilings: brother has BP and DM2, sister BP
CASE STUDY 2
• 3.6. PERSONAL HISTORY:
• 1.Addictions: frequently alcohol
• 2.Nutrition pattern:
• a)Non veg
• b)Typical daily food intake: 3 times. Roti, dal, chicken
• c)Typical fluid intake: normal, around 1l
• d)Weight/variations: regular
• e)Appetite: good
• 3.Elimination Pattern:
• a)Bowel: constipated
• b) Bladder: normal
• c) Sweat: normal
CASE STUDY 2
4. Menstrual History: no
• 5. Activity – Exercise: Tv, mobile, family, walking
• 6. Sleep: good, but Sleep apnea sometimes

• 3.7. STRESS HISTORY: Business and family stress

• 3.8. PHYSICAL EXAMINATION:

1) Vital Signs:
• a. Pulse: 72bpm b. Respiratory Rate: 15cpm c. Blood Pressure: 130/90 mmHg
• 2) Anthropometric measurements:
• a. Height: 186cm b. Weight: 84,9kg c. BMI: 25,1 kgm2
CASE STUDY 2
• 3.9. INVESTIGATIONS AND FINDINGS:
• Routine check up done in Jan 2021

• 4. FINAL DIAGNOSIS:
• Hypertension
• Acidity and Constipation

• 5. TREATMENT/MANAGEMENT:
• - Naturopathy and Acupressure
• - Sattvic diet, low salt diet, low cholesterol, avoid non veg and alcohol
• - According to Yoga Therapy, the Pancha Kosha management:
CASE STUDY 2
1. Annamaya kosha:

• Kriyas like neti, vamana dhauti, but kapalabhati, agnisara kriya and nauli.
• Loosening exercises and asanas, like surya namaskar, and other dynamic practices
like jogging exercises (forward-backward and sides with speed)
• Asanas: bhujangasana, dhanurasana,ardha cakrasana, pascimottanasana, ardha kati
cakrasana, trikonasana, vrksasana, vakrasana, mayurasana, ustrasana.

• 2. Pranamaya kosha:
• Surya Anuloma Viloma is proved that when practiced 27 rounds and 4 times a day
thus reduces the body weight, Bhramari, Nadi Suddhi.
CASE STUDY 2
• 3. Manomaya kosha:
• Meditations like Om Meditation, Cyclic Meditation, Japa and Bhajan
sessions, reduces the speed of the mind.

• 4. Vijnanamaya kosha:
• Yogic counseling and lectures, and through happiness analysis.

• 5. Anandamaya kosha:
• Karma Yoga and happy assembly/family.
140

120

100

80

60

40

20

0
Pulse Rate (bpm) Respiartory Rate Systolic BP (mmHg) Diastolic BP (mm Brahmari (sec) Weight (kg) BMI (kgm2) Symptom Score Medication Score
(cpm) hg)

BY AY
CASE STUDY 2
• 7. CONCLUSION:
• There was an improvement of his condition, he maintain the BP, and he
was calmer.

• 7.1. Participant feedback: He enjoyed the routine, to wake up early and

do the Yoga sessions: he also felt lighter and was able to forget his
problems/stresses of outside life.

• 7.2. Practices found benefitial: Yoga sessions, kryias, tunning with nature
and Maitri Milan.
 1
SECTION –D
OSTEO ARTHRITIS
1. INTRODUCTION TO THE SECTION
1.1 Section Name:
1.2. Doctor in Charge:
1.3. Therapist:
1.4 Consultant:
 2.1. DEFINITION
• Arthra means joints, and itis means inflamation.
• Osteoarthritis is a type of joint disease that results from breakdown of
joint cartilage and underlying bone.

• Osteoarthritis is a condition related to aging of the joints. The condition

starts by wear and tear changes in the cartilage of the joint.
•
• There occurs a continuous cell and fluid turn over in the cartilage to
maintain a healthy balance. But as the age advances, the rate of repair of
the wear and tear is not in proportion to the rate of joint motion.
 DEFINITION
• So the bone becomes exposed after some years.
• The spine and weight bearing joints (hips and knees) are most
vulnerable to OA.
 2.2. CAUSES
• The causes could be primary and secondary.

• In the primary causes the common joints affected are the weight bearing
joints. Hence it commonly affects the knees, hips, lumbar or cervical spine.

• The secondary OA occurs in any joint that might have sustained injury due
to trauma, gout, or inflammation, which goes on to produce wear and tear
changes.

• Obesity is another factor that hastens the rate of joint damage.

2.3. SIGNS & symptoms
• - acute pain, with much swelling
• - active inflammation
• - stiffness or reduced movement of the joint
• - redness and warmth in the joint.

• The symptoms can interfere with work and normal daily life.
 2.4. MEDICAL MANAGEMENT
• - pain killers, and antiflamatory agents,
• but none are curative just relief;

- local heat, wax bath, and medicated oil massage,

- ultra sound vibration therapy are also used for pain relief
CASE STUDY
• 3.1. BIOGRAPHIC DATA:
• Name: M. S.
• Address: SONIPAT
• Age: 74
• Sex: Female
• Marital Status: Married
• Educational qualification: 5TH
• Occupation: House Wife
• Date of admission:
• Date of discharge:
 CASE STUDY
• 3.2. CHIEF COMPLAIN:

• c/o knee pain and stiffness (L) since 2 years, intense since covid lockdown
• c/o back pain since 2 years
• c/o increased body weight since 1year

• c/o stiffness and numbness in a particular area during sleep, since 1month
• c/o constipation since 3-4months
• c/o urinary incontinence since 6 months

• k/c/o vertigo since 30 years

CASE STUDY
3.3. HISTORY OF PRESENT ILLNESS:

Participant is non diabetic and non hypertensive.

Started with bilateral knee pain, specially left knee, and the pain aggravates
on long standing and walking which relieves on medication or oil application,
and it’s associated with back pain, aggravates on getting up after lying on
bed and relieves on lumbar stretch.
Patient also complaints of increased body weight , due to irregular food
habits and lack of physical exercise.
Patient is a very active person and since covid Lockdown, due to less mobility felt
intense pain and stiffness in left knee that irradiate strongly into back pain (sciatic
nerve)
CASE STUDY
3.4. PAST HISTORY
1. Childhood disease: nil
2. Allergies: no
3. Accidents and injuries: no
4. Hospitalization: cataract in both eyes (2000)
5. Medication: Tab Thyronom 75mg, Consivas Asp 75mg,
Eritel 40mg, Asthogue, Supracal

3.5. FAMILY HISTORY OF ILLNESS:

1.Paternal: 2. Maternal: 3. Siblings: Nothing significant
CASE STUDY
3.6. PERSONAL HISTORY:
1.Addictions: Tea (3 times/day)
2.Nutrition pattern:
a)Non veg
b)Typical daily food intake: 3 meals, roti, dal, salad
c)Typical fluid intake: normal, 5/8cup
d)Weight/variations: weight gain for past 1year
e)Appetite: good
3.Elimination Pattern:
a) Bowel: constipation (3/4months)
b) Bladder: day 3/4times; nigth 2/3times (urinary incontinence)
c) Sweat: normal
CASE STUDY
4. Menstrual History: menopause at the age of 52 ys
5. Activity – Exercise: walking, loves travelling, does Yoga weekly in a ladies club, and still does all the works
at home without servant.
6. Sleep: sound

• 3.7. STRESS HISTORY: mild stress

• 3.8. PHYSICAL EXAMINATION:

1) Vital Signs:
• a. Pulse: 72 bpm b. Respiratory Rate: 16cpm c. Blood Pressure: 120/80 mmHg

• 2) Anthropometric measurements:
• a. Height: 155cm b. Weight: 70kg c. BMI: 29.1 kgm2
CASE STUDY
3.9. INVESTIGATIONS AND FINDINGS:

01/02/2021 Tests: Haemoglobin – result 13.2gm/dl

FBS - result 72mg/dl , both considered normal
Arthritis History Record: consecutive days with moderate pain (disturbs
daily routine) in left and ankle, no swelling but stiffness; mild pain and
stiffness in right knee.
Discussion/conversation: on physical examination she complains of knee
pain and stiffness that starts to irradiate into the lower back – sciatica;
Difficulty in getting up and lowering down to catch something from floor, and
going down stairs need support.
CASE STUDY
4. FINAL DIAGNOSIS: Osteo Arthritis Knee
Obesity
Constipation
Urine incontinence

5. TREATMENT/MANAGEMENT:
- Ayurveda: Kati Abhyanga (legs massage towards the knee) and Janu basti and basti in
lower back with Pinda Taila.
- Diet for weight reduction.
- Counseling with Dr Sneha
- Ayurveda for constipation: hinguvachadi choornam, citrakadi, triphala,
virechana.
- Yoga Therapy for section D:
CASE STUDY
• Annamaya kosha:

• Sattvik diet, loosening exercises like rotation of toes, toe bending, ankle and knee rotation, knee cap tightening, full
butterfly, waist and wrist rotation, shoulder rotation, neck bending and rotation.
• Asanas: Ardhakati chakrasana, ardha cakrasana, padahastasana, bhujangasana, salabhasana, sarvangasana,
mastsyasana, vakrasana, ustrasana, dhanurasana;
• kriyas: vaman dauti, LSP, Neti.
• When there is a joint inflammation the surrounding muscles get tensed, so through IRT, QRT, DRT relaxation is
achieved.

• The physical practices provide a systematic training in gradually increasing the range of movements when practiced
with deep internal awareness.
• This not only helps to mobilize the stiff joints but can prevent further aging process.
• Although the damaged cartilage may not get replaced, further deterioration and wearing out can be arrested.
•
CASE STUDY
2. Pranamaya kosha: kapalbhati kriya, sectional breathing, surya
chandra anuloma viloma, nadi suddhi, cooling pranayamas, brahmari

3. Manomaya kosha: Nadanusandhana, Om meditation and others

meditations, devotional songs.

4.Vijnanamaya kosha: just observe the mind, yogic counseling, and

spiritual lectures and books.

5. Anandamaya kosha: karma yoga, action in relaxation, and realizing

that we are made of the universal stuff or Ananda.
•Variable 140

•Variable 120

100

80
• Before Yoga (BY)

60 • After Yoga (AY)

40
• % change
20

0
Pulse Rate Respiartory
• Before
Systolic BP
YogaBrahmari
Diastolic BP
(BY) Weight (kg) BMI (kgm2) Symptom Medication
(bpm) Rate (cpm) (mmHg) (mmhg) (sec) Score Score

• After YogaBY(AY)
AY

• % change
CASE STUDY
• 7. CONCLUSION:
• The pain on knees is almost gone and lower back also. She has more mobility
while getting up and down. She also lost some weight. She feels better and
ready to go on her travelling journeys.

• 7.1. Participant feedback: She enjoyed to be in the campus a lot, initially she
thought only to stay 2weeks but ended staying 1month.

• 7.2. Practices found benefitial: The Yoga sessions were the most enjoyed, she
liked the combination of slow movements with fast, chair and standing, the
Naturopathy treatments and the overall environment of Prashanti.
Back Pain and neck pain
DEFINATION
• Neck and back pain is the experience of unpleasant sensations in one
or more areas of your neck, mid and upper back, or low back. Spine
pain can be brought about by any number of causes and may bring on
symptoms in other areas of your body.
CAUSES
• With the complexity of the neck and spine, there are many causes of
back and neck pain, including the following.
1. Habits and Aging
2. Trauma or Strain
3. Structural Problems
4. Genetic and Congenital Conditions
5. Systemic Problems
2.3. SIGNS & symptoms

• There are many ways to describe back or neck pain, the types of which will depend on the specific cause.
Some common ones include:
• Muscle ache
• Muscle spasm
• Shooting pains
• Pain radiating down your leg
• Pins and needles sensations
• Numbness in your leg
• Neck or back dysfunction (i.e., can't stand straight or twist neck)
• Pain gets worse with activity
• Pain gets better when lying down
• Stiffness of back or neck
• Loss of bowel or bladder control
2.4. MEDICAL MANAGEMENT

• For acute back pain, the general guidelines are to continue your
normal activities as well as you can.4 Over-the-counter pain
relievers should be the first choice, and heat on the back may help
with relief. If it doesn't get better in a few weeks, or if the type of back
pain warrants it, your healthcare provider may advise other forms of
treatment.
• Prescription nonsteroidal anti-inflammatory drugs (NSAIDs) or
a muscle relaxant might be suggested. There are also topical pain
relievers that you can put on the location where you feel the pain.
CASE STUDY
• 3.1. BIOGRAPHIC DATA:
• Name: S. S.
• Address: Delhi
• Age: 49
• Sex: male
• Marital status: married
• Educational qualification: Graduation
• Occupation: Business
• Date of admission: 05/02/2021
• Date of discharge: 11/02/2021
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
3.4. PAST HISTORY
1. Childhood disease: nil
2. Allergies: no
3. Accidents and injuries: no
4. Hospitalization: no
5. Medication: + Fluxotime capsule ALF morning
+ Petril Beta – 10 ALF Evening

3.5. FAMILY HISTORY OF ILLNESS:

1.Paternal: paralysis on the left side of the body
2. Maternal: stomach CA
3. Sibilings: brother has BP and DM2, sister BP
CASE STUDY 2
• 3.6. PERSONAL HISTORY:
• 1.Addictions: frequently alcohol
• 2.Nutrition pattern:
• a)Non veg
• b)Typical daily food intake: 3 times. Roti, dal, chicken
• c)Typical fluid intake: normal, around 1l
• d)Weight/variations: regular
• e)Appetite: good
• 3.Elimination Pattern:
• a)Bowel: constipated
• b) Bladder: normal
• c) Sweat: normal
CASE STUDY 2
4. Menstrual History: no
• 5. Activity – Exercise: Tv, mobile, family, walking
• 6. Sleep: good, but Sleep apnea sometimes

• 3.7. STRESS HISTORY: Business and family stress

• 3.8. PHYSICAL EXAMINATION:

1) Vital Signs:
• a. Pulse: 72bpm b. Respiratory Rate: 15cpm c. Blood Pressure: 130/90 mmHg
• 2) Anthropometric measurements:
• a. Height: 186cm b. Weight: 84,9kg c. BMI: 25,1 kgm2
CASE STUDY 2
• 3.9. INVESTIGATIONS AND FINDINGS:
• Routine check up done in Jan 2021

• 4. FINAL DIAGNOSIS:
• Hypertension
• Acidity and Constipation

• 5. TREATMENT/MANAGEMENT:
• - Naturopathy and Acupressure
• - Sattvic diet, low salt diet, low cholesterol, avoid non veg and alcohol
• - According to Yoga Therapy, the Pancha Kosha management:
CASE STUDY 2
1. Annamaya kosha:

• Kriyas like neti, vamana dhauti, but kapalabhati, agnisara kriya and nauli.
• Loosening exercises and asanas, like surya namaskar, and other dynamic practices
like jogging exercises (forward-backward and sides with speed)
• Asanas: bhujangasana, dhanurasana,ardha cakrasana, pascimottanasana, ardha kati
cakrasana, trikonasana, vrksasana, vakrasana, mayurasana, ustrasana.

• 2. Pranamaya kosha:
• Surya Anuloma Viloma is proved that when practiced 27 rounds and 4 times a day
thus reduces the body weight, Bhramari, Nadi Suddhi.
CASE STUDY 2
• 3. Manomaya kosha:
• Meditations like Om Meditation, Cyclic Meditation, Japa and Bhajan
sessions, reduces the speed of the mind.

• 4. Vijnanamaya kosha:
• Yogic counseling and lectures, and through happiness analysis.

• 5. Anandamaya kosha:
• Karma Yoga and happy assembly/family.
140

120

100

80

60

40

20

0
Pulse Rate (bpm) Respiartory Rate Systolic BP (mmHg) Diastolic BP (mm Brahmari (sec) Weight (kg) BMI (kgm2) Symptom Score Medication Score
(cpm) hg)

BY AY
CASE STUDY 2
• 7. CONCLUSION:
• There was an improvement of his condition, he maintain the BP, and he
was calmer.

• 7.1. Participant feedback: He enjoyed the routine, to wake up early and

do the Yoga sessions: he also felt lighter and was able to forget his
problems/stresses of outside life.

• 7.2. Practices found benefitial: Yoga sessions, kryias, tunning with nature
and Maitri Milan.
Diabetes Mellitus
DEFINATION
• Diabetes mellitus is a group of metabolic diseases in which the
person has high blood glucose (blood sugar) level either due to
inadequate insulin production or because the body's cells do not
respond properly to insulin or both.
CAUSES
• Type 1 is thought to be caused by a combination of genetic
susceptibility and environmental factors, though exactly what
those factors are is still unclear. Weight is not believed to be a
factor in type 1 diabetes.
• In prediabetes — which can lead to type 2 diabetes — and in
type 2 diabetes, your cells become resistant to the action of
insulin, and your pancreas is unable to make enough insulin to
overcome this resistance. Instead of moving into your cells
where it's needed for energy, sugar builds up in your
bloodstream.
2.3. SIGNS & symptoms

• Diabetes symptoms vary depending on how much your blood sugar is elevated. Some people, especially
those with prediabetes or type 2 diabetes, may sometimes not experience symptoms. In type 1 diabetes,
symptoms tend to come on quickly and be more severe.
• Some of the signs and symptoms of type 1 diabetes and type 2 diabetes are:
• Increased thirst
• Frequent urination
• Extreme hunger
• Unexplained weight loss
• Presence of ketones in the urine (ketones are a byproduct of the breakdown of muscle and fat that happens
when there's not enough available insulin)
• Fatigue
• Irritability
• Blurred vision
• Slow-healing sores
• Frequent infections, such as gums or skin infections and vaginal infections
2.4. MEDICAL MANAGEMENT

• The aim is to decrease the blood pressure using rest, diet, drugs, and
avoidance of stress. Normally the treatment is the combination of
counselling and elimination of possible causes and drugs.

• The drug therapy can include: diuretics, that by promoting elimination of

water in urine, blood volume decreases; betablockers that by reducing the
secretion of lenin makes the heart beat to reduce, and vasodilators.

• Some life style modifications may include: weight loss, through a proper
diet and physical activity, salt restrictions and avoidance of alcohol, coffee
or tea.
CASE STUDY
• 3.1. BIOGRAPHIC DATA:
• Name: S. S.
• Address: Delhi
• Age: 49
• Sex: male
• Marital status: married
• Educational qualification: Graduation
• Occupation: Business
• Date of admission: 05/02/2021
• Date of discharge: 11/02/2021
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
3.4. PAST HISTORY
1. Childhood disease: nil
2. Allergies: no
3. Accidents and injuries: no
4. Hospitalization: no
5. Medication: + Fluxotime capsule ALF morning
+ Petril Beta – 10 ALF Evening

3.5. FAMILY HISTORY OF ILLNESS:

1.Paternal: paralysis on the left side of the body
2. Maternal: stomach CA
3. Sibilings: brother has BP and DM2, sister BP
CASE STUDY 2
• 3.6. PERSONAL HISTORY:
• 1.Addictions: frequently alcohol
• 2.Nutrition pattern:
• a)Non veg
• b)Typical daily food intake: 3 times. Roti, dal, chicken
• c)Typical fluid intake: normal, around 1l
• d)Weight/variations: regular
• e)Appetite: good
• 3.Elimination Pattern:
• a)Bowel: constipated
• b) Bladder: normal
• c) Sweat: normal
CASE STUDY 2
4. Menstrual History: no
• 5. Activity – Exercise: Tv, mobile, family, walking
• 6. Sleep: good, but Sleep apnea sometimes

• 3.7. STRESS HISTORY: Business and family stress

• 3.8. PHYSICAL EXAMINATION:

1) Vital Signs:
• a. Pulse: 72bpm b. Respiratory Rate: 15cpm c. Blood Pressure: 130/90 mmHg
• 2) Anthropometric measurements:
• a. Height: 186cm b. Weight: 84,9kg c. BMI: 25,1 kgm2
CASE STUDY 2
• 3.9. INVESTIGATIONS AND FINDINGS:
• Routine check up done in Jan 2021

• 4. FINAL DIAGNOSIS:
• Hypertension
• Acidity and Constipation

• 5. TREATMENT/MANAGEMENT:
• - Naturopathy and Acupressure
• - Sattvic diet, low salt diet, low cholesterol, avoid non veg and alcohol
• - According to Yoga Therapy, the Pancha Kosha management:
CASE STUDY 2
1. Annamaya kosha:

• Kriyas like neti, vamana dhauti, but kapalabhati, agnisara kriya and nauli.
• Loosening exercises and asanas, like surya namaskar, and other dynamic practices
like jogging exercises (forward-backward and sides with speed)
• Asanas: bhujangasana, dhanurasana,ardha cakrasana, pascimottanasana, ardha kati
cakrasana, trikonasana, vrksasana, vakrasana, mayurasana, ustrasana.

• 2. Pranamaya kosha:
• Surya Anuloma Viloma is proved that when practiced 27 rounds and 4 times a day
thus reduces the body weight, Bhramari, Nadi Suddhi.
CASE STUDY 2
• 3. Manomaya kosha:
• Meditations like Om Meditation, Cyclic Meditation, Japa and Bhajan
sessions, reduces the speed of the mind.

• 4. Vijnanamaya kosha:
• Yogic counseling and lectures, and through happiness analysis.

• 5. Anandamaya kosha:
• Karma Yoga and happy assembly/family.
140

120

100

80

60

40

20

0
Pulse Rate (bpm) Respiartory Rate Systolic BP (mmHg) Diastolic BP (mm Brahmari (sec) Weight (kg) BMI (kgm2) Symptom Score Medication Score
(cpm) hg)

BY AY
CASE STUDY 2
• 7. CONCLUSION:
• There was an improvement of his condition, he maintain the BP, and he
was calmer.

• 7.1. Participant feedback: He enjoyed the routine, to wake up early and

do the Yoga sessions: he also felt lighter and was able to forget his
problems/stresses of outside life.

• 7.2. Practices found benefitial: Yoga sessions, kryias, tunning with nature
and Maitri Milan.
DEFINATION
• Hypertension or high blood pressure is a condition in which the blood
pressure in either arteries or veins is abnormally high.

• Blood pressure is the force exerted by the blood against the walls of the
blood vessels, and it is this force with which the heart pumps blood through
arteries and so allows the blood to reach all parts of the body.

• Normal systolic blood pressure is in between 110-140mm of Hg, and diastolic

70 to 90mm of Hg for the age group 20-50years, although with age and
personality it may differ. So the BP exceeding 140 over 90mmHg for more
than 6 months, it is considered a condition of high blood pressure.
CAUSES
• Hypertension can have primary causes or secondary causes.

• The primary causes are no organic cause is found, but the risk factors
are aging, hereditary, diet, obesity and smoking.

• In Secondary causes are lack of exercises and stress are the major
causes, but also renal or endocrine disease, pregnancy and drugs;
other causes may be excess of alcohol, obesity lack of exercise, stress,
air pollution, perfume, tobacco and food allergens ( chocolate, coffee,
milk, sugar, salt, nuts).
2.3. SIGNS & symptoms

• Hypertension can be either non symptomatic or symptomatic.

• So in no symptomatic cases the patient doesn’t have any symptoms,
but after 30-35 years one should check regularly.
• The symptomatic patients may feel headache, breathlessness,
dizziness, blurred vision, palpitation, disturbed sleep, recurrent
backache, depression, anxiety, chest pain, loss of appetite and
decreased memory and concentration.

• If the hypertension persists can lead to severe problems as kidney

damage, cardiac and cerebral complications.
2.4. MEDICAL MANAGEMENT

• The aim is to decrease the blood pressure using rest, diet, drugs, and
avoidance of stress. Normally the treatment is the combination of
counselling and elimination of possible causes and drugs.

• The drug therapy can include: diuretics, that by promoting elimination of

water in urine, blood volume decreases; betablockers that by reducing the
secretion of lenin makes the heart beat to reduce, and vasodilators.

• Some life style modifications may include: weight loss, through a proper
diet and physical activity, salt restrictions and avoidance of alcohol, coffee
or tea.
CASE STUDY
• 3.1. BIOGRAPHIC DATA:
• Name: S. S.
• Address: Delhi
• Age: 49
• Sex: male
• Marital status: married
• Educational qualification: Graduation
• Occupation: Business
• Date of admission: 05/02/2021
• Date of discharge: 11/02/2021
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
3.4. PAST HISTORY
1. Childhood disease: nil
2. Allergies: no
3. Accidents and injuries: no
4. Hospitalization: no
5. Medication: + Fluxotime capsule ALF morning
+ Petril Beta – 10 ALF Evening

3.5. FAMILY HISTORY OF ILLNESS:

1.Paternal: paralysis on the left side of the body
2. Maternal: stomach CA
3. Sibilings: brother has BP and DM2, sister BP
CASE STUDY 2
• 3.6. PERSONAL HISTORY:
• 1.Addictions: frequently alcohol
• 2.Nutrition pattern:
• a)Non veg
• b)Typical daily food intake: 3 times. Roti, dal, chicken
• c)Typical fluid intake: normal, around 1l
• d)Weight/variations: regular
• e)Appetite: good
• 3.Elimination Pattern:
• a)Bowel: constipated
• b) Bladder: normal
• c) Sweat: normal
CASE STUDY 2
4. Menstrual History: no
• 5. Activity – Exercise: Tv, mobile, family, walking
• 6. Sleep: good, but Sleep apnea sometimes

• 3.7. STRESS HISTORY: Business and family stress

• 3.8. PHYSICAL EXAMINATION:

1) Vital Signs:
• a. Pulse: 72bpm b. Respiratory Rate: 15cpm c. Blood Pressure: 130/90 mmHg
• 2) Anthropometric measurements:
• a. Height: 186cm b. Weight: 84,9kg c. BMI: 25,1 kgm2
CASE STUDY 2
• 3.9. INVESTIGATIONS AND FINDINGS:
• Routine check up done in Jan 2021

• 4. FINAL DIAGNOSIS:
• Hypertension
• Acidity and Constipation

• 5. TREATMENT/MANAGEMENT:
• - Naturopathy and Acupressure
• - Sattvic diet, low salt diet, low cholesterol, avoid non veg and alcohol
• - According to Yoga Therapy, the Pancha Kosha management:
CASE STUDY 2
1. Annamaya kosha:

• Kriyas like neti, vamana dhauti, but kapalabhati, agnisara kriya and nauli.
• Loosening exercises and asanas, like surya namaskar, and other dynamic practices
like jogging exercises (forward-backward and sides with speed)
• Asanas: bhujangasana, dhanurasana,ardha cakrasana, pascimottanasana, ardha kati
cakrasana, trikonasana, vrksasana, vakrasana, mayurasana, ustrasana.

• 2. Pranamaya kosha:
• Surya Anuloma Viloma is proved that when practiced 27 rounds and 4 times a day
thus reduces the body weight, Bhramari, Nadi Suddhi.
CASE STUDY 2
• 3. Manomaya kosha:
• Meditations like Om Meditation, Cyclic Meditation, Japa and Bhajan
sessions, reduces the speed of the mind.

• 4. Vijnanamaya kosha:
• Yogic counseling and lectures, and through happiness analysis.

• 5. Anandamaya kosha:
• Karma Yoga and happy assembly/family.
140

120

100

80

60

40

20

0
Pulse Rate (bpm) Respiartory Rate Systolic BP (mmHg) Diastolic BP (mm Brahmari (sec) Weight (kg) BMI (kgm2) Symptom Score Medication Score
(cpm) hg)

BY AY
CASE STUDY 2
• 7. CONCLUSION:
• There was an improvement of his condition, he maintain the BP, and he
was calmer.

• 7.1. Participant feedback: He enjoyed the routine, to wake up early and

do the Yoga sessions: he also felt lighter and was able to forget his
problems/stresses of outside life.

• 7.2. Practices found benefitial: Yoga sessions, kryias, tunning with nature
and Maitri Milan.
DEFINATION
• Hypertension or high blood pressure is a condition in which the blood
pressure in either arteries or veins is abnormally high.

• Blood pressure is the force exerted by the blood against the walls of the
blood vessels, and it is this force with which the heart pumps blood through
arteries and so allows the blood to reach all parts of the body.

• Normal systolic blood pressure is in between 110-140mm of Hg, and diastolic

70 to 90mm of Hg for the age group 20-50years, although with age and
personality it may differ. So the BP exceeding 140 over 90mmHg for more
than 6 months, it is considered a condition of high blood pressure.
CAUSES
• Hypertension can have primary causes or secondary causes.

• The primary causes are no organic cause is found, but the risk factors
are aging, hereditary, diet, obesity and smoking.

• In Secondary causes are lack of exercises and stress are the major
causes, but also renal or endocrine disease, pregnancy and drugs;
other causes may be excess of alcohol, obesity lack of exercise, stress,
air pollution, perfume, tobacco and food allergens ( chocolate, coffee,
milk, sugar, salt, nuts).
2.3. SIGNS & symptoms

• Hypertension can be either non symptomatic or symptomatic.

• So in no symptomatic cases the patient doesn’t have any symptoms,
but after 30-35 years one should check regularly.
• The symptomatic patients may feel headache, breathlessness,
dizziness, blurred vision, palpitation, disturbed sleep, recurrent
backache, depression, anxiety, chest pain, loss of appetite and
decreased memory and concentration.

• If the hypertension persists can lead to severe problems as kidney

damage, cardiac and cerebral complications.
2.4. MEDICAL MANAGEMENT

• The aim is to decrease the blood pressure using rest, diet, drugs, and
avoidance of stress. Normally the treatment is the combination of
counselling and elimination of possible causes and drugs.

• The drug therapy can include: diuretics, that by promoting elimination of

water in urine, blood volume decreases; betablockers that by reducing the
secretion of lenin makes the heart beat to reduce, and vasodilators.

• Some life style modifications may include: weight loss, through a proper
diet and physical activity, salt restrictions and avoidance of alcohol, coffee
or tea.
CASE STUDY
• 3.1. BIOGRAPHIC DATA:
• Name: S. S.
• Address: Delhi
• Age: 49
• Sex: male
• Marital status: married
• Educational qualification: Graduation
• Occupation: Business
• Date of admission: 05/02/2021
• Date of discharge: 11/02/2021
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
3.4. PAST HISTORY
1. Childhood disease: nil
2. Allergies: no
3. Accidents and injuries: no
4. Hospitalization: no
5. Medication: + Fluxotime capsule ALF morning
+ Petril Beta – 10 ALF Evening

3.5. FAMILY HISTORY OF ILLNESS:

1.Paternal: paralysis on the left side of the body
2. Maternal: stomach CA
3. Sibilings: brother has BP and DM2, sister BP
CASE STUDY 2
• 3.6. PERSONAL HISTORY:
• 1.Addictions: frequently alcohol
• 2.Nutrition pattern:
• a)Non veg
• b)Typical daily food intake: 3 times. Roti, dal, chicken
• c)Typical fluid intake: normal, around 1l
• d)Weight/variations: regular
• e)Appetite: good
• 3.Elimination Pattern:
• a)Bowel: constipated
• b) Bladder: normal
• c) Sweat: normal
CASE STUDY 2
4. Menstrual History: no
• 5. Activity – Exercise: Tv, mobile, family, walking
• 6. Sleep: good, but Sleep apnea sometimes

• 3.7. STRESS HISTORY: Business and family stress

• 3.8. PHYSICAL EXAMINATION:

1) Vital Signs:
• a. Pulse: 72bpm b. Respiratory Rate: 15cpm c. Blood Pressure: 130/90 mmHg
• 2) Anthropometric measurements:
• a. Height: 186cm b. Weight: 84,9kg c. BMI: 25,1 kgm2
CASE STUDY 2
• 3.9. INVESTIGATIONS AND FINDINGS:
• Routine check up done in Jan 2021

• 4. FINAL DIAGNOSIS:
• Hypertension
• Acidity and Constipation

• 5. TREATMENT/MANAGEMENT:
• - Naturopathy and Acupressure
• - Sattvic diet, low salt diet, low cholesterol, avoid non veg and alcohol
• - According to Yoga Therapy, the Pancha Kosha management:
CASE STUDY 2
1. Annamaya kosha:

• Kriyas like neti, vamana dhauti, but kapalabhati, agnisara kriya and nauli.
• Loosening exercises and asanas, like surya namaskar, and other dynamic practices
like jogging exercises (forward-backward and sides with speed)
• Asanas: bhujangasana, dhanurasana,ardha cakrasana, pascimottanasana, ardha kati
cakrasana, trikonasana, vrksasana, vakrasana, mayurasana, ustrasana.

• 2. Pranamaya kosha:
• Surya Anuloma Viloma is proved that when practiced 27 rounds and 4 times a day
thus reduces the body weight, Bhramari, Nadi Suddhi.
CASE STUDY 2
• 3. Manomaya kosha:
• Meditations like Om Meditation, Cyclic Meditation, Japa and Bhajan
sessions, reduces the speed of the mind.

• 4. Vijnanamaya kosha:
• Yogic counseling and lectures, and through happiness analysis.

• 5. Anandamaya kosha:
• Karma Yoga and happy assembly/family.
140

120

100

80

60

40

20

0
Pulse Rate (bpm) Respiartory Rate Systolic BP (mmHg) Diastolic BP (mm Brahmari (sec) Weight (kg) BMI (kgm2) Symptom Score Medication Score
(cpm) hg)

BY AY
CASE STUDY 2
• 7. CONCLUSION:
• There was an improvement of his condition, he maintain the BP, and he
was calmer.

• 7.1. Participant feedback: He enjoyed the routine, to wake up early and

do the Yoga sessions: he also felt lighter and was able to forget his
problems/stresses of outside life.

• 7.2. Practices found benefitial: Yoga sessions, kryias, tunning with nature
and Maitri Milan.
DEFINATION
• Hypertension or high blood pressure is a condition in which the blood
pressure in either arteries or veins is abnormally high.

• Blood pressure is the force exerted by the blood against the walls of the
blood vessels, and it is this force with which the heart pumps blood through
arteries and so allows the blood to reach all parts of the body.

• Normal systolic blood pressure is in between 110-140mm of Hg, and diastolic

70 to 90mm of Hg for the age group 20-50years, although with age and
personality it may differ. So the BP exceeding 140 over 90mmHg for more
than 6 months, it is considered a condition of high blood pressure.
CAUSES
• Hypertension can have primary causes or secondary causes.

• The primary causes are no organic cause is found, but the risk factors
are aging, hereditary, diet, obesity and smoking.

• In Secondary causes are lack of exercises and stress are the major
causes, but also renal or endocrine disease, pregnancy and drugs;
other causes may be excess of alcohol, obesity lack of exercise, stress,
air pollution, perfume, tobacco and food allergens ( chocolate, coffee,
milk, sugar, salt, nuts).
2.3. SIGNS & symptoms

• Hypertension can be either non symptomatic or symptomatic.

• So in no symptomatic cases the patient doesn’t have any symptoms,
but after 30-35 years one should check regularly.
• The symptomatic patients may feel headache, breathlessness,
dizziness, blurred vision, palpitation, disturbed sleep, recurrent
backache, depression, anxiety, chest pain, loss of appetite and
decreased memory and concentration.

• If the hypertension persists can lead to severe problems as kidney

damage, cardiac and cerebral complications.
2.4. MEDICAL MANAGEMENT

• The aim is to decrease the blood pressure using rest, diet, drugs, and
avoidance of stress. Normally the treatment is the combination of
counselling and elimination of possible causes and drugs.

• The drug therapy can include: diuretics, that by promoting elimination of

water in urine, blood volume decreases; betablockers that by reducing the
secretion of lenin makes the heart beat to reduce, and vasodilators.

• Some life style modifications may include: weight loss, through a proper
diet and physical activity, salt restrictions and avoidance of alcohol, coffee
or tea.
CASE STUDY
• 3.1. BIOGRAPHIC DATA:
• Name: S. S.
• Address: Delhi
• Age: 49
• Sex: male
• Marital status: married
• Educational qualification: Graduation
• Occupation: Business
• Date of admission: 05/02/2021
• Date of discharge: 11/02/2021
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
3.4. PAST HISTORY
1. Childhood disease: nil
2. Allergies: no
3. Accidents and injuries: no
4. Hospitalization: no
5. Medication: + Fluxotime capsule ALF morning
+ Petril Beta – 10 ALF Evening

3.5. FAMILY HISTORY OF ILLNESS:

1.Paternal: paralysis on the left side of the body
2. Maternal: stomach CA
3. Sibilings: brother has BP and DM2, sister BP
CASE STUDY 2
• 3.6. PERSONAL HISTORY:
• 1.Addictions: frequently alcohol
• 2.Nutrition pattern:
• a)Non veg
• b)Typical daily food intake: 3 times. Roti, dal, chicken
• c)Typical fluid intake: normal, around 1l
• d)Weight/variations: regular
• e)Appetite: good
• 3.Elimination Pattern:
• a)Bowel: constipated
• b) Bladder: normal
• c) Sweat: normal
CASE STUDY 2
4. Menstrual History: no
• 5. Activity – Exercise: Tv, mobile, family, walking
• 6. Sleep: good, but Sleep apnea sometimes

• 3.7. STRESS HISTORY: Business and family stress

• 3.8. PHYSICAL EXAMINATION:

1) Vital Signs:
• a. Pulse: 72bpm b. Respiratory Rate: 15cpm c. Blood Pressure: 130/90 mmHg
• 2) Anthropometric measurements:
• a. Height: 186cm b. Weight: 84,9kg c. BMI: 25,1 kgm2
CASE STUDY 2
• 3.9. INVESTIGATIONS AND FINDINGS:
• Routine check up done in Jan 2021

• 4. FINAL DIAGNOSIS:
• Hypertension
• Acidity and Constipation

• 5. TREATMENT/MANAGEMENT:
• - Naturopathy and Acupressure
• - Sattvic diet, low salt diet, low cholesterol, avoid non veg and alcohol
• - According to Yoga Therapy, the Pancha Kosha management:
CASE STUDY 2
1. Annamaya kosha:

• Kriyas like neti, vamana dhauti, but kapalabhati, agnisara kriya and nauli.
• Loosening exercises and asanas, like surya namaskar, and other dynamic practices
like jogging exercises (forward-backward and sides with speed)
• Asanas: bhujangasana, dhanurasana,ardha cakrasana, pascimottanasana, ardha kati
cakrasana, trikonasana, vrksasana, vakrasana, mayurasana, ustrasana.

• 2. Pranamaya kosha:
• Surya Anuloma Viloma is proved that when practiced 27 rounds and 4 times a day
thus reduces the body weight, Bhramari, Nadi Suddhi.
CASE STUDY 2
• 3. Manomaya kosha:
• Meditations like Om Meditation, Cyclic Meditation, Japa and Bhajan
sessions, reduces the speed of the mind.

• 4. Vijnanamaya kosha:
• Yogic counseling and lectures, and through happiness analysis.

• 5. Anandamaya kosha:
• Karma Yoga and happy assembly/family.
140

120

100

80

60

40

20

0
Pulse Rate (bpm) Respiartory Rate Systolic BP (mmHg) Diastolic BP (mm Brahmari (sec) Weight (kg) BMI (kgm2) Symptom Score Medication Score
(cpm) hg)

BY AY
CASE STUDY 2
• 7. CONCLUSION:
• There was an improvement of his condition, he maintain the BP, and he
was calmer.

• 7.1. Participant feedback: He enjoyed the routine, to wake up early and

do the Yoga sessions: he also felt lighter and was able to forget his
problems/stresses of outside life.

• 7.2. Practices found benefitial: Yoga sessions, kryias, tunning with nature
and Maitri Milan.
DEFINATION
• Hypertension or high blood pressure is a condition in which the blood
pressure in either arteries or veins is abnormally high.

• Blood pressure is the force exerted by the blood against the walls of the
blood vessels, and it is this force with which the heart pumps blood through
arteries and so allows the blood to reach all parts of the body.

• Normal systolic blood pressure is in between 110-140mm of Hg, and diastolic

70 to 90mm of Hg for the age group 20-50years, although with age and
personality it may differ. So the BP exceeding 140 over 90mmHg for more
than 6 months, it is considered a condition of high blood pressure.
CAUSES
• Hypertension can have primary causes or secondary causes.

• The primary causes are no organic cause is found, but the risk factors
are aging, hereditary, diet, obesity and smoking.

• In Secondary causes are lack of exercises and stress are the major
causes, but also renal or endocrine disease, pregnancy and drugs;
other causes may be excess of alcohol, obesity lack of exercise, stress,
air pollution, perfume, tobacco and food allergens ( chocolate, coffee,
milk, sugar, salt, nuts).
2.3. SIGNS & symptoms

• Hypertension can be either non symptomatic or symptomatic.

• So in no symptomatic cases the patient doesn’t have any symptoms,
but after 30-35 years one should check regularly.
• The symptomatic patients may feel headache, breathlessness,
dizziness, blurred vision, palpitation, disturbed sleep, recurrent
backache, depression, anxiety, chest pain, loss of appetite and
decreased memory and concentration.

• If the hypertension persists can lead to severe problems as kidney

damage, cardiac and cerebral complications.
2.4. MEDICAL MANAGEMENT

• The aim is to decrease the blood pressure using rest, diet, drugs, and
avoidance of stress. Normally the treatment is the combination of
counselling and elimination of possible causes and drugs.

• The drug therapy can include: diuretics, that by promoting elimination of

water in urine, blood volume decreases; betablockers that by reducing the
secretion of lenin makes the heart beat to reduce, and vasodilators.

• Some life style modifications may include: weight loss, through a proper
diet and physical activity, salt restrictions and avoidance of alcohol, coffee
or tea.
CASE STUDY
• 3.1. BIOGRAPHIC DATA:
• Name: S. S.
• Address: Delhi
• Age: 49
• Sex: male
• Marital status: married
• Educational qualification: Graduation
• Occupation: Business
• Date of admission: 05/02/2021
• Date of discharge: 11/02/2021
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
• 3.2. CHIEF COMPLAIN:
• k/c/o constipation since 3- 4 years
• k/c/o acidity since 2 years
• k/c/o Hypertension since 1year

• 3.3. HISTORY OF PRESENT ILLNESS:

• The participant was apparently normal before 4 years. He started to experience constipation
from the last 4 years.
• The participant is a known case of hypertension since 1year and under medication for the
same.
• The participant works in the field of business, and suffers regularly from tensions and stress.
CASE STUDY 2
3.4. PAST HISTORY
1. Childhood disease: nil
2. Allergies: no
3. Accidents and injuries: no
4. Hospitalization: no
5. Medication: + Fluxotime capsule ALF morning
+ Petril Beta – 10 ALF Evening

3.5. FAMILY HISTORY OF ILLNESS:

1.Paternal: paralysis on the left side of the body
2. Maternal: stomach CA
3. Sibilings: brother has BP and DM2, sister BP
CASE STUDY 2
• 3.6. PERSONAL HISTORY:
• 1.Addictions: frequently alcohol
• 2.Nutrition pattern:
• a)Non veg
• b)Typical daily food intake: 3 times. Roti, dal, chicken
• c)Typical fluid intake: normal, around 1l
• d)Weight/variations: regular
• e)Appetite: good
• 3.Elimination Pattern:
• a)Bowel: constipated
• b) Bladder: normal
• c) Sweat: normal
CASE STUDY 2
4. Menstrual History: no
• 5. Activity – Exercise: Tv, mobile, family, walking
• 6. Sleep: good, but Sleep apnea sometimes

• 3.7. STRESS HISTORY: Business and family stress

• 3.8. PHYSICAL EXAMINATION:

1) Vital Signs:
• a. Pulse: 72bpm b. Respiratory Rate: 15cpm c. Blood Pressure: 130/90 mmHg
• 2) Anthropometric measurements:
• a. Height: 186cm b. Weight: 84,9kg c. BMI: 25,1 kgm2
CASE STUDY 2
• 3.9. INVESTIGATIONS AND FINDINGS:
• Routine check up done in Jan 2021

• 4. FINAL DIAGNOSIS:
• Hypertension
• Acidity and Constipation

• 5. TREATMENT/MANAGEMENT:
• - Naturopathy and Acupressure
• - Sattvic diet, low salt diet, low cholesterol, avoid non veg and alcohol
• - According to Yoga Therapy, the Pancha Kosha management:
CASE STUDY 2
1. Annamaya kosha:

• Kriyas like neti, vamana dhauti, but kapalabhati, agnisara kriya and nauli.
• Loosening exercises and asanas, like surya namaskar, and other dynamic practices
like jogging exercises (forward-backward and sides with speed)
• Asanas: bhujangasana, dhanurasana,ardha cakrasana, pascimottanasana, ardha kati
cakrasana, trikonasana, vrksasana, vakrasana, mayurasana, ustrasana.

• 2. Pranamaya kosha:
• Surya Anuloma Viloma is proved that when practiced 27 rounds and 4 times a day
thus reduces the body weight, Bhramari, Nadi Suddhi.
CASE STUDY 2
• 3. Manomaya kosha:
• Meditations like Om Meditation, Cyclic Meditation, Japa and Bhajan
sessions, reduces the speed of the mind.

• 4. Vijnanamaya kosha:
• Yogic counseling and lectures, and through happiness analysis.

• 5. Anandamaya kosha:
• Karma Yoga and happy assembly/family.
140

120

100

80

60

40

20

0
Pulse Rate (bpm) Respiartory Rate Systolic BP (mmHg) Diastolic BP (mm Brahmari (sec) Weight (kg) BMI (kgm2) Symptom Score Medication Score
(cpm) hg)

BY AY
CASE STUDY 2
• 7. CONCLUSION:
• There was an improvement of his condition, he maintain the BP, and he
was calmer.

• 7.1. Participant feedback: He enjoyed the routine, to wake up early and

do the Yoga sessions: he also felt lighter and was able to forget his
problems/stresses of outside life.

• 7.2. Practices found benefitial: Yoga sessions, kryias, tunning with nature
and Maitri Milan.