The document summarizes management of cardiovascular diseases through naturopathy and yoga. It discusses the cardiovascular system and heart. It describes coronary arteries and provides an analogy using fish out of water. It explains why naturopathy and yoga are used and lists evidence-based benefits. Treatment protocols include prevention measures, acute management, and chronic management addressing diet, exercise, rest, mental attitude, and specific naturopathic and yogic techniques.

1. Management of
Cardiovascular
Diseases Through
Naturopathy & Yoga
By :
Dr Cijith Sreedhar

2. Cardiovascular
system consists
of
-Heart
- Blood vessels

3. Heart
Heart: Heart is a fibro muscular organ designed of
special muscles called Cardiac Muscles

7. Coronary arteries
 Arteries carrying pure
oxygenated blood to
the heart are known
as Coronary arteries.
These are special
vessels that carry
blood to heart
nutrients and oxygen.

17. When you catch a fish, and you take the fish out of the water, the fish
is struggling, and there are two things you can do. One is you can put
the fish back in water. If you put the fish back in water, the fish
survives -- that is angina. So if we give treatments or we restore blood
supply, the heart muscle survives. If you take the fish out while it's
struggling, and you put it in your basket, the fish dies, and that is
then heart attack.

26. Why Naturopathy & Yoga ?
 Beyond medications n. and diet: alternative approaches to lowering blood
pressure: a scientific statement from the american heart association
Nutrients. 2013 Sep 17;5(9):3646-83. doi: 10.3390/nu5093646.
 Clinically proven & evidence based techniques
 Non symptomatic approach- treats the cause
 Non invasive and without any toxic components
 Holistic approach – takes physical , mental and spiritual planes
 Improves quality of life
 No side effects or adverse effects, when administered correctly
 Cost effective, (less than 40 % when compared with modern
medicine)
 Patient friendly approach
 Requires less hospitalization – can go back to normal routine in
less time.

27. Management of Cardiovascular
disorders
 Prevention protocol-Health Building Measures
 Food
 Exercise
 Rest & Relaxation
 Positive mental attitude
 Treatment protocol
 Acute management
 Chronic Management

28. WHAT TO EAT?
 Use small round plates. Fill half of your plate with fruits
and vegetables. 1/4th with cereals (rice/ wheat). 1/4th with
dishes. Start with Veg / fruits, then cereals with dishes.
60% Cooked 40% Raw
 Acid / Alkaline
80% Alkaline 20% Acidic
Raw
40%
Cooked
60%
Alkaline
80%
Acidic
20%

29. Food to Avoid:
Refined Foods
Fat and Oily Foods
Junk Foods
Old and Refrigerated Foods
Spicy Foods....

30. Water Intake
 Why to drink ?
 when to drink ?
 How much to drink?
 What to drink ?

31. YOGA
CONVENTIONAL EXERCISE YOGA
fast, speed, fatigue. slow, smooth, no jerk.
involves limited spinal flexibility. involves total spin flexibility.
Breathing not necessarily rhythmic Breathing must necessarily rhythmic
Awareness not involved Awareness is must
All bodily systems not involved Multiple system involved
psychological aspect is not considered Psychological aspect is very important
Activity with awareness .
Works at Physical , Mental and Social level
Includes Asanas, Pranayama & Breathing exercises, Kriyas,
Meditation etc

32. REST
 Rest – reduces tension, differs from sleep.
 Shavasana, Meditation.
 Relaxation methods :
 IRT
 QRT
 DRT
INTERNAL & EXTERNAL STIMULI
PHYSICAL & MENTAL TENSIONS
WORK ON MUSCLES & NERVES

33. In Mental level
mental stress – Adhis (primary disease-
no symptom at physical level)
Systemic malfunctions / wrong
digestion
violent fluctuations in the flow
of prana in the nadis
Toxic accumulation in Body
lack rhythm & harmony in flow of prana
and instability & unsteadiness in nadis
wrong actions
emotions – bhavana
Likes &Dislikes
imbalance in mind
agitated mind & body/
hormonal imbalance
Psychosomatic ailments
Why Right
mental
Attitude is
important ?

34. Arogyaraksha pancha tantra
Drink water 10 to 15 glass/day.
Practice exercise 1 hour a day.
Have 3 meals/day.
Pray every day.
Fruits only diet once in a week.

35. Treatment Protocol
 Acute Conditions :
Seek medical help, shift the patient to Hospital
immediately
Give CPR
Don’t create a panic situation, Reassure the patient
Allow free ventilation
If can , make the patient to deep breathing.
Acupressure – for maintaining BP, Heart merdian
Reflexology – in foot & arms
Hydrotherapy - short cold application to face , chest &
Spine.

36. Chronic Conditions
Both In patient facility & Out Patient facility available
Dietetics &
Fasting
 Fat free diet
 Fruits only diet
 Juice diet
 Fasting
Five elements
 Hydrotherapy
 Mud therapy
 Heliotherapy
 Massage
Energy Medicine
 Acupressure
 Acupuncture
 Reflexology
 Reiki & Pranic healing
Therapeutic Yoga
 annamaya kosa: Kriyas
, sithilikarana
vyayama, Asanas
 pranamaya kosa :Proper
breathing pranayama, kriyas
 manomaya kosa : Dharana
, Dhyana, emotional culture.

37. Dietetics & Fasting
 Fat free diet
 Fruits only diet
 Juice diet
 Fasting
On the basis of its known benefits to cardiometabolic
health, including modest calorie restriction in a combined
lifestyle program is likely to improve heart health and
prevent subsequent cardiovascular events in
overweight and obese individuals.
 Caloric restriction: implications for human
cardiometabolic health.J Cardiopulm Rehabil Prev. 2013
Jul-Aug;33(4):201-8.

38. Five elements
 Hydrotherapy – cold applications , Alt
applications as baths , packs
 Mud therapy – direct and packs , full
body and local applications
 Heliotherapy – sun baths, colour baths
 Massage - partial and full body massage
“A variety of experimental studies indicate that the Vitamin D receptors may play an important role in controlling cardiac
hypertrophy and fibrosis, regulating blood pressure and suppressing the development of atherosclerosis.”
 VITAMIN D AND THE HEART Am J Physiol Regul Integr Comp Physiol. 2013 Sep 11.

39.  “ - relevant methodological recommendations can produce
beneficial effects in the form of the improved endothelial
function, reduced heart rate variability and oxidative stress as
well as enhanced physical performance. “
[Thermal therapy for the management of cardiovascular pathology].
Vopr Kurortol Fizioter Lech Fiz Kult. 2013 May-Jun;(3):57-61.
 It is concluded that combined treatment of this
condition should include low-temperature
peloidotherapy as a major component since it has
the most beneficial effect on general and
intracardiac hemodynamics.
Vopr Kurortol Fizioter Lech Fiz Kult. 2009 Sep-Oct;(5):11-3.

40. Energy Medicine
Acupressure
Acupuncture
Reflexology
Reiki & Pranic healing
 Acupoint pressing can significantly improve symptoms of angina pectoris patients with a
similar therapeutic effect to Nitroglycerin and Suxiaojiuxin pill, but it has more rapid
therapeutic effect without adverse effects.
 [Comparative study on acupoint pressing and medication for angina pectoris due
to coronary heart disease]. Zhongguo Zhen Jiu. 2011 Jul;31(7):595-8.

41. Therapeutic Yoga
Physical layer: Kriyas , sithilikarana
vyayama, Asanas
Energy layer :Proper breathing
pranayama, kriyas , Mudras
Mental layer : Dharana , Dhyana,
emotional culture.
“The MBSR program is effective in
reducing symptoms of anxiety and
depression, perceived stress, BP and
BMI in patients with coronary heart
disease ”
 Mindfulness-based stress reduction
program in coronary heart disease:
A randomized control trial. Int
J Yoga. 2013 Jul;6(2):111-7. doi:
10.4103/0973-6131.113405

42. THANK YOU
Dr Cijith Sreedhar
 Chief Consultant , Vega Body Mind Soul clinic
, Edapally, Cochin
Visiting Consultant :
 Amrita Ayurveda College, Kollam,
 Punarnava Ayurvega Hospital Group, Cochin
 Health Plus physiotherapy Center, Cochin
Mob : 85 900 177 85
email : drcijith@gmail.com