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What is the unity of disease and unity of cure?

Louis Kuhne (1835–1901) Louis Kuhne stands rightfully tall on the naturopathic landscape. He contributed immensely to the philosophical and knowledge base of its practice. His place in the front row derives from his understanding of healing. This deep savvy came first hand from his personal suffering of stomach cancer and lung complaints.

When he was 20 years old, he experienced severe violent pains in the lungs and head. These afflictions persisted for nearly a quarter of a century. His experimentations upon himself led him to discoveries and conclusions culminating in two important books: The New Science of Healing (1891), and Science of Facial Expression which would guide generations of Naturopaths around the world in the early 20th century.

Kuhne coined the term “Nature Cure” that became the basis of the New Science of Healing. This book in fact became the cornerstone for Henry Lindlahr’s Nature Cure paradigm. Kuhne answered two key questions for a practicing doctor: what is health and what is disease? His contention was that in order to understand how to heal, one first needs to know what it is that needs to heal.

• The definition of disease from which his work sprang was, “Disease is the presence of foreign matter in the system”.
• Uhne identified the digestive system as the seat of disease which would later become a core theory for the Naturopaths within the first decade of the profession’s inception.
• Uhne introduced the concept of foreign matter as being responsible for the creation of disease.

Foreign matter was anything that did not belong in the body. Over time, the accumulation of morbid or foreign matter that was not eliminated by the emunctories of the body lead to the formation of diseased tissues. Kuhne advocated a vegetarian diet and long before raw food was considered healthy, he also considered cooked foods as less optimal.

In fact, he ranked “all foods which we have to change by cooking, smoking, spicing, salting, pickling, and putting in vinegar, lose in digestibility, and as regards vitality, are far inferior to food in its natural condition.” He discovered that there were many manifestations of disease, but only one cause for them all.

In treating disease, Kuhne also determined that just as there was only one cause for disease, there was one cure for disease. Called the ” unity of disease ” and ” unity of cure “, this seemingly over simplified concept of disease and cure had at its core immensely valuable tenets that actually worked clinically.

What are the five elements of naturopathy?

Panchabhuta Chikitsa. A study of the 5 elements – The five elements in existence are space, air, fire, water and earth. Together, they play an almost magical role in wellbeing and sickness. If they are in a harmonious state, they can bring wellness and good health.

• But if they are out of balance, they can be the cause of disease.
• Any serious disease can be healed if we know the secret to balancing these elements.
• Panchabhuta Chikitsa is a branch of Ayurveda which conducts the analysis and treatment of diseases based upon this principle.
• The five elements in existence are space, air, fire, water and earth.

Together, they play an almost magical role in wellbeing and sickness. If they are in a harmonious state, they can bring wellness and good health. But if they are out of balance, they can be the cause of disease. Any serious disease can be healed if we know the secret to balancing these elements.

1. Panchabhuta Chikitsa is a branch of Ayurveda which conducts the analysis and treatment of diseases based upon this principle.
2. Akash Tattva or the space element This element can be found both inside and outside the body.
3. When the connection between the internal and external space element gets blocked, a disease may develop.

Yath Pinda thath Brahmandya, To purify the mind and create a positive environment outside the body, chanting and fasting are of great help. Chanting creates vibrations that connect the microcosm (us) with the macrocosm (the Universe). Precious gems also impact the physical body and are used in medicinal form – in Bhasma, Praval Pisti, Mukta Pisti, Manikya, Navratan Rasa.

When cancer patients do not respond to treatment, we give them Navratan Rasa. How do gems impact the system? Each Ratna or gem has an impact on our existence by inviting cosmic vibrations in a positive way. Cosmic vibrations are always present, but their influence on us can be positive or negative. Like the fire in our kitchen – it can cook our food or burn the house down.

Both are possible. When the planetary alignment changes, the effect on us can be sometimes slight, sometimes intense. Besides, it is not the same for everyone, the way it affects us depends on our individual birth chart. When the cosmic vibrations become too intense, we can nullify the negative effect by chanting, using gems and performing certain Homas.

In this way, the vibrations which were supposed to have been negative are flipped around and made positive, bringing us well-being and prosperity. It is also possible that we may have accumulated impressions which may have been good until adversely affected by planetary orientation changes. This is where offerings come into play – we offer the extra impressions to the Divine or the cosmos when we donate.

How do we keep our mind space clean? Meditation is the most powerful tool at our disposal. Japa, Tapa, Mani, Mangal, Homas; all these do help, but nothing can beat meditation. Meditating twice daily will make way for abundant blessings and miracles in our life.

• Vayu Tattva or air element In Ayurveda, diagnosis and treatment is based on Vata, Pitta and Kapha constitutions.
• Pitta and Kapha are handicapped, they cannot move without help from Vata.
• Vata plays an important role in balancing and also unbalancing Pitta and Kapha! When medicines don’t work, breath work helps.

In other words, air element helps, it plays a very important role in Akash Tattva. In Ayurveda, Vayu is treated as God, because the whole Pinda, the whole body has all 5 elements, but it becomes alive only when it has Prana Vayu. Oscillation of Prana keeps it pulsating.

The moment this stops, a death like state occurs – it looks like death, but the person is still alive. But to be in life force energy or Ayu state, a certain level of Prana is necessary. When our Prana levels sink, we become dull, drowsy, dizzy, tired. When Prana hits rock bottom, then the Atman (soul) leaves the body.

Vayu plays a crucial role in adjusting life and longevity. The greater the Prana flow, the longer the Atman resides in the body. This is the secret to well-being and a long life. Pranyamas (breath work) can heal anything within the body. Meditation helps all 5 elements while breathing helps air, fire, water and earth.

It is advisable to do some breathing technique every single day; Sudershan Kriya is highly recommended. It has been medically established that Sudershan Kriya increases Prana and oxygen levels, keeps immunity high and stress levels low. It dramatically reduces bad cholesterol, addictions and worries. Depression goes away.

Agni Tattva or the fire element The fire element exists in liquid form in the body. According to Ayurveda, good health starts with good digestion or digestive Agni. So what natural measures can we take to balance the fire element? Before we sit down to a meal, we may eat a little ginger with a pinch of rock salt and a few drops of lemon juice.

1. This whets the appetite; the digestive fire is stimulated which in turn helps digestion.
2. Chitra Kadi Vati, Agni Tund Vati or Pachani Rasayani also helps.
3. The mind should be calm and relaxed during meals.
4. We should begin by offering our food to the Divine and be fully aware of the quantity and quality of the food we are about to consume.

It’s also beneficial to eat with our hands. These practices will burn food completely, no ama will be created. Our system is very clever. It can release the right amount of digestive juice for optimal digestion. It knows the exact quantity of vitamins and minerals that should be absorbed from food.

1. If that level of consciousness is there, if that much mind awareness is there, we will receive the optimum amount of nutrition from our food.
2. This means that we will not suffer any deficiency.
3. However, if we eat with a restless mind, or while chatting away, or while working on our computers instead of focusing on our food; the system gets confused.

It will only be half alert. It will release digestive juices without awareness of how much it has to digest, how many vitamins it has to absorb. It will either work too little or too much. A diet to balance Agni. Follow a 5-day Langana (fasting). Eat light food like Khichdi, fruits or soups.

1. Vata constitutions can fast on milk, some fruits and Khichdi with a little dollop of ghee.
2. Pitta can favour fruits and vegetables, a little Khichdi.
3. Apha can fast on soups or hot water.
4. All of us must do this at least once a month.
5. Those with specific ailments can do a 5-day fasting program.
6. This will help with eye problems, acidity, poor digestion, allergic rhinitis, cough, cold and wounds that do not heal.

An obsessive mind is appeased by a Khichdi diet. Those with Ama (toxins) issues, or those unable to lose weight will benefit immensely from a 5-day Khichdi diet, especially when done during seasonal change.5 to 15 pounds may be shed and the person doesn’t just get symptomatic relief – the entire constitution is healed.

Jal Tattva or the water element Our body is not just a solid entity. Every day, we consume plenty of liquids which flow in the body. If the flow is harmonious, then the body is healthy. If the body does not receive enough water, toxins will get clogged in the system, cells will suffer a toxin overload, and we will become dull and listless.

If we drink too much water, then minerals will get washed away, the nervous system will become shaky, the mind restless, and we will feel weak and drowsy. During the day, it is advisable to drink 1 cup of liquid every 2 hours – this includes water, tea, juice, soup, any liquid.8 to 12 cups of liquid during the day is fine.

In summer, the liquid intake can be a little more, in winter a little less. Those with Pitta constitution can have normal to cool water. Vata and Kapha should have warm to hot water. No water should be had immediately before or after food. This will only dilute the digestive fire. Prithvi Tattva or earth element The solid parts of our body include minerals, muscles, bones and tissues.

How do we balance all this? We should eat according to our specific constitution. A Pitta constitution already has more of the fire element, so Pitta should not have too much chilli, sour or fermented food. Sweet, bitter and astringent tastes are to be favoured by Pitta.

Earth element is in excess in the Kapha system, there is no space for water or air element to move or fire element to act. In this case, overeating should definitely be avoided. We should make it a habit to include all 6 tastes (salty, bitter, sweet, pungent and astringent) in our meals. Start with a sweet taste, end with astringent.

Begin your meal with a dash of jaggery (diabetics can use a raisin substitute). Commencing a meal with a sweet taste allows our system to digest the exact number of calories needed at the time. That way extra calories won’t be stored in the body. The system will accurately estimate energy requirements and will have a clear judgement of how much protein, minerals and vitamins to absorb during the rest of the meal.

Extra digestive juices will not be released. Starting a meal with fried items will only serve to confuse the system. In order to absorb the protein and fats in savoury items, extra digestive juices will be released, resulting in too much protein and fats being assimilated. Do not end the meal with a sweet taste.

If we do that, the body absorbs the extra carbs which may accumulate into ama. Always end the meal with an astringent taste as Kapha is activated immediately after food. Too much Kapha makes us dull and drowsy. Closing the meal with an astringent taste helps balance Kapha and Pitta.

• It also helps with digestion and will not allow the extra Kapha to get aggravated.
• Buttermilk after lunch and Asava and Arishta after dinner are excellent astringent tastes.
• Individual constitution is as important as individual blood group.
• Eeping this in mind, Vata can enjoy more sweet, sour, and salty items which Kapha should partake less of.

Pitta can have more sweet, bitter and astringent tastes. Before even one morsel goes into the mouth, it’s sensible to reflect on whether that morsel is good for health or not. Proteins and minerals are needed in the right amount. Extra proteins are needed only for those who are physically active, otherwise the surplus protein will create acidity.

1. When the system becomes sour; muscle fatigue occurs, joint pain increases, arthritis is aggravated and too much ama is generated in the body.
2. Our diet should include more fruits and vegetables, a moderate amount of protein, a little fat.
3. The base of our food pyramid should be antioxidant, which means consuming more salad and vegetables.

The next layer should consist of protein and fat. But we’re doing it the other way round! We ingest more protein and fat, less fruit and vegetables! When we meditate regularly, do Pranayams, fast once a month, drink the right amount of water and ingest food according to our constitution, then we are well on our way to health and that becomes a wonderful journey! With awareness we can enjoy every kind of food in moderation.

Take more of what is good for our constitution, less of what is not. There is no need to avoid anything! Perfect balance in lifestyle is accompanied by a happy mind, followed automatically by good health. Some Doshas can be balanced with food awareness, Agni can be balanced by the practices mentioned earlier.

Let us also be aware of our Dhatus – Rasa Dhatu (plasma) can be balanced with adequate liquid intake, Rakta Dhatu (blood) by eating food that encourages blood formation. Root and shoot vegetables should form a major part of our diet. One part of our vegetable intake should be from the root, one part from the shoot.

The root (beetroot, carrot) part will provide different minerals, the shoot part (spinach, broccoli) will offer good quality protein. Add fresh fruits to the daily diet for vitamins. Be happy without a reason! Create a happy environment – Prasanna chitta! All senses are quenched. Vata, Pitta and Kapha are balanced, we are in a harmonious state.

This happiness can only come when we reach a Sattva state from deep meditation. Rajasic happiness is that which comes with a reason – a little of this is also needed in life. A Tamasic state is when we just want to sleep, a little Tamas is needed for good sleep.

1. Too much Rajasic or Tamasic food can make our system hyper.
2. Food and mood are directly connected.
3. Have more Sattvic food, a little bit of Rajasic food, very little Tamasic food.
4. People who fast for months suffer from insomnia.
5. It is good if Sattva is high, but Vata should not be propelled upwards.
6. Eating only vegetables will increase Vata resulting in insomnia.

All root vegetables will keep us grounded, while shoot vegetables will increase our Prana levels. We need to balance both – too much or too little sensory pleasure can create mental illness. Touch, taste, sound; all should be balanced. Using proper attachment to our senses will make us equanimous.

1. Pranayama, meditation and Satsang increase our Sattva and make us feel happy and elevated.
2. For more tips on increasing energy and Sattva levels, do attend Ayur Jagruti lifestyle webinars! The writer, Dr Lokesh Raturi is a Senior Ayurveda Vaiya and Trainer with the Sri Sri Tattva.
3. He has trained hundreds of Ayurvedic physicians and practitioners worldwide on pulse diagnosis.

He is also actively involved in the on-going development of Ayurvedic formulae. He is a visiting faculty member with the Art of Living International Center in North Carolina, USA. khuman 01/22/2021 09:12:37

What are the hardest diseases to cure?

Despite advances in modern medicine, sometimes medical conditions cannot be fixed. An advanced, progressive or terminal illness is an incurable, life-limiting condition that is likely to cause a person of any age to die within days, weeks, months or sometimes more than a year.

Dying is an inevitable part of life, but no two end of life situations are the same as death and dying are uniquely personal experiences. If you have an illness that cannot be cured and will lead to the end of your life, the focus of care will shift from aiming to cure to ensuring you have the best possible quality of life.

This means a focus on:

symptom control independence emotional, spiritual and cultural wellbeing planning for the future.

This is not just for people in the last days of life. Care at the end of life can be provided for a few weeks or months, or extended over several years. It is available for everyone regardless of age, culture, background, beliefs or where you live. Some of the common medical conditions of people requiring care at the end of life include:

cancer dementia, including Alzheimer’s disease advanced lung, heart, kidney and liver disease stroke and other neurological diseases, including motor neurone disease and multiple sclerosis Huntington’s disease muscular dystrophy HIV/AIDS other degenerative or deteriorating conditions relating to ageing.

Find more information about treatment and care towards the end of life, Use this tool to search for more information about specific conditions,

What diseases have no cure?

Main Digest – Our incomplete list of incurable diseases also include rare diseases which are often genetic in nature. Incurable diseases are considered to be disorders of both infectious and non-infectious, neoplastic, autoimmune, genetic, or metabolic in nature that have no known current cure.

Terminal illnesses include conditions such as late stage cancer, AIDS and some forms of heart disease. Although many incurable diseases are often terminal, there are also many incurable conditions that that a person can live with all their life. Medical conditions such as diabetes, asthma, Alzheimer’s and other forms of dementia, cannot be “cured,” but they can be managed.

In the past, medical treatment was all about treating the disease, but these days, many doctors have shifted their focus to the patient themselves, rather than just the disease. (Article continues below image.) Illustration of hospital symbols, medicine, health care, disease, doctor and two nurses. (Continued.)

What is cure according to homeopathy?

Homeopathy is a medical system based on the belief that the body can cure itself. Those who practice it use tiny amounts of natural substances, like plants and minerals. They believe these stimulate the healing process. It was developed in the late 1700s in Germany.

1. It’s common in many European countries, but it’s not quite as popular in the United States.
2. A basic belief behind homeopathy is “like cures like.” In other words, something that brings on symptoms in a healthy person can – in a very small dose – treat an illness with similar symptoms.
3. This is meant to trigger the body’s natural defenses.

For example, red onion makes your eyes water. That’s why it’s used in homeopathic remedies for allergies, Treatments for other ailments are made from poison ivy, white arsenic, crushed whole bees, and an herb called arnica, Homeopathic doctors (who also are called “homeopaths”) weaken these ingredients by adding water or alcohol.

Then they shake the mixture as part of a process called “potentization.” They believe this step transfers the healing essence. Homeopaths also believe that the lower the dose, the more powerful the medicine. In fact, many of these remedies no longer contain any molecules of the original substance. They come in a variety of forms, like sugar pellets, liquid drops, creams, gels, and tablets.

During your appointment, a homeopath will ask a number of questions about your mental, emotional, and physical health. They’ll prescribe the remedy that best matches all of your symptoms. Then they’ll tailor the treatment for you. You can also buy over-the-counter homeopathic remedies at drugstores and health food stores.

Allergies Migraines Depression Chronic fatigue syndrome Rheumatoid arthritis Irritable bowel syndrome Premenstrual syndrome

It can also be used for minor issues like bruises, scrapes, toothaches, headaches, nausea, coughs, and colds, Don’t use homeopathic medicine for life-threatening illnesses, like asthma, cancer, and heart disease, or in emergencies. You should also avoid using it in place of vaccines,

• Some homeopathic products called “nosodes” are marketed as an alternative for vaccines, but there’s no research to prove they’re effective.
• Research is mixed.
• Some studies show that homeopathic remedies are helpful, while others don’t.
• Critics chalk up the benefits to the placebo effect,
• That’s when symptoms improve because you believe the treatment is working – not because it really is.

This can trigger the brain to release chemicals that briefly relieve the pain or other symptoms. Doctors are divided because some of the theories behind homeopathy don’t line up with the principles of chemistry and physics. Scientists argue that a medicine with no active ingredient shouldn’t have an effect on the body.

1. The FDA oversees homeopathic remedies.
2. But it doesn’t check to see if they’re safe or effective.
3. In general, most are so watered down that they don’t cause any side effects.
4. But there are exceptions.
5. Homeopathic medicines can contain a large amount of an active ingredient, like a heavy metal, that can be dangerous.

Case in point: In 2016, the FDA issued a warning against using homeopathic teething tablets and gels because of possible health risks to infants and children. If you’re thinking about trying these alternative treatments, talk to your doctor. They can make sure they’re safe and won’t interact with any other medications you’re taking.

Can nature heal trauma?

How Nature Can Help Heal Trauma Those who get counseling support and are in the process of dealing with trauma realize that it is a process. It is quite often a marathon, not a sprint. Traumatic events can affect emotional, mental, physical, and spiritual well-being.

1. What Is Trauma? Trauma can affect every area of your life including your spirit, soul, and body.
2. Trauma is your response to a terrible event.
3. A car accident, surviving a hurricane, sexual assault, domestic violence, or surviving abuse are examples of trauma.
4. Shock and denial are common for those who have experienced trauma.

When you feel mentally hurt by something, that is trauma. Trauma responses can be an unexpected outburst of emotion, withdrawal from others, estranged relationships, flashbacks, repressed memories, migraines, stomach aches, or nausea. Trauma response recovery can vary from days to years.

It depends on the severity of the trauma. Many who experience trauma feel unsafe, are in a state of consistent fear and feel a sense of helplessness. With counseling support, survivors of trauma can feel safe again and have a more transformed experience as they go through their healing journey. How Does Nature Help? Connection with nature can help with bringing a greater sense of peace and regaining focus when recovering from a traumatic event.

Nature is not a stand-alone treatment for those in the process of overcoming trauma. However, studies show that there are benefits within nature that can assist those who have experienced trauma. Studies also show that nature can alleviate ailments within the body that people who have suffered from trauma have endured.

1. Trauma makes one have a heightened fight or flight response.
2. Cortisol, which is known to be a stress chemical, is known to be an agent of increased weight or a reason for people who have cardiovascular issues for sufferers of trauma.
3. Being outdoors can lower stress and decrease the stress chemical cortisol.

Grounding is a technique that can help survivors of trauma. The act of grounding is having a physical connection with the earth. Research shows that the electronically conductive conduct of the human body with a direct connection to the earth produces positive effects on a person’s health.

• Grounding can reduce inflammation, can improve autoimmune diseases, reduce sleep, improve sleeping patterns, and regulate cortisol levels.
• The practice of grounding can be as simple as walking barefoot outside or taking a swim.
• Horticulture therapy is the simple act of planting.
• It is the intentional act of planting vegetation for the purpose of healing and restoration.

Anyone can do this as plants respond to anyone who treats them well. Animal-assisted therapy is also ways to experience healing when surviving a trauma. Animals can bring nurturing emotions in people to help them break down walls that have been put up as a trauma response.

Trained animals can also sense when a person is having a difficult time and can get close to the survivor to help him or her process their emotions in a nurturing way. Exercising outdoors is another way to connect with nature. It can improve movement and concentration as well as lower stress. Living through trauma affects the whole body.

Our bodies hold on to trauma as if to prepare in case it happens again. Exercise can be an outlet to release the trauma that your body has experienced. You Can Get Help Today You don’t have to go through and experience your pain without help or support.

Who is the inventor of naturopathy?

Naturopathy is the most ancient health care mechanism that amalgamates modern scientific knowledge with traditional and natural forms of medicine. Relying on the healing power of nature, Naturopathy stimulates the human body’s ability to heal itself. It is the science of disease diagnosis, treatment, and cure using natural therapies including dietetics, botanical medicine, homeopathy, fasting, exercise, lifestyle counseling, detoxification, and chelation, clinical nutrition, hydrotherapy, naturopathic manipulation, spiritual healing, environmental assessment, health promotion, and disease prevention.

• Historical root of Naturopathy The technique of Naturopathy was brought to the United States in the 1800s from Germany.
• The term Naturopathy was tossed by John Scheel in 1895 and was popularized by Benedict Lust.
• Nown as the father of modern-day Naturopathy, he also got appreciated for disseminating the knowledge of Naturopathy in the US in 1992.

The Naturopathy movement was initiated in Germany and other western countries with water cure therapy which is also called Hydrotherapy. Vincent Priessnitz was the one who made Water Cure famous in the world and later on, some more personalities made their contribution to this work.

Louis Kuhne deserves a special mention in this regard as he coined the principle of the Unity of Diseases and Treatment and also gave a theoretical base to this method. Naturopathy in India In India, revival of Naturopathy took place with the translation of Germany’s Louis Kuhne’s book ‘’New Science of Healing”.

The translation was done in the Telugu language by Shri D. Venkat Chelapati Sharma in 1894. Afterward, it was translated into Hindi and Urdu languages in 1904 by Shri Shroti Kishan Swaroop. All the efforts hugely gave Naturopathy a wide propagation. A book named Return to Nature by Adolf Just greatly inspired Gandhiji and made him a firm believer in Naturopathy.

After writing several articles for Naturopathy in his newspaper Harijan, he also did some experiments on himself, his family members, and members of ashram. Gandhiji also used to stay at the Nature Cure Clinic of Dr. Dinshaw Mehta situated in Pune from 1934 to 1944 and thus, the government of India established the National Institute of Naturopathy in 1986 in his memory.

Due to the Influence of Gandhiji, many leaders came in support of this health movement. The names such as former Prime Minister Shri Morarji Desai, Ex-President Shri V.V Giri, Acharya Vinoba Bhave, Ex-Governor of Gujarat Shri Shrimannarayanji, and Shri Balkova Bhave deserve special recognition in this regard.

• Indian Naturopathy movement started primarily in the states of Andhra Pradesh, Gujarat, Bengal, Maharashtra, and Uttar Pradesh.
• To promote this natural healing therapy, some people worked hard and significantly contributed to their science.
• They were: Dr.
• Mahavir Prasad Poddar, Dr.
• Janaki Sharan Varma, Shri Sharan Prasad, Dr.

Vitthal Das Modi, Dr. Kulranjan Mukherjee, Dr. Khushi Ram Dilkash, Dr.S.J. Singh, Dr. Hiralal, Dr. Sukhram Das, Dr.J.M. Jussawala, Dr. Sukhbir Singh Rawat, Acharya K. Laxman Sharma, Dr.B. Vijaya Laxmi, Dr. Ganga Prasad Gaur Nahar, Dr.M.M. Bhamgara, Dr. Vegi Raju Krishnam Raju, etc.

• Naturopathy and its advantages By educating you about the root cause of your health issues, Naturopathy always aims to make you aware of healthy changes in order to get well.
• From advising on dietary and lifestyle changes to guiding you towards achieving emotional wellbeing; Naturopathy holds a prominent place in the world of medicine.

If we take a broader glance at today’s scenario, Naturopathy is widely known for its advantages and hugely applauded for its various modes of therapies. It has been accepted as an independent system of medicine and presently, there are 12-degree colleges that are imparting a five and half year’s degree course of Bachelor of Naturopathy & Yogic Sciences (BNYS).

Definition of Naturopathy Salient Features of Naturopathy Techniques and Benefits of Different Modalities of Naturopathy Some Important Treatments of Naturopathy Regular Courses available on Naturopathy & Yoga Education in Naturopathy Naturopathy Specialty Centers National Institute of Naturopathy, Pune

Last updated on July 1st, 2021 at 03:48 pm