Ayurveda treatment for Hypertension

AyurVAID’s treatment modality for hypertension includes both internal medications and therapies, judiciously administered after considering the patient’s individual clinical condition

AyurVAID Hospitals is now a part of Apollo Hospitals Group.

Treat Hypertension with Ayurveda

Hypertension requires regular follow-ups, AyurVAID Hospitals typically recommends our Hypertension Management Program, based on Panchakarma principles, for maximum results. However, the treatment for Hypertension requires therapies or medications. In many cases, a few key internal medications, along with some therapies, will suffice to relieve the disease.

AyurVAID’s treatment modality for hypertension includes both internal medications and therapies, judiciously administered after considering the patient’s individual clinical condition. Therapies like Talam (anointions), Shirodhāra (pouring of medicinal liquid in a particular fashion), virechana(procedural purgation), and raktamokshana(blood letting), are often employed. Significant improvement with respect to the maintenance of hypertension within normal levels can be brought about by the appropriate treatment. Early intervention with ayurveda helps prevent the development of complications.

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Treatment options for Hypertension at AyurVAID

1
Ayurveda Concept

The disease hypertension is an abnormality of Rakta Dhatu (blood) and is popularly known as Shonita Dusti(vitiated blood). Shonita Dusti includes clinical manifestation that is analogous to hypertension. The illness Shonita Mada simulates the symptom of malignant hypertension. Symptoms like Shiroruka (Headache), Klama(Nausea, Vomiting), Anidra (Sleeplessness),Bhrama, Buddi Sammoha,Kampa etc. akin to manifestations of hypertension. Different neurological deficits like delirium, Altered state of consciousness manifested as the sequel of malignant Hypertension indicate the progressive manifestation of increasing Shonita Dushti leading to Mada, Moorcha and Sanyasa. Early intervention and management of hypertension helps to arrest progress into complications like cardiovascular(myocardial infarction, ischemic heart disease) and cerebro-vascular(stroke) etc.

2
Ayurveda approach to medical management

According to the dominance of Dosha and the Avastha of disease, the plan of treatment goes on differing. The line of treatment in the disease of Shonitadushti consists of Nidana parivarjana (avoidance of causative factors of shonita dusti like excessive intake of alcohol, salty food items, Sedentary habit, Mental stress, Physical strain & cold season), Shodhana in the form of Virecana (gut purification in the form of enema), Shirovirecana (purification through nasal root), Raktamokshana (Bloodletting), Use of shirodhara(special technique to pouring medicated oil over head), pichu, talam(applying medicated tampon over head), Shamana medications (different oral medication) and Rasayana Chikitsa.

3
Treatment specific information

The nature of the disease necessitates long run treatment protocol with continuous internal medications regular therapies. The patient need to be on naimittikarasayana (rejuvenation therapy specific to the disease) during the convalescence also.

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What are the signs and symptoms of Hypertension

Symptoms of Hypertension
  • No symptoms
  • Non-specific symptoms
  • Headache esp. Morning headache
  • Tinnitus
  • Dizziness
  • Confusion
  • Sleepiness
  • Vision problems
  • Angina
  • Difficulty breathing
  • Irregular heartbeat
  • Blood in the urine
  • Epistaxis
  • Many symptoms occur from complications of hypertension

Signs of Hypertension
  • Vital Signs - Elevated blood pressure, bradycardia, bounding pulse
  • Skin - Flushed, diaphoresis, pallor
  • Cardio-Vascular - Distended neck veins, extremity edema, pulmonary edema
  • Neurologic - Decreased level of consciousness, impaired movement, symmetry of face and extremities, seizures, unequal pupils.

Diagnosis and Lab investigations

Diagnosis is made clinically by recording the Blood pressure in Sphygmomanometer. A systolic blood pressure ( SBP) >139 mmHg and/or a diastolic (DBP) >89 mmHg is diagnostic. Based on the average of two or more properly measured, seated BP readings.

Testing

Testing is extremely important to determine the stage of the disease and in selection of appropriate treatment options in case of primary hypertension.

Prehypertension with systolic of >120 & <139 mmHg and Diastolic of >80 & <89 mmHg. NOT a DISEASE category. Should encourage Lifestyle modification as this group has an increased risk of becoming hypertensive. Life style modifications include weight reduction adopt DASH dieting plan, regular physical activity like brisk walking for 30min , moderation of alcohol intake.

Stage 1 hypertension with systolic ranging from 140-159 mmHg and Diastolic ranging fromm 90-99mmHg. Along with lifestyle modifications needs medical intervention too.

Stage 2 hypertension with systolic of ≥160 mmHg and Diastolic of ≥ 100mmHg. Along with lifestyle the above two needs treatment like dhara and virechana to prevent further complications.

Testing can include blood tests and/or ECG, Echo etc to rule of other secondary causes of hypertension, such as Intrinsic renal disease, Renovascular disease, harmonal excess, Sleep Breathing disorder, Pheochromocytoma Coarctation of Aorta, & Hyper/hypothyroidism

  • Serum creatinine
  • 24hr urine metanephrine and nor metaneprine test
  • 24 hr aldosterone test, Dexamethasone suppression test
  • Doppler flow study
  • CT and Magnetic resonance Angiography
  • Selep study with O2 saturation,
  • Serum TSH , PTH and
  • Serum Potassium
  • Lipid Profile

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We work towards whole person health through classical Ayurveda science. Our Ayurveda case studies are the first-line evidence in Ayurvedic medical literature as they present the original observations from our Ayurveda practitioners. The case studies are published taking patient’s consent and maintaining patient anonymity.