By Sajeev Ampadi., HOM., BHMS., MD (Hom)

Head of Department of Cardiology

Essence Medical College of Homeopathy

Six million Canadian adults, or one in five, have high

blood pressure

1 in 6 Canadians (762,000 individuals) with high blood pressure are unaware of their condition

Hypertension burden in Canada

Homoeopathic Management of

Hypertension

Scope Primary Hypertension

Secondary Hypertension with reversible cause

LimitationHypertensive

Emergency

Secondary Hypertension with medically nonmanageable cause

Outpatient settings Isolated office

hypertension(white coat)

Errors in one-time recording

Postural changes

Day/Night variations

Classification of BP for Adults JNC (Joint National Council for hypertension) Criterion

Blood Pressure Devices

Calibration

Maintenance

Proper Use

Accidental cures

Focused treatment

PRIMARY HYPERTENSION

When treating for other diseases

Taking prophylactic medicines

Organ specific remedies with true or false diagnosis

Mislabeling or misplacement by the pharmacist

Accidental cures

Record BP in all patients regardless of the complaint

they come for

Recheck BP in all visits and try to figure out any unusual pattern

How to utilize the cure

Analysis of such cures

FIRST STEP Trying to find out the

symptom which has maximum curability with the remedy

Trying to find out the relation of that symptom with hypertension

SECOND STEPUtilizing the

antihypertensive action of that remedy to get sustained effect on that patient

Utilizing the strategy in other cases

Remedy Symptom spectrum

Hypertension

FIRST STEP

Angio edema

Blurred vision

Broncho spasm

Chest pain

Claudication

Cough daytime sleepiness

Depression

Dizziness

Dyspnoea

Flushing Gingival problems Headache haematuria Muscle cramps Nocturia Palpitation Polyuria Sexual dysfunction Snoring Sweating Weakness Wight loss Weight gain

Going through the Repertory and Materia Medica to

find out the remedy with maximum curability

Eg. Lycopodium having flatulance at 4 to 8 pm(Having no relation with hypertension)

FIRST STEP

Going through the Repertory and Materia Medica to find out the remedy with maximum curability

Eg. Occipital headache in the morning on waking as in Lachesis (Having relation with hypertension)

FIRST STEP

Note down the specific link between remedy

symptom spectrum and hypertension for that particular case.

Repeating same remedy in situations when this connection exists

It is regardless of other symptoms because in certain cases a single symptom may represent totality

Sustainability of the result.

Repeating more frequently

Escalating potency

Prescribing anti-miasmatic remedies

Stand still

Category I– Diagnosed &

treated with Allopathy or any other system

Category II– Freshly

detected or unpolluted

Patients already diagnosed & taking Modern medicines

Well controlled

Meticulous care

on tapering drugs

Numbers based follow-up

Frequent review

Counseling to prevent anxiety

Poorly controlled

Be skeptical about patients self-commitment

Discard irrational supplements

Individualization

Vs

Stereotyped clinical settings

Constitution

Vs

Acute symptoms

Case taking

Constitution of Sulfur

BP 150/100

On Beta blockers

Presenting with a headache of Sangunaria

Sample Case

CSC Protocol(2015)

Constitutional RemedyAnti miasmatic intercurrent RemedyAnti hypertensive Q or low potency, to

titrate BPSpecific Remedies to neutralize the

allopathic medicineAny Remedy matching acute symptoms

HYPERTENSIONFocused Treatment

Allium sativa MT – Useful to titrate high BP in the verge of Hypertensive emergency. Starts BP reduction within 30 minutes when 35 to 40 drops given.Rauwolfia MT - High BP without any other specific indications. Maniacal symptoms gives additional confirmation (Stage 1 HT) The alkaloid reserpine is the active principle. So expect adverse effects of reserpine.

Homoeopathic cardioselective Remedies for Hypertension …

Homoeopathic cardioselective Medicines for Hypertension

Passiflora MT- Pre hypertension Passiflorainduces sleep & reduces fatigue facilitating BP control

Baryta mur 3x - High systolic BP and relative low diastolic. Atherosclerosis of vessels(CAD)

Adonis MT - Hypertension due to renal diseases, weak pulse

Veratrum Viride 6C

HT associated with A fib or other forms of arrhythmias of Heart

Paroxysmal AFib

Adrenalin 6c

The main action of Adrenaline is stimulation of the sympathetic endings, notably the splanchnic area, causing constriction of the peripheral arterioles, with resulting rise in blood pressure

BUT an adaptogenic in pre hypertension

Crataegus Oxy MT

Cardiomyopathies

Diseases of heart muscles. In cases where pumping is not good.

Taraxacum

When diuretic is needed

Pre disposition

Characteristic dispositions at mental & physical level

Diathesis

Characteristic particulars

Best results are produced with LM

Constitutional similimumConstitutional remedy may be selected, based on each individual case, depending on

Psoric

Sycotic

Tubercular

Syphilitic

Miasmatic intercurrent

Merc.sol 30 –TDS- Tapering dose, if the patient is under Betablockers

Belladonna 30/Alisma P MT Tapering dose, if the patient is under

calcium channel blockers ( nifidipine,amlodipine) with pedal edema and congestive headache.

Specific Antidotesempirical and anacdotal

Homeopathic Drugs & Nutritional Supplements

Plant stanols Niacin L-Arginine

Combined Approach

All combinations must be judicious (do not Mix Beer with Viagra !!!

Avoid tobacco

Weight reduction

Physical activity

DASH diet

Relaxation techniques

Life style modification

Recommendations for follow-up

cultural norms

insufficient attention to health education by health care practitioners

lack of reimbursement for health education services

lack of access to places to engage in physical activity

larger servings of food in restaurants

Prevention of Hypertension:Public Health Challenges

Prevention of Hypertension:Public Health Challenges cont..,

lack of availability of healthy food choices in many schools, worksites and restaurants

lack of exercise programs in schools

large amounts of sodium added to foods by the food industry and restaurants

higher cost of food products that are lower in sodium and calories.

Schedule next appointment before patient leaves office.

Use appointment reminders, preferably computer-based, and contact patients to confirm appointments.

Follow up with patients who missed appointments.

Use an office-based system approach for monitoring and follow up (e.g., educate staff to provide patient encouragement, computer or chart reminders, disease management aids).

Organize, care delivery systems(outpatient settings)

Secondary hypertension having underlying

causes especially under medication

Renal parenchymal causes

Renal artery stenosis

CNS-Space occupying lesions

Hypertensive emergencies

Limitations(outpatient settings)

Thanks You

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