Brief Answer: need details & Ayurveda Management Detailed Answer: Dear XXXXXXX Thanks for contacting Ayurveda with your health concern and following points need consideration before starting/opting for Ayurveda Management. 1. since reports are mainly normal except for LDL bad cholesterol], thus other cardiovascular risk factor for high blood pressure is/are ruled out. PS. .opening of 0000_1dp.pdf says: It is password protected, so cannot comment anything . New values for Lipid Profile are: [but may vary from lab to Lab] .S. Cholesterol: <200mg/dl .TG's: <150 mg/dl. .SGOT/SGPT; indicates hepatocellular damage or injury to liver [elevated slightly] 2. i. Usually there is an average of 20mm Hg systolic and 10mm Hg diastolic increase from age 30 to 65 years, [ 35 in your case], and is there any family history of high blood pressure? ii. Weight: is a controllable risk factor, thus please specify the same? iii. any addiction to tobacco [in any form]?, high salt intake??, Or frequent use of medications like: cold remedies, decongestants, pain killers iv. Physical Lifestyle: is it Sedentary or Active? 3. As you are already under Allopathy Medicine, so was it observed at SAME time of the day [because reading changes throughout the day]? PS. side effect of Inderal [propanolol] is/are fatigue,lassitude,weakness, depression, confusion [which are in your history], for more exhaustive list kindly go through the Medicine or talk with your Doctor. 4. You can incorporate following dietary Regime and Lifestyle changes in your daily routine: i. LOW SALT DIET . Do not exceed 2.5 gm per day . Avoid having/putting extra salt during meals. . Where salt is essential, use LOSALT . Avoid salt rich foods: pickles, papads, sauce, cheese, salted butter/biscuits/ peanuts-cashews/butter milk, popcorns, wafers, preserved/tinned food. [Make sure high protein diet is taken in moderation] ii. Since Bad Cholesterol is also an Issue thus prefer LOW FAT DIET . Avoid saturated oils [coconut oil, dalda, butter,ghee, cream] instead use monosaturated oils [olive oil] or polyunsaturated oils [sunflower, corn oil] . Avoid all deep fried foods, unskimmed milk, and meat. . Increase fibre intake i.e. leafy vegetables, salads, fruits, pulses and legumes. . Use skimmed milk or double toned low fat milk. i. Take . Cereals: take old brown rice, maize, barley, . Pulses: chickpea, pigeon pea, green gram, horse gram, . Fruits & Vegetables: brinjal, drum stick [shigru], black grapes, mosumbi. . Others: butter milk [not salted], cardamom, XXXXXXX warm water, intake of water before meals, food substances with pungent, bitter and astringent taste. . Lifestyle: physical exercise, night awakening, massage with medicated powder, sunlight exposure, bathing with lukewarm water. ii. Avoid . Cereals: Newly harvested rice, wheat. . Pulses: Black gram . Fruits & Vegetables: potato, sweet potatoes, beets, yam, nuts, fruits with sweet pulp like mango, chickoos, bananas and green grapes. . Others: milk, curd, meat, fish, clarified butter, jaggery, intake of water after meals . Life style: bathing with cold water, day sleeping, luxurious life style, oil massage. .Add 1 spoon smashed fenugreek seeds and boil in 4 cups of water, till 1 cup remains. Filter it and add 4 spoons honey and drink for 1 month. . Mix 1 spoon long pepper powder and 1 spoon jaggery and eat daily for 1 month . Avoid Constipation: take Trifla Churan at bed time . Since Hypertension is one example of Psychosomatic Disease, thus treatment of Mind is essential before addressing physical symptoms, thus you can take prescription medicines like: XXXXXXX Vati, Sarpagandhaghan vati, Brahmi Vati, Tablet Mentat, Ashwagandha Arishta for the same, and Arjuna Artishta, XXXXXXX Vati for high blood pressure. Dr. Munish Consultant & Physician Naimittika

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Brief Answer: Ayurveda & Hypertension Detailed Answer: dear Thanks for reverting back with your concern(s) 1. A new group called 'pre hypertension' with systolic BP of 120-139 mm of Hg and diastolic BP of 80-89 mm of Hg, needs lifestyle modifications to prevent cardiovascular disease. [since your readings suggests the same you should follow dietary regime and lifestyle management as stated earlier. PS. Since there is/are variations in blood pressure from morning to evening, so practical guideline which I follow with my patients is that I go for serial check up of blood pressure [10:00 AM in morning and 6:00 PM in evening] for 10 days continuously and thereby getting baseline measurements to decide whether blood pressure remains constant throughout the day or there is fluctuation from the normal and then decide accordingly] 2. Emotion [STRESS] is significant causative factor of VATA, since when one is upset or there is sense of grief/insecurity/fear, his/her VATA gets aggravated and resulting in Raktagat vaat [hypertension], but since stress is part and parcel of life make sure you are not deeply involved with it. 3. Tribulus terrestris (gokshura) is a natural herb used for treating many diseases including high blood pressure. It has shown to be diuretic [water pill]. [talk with your Ayurveda Physician for the same] 4. Add 1/2 spoon roasted turmeric powder to 1 coconut water, also add 1 spoon ghee and drink it daily for 1 month [heart ache due to blood pressure reduces] Dr. Munish Naimittika

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Brief Answer: People do get cured with Ayurveda Medicine Detailed Answer: Dear Thanks for raising you concern (s) As said earlier, in Ayurveda we hold blood pressure as one example of Psychosomatic Disease i.e. [one having mind-body relationship], for instance: Anxiety in your case in relation with blood pressure. So in Best Interest it will be wise to follow Dietary Regime as stated earlier and start following the said Medicines which will definitely alleviate your Anxiety and will reduce blood pressure at the best. 1. Arjunarishta is a CARDIOTONIC [giving strength to the muscles of the heart and also boost the immune system], so you can /start/continue with arjunarishta, for better results you may combine it with Hridya amrit vati 2. Ashwagandharishta is a NERVINE TONIC [calming the mind]: you can start with ashwagandharishta and for better relaxation of mind you may add XXXXXXX vati PS. Thus ashwagandha will take care of mind and arjunarishta will take care of heart, make sure you take the said medicine after meals with equal amount of water [applicable for arjunarishta/ashwagandha arishta]. Dr.Munish Naimittika

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Brief Answer: Duration Of Medicines Detailed Answer: Dear Thanks for reverting back with your concerns. A 1. Hridyamrit vati 1 in morning and 1 in evening [before food with XXXXXXX warm water] and arjunarishta morning/evening [after food] 2. XXXXXXX XXXXXXX vati: 2 tablets at night [before retiring to bed with XXXXXXX warm water] and ashwagandha rishta: morning/evening [after meals] Duration: 2-3 months B. Arjin is used in mild to moderate hypertension and also improves the tone of Cardio-vascular system and calms the nervous system. [Psycho somatic effect], so will definitely alleviate your symptoms. PS. 2 tablets three or four times a day to begin with, once the B.P. is controlled an symptoms are relieved, dosage can be adjusted accordingly. Since it is not available here, thus cannot give more details about the same, you may consult for further information with your Attending Doctor. C. Long pepper powder [बड़ी पिप्पली का चूर्ण ], jaggery [गुड़], and if you visit any village in India, [during summer season, in afternoon] you will be given a piece of jaggery and cold water to drink:for simple reason: instant energy and coolness PS. so it is safe to consume jaggery, also it is said in Ayurevda texts that OLD jaggery is good for heart and is also cardio tonic, also it is one option among other home remedies described. D. yes, fenugreek seeds are methi seeds, and should be taken empty stomach in morning only. Dr. Munish Naimittika

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