E-ISSN:2456-3110

Case Report

Herbo-Mineral

Journal of Ayurveda and Integrated Medical Sciences

2024 Volume 9 Number 7 JULY
Publisherwww.maharshicharaka.in

An Ayurvedic management of Hypertension through Herbo-Mineral Formulations : A Case Study

Ray RK1*, Kumar S2, Kumar S3
DOI:10.21760/jaims.9.7.45

1* Rohit Kumar Ray, Post Graduate, Department of Kayachikitsa, Govt Ayurvedic College Patna, Patna, Bihar, India.

2 Santosh Kumar, Post Graduate, Department of Kayachikitsa, Govt Ayurvedic College Patna, Patna, Bihar, India.

3 Sujeet Kumar, Asstistant Professor and Guide, Department of Kayachikitsa, Govt Ayurvedic College Patna, Patna, Bihar, India.

Ayurveda is a Science of health and a holistic approach to prevent and treat illness by maintaining balance in the body and mind through diet, life style and herbal remedies. Ayurveda traces the root cause of the disease and tries to eradicate it. Hypertension is a common problem affecting approximately 1.28 billion adults worldwide and it is increasing day by day. In Ayurveda, Hypertension can be related to Rakta Gata Vata and can be understand by Avarana theory of Ayurveda. Mandagni also precipitate the elevation of blood pressure through Ama formation and obstruction of channels (Srotas) and Sedentary lifestyle & improper food habits increases the chances of Hypertension. In modern medicine, there is no permanent cure for Hypertension and treatment of Hypertension is still unsatisfactory in modern medicine as the use of medicine has many side effects and may lead to medicine dependency. Stress enhances the blood pressure through sympathetic nervous system and also increases the risk of heart disease, stroke and other serious health conditions. Hypertension is a life style disorder and more susceptible to obese person. Ayurveda is a boon to manage Hypertension patients by holistic approach through herbo mineral drugs and lifestyle modification along with yoga and meditation. This study is about the management of Hypertension through some herbo-mineral formulations along with lifestyle modification.

Keywords: Hypertension, Raktagata Vata, Akik Bhasma

Corresponding Author How to Cite this Article To Browse
Rohit Kumar Ray, Post Graduate, Department of Kayachikitsa, Govt Ayurvedic College Patna, Patna, Bihar, India.
Email: 		Ray RK, Kumar S, Kumar S, An Ayurvedic management of Hypertension through Herbo-Mineral Formulations : A Case Study. J Ayu Int Med Sci. 2024;9(7):289-292.
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https://jaims.in/jaims/article/view/3330

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2024-05-13 2024-05-24 2024-06-04 2024-06-14 2024-06-24
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© 2024by Ray RK, Kumar S, Kumar Sand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

J Ayu Int Med Sci 2024;9(7)289
Rohit KR et al. An Ayurvedic management of Hypertension

Introduction

Hypertension is Iceberg disease and constitutes the tip of the Iceberg following “rule of halves” i.e., about half of the cases of Hypertension are aware of their conditions, about half of those who are aware are under treatment and about half of those who are under treatment are receiving adequate treatment.

Hypertension

Hypertension is a commonest cardiovascular disease

Address for correspondence:
Dr. Rohit Kumar Ray
Post Graduate 1st Year Scholar, Department of Kayachikitsa, Government Ayurvedic College, Patna, Bihar, India.
E-mail: rayrohit10081996@gmail.com
Submission Date: 13/05/2024Accepted Date: 24/06/2024
Access this article online
Quick Response CodeWebsite: www.jaims.in
DOI: 10.21760/jaims.9.7.45

and major risk factor for cardio vascular mortality.

Hypertension is of two types (1) Primary Hypertension (90-95%) which may develop due to environmental and genetic causes and (2) Secondary Hypertension (2-10%) which have multiple etiological factors like vascular, renal and endocrine causes.[1]


CategorySystolic B.P (mmHg)Diastolic B.P (mmHg)
Blood Pressure
Optimal
Normal
High normal		<120
<130
130-139		<80
<85
85-89
Hypertension
Grade 1 (mild)
Grade 2 (moderate)
Grade 3 (Severe)		140-159
160-179
≥180		90-99
100-109
>110
Isolated systolic Hypertension
Grade 1
Grade 2		140-159
≥160		<90
<90

The regulation of Blood Pressure depends on cardiac output (Systolic B.P) and total peripheral resistance (Diastolic B.P) i.e., If contraction of left ventricle is more than cardiac output will be more, then more blood will be pump in artery so systolic Bp will be more and if left ventricle relax,

intraventricular pressure decrease aortic valve closes and elastic artery recoil and push the arteriole in both direction so blood goes in arteriolar vasculature then if arteriole constrict the resistance offered increases so more pressure exerted on wall of vessels then diastolic BP will be more. The risk factors associated with high BP depends on combination of multiple factors like age, gender, weight, stress, physical activity, smoking, Family History, serum cholesterol, diabetes mellitus and pre existing vascular disease.[2] According to British Hypertension society the Classification of Hypertension is[3]

Raktagata Vata

In Ayurvedic prospective Hypertension can be understand through concept of Avarana of Dosas and disturbance of Kriyakal. etiological risk factors and sedentary life style disturb the Dosas (Tridosa) in Prasar Avastha of Kriyakal vitiated Dosas spread in Srotas (channels) and due to Avaran (obstruction) of Vata Dosa by Rasa, Rakta Dhatus interfere the proper functioning of concerned Srotasa.

There is Anonya Avarana of Vata (mutual occlusion between subtypes of Vata) such as Prana, Vyana Vata obstruct each other causes the disease.[4] The manifestation of Raktagata Vata (hypertension) is due to Raktadusti with Abnormal Tridosa, like Pranavayu, Vyanavayu, Sadhak Pitta and Avalambak Kapha are responsible for Raktagata Vata (Hypertension).

Since the location of Prana Vayu is Shira Pradesh (head region) so disturbance in Prana Vayu due stress covers Vyana Vayu resulting in abnormal in autonomic functions of Vyana Vayu and also catecholamines released due to stress leads to elevation of blood pressure. Hridaya is the site of Sadhaka Pitta, Avalambak Kapha and Oja.

Since Hridaya along with Shira, Dhamani are the circulating organ of the body and responsible for maintaining normal blood Pressure so vitiation of these all Dosas and Oja can lead to elevation of normal blood Pressure through concept of Ashraya- Ashrayi Bhava of Ayurveda.

Samana and Apana Vayu is responsible for excretion and separation of Kleda from fluid which can be co-related with Na+ excretion and K+ retention and thus leads to manifestation of Raktagata Vata (hypertension).[5]


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Rohit KR et al. An Ayurvedic management of Hypertension

Case Study

A 55 years old male patient with CR no 82424A36197 came to Government Ayurvedic College, Patna in Kayachikitsa Department OPD with chief complaints of headache, dizziness, palpitation, uneasiness, restlessness, lethargy, decreased sleep and anxiety etc. He was previously diagnosed case of Hypertension in modern medicine center and taking medicine.

Examination

On taking history patient was smoking since 10 years having sedentary lifestyle including Spicy fast food, excess salt intake and patient’s occupation involving stress predisposes leading to development of hypertension. On inspection patient was looking anxious, lethargy and restless. On examination the blood pressure was found to be 160/110 mmHg and pulse rate was 86 beat/minute. As per Ayurveda the patient was of Vata Pittaj Prakrti & Satva was Madhyam, examination of Naadi was found to be Vegavan (Tivra), Jihva was blue-blackish discoloration & in Sparsa patient was slightly Ushna.

Diagnosis

After examination the diagnosis was confirmed according to symptoms like retention of Mutra, Purish, and Apana Vayu, Udarshula, Adhmana etc. according to Charak Samhita as per Ayurvedic classics, and according to modern medicine palpitations, lethargy, sweating, dizziness and uneasiness accordingly relate to hypertension as it was earlier made by modern medicine center.

Treatment Plan

The management of Hypertension according to Ayurveda is Nidan Pariwarjanam i.e., avoiding sedentary life style and improper food habits. The medicine prescribed according to path physiology of hypertension, disease & patients Conditions. The following herbo-mineral drugs are prescribed-

1.Prabhakar Vati[6] 250mg BDTab Abana[7] 250mg BD
2.Mukta Vati 250mg BD
Akika Bhasma 125mg BD
3.Tab.Lipistate[8] 250mg BD

After taking this mineralo-herbal formulations Along with regular exercise and life style modification and Pranayam gave significant result in the management of Hypertension.

After 20 days patients BP was 130/88 mm of Hg and Pulse rate was 76 per minute.

Assessment of symptoms

ParameterBefore TreatmentAfter Treatment
Anxiety30
Lethargy31
Headache30
Sleep Disturbance31
Sweating30

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jaims_3330_02.JPG

Discussion

In Ayurveda Vata Dosa is responsible for circulation of blood and due to vitiation of Vata Dosa along with influence of other Dosas responsible for fluctuation of normal blood Pressure. Exercise reduces vascular resistance and also favorably effect blood pressure involving Sympathetic nervous system and renin angiotensin system. Prabhakar Vati has significant effect on lowering elevated blood pressure. It contains Swarna Makshik, Louhabhasma, Sudh Sheelajit, Abhrak Bhasma and Arjuna Bark Swaras.


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Rohit KR et al. An Ayurvedic management of Hypertension

Swarnamakshik (cupper pyrite) has Tridoshaghna and Kaphapitahar property.[9] Lauha Bhasma Improves hemoglobin level. Shudh Shilajit have imunomodulator and Medoghna (lipid metabolism) and Aam Pachak.[10] Arjun Bark contains co-enzyme Q10 protects LDL cholesterol from damage through oxidation so co Q10 is responsible for decreasing blood pressure and also Improves heart functions.[11] Tab Abana having ingredients of Ashwagandha, Arjun Guggulu, Guduchi, Dashmoola, Punarnava, Amalaki, Haritaki, Yastimadhu etc. Ashwagandha active constituents withaferin-A which inhibit inflammatory substances IL6,TNFa,reactive oxygen species, nitric oxide and also effect by upregulating the mitochondrial anti apoptotic pathway due to increase in activated protein kinase (Ampk) phosphorylation and it regulates glucose, protein and fat level in nervous system and peripheral tissues. Arjun strength heart muscle tone, antioxidant and Anti-inflammatory property. Punarnava having immunomodulator, diuretic property to manage Hypertension. Mukta Vati decrease MDA level (malond aldehyde) marker of lipid peroxidation in serum.[12] Akika Bhasma is compound of Ratna Varga having Ruksha and Sheet Guna in nature primarily used in the management of Hypertension.[13] Tab Lipistate having key ingredients Arjun, Guggulu, Pushkar resulting in reducing bad cholesterol. So prescribed medicine gave significant result in management of Hypertension.

Conclusion

Ayurveda is alternative and ancient system of medicine to the management of Hypertension with some herbo-mineral formulations along with life style modification. These medical interventions were found to be safe and effective on the root cause of disease. Further research is needed to proof the facts.

References

1. Ajay Kumar Pandey. Kayachikitsa vol 2, page no 248, Choukhamba Publication.

2. Davidson’s Principles and practice of medicine 23rd Edition chapter 16 page no 508,509

3. Priyanka Verma. A conceptual study of life style disorders w.s.r to Raktagata vata (Hypertension), International research journal of Ayurveda &yoga.

4. Ankur Saxena, An etiopathogenesis of Raktagata vata w.s.r to hypertension, International journal for multidisciplinary research (IJFMR).

5. Kaviraj shree Ambikadattashastry Ayurvedacharya, Bhaishajya ratnavali page no 693 verse 42-43.

6. GP Dubey, Arun Agrawal, KN Udupa. Prevention and management of coronary heart disease by an indigenous compound abana

7. https://www.1mg.com

8. Chandrabhusan Jha. A text book of Rasashastra. chapter 6, page no 222

9. Acharya sidhinandan mishra, rasratnasamuchya choukhamba Orientalia Varanasi, chapter 2 ,page no 50 verse 115.

10. Mita Majumdar msc medically reviewed by dr sunil shroff mbbs, ms, frcs (uk),D.urol (lond)on june 13, 2018, https://www.medindia,.net.

11. Sandeep kumar singh A study on the Hypertension activity of mukta vati (Ayurvedic preparation) in deoxycorticosterone acetate salt induced Hypertension in rats.

12. Chandrabhusan Jha. A text book of Rasashastra chapter 8 page 418.


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