By Sajeev Ampadi., HOM., BHMS., MD (Hom) · verge of Hypertensive emergency. Starts BP reduction...
Transcript of By Sajeev Ampadi., HOM., BHMS., MD (Hom) · verge of Hypertensive emergency. Starts BP reduction...
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By Sajeev Ampadi., HOM., BHMS., MD (Hom)
Head of Department of Cardiology
Essence Medical College of Homeopathy
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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
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Homoeopathic Management of
Hypertension
Scope Primary Hypertension
Secondary Hypertension with reversible cause
LimitationHypertensive
Emergency
Secondary Hypertension with medically nonmanageable cause
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Outpatient settings Isolated office
hypertension(white coat)
Errors in one-time recording
Postural changes
Day/Night variations
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Classification of BP for Adults JNC (Joint National Council for hypertension) Criterion
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Blood Pressure Devices
Calibration
Maintenance
Proper Use
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Accidental cures
Focused treatment
PRIMARY HYPERTENSION
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When treating for other diseases
Taking prophylactic medicines
Organ specific remedies with true or false diagnosis
Mislabeling or misplacement by the pharmacist
Accidental cures
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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
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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
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Remedy Symptom spectrum
Hypertension
FIRST STEP
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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
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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
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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
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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.
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Repeating more frequently
Escalating potency
Prescribing anti-miasmatic remedies
Stand still
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Category I– Diagnosed &
treated with Allopathy or any other system
Category II– Freshly
detected or unpolluted
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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
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Individualization
Vs
Stereotyped clinical settings
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Constitution
Vs
Acute symptoms
Case taking
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Constitution of Sulfur
BP 150/100
On Beta blockers
Presenting with a headache of Sangunaria
Sample Case
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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
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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 …
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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
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Veratrum Viride 6C
HT associated with A fib or other forms of arrhythmias of Heart
Paroxysmal AFib
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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
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Crataegus Oxy MT
Cardiomyopathies
Diseases of heart muscles. In cases where pumping is not good.
Taraxacum
When diuretic is needed
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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
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Psoric
Sycotic
Tubercular
Syphilitic
Miasmatic intercurrent
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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
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Homeopathic Drugs & Nutritional Supplements
Plant stanols Niacin L-Arginine
Combined Approach
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All combinations must be judicious (do not Mix Beer with Viagra !!!
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Avoid tobacco
Weight reduction
Physical activity
DASH diet
Relaxation techniques
Life style modification
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Recommendations for follow-up
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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
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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.
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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)
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Secondary hypertension having underlying
causes especially under medication
Renal parenchymal causes
Renal artery stenosis
CNS-Space occupying lesions
Hypertensive emergencies
Limitations(outpatient settings)
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