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EFFICACY OF AN AYURVEDIC INTERVENTION IN THE MANAGEMENT OF

HYPERTENSION: A CASE STUDY

Article  in  International Journal of Research in Ayurveda and Pharmacy · March 2019

DOI: 10.7897/2277-4343.100115

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 Anil Mangal & Uma Mangal / Int. J. Res. Ayurveda Pharm. 10 (1), 2019

Research Article
www.ijrap.net

EFFICACY OF AN AYURVEDIC INTERVENTION IN THE MANAGEMENT OF HYPERTENSION:

A CASE STUDY
Anil Mangal 1*, Uma Mangal 2
1Research Officer/Scientist-3 (Ayurveda), Regional Ayurveda Research Institute, CCRAS, Ministry of AYUSH,

Government of India, Ranikhet, Uttarakhand, India

2Consulting Physician, Mangalam Multispecialty Ayurveda Hospital, Gwalior, M.P., India

Received on: 25/11/18 Accepted on: 07/01/19

*Corresponding author
E-mail: [email protected]

DOI: 10.7897/2277-4343.100115

ABSTRACT

In the present era, Hypertension is a global health issue affecting the people throughout the world due to life style, stress and dietary habits. It is a non-
communicable disorder which can affect the life and a causative factor of coronary vascular diseases like myocardial infarction and stroke.
Approximately 40 % of the urban population and 18% rural population are suffering of this ailment throughout the world. Currently, a number of anti-
hypertensive drugs are available to control hypertension but due to long term or lifelong application and adverse effect, a safe and economically
management is require. Ayurvedic approach to pathogenesis of hypertension can provide the solution to rising cases of this illness. Objective: To assess
the clinical efficacy of Sootshekhar ras along with Akik pisti in the management of essential hypertension using with clinical symptoms and laboratory
investigations. Material and Method: It was a single case study. Sootshekhar ras 250 mg and Akik pisti 250 mg twice in a day with water for 21 days
were used. Results: Clinical symptoms were reduced and laboratory parameters were significantly changed from baseline to end of the treatment.

Keywords: Hypertension, Vyanbal vaishmya, Ayurved medicine, Sootshekhar ras, Akik pisti

INTRODUCTION for the elevated blood pressure and associated symptoms of

primary hypertension.
Hypertension is a health issue distressing the mankind throughout
the globe. It is a condition in which the blood pressure is CASE STUDY
chronically elevated i.e. 140/90 mm Hg or higher. Elevated level
of blood pressure correlate directly with the risk of developing A 38 years old female patient who was normal before three
cardio vascular disorders (CVD) and stroke leading to mortality. months develop symptoms like headache, palpitation, vertigo,
As per World Health Organization (WHO), the incidence of heaviness at chest area and nausea. Three months before when
hypertension in urban population is around 40% and rural around she was suffering these symptoms, she was gone to the general
18%. Basically Hypertension is classified as Primary or essential physician clinic who has diagnosed, essential hypertension and he
Hypertension and Secondary Hypertension. Most of the cases are was prescribed antihypertensive medicines i.e. Amlodipine. She
categorized as primary Hypertension. Primary Hypertension is had taken the medicine for two months but did not get relief, after
originated of unknown cause in allopathic system of medicine. that she came to outpatient department (OPD) of Regional
Ayurveda research institute for Ayurvedic treatment. The
However, the changes in social and economic conditions, life registration no. was 1213 dated 19.06.2018. The patient was
style, dietary habits and an increasing stress and strain in complaints of headache, palpitation, vertigo, nausea, burning in
producing the livelihood have increased the prevalence of this chest and stomach. After taking the detailed history, the consent
disease. In Ayurvedic classics, Hypertension term is not was taken from the subject and study was in accordance with ICH
mentioned, but on the basis of its symptomatology is found in the GCP guidelines.
chapters of Vata vyadhi, Prameha, Hrdayaroga. It’s correlated
with Vyanabala vaishmya i.e. vikriti (abnormality) of vyan vayu General examination
(a subtype of vata, that is situated in cardiac region). In the Pulse: 114/min
pathogenesis of hypertension, vyanvayu along with prana and Respiratory rate: 26/ min
apana vayu get affected1. Basically, It is considered in doshaja Blood pressure: 170/114 mm of Hg
nanatmaja vikara (symptoms due to disequilibrium of three Temperature: 98.6 ° f
regulatory functional factors of the body) like Hridravata General condition: Poor
(tachycardia), Shiroruk (headache), Lalat bhed (frontal
headache),Vakshatod (pectoralgia),Vakshoparodha (chest Systemic examination
tightness), Bhrama (giddiness),Vepathu (tremor) etc. Rest of the systemic examination did not reveal any significant
abnormality.
Number of antihypertensive drugs available in allopathic
medicine which control the blood pressure and prevent the risk of Dashavidhapariksha (ten important aspects for examination)
CVD. Sarpagandha (Rauwolfia serpentina) is a popular
Ayurvedic plant drug among the scientists as Antihypertensive2- • Prakriti- Vat pittaj
6. In the present study, a classical Ayurvedic formulations
• Vikriti- Pitta
Sootshekhar ras7 and Akik pisti 8 used as an antihypertensive drug • Sara- Meda
• Samhanan-Madhyam

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 Anil Mangal & Uma Mangal / Int. J. Res. Ayurveda Pharm. 10 (1), 2019

• Satmya- Vyamishra Probable diagnosis: Vyanbal vaishmya (Primary or Essential

• Satwa-Avara hypertension)
• Praman-Madhyam
• Ahara shakti-Avar INTERVENTION
• Vyayam shakti-Avar
The treatment was carried out with the following medicines
• Vaya- Yuvavastha (Table 1) for 21 days with follow up every 07 days. During this
period, intake of routine food and avoid excess salt intake, spicy
food was strictly follow up.

Table 1: Drug and Posology

SN Name of medicine Doses Ingredient Reference

1. Soot shekhar ras 250mg BD Shuddha Parada (purified Mercury), Tankana Bhasma Yogaratnakara Amlapitta
(powder) for 21days (purified Borax), Shuddha Vatsanabha (purified Aconitum Chikitsa 705, Ayurvedic
ferox), Shunti (Zingiber officinalis), Maricha (Piper nigrum), Formulary of India Vol. 1,
Pippali (Piper longum), Dattura (Datura metel), Gandhaka 20:52
(purified Sulphur), Tamra Bhasma (herbal purified powder
from Copper), Ela (Elettaria cardamomum), Twak
(Cinnamomum zeylanicum), Patra (Cinnamomum tamala),
Nagakeshara (Mesua ferrea), Shankha Bhasma (herbal purified
Conch Shell), Bilva ( Aegle marmelos), Kachura (Curcuma
zedoaria) and Juice extract of Bhringaraja (Eclipta alba).
2. Akik pisti (powder) 250mg BD Akik (Cryptocrystalline silica) powder, Aloe vera juice extract, Ayurvedic Pharmacopoeia of
for 21days juice extract of Ketaki (Pandanus odoratissimus), Jalapippali India, Part 2 Vol 3, 1st edition
(Phyla nodiflora) juice.

Table 2: Investigation carried out for assessment

Bio chemical and radiological parameters At the starting of the treatment At the end of the treatment
S. Cholesterol 178 mg/dl 175 mg/dl
Triglycerides 157 mg/dl 164 mg/dl
HDL 42 mg/dl 42 mg/dl
LDL 113 mg/dl 116 mg/dl
VLDL 31 mg/dl 33 mg/dl

OBSERVATION AND RESULT Sootshekhar ras10 due to its content has potent effect in the
treatment of acid peptic disorders, dyspepsia, gastritis, vomiting,
During the first visit of treatment along with Ayurvedic abdominal colic, diarrhoea, dysentery, hemorrhage, mental
intervention, conventional antihypertensive drug was continued disorders, cardiac disorders and circulatory disorders. Its action
as BP was high. After a week patient came to the OPD as follow helps in maintaining of digestion and primary hypertension. Akik
up, conventional antihypertensive drug, which was prescribed Pisti10 acts as cardiac tonic, pitta related disorders, heart burn,
previously by other physician, where patient has taken treatment, headache, vision and infection related eye disorders. Collective
was tapered down and stopped. After that patient was registered mode of action of intervention are pacification of pitta, relieves
for Ayurvedic treatment. The treatment was used for 21days with constipation, appetizer, digestive which gives patient
every 7th day follow up. After first follow up blood pressure had symptomatic relief in burning in chest, burning in stomach,
come to nearly normal i.e. 120/80 mmHg and pulse rate also giddiness, constipation and headache.
comes to 84 per minute and headache, palpitation, vertigo,
heaviness at chest area and nausea symptoms had disappeared. CONCLUSION
The patient had followed the diet and restrictions as advised.
On the basis of our clinical observation, it is concluded that the
DISCUSSION trialed intervention is safe and effective without producing
adverse effects in the management of Essential hypertension due
In the present era number of options for treatment of to their pharmacodynamics action i.e. pittashamak, digestive
Hypertension. World Health Organization has accentuated properties.
development and utilization of herbal drugs and traditional
medicines. The organization has accessed that about 80% of the ACKNOWLEDGEMENT
population of developing countries is depend on these medicines9.
According to Ayurveda, essential hypertension is similar to The author expresses sincere thanks to the Director General,
Vyanbala vaishmya. The disease Vyanbal vaishmya seems to be Deputy Director General, CCRAS, New Delhi for their
resulted from the vaisamya of vyanavata. Vata is a unique dosha, encouragement. Authors are grateful the patient who has given
which regulates and is responsible or the movement of other two consent to publish this case report.
pitta and kapha doshas. As the vyana vata is responsible for the
movement of rasa rakta dhatu. Obstruction and accumulation in REFERENCES
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Source of support: Nil, Conflict of interest: None Declared

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