Hypertension-A silent killer (High Blood Pressure, Uchcharaktachap, Vyanabala Vaisamya)

Hypertension

"Silent Killer, High Blood Pressure, Uchcharaktachap, Vyanabala Vaisamya)"

DON'T GET HYPER

Have you ever checked your Blood Pressure  lately ?
GET TESTED AND KEEP IT DOWN
KEEP B.P. WOES AT BAY

These days hypertension is a very common problem. It is a lifestyle disorder- not something you are born with , but something acquired due to a faulty lifestyle.

High blood pressure can be termed as the bane of modernization. This disease, which harasses thousands today, is a result of a destructive lifestyle, smoking, obesity, alcohol intake, insulin resistance and stress. It has three major consequences- stroke, heart attack and kidney damage. Therefore maintaining your blood pressure is unquestionably important. While some people may require medication to keep their blood pressure under control, most people can control it with proper diet, weight loss, vitamin supplements and stress management. Eating your way out of high blood pressure should be your number one choice of treatment. 

Hypertension or high blood pressure is one of the most common health conditions in which the force of blood against your artery wall is high enough to cause heart disease. Your blood pressure is determined both by the amount of blood your heart pumps and the amount of resistance to blood flow in your arteries. The more blood your heart pumps and the narrower your arteries, the higher will be yours blood pressure.

Usually hypertension is defined as blood pressure above 140/90, and is considered severe if the pressure is above 180/120. High blood pressure often has no symptoms. Over time, if untreated, it can cause health conditions, such as heart disease and stroke. Eating a healthier diet with less salt, exercising regularly and taking medication can help lower blood pressure.

If a stress sensitive person is exposed to stressful conditions over a prolonged period of time, their blood vessels get constricted.This in turn, causes the blood pressure to rise.

About 200 millions  Indians have hypertension, and most don't know it. Over time, the condition can cause kidney failure, stroke, even blindness. Therefore one should get their B P tested and also monitor it once a month. Only 40% of urban Indians with hypertension know they have it, and only 20% are taking active measures to keep it in check.

Hypertension can cause heart attack. What is heart attack? A heart attack  is caused by the partial or complete blockage of an artery that supplies blood to your heart. if you can walk for more than 500 m in 6 minutes, or travel to the hills, Amarnath or Mansarovar Yatra. If you can climb the stairs or walk 2 km at a stretch comfortably, you are cardiac fit. Gender : Men Women one in four.

⚠️ "Screening without treatment serves NO purpose. Hypertension requires lifestyle modification, diet  and medication".
Sunflower oil, peanut oil, and sesame oil decrease the risk of developing heart disease.

Introduction

Have you checked your blood pressure recently? Has anyone in your family  or friends have elevated blood pressure?  If a hyper tension person follows dietary and lifestyle changes are recommended in Ayurveda, high blood pressure can be managed effectively.

Hypertension or high blood pressure is one of the most common health conditions in which the force of blood against your artery wall is high enough to cause heart disease. Your blood pressure is determined both by the amount of blood your heart pumps and the amount of resistance to blood flow in your arteries. The more blood your heart pumps and the narrower your arteries, the higher will be yours blood pressure.

High blood pressure has no symptoms which is why it is often left undiagnosed or diagnosed in later stages when it is difficult to reverse the condition. However it can be managed and kept under control by following a strict diet (eating healthy and less salty or spicy food), exercising regularly and taking medication. A couple of Ayurvedic home remedies can also prove to be very effective in bringing down high blood pressure.

Hypertension is not a disease but a trait (a particular characteristic that can produce a particular type of behavior). Heart pumps out blood for circulation all over the body. It rushes out overcoming the resistance created by arterial walls. The pressure is called blood pressure. It is essential part of circulatory mechanism. As the heart pumps blood in pulses, the blood pressure has a peak when the blood volume is maximum in the arteries and a trough (a low point) when the blood volume is minimum. The blood pressure at the maximum is called systolic blood pressure and the blood pressure at minimum is called diastolic  blood pressure. A persistent reading above 140 systolic and/ 90 diastolic mm of mercury indicates hypertension. It starts affecting the blood vessels and other organs. After birth of a child, blood pressure starts increasing and reaches about 120/80.

Hypertension is defined as sustained high blood pressure over five weeks or more. It is a very common problem. It is a lifestyle disorder- not something you are born with, but something acquired due to a faulty lifestyle. Hypertension or high blood pressure is a common health condition, asymptomatic, readily detectable, easily treatable and often leads to lethal complications if left untreated.

Hypertension is a chronic disease. It can be controlled with medication, but it cannot be cured. Therefore, patients need to continue with the treatment and lifestyle modifications as advised by their doctor, and attend regular medical follow up, usually for life

Prolong use of saturated fats causes constriction and hardening of arteries which may result in hypertension, cancer, heart attack, and other related ailments.

Heart aliments remain the biggest killer, Here is what you can do :

What are the lifestyle changes one can follow to protect the heart?

The holy grail of any pandemic is ‘prevention’ and this calls for the age old trio of 

• 45 minutes daily exercise,
•  balanced diet and 
• positive mindset. 
• Further, recent studies have indicated that being even slightly overweight is a major risk factor across age groups; obesity isn't just a cosmetic concern. It is a medical problem that increases your risk of other diseases and health problems, such as heart disease, diabetes, high blood pressure and certain cancers. It also increases the risk of COVID complications substantially.
•  So measure your weight daily- and try and be as close to your ideal weight as possible; maintaining a BMI (Body Mass Index ) between 18.5-24.9. 
• Steam inhalation and daily consumption of vitamin C, vitamin D, Zinc and B complex are a must. However, it is important to check your levels and get a dosage prescribed by the doctor.

The March 2020 issue of the New England Journal of Medicine spoke of the high transmission of SARS-CoV-2 probably arising from other factors, including high viral loads in the upper respiratory tract and the potential for the infected person to shed and transmit virus while asymptomatic. The authors discussed reported high titres of virus in oro-pharynx early in the course of disease and possibility of increased infectivity during the period of minimal symptoms.” Steam inhalation can be of great help in this scenario to prevent or reduce severity of COVID. Thanks to the lockdown, staying locked up at home for a long time and the uncertainty around the coronavirus pandemic can be a reason for people to get stressed and start having negative thoughts, which is not good for the heart. It is very important to stay calm and be positive. Yoga in the mornings can be a great balancing factor for all. Maintain your social network even remotely and communicate with your friends and family on a regular basis.

                                             

                                                  "17th Oct 2020 World Hypertension day."

4 Stages of Hypertension :

1. Mild , Pre-hypertension
2. Moderate
3. Severe

Hypertension is divided into two groups:

1- Essential hypertension: This group represents almost 90% in which cause is not known.

2- Secondary hypertension Comprises of about 12-15%  due to renal, cardiac, gestational & drug induced cause. Others include :
Pulmonary artery hypertension : Hypoxemia -  it is abnormally low levels of oxygen in blood.
Hypertension in pregnancy - pre-eclampsia

     
According to Ayurveda : Heart is the seat of ojas. According to Caraka heart disease originates from conventional causes such as dietary indiscretion, emotional disturbance, excessive exposure to sun and too much or too little activity. When vata (air) consequently gets perturbed, it enters the heart to produce heart disease.

Hypertension can vary depending upon different personality types : 

People with a pitta personality, for instance who suffer from hypertension are usually prone to headaches , red eyes and digestive problems.

In the "Kapha" kind of hypertension, we see that people besides having blood pressure, will also be obese and prone to high cholesterol.

In the "Vata" kind of hypertension  we find that blood pressure keeps fluctuating and is connected to stressful situation. These people also have problems sleeping and suffer from gas.

Hypertension in Children

Contrary to popular belief, even the children get hypertension, though this is  not common . Sometimes a wrong diagnosis is made if the blood pressure is measured with a cuff of smaller than normal size. The cuff is wrapped around  the arm of the child to measure the pressure.  Also if the child is excited, the higher pressure must be confirmed by taking a few more readings.  

Symptoms

Usually, hypertension is accidentally discovered when the child is  examined for a routine check-up. Of course, it can also present with symptoms typical of disorders of the kidney, heart, central nervous system and endocrine system. Thus the child may have blood in the urine, breathlessness on exertion, visual disturbances, headaches or even a stroke.

                           "Music heals the heart. Listening to the calming music relieves stress"

Management

• Confirmation of raised pressure by frequent blood pressure reading in a relaxed atmosphere.
• Investigations to rule out the cause of hypertension and if proved, treatment prescribed for the same.
• If the cause is not found, a diagnosis of essential hypertension is made.
• If the child is overweight, all efforts are made to regulate the child's diet and to see that he takes active part in sports or other forms of exercise.
• Salt is restricted in the diet. Canned and fast foods are to be avoided as they may have a high amount of salt or fat.
• If your doctor decides that the child should have long term medication for keeping the blood pressure in check, do follow the advice seriously because high blood pressure, if not treated,  can cause complications with damage to the blood vessels of the eyes, kidney and brain.  It can also lead to heart failour.

 "Symptoms do not usually manifest until complications develop. The treatment can be life long.""

Diagnosis

*  Blood pressure : Resting blood pressure . Regular check up of blood pressure is required because high blood pressure may lead to heart attack. Get your BP checked yearly after age 50
*  Blood test : Lipid profile High level of cholesterol can lead to heart attack, so regular testing of cholesterol is necessary.
*  Body weight
*  Body mass index (BMI) should be attained and maintained at 25 or less. B.M.I is calculated by dividing weight in kg by square of hieght in meters.
*   E.C.G Electrocardiogram. 
*   Angiography : To know the blockage in the artery.

"Hypertension : Imbalance of vata dosha is considered most important for increasing blood pressure. Hence diet that pacifies vata dosha  imbalance is usually suggested."

                                                   
                 NORMAL    B.P 149/90 MM HG                                  

                "In order to keep your heart healthy : Stay active, eating right and sleeping well."

Cause

Dietetic factor:

• High intake of saturated fats and cholesterol 
• Excessive salt
• Oily and fried food items
• Less intake of fruits & vegetables.
• Overeating

                                        

                                                                   PORTAL HYPERTENSION

Psychological factors:

• Worrying
• Excessive mental work

Activity:

• Inactivity/More BMI
• Lack of exercise
• Sleep during daytime
• Excessive exertion

Others

• Old age
• Pregnancy/ post menopause
• Overweight
• Genetic
• Kidney, adrenal and thyroid disorders
• Excess salt intake
• Smoking

Drug-induced:

Oral contraceptives, steroids, amphetamine

                                               

Ayurveda mentions rasavrudhi (increased body fluids), raktavrudhi (increased blood volume) and disturbance in Vyan Vayu (represented by the autonomic nervous system) as reasons of hypertension.

                                             "Get your  BP checked regularly."

Sign & Symptoms

One of the cruel facts of hypertension is that it exhibits no distinctive symptoms. This is why it is important to have one’s blood pressure checked regularly. 
 WARNING SIGNS OF HYPERTENSION

Severe headache.

Shortness of breath

Nose bleeding

Reddening of ears

Fatigue or confusion.

Vision problems: Reduced vision or blindness when eyes are affected.

Chest pain : when coronary arteries of heart are affected.

Difficulty breathing : When heart failure occurs. Suffocating, feel like elephant foot kept on chest.

Irregular heartbeat.

Blood in the urine.

Pounding in your chest, neck, or ears.

Retention of urine

Stroke when brain is affected.

Swelling of foot when kidneys are affected.

Heaviness in a head/ headache/dizziness

Depression & Anxiety

Sexual Problems

                                 Organs affected :  Heart, kidney, brain and eyes.
                                     
                                   
                                   

•        Pain in Occipital region or neck.
•        Psychological problems.
•        Palpitation/ giddiness/ fainting/Tiredness
•        Discomfort in chest/ irritability/
•        Insomnia / red ears
•        Sweating attacks
•        Blackout or sparks flying before the eyes
•        Uneasy feeling towards crowds and noise
•        Trembling hands and legs.
•        Toothache.
•        Hypertension can cause retinal damage.

According to Ayurveda hypertension can vary depending upon different personality types:

a.     People with a ‘pitta’ personality, for instance, who suffer from hypertension, are usually prone to headaches, red eyes and digestive problems.

b.     In the ‘kapha’ kind of hypertension, we see that people, besides having high blood pressure, will also be obese and prone to high cholesterol.

c.      In the ‘vata’ kind of hypertension, we find that blood pressure keeps on fluctuating and is connected to stressful situations. These people also have a problem of sleeping and suffer from gas

                                              

Risk Factors

• Excessive body weight
• Family history of Diabetes & Cholesterol
• Smoking : Tobacco contains nicotine which is powerful and active poison. Once they have formed the habit, they become slaves of habit. 

                   "Fruits,vegetables,exercise & yoga is protective against hypertension."

Life Style

• Adopt a healthy lifestyle
• Stress, Strain and anxiety should be avoided.
• Quit smoking
• Avoid vigorous exercise. 
• Regular exercise has no alternative, as it helps to eliminate body fat, lower total cholesterol and raise H.D.L cholesterol that prevents fatty cholesterol deposits
• Rest and sleep
• Lavender oil can also be applied on the pulse point at night before going to sleep, and also inhaled.
• Walking barefoot is good for BP
• Laughter is the good medicine
• Sleeping on the right side
• Entertainment like music/ movie/ or any creative hobby
• Have short frequent vacations good for relaxation
• Chamomile tea and chamomilla oil are very relaxing for sufferers. 
• Lavender oil can also be applied on the pulse point at night before you go to sleep and inhaled.
• Reduction of over weight and maintaining normal ideal body weight.

                                     

Here are few ways to combat stress

Exercise : Pranayama or simple breathing exercise can help lower blood pressure.

Weight loss : The most effective lifestyle change for any one suffering from hypertension is weight loss.
Eat more fruits and vegetables : Fruits are concentrated with potassium, vitamin C, sodium and loads of soluble fibre, all of which are BP lowering agents.
Celery : Just a few stalks of celery  can lower blood pressure when used continuously for a couple of months.
Eat less salt : Sodium restriction may help only if your salt sensitive. Adding minerals like magnesium, calcium and potassium and losing weight will make a substantial difference.
Avoid sugar : Sugar raises insulin levels and high blood levels of insulin often accompany high blood pressure.
Stop smoking : Tobacco directly affects blood pressure.It increases clot formation , increases risk of precipitating a heart attack or stroke.

                             WALKING, JOGGING AND CYCLING ARE CARDIO EXERCISES



Exercise 

• Regular physical exercise should be exerted to maintain a steady body weight. Regular walking for 30 minutes at a stretch is enough for maintaining standard body weight.
• Gardening, walking briskly, bicycling or other aerobic exercises.
• Muscle strengthening activities two days a week.  

                                         "Yoga as prevention for cardiovascular disorders."



Yoga

• All forward bending posses are beneficial for the persons suffering from either high or low blood pressure.

• Regular practice of yoga promotes strength, endurance, flexibility and sense of calmness and well being.
• Yoga is excellent when it comes to controlling high blood pressure. Practice them at a relaxed and enjoyable pace.
• Shishuasana (Child Pose) relieves stress and fatigue. It also normalizes blood circulation.

Vajrasana (Diamond Pose)

               

•  This pose can be done even after Meals. It helps to control obesity and increases blood flow to the lower abdomen

• Paschimottanasana (Forward Bend Pose)

            

It  helps reduce fatty deposits in the abdominal region, thus enabling weight loss. It also acts as an effective stress reliever and normalizes high blood pressure.

Shavasana (Corpse Pose)

Relieves stress, depression and fatigue. It helps the body relax and prepare for sound sleep. It also stimulates blood circulation.

Gomukh Asana

Sukhasana (Easy Pose)

This meditative pose calms & unites the body and mind. It helps reduce high blood pressure or hypertension, as it makes your body more balanced and your mind free and joyful.

Ardha Matsyendrasana (Sitting Half Spinal Twist) stimulates the heart and nervous system, helping to normalise high blood pressure.

Baddha-konasana (Bound Angle Pose) stimulates the heart and leads to better circulation of blood all over the body. It also relieves stress and weariness.

• Janusirsasana (One-legged Forward Bend)

            

•  Works effectively on your tummy fat by massaging your abdominal organs. By affecting weight loss, it helps regulate the pressure of the blood so that it stays at a normal level

• Setu Bandhasana (Supported Bridge Pose)

             

•  Energies the kidneys and soothes the nervous system. It helps to regulate the blood pressure.

• Ardha Halasana (Half p lough Pose)

       

•  helps burn fat in the thighs, abdomen and hips. Helps control high blood pressure.

Yoga Nidra :  Guided Meditation for sleep & Relaxation. To release tension.

                                         

During our lifetime, we accumulate mental, muscular  and emotional tensions, and they affect our health. In yoga the way to release these tensions is through the practice of relaxation or yoga nidra. This practice induces (Sense of withdrawal) Pratyahar, a state in which a mind  is isolated and the senses do not feed the brain with fresh information. When there is complete isolation from the influx of the senses, the consciousnesses, the mind and the brain  undergo metamorphosis, a complete transformation. It is as if a new  brain, mind and conscientiousness  are been created out of the old brain, mind and consciousnesses. All mental, muscular and emotional tensions are immediately relaxed.

"Too much fat, especially the saturated type can lead to problem later on life, including coronary heart disease, and so should be avoided."

Pranayama & Yoga

Yoga is excellent when it comes to controlling high blood pressure;

• Ujjayi Pranayama  : Ocean Breath / Victorious Breath - Ujjayi Pranayama  उज्जायी  प्राणायाम 

Pranayama For Cough & Cold

More than any technique, Ujjayi (also called Victorious Breath) is a clear demonstration of the connection between our breath and emotions. 

• Ujjayi breath is really interesting because it acts to calm the sympathetic nervous system at the same time as it boosts your oxygen consumption. It is the primary breath used in vinyasa yoga  because it is powerful enough to support a vigorous flow.

Ujjayi The prefix ud attached to verbs and nouns, means upwards or superiority in rank.It also means blowing or expanding. It conveys the sense of pre-eminence and power. Jaya means conquest, victory ,triumph or success.Looked at from  another view point it implies restraint or curbing. Ujjayi is the process in which the lungs are fully expanded and the  chest puffed out like that of a proud conqueror.

The sacred Vows :

Sacred vows in Sanskrit is called  'Sankalp' i.e. firm will. A determination to transform a desire into  reality.The mind desires a thing, the intellect shapes it and the will executes it. If all the three are in total unison then the power of the spirit leads its strength and drive. sets transformed into reality.

Process :

• Sit in any meditative pose.
• Contract the muscles of the throat as much as possible. Perform Pooraka and do a sound like snoring.
• In this, we create a snore like sound in the throat as we inhale and exhale. Many use Ujjayi breathing during their asana practice.
• In this Pranayama partially close the back of your throat, which covers the windpipe           so that as you inhale and exhale through your nose.
• The air passes through a narrow air passage in your throat, creating the sound           made  by your breath.
• Inhale air through both nostrils. On doing so the air should touch muscles of the contracted throat.
•  Through constricted glottis, exhale through left nostril.
•  In the later stage of practice, one can perform Jalandhar banda and Moola bandha simultaneously and exhale only through left nostril, and exhale only through left nostril..

Benefit :

• The chronic problems of  cough, cold and bronchitis are cured. Tonsilitis, thyroid problem, insomnia, tensions,and high blood pressure.
• This pranayama gives sweet voice with regular practice cures lisping in children. Helps in Kundalini awakening. Any mantra can be chanted in mind.
• It is quite beneficial in enhancing memory.
• It infuses body and mind with fresh Prana which is the vital life force.
• Relief of sinus pressure.
• Diminish pain due to headache.
• Strengthening of digestive as well as nervous system.
• This pranayama aerates the lungs, removes phlegm, gives endurance, soothes the nerves and tones the entire system.
• Ujjayi without kumbhaka, done in a reclining position, is ideal for persons suffering from high blood pressure or coronary troubles.

• Bhastrika Pranayama (Breath of fire) Increases oxygen supply to all parts of the body, thus improving blood circulation. It relieves stress and hypertension.
• Kapalbhati Pranayama (skull shining Breathing Technique) Helps remove fat from the belly region and is effective in general weight loss.
• Bhramari Pranayama (Bee Breath) the vibrations generated by this bee breath pranayama resonate within. Deeply relaxing the body and mind. It relieves tension and anxiety. Helps balance high blood pressure.
• Anulom Vilom Pranayama (Alternate Nostril Breathing) this is a calming and powerful pranayama. It can even help remove blockages in your arteries to a great extend. It improves blood circulation in the head region.
• Chandra Bhedi Pranayama. Sit in any meditative pose. Inhale through the left nostril and perform Kumbhak with Moola Bandha and Jalandhar Bandha. Exhale through the right nostril, which is partially opened.
• Sheetali pranayama Keep the tongue out and roll, inhale in through the mouth and exhale through the nose.
• Omkara meditation or Udgeet Pranayama Chanting OM is a powerful way to control your nerves.
• Chanting ‘Om’- is a powerful way to control your nerves. If this is practised at bedtime one will get peaceful sleep without dreams.

Exercises

• Regular physical exercise should be exerted to maintain a steady body weight. Regular walking for 30 minutes at a stretch is enough for maintaining standard body weight. Walking helps in various ways. It burns calories, relieves mental stress and strengthens the body.
• Gardening, walking briskly, bicycling or other aerobic exercises.
• Muscle strengthening activities two days a week.  

  "Not to add pickle/chutneys  to their regular food habit as increase in salt consumption causes rise in blood pressure"

Mudra

Apana Vayu Mudra

This mudra can save a person from 'heart attack', hence a mudra is called Sanjeevani Mudra, one that gives life to a dying person. This mudra gives instant results and the pain is reduced immediately.

Formation :

This is combination of two Mudras Vayu and Apana. From Vayu mudra by placing the tip of index finger at the base of the thumb and then form Apana Mudra by joining tip of the thumbs with the middle and ring fingers.

Effects :

There is combined effect of Vayu mudra and Apana Mudra. Vayu mudra relieves the pain instantly and Apana mudra maintains space to reinforce blood circulation to the heart. 

Benefits: 

• When one gets the symptoms of heart attack this mudra will act like an injection and helps the person to recover from pain instantly. It reduces excess gas from the stomach and makes the heart muscles to work efficiently.
• Chest pain tiredness and perspiration will be reduced immediately. This mudra removes the blocks in the blood veins.
• Cures Constipation.
• Irregular heart beats are regularized.
• Even a little pain in the chest region is pacified by this mudra. One starts yawning, and gives out the excess of Vayu from this chest region and one feels comfortable.
• That is why this mudra is called  'Mrita Sanjeevani Mudra' one which saves from clutches of death.
• Too much perspiration in the feet  and hands is pacified.
• Headache due to lack of sleep , mental worries, over exertion and problems of blood circulation are relieved.
• Beneficial in curing acidity.
• Migraine headache get relieved.
• If urination is blocked this mudra relieves the problem and within 10-15 minutes block os removed.and the person passes urine.
• Beneficial in relieving toothache.
• The functional capacity of various organs of digestive system increases.This mudra cures- Arthritis, Spondylitis, Parkinson and Paralysis,
• Varicose vein pain is rectified with both Apana Vayu mudra and Hrudaya mudra an hour each every day followed by Prana mudra (15 minutes) till get cured.
• 

Note:

Perform Apana Vayu Mudra-

1. When there is sleeplessness.
2. When there is over exertion.
3. When there is stress.
4. When climbing staircases and hills.
5. When there is crises.

For controlling blood pressure  Vyana mudra is to be practiced (50 minutes for 2-3 times a day) followed by Prana mudra 15 minutes each.

Vyana Mudra

Prana Mudra

------------------------------------------------------------------------------------------------------------------------

                                 

Meditation

Meditation can put our body into a state of deep rest , which can lower our blood pressure.
It can be performed at any place, at any time of the day, except while driving or performing any activity that requires complete physical attention. if possible remove your shoes and loosen your tie and belt and dim the light in the room. Put the mobile phone on silent mode for just 10 minutes.
* Sit with your back straight and rested against the back of the chair to ensure clear breathing.. If you wish you can even lie down with your back straight.
* Place your hands lightly with the palms facing upwards.
* Close your eyes lightly.
* Take three deep breaths and let it go fully. Try to be aware of this breathing while you are attempting it.
* We can start this meditation from the toes and move upwards.
* Take your full attention to your toes and squeeze them tightly. Do it as tightly as possible and then let go. Let go of complete tension in the toes and relax.
* Move upwards and  tighten your calf muscles as tight as you can. Once your  feel the complete tension let go of it and relax completely.
* Then move to your thighs, and repeat the same procedure.
* Now keep moving upward and repeat the tightening and relaxing one at a time for your buttock, abdomen, chest and back.
* Then move to your fingers. Close your fist holding your thumb inside and squeeze them tight, then let go.
* Then flex your arms slightly and tighten your bicep and then let go.
* Next move to your neck, and repeat the process of tightening and then relaxing.
* Moving up clench your teeth and feel your jaw tighten and then let go.
* Next press your lips in each other and let go.
* Squeeze your eyes tight hold and let go.
* Crease your brows tight to feel the tension on your forehead, hold for a few seconds and let go.
* Finally tighten your entire body, from head to toe. Remember to squeeze in the abdomen and clench the fist and toes.
* After holding a few seconds let it go.
* Let go all control on your body and feel your self sinking in the chair..
* Sit in this absolutely relaxed position for a few moments.
* When you feel ready to open your eyes, first rub your palms over each other and hold them over your  eyes  lightly and slowly open your eyes. 

Nutrition

 The main emphasis on avoiding foods that promotes high blood pressure and replacing them with foods  lead to a normalising of blood pressure. Avoid non-vegetarian options, like eggs alcohol and tobacco. Foods that help during an attack of high blood pressure are vegetable juices- both raw and fresh juices containing parsley, celery, spinach carrot and raw potato. These ingredients act at many levels in the circulatory system to decrease blood pressure. Firstly they help to balance the calcium, sodium and potassium levels of the body.

These salts have a key influence in normalizing the flexibility of the blood vessels, which ultimately helps in  the lowering of blood pressure.

Consuming clove or garlic daily has a beneficial effect in lowering blood pressure. Amla in any form is also beneficial. Other foods that are helpful include watermelon seeds and khus khus seeds. These should be crushed mixed with little milk and taken at night with an apple.

During an attack of high blood pressure you must restrict the quantity  of food and at night, just have an apple with a glass of milk to which the crushed seeds have been added. 

Ayurvedic Diet For Hypertension

Garlic

Water Melon

 Ayurveda, the ancient science, has provided us some natural remedies that may help stabilize blood pressure and keep your heart healthy.  While medications prescribed by the doctor may help, some simple Ayurvedic remedies can be brought to use.

onion

Modern versus Ayurvedic diet for Hypertension

As per modern medicine Salt restriction (no more than 5 grams of sodium chloride or common salt per day) and taking adequate amount of potassium , calcium,  and magnesium are important dietary measures in the case of high blood pressure. Weight reduction is advised to those who are obese. Smoking cessation and alcohol moderation are additional potentially beneficial measures.

Methi

As per Ayurvedic science, each person has unique constitution (prakruti) which can be analysed by his / her governing doshas (vata, pitta and kapha) Bodily characteristic and mental attitude. Health is characterized by a balance between the three doshas and an illness is caused by a  lack of balance among them. When a balance among them is restored, the person regains the lost health.

Mausmi

Hence it is essential to know the constitution of a person, before suggesting diet as per Ayurveda.. However in general imbalance of vata dosha is considered most important for increasing blood pressure.

Regularity in diet is very important. Patient should maintain regular schedule of taking meals and snacks. Both overeating and fasting should be avoided. While eating, food should be chewed slowly and adequately. Worries and anger should be avoided at the time of eating. In general , warm and well cooked food is better to balance vata dosha then cold and raw foods. In addition to diet changes, lifestyle changes such as regularity in work schedule and sleep, regular meditation and relaxation activities etc. are also important to pacify vata dosha.

Certain foods such as garlic, coriander, ginger, cardamom, spinach,celery, watermelon, tomato etc. are believed to be helpful in controlling blood pressure. Legumes (e.g.lentils and beans) nuts and whole grains (e.g. unprocessed maize, millet, oats, wheat and brown rice.) can be used. More use of barley (yava), sorghum (jowar),wheat, green gram (mudga/moong dal), horse gram, moringa (shingru or drumsticks), bitter gourd (karela), bottle gourd (ghia/ lauki), turnip (shalgam, carrot (gajar), raddish (muli), Indian goose berry (amla), cucumber (Kheera), black grapes (draksha), pomegranate (anar), apple pineapple, buttermilk etc. also recommend their exact qualities (like dose of medicine). Moderation and one's own insight should be followed.

Excessive intake of salt (sprinkling over salad, curd etc, excessive use of butter, ghee chilies (red-green), pickles, fried food, sour fruits, tea, coffee and alcohol consumption should be avoided. Avoid excessively spicy, sour and salty foods like chilies and papad, garam masala as it elevates body temperature, food with preservatives, like ready-to eat preparations and pickles, bread and flour (maida) products, untimely food habits, excess eating after sunset and refrigerated food items.

Certain Ayurvedic herbs are useful to control blood pressure such as Arjuna (Terminalia arjuna), Sarpagandha (Rauwolfia serpentina), Punarnava (Boerhaavia diffusa), Ashwagandha (Withania somnifera), saffron (Crocus sativus), crysanthemum (Chrysanthemum morifolium), amlaki (Emblica officinalis), basil (Ocimum basilicam)etc. Triphala (harad, amla and beheda) and trikatu made with three pungent spices, black pepper, long pepper and ginger can also prove very effective. However they should be ideally consumed only if  suggested by an Ayurvedic expert.

Diet For Healthy Blood Pressure

Special Dietary Approach to Stop Hypertension 

Special diet encourages one to reduce the sodium in the diet and eat a variety of foods rich in nutrients that help lower blood pressure, such as potassium,calcium and magnesium. Because the special diet is healthy way of eating, it offers health benefits besides just lowering blood pressure. The special diet is also in line with dietary recommendations to prevent osteoporosis, cancer, heart disease, stroke and diabetes. 

The special diet emphasizes vegetables, fruits and low fat dairy foods and moderate amount of whole grains, fish poultry and nuts. Here is a look at the recommended servings from each food group for the 2,000 calorie-a-day special diet.

• Grains : 6-8 servings a day.
• Vegetables : 4-5 servings a day.
• Fruits : 4-5 servings a day.
• Dairy 2-3 servings a day.
• Lean meat, poultry and fish : 6 servings or fewer a day.
• Nuts, seeds  and legumes : 4-5 servings a week.
• Fats & Oil : 2-3 servings a day.
• Sweets : 5 servings or fewer a week.

Remember, healthy eating is not an all or nothing proposition. What is most important is that , on average, you eat healthier foods with plenty of variety , both to keep your diet  nutritious and to avoid boredom or extremes.

Simple Diet chart for High BP Patients

Sunday

Breakfast : (8 - 8.30 AM) 2 Parathas (aloo /mooli/ onion) with 2 tsf groundnut chutney.

Mid-Meal : (11.00-11.30 AM) 1 banana.

Lunch : (2.00-2.30 PM) 1 cup rice + 2 chapati + dal + cabbage and green peas or mixed vegetables.

Evening : (4.00-4.30 PM) 1 cup boiled green gram sprouts with lemon  + 1 cup green tea.

Dinner : (8.00-8.30 PM) 3 chapati + 1/2 cup bitter guard (karela sabji)  + 1/2 cup vegetable salad.

Karela Sabji

Monday 

Breakfast : (8 - 8.30 AM) 1/2 cup wheat porridge.

Mid-Meal : (11.00 - 11.30 AM) 3 wedge (100 gm) watermelon.

Lunch : (2.00-2.30 PM) 4 chapati + 1/2 cup cluster beans curry + 1/2 cup capcicum  paneer sabji + 1 glass buttermilk.

Evening : (4.00-4.30 PM) Cucumber/ carrots +1 cup green tea.

Dinner : (8.00-8.30 PM) 1 chapati + 1/2 cup snake guard sabji + 1/2 cup vegetable salad.

Snake Guard

Snake Guard Sabji with 
Chana dal

Tuesday

Breakfast : (8-8.30 AM) 3 rice dosa + 1/2 cup sambhar + 1 tsp pudina chutney.

Mid-Meal : (11.00-11.30 AM) 100 gm pomegranate.

Lunch : (2.00-2.30 PM) 1 cup rice + 2 chapati + 1/2 cup yam(Jimikand) curry + 1/2 cup ivy guard (parval) sabji + 1 glass buttermilk.

Evening : (4.00-4.30 PM) Puffed rice Bhel + with boiled potatoes.

Dinner : (8.00-8.30 PM) 3 Chapatis (multigrain -wheat, jowar. bajra) + Lauki sabji  + 1/2 cup vegetable salad.

Lauki

Jimikanda

Wednesday

Breakfast : (8-8.30 AM) Vegetable sandwich with 4 whole wheat bread slices + cucumber, tomato, onion, lettuce..

Mid-Meal : (11.00-11.30 AM) 1 medium size apple.

Lunch : (2.00-2.30 PM) 1 cup rice + 2 chapatis + 1 cup mix vegetables (spinach + methi + peas) + 1/2 cup rajma curry.

Evening : (4.00-4.30 PM) Boiled chana 1 cup.

Dinner : (8.00-8.30 PM) 3 chapatis + 1/2 cup raw banana sabji + 1/2 cup vegetable salad.

Raw Banana Sabji

Thursday

Breakfast : (8-8.30 AM) 1 cup broken wheat upma with vegetables, 1 glass tonned milk+ 1 cup tea.

Mid-Meal : (11.00-11.30 AM) 100 grams musk melon.

Lunch : (2.00-2.30 PM) 4 chapatis + 1/2 cup french bean curry + 1/2 cup calocasia (arbi) sabji + 1 glass buttermilk.

Evening : (4.00-4.30 PM) 1/2 cup sweet potato salad + 1 cup green tea.

Dinner : (8.00-8.30 PM)  3 Chapati + 1/2 cup ridge guard (thor) sabji + 1/2 cup vegetable salad.

Ridge Guard/ तोरई

French Beans Sabji

Friday

Breakfast : (8-8.30 AM) 4 rice Idli + 1/2 cup Sambhar + 1 tsf coconut chutney + 1 glass milk / 1 cup tea.

Mid-Meal : (11.00-11.30 AM) 1 medium size pear

Lunch : (2.00-2.30 PM) 4 chapatis + 1/2 cup lauki dal + 1/2 cup green peas and paneer sabji + 1 glass buttermilk.

Evening : (4.00-4.30 PM)  1 small fistful(40 gm) of peanuts, almonds, walnuts+ 1 cup green tea.

Dinner : (8.00-8.30 PM) 3 chapatis + 1/2 cup Bhindi sabji + 1 cup vegetable salad.

Bhindi Sabji

Green Peas and Paneer Sabji

Saturday

Breakfast : (8-8.30 AM) 1 cup roasted oat Upma with vegetables + 1 glass toned milk +1 cup tea.

Mid-Meal : (11.00-11.30 AM) 1 medium size Guava.

Lunch : (2.00-2.30 PM) 1 cup rice + 2 chapati + aloo brinjal sabji +1/2 cup tomato dal + 1 glass buttermilk.

Evening : (4.00-4.30 PM) 1 cup boiled bengal gram with lemon + 1 cup green tea.

Dinner : (8.00-8.30 PM) 1 chapat (multi grain wheat, jowar, bajra) + 1/2 cup tinda sabji + 1/2 cup vegetable salad.

Tinda Sa
bji

Diet

• Fats are essential for our body including our nervous system. Teenagers do need fat for adequate calories. Though polyunsaturated fats and monounsaturated fats are grouped under 'good fats', we also need the saturated or the 'bad fats'. In facts, one third of our fats can come from the latter. A combination of ghee, peanut oil and mustard oil is used in many Indian homes. The type of fat that should be avoided are the partially hydrogenated fats available as vegetable vanaspati. These are also the once most commonly used by fast food joints
• Polyunsaturated fats  are found in sunflower oil, fish and almonds; monounsaturated  in peanut oil, peanuts, peanut butter and cashew nuts. And saturated fats come from a milk source (butter, ghee and cheese) egg yolk, coconut oil,, palm oil, meat,chicken and chocolate. The best thing to do is to use a variety of vegetables cooking oils from mustard seed, sunflower, groundnut and safflower among others.Equally important is physical activity, as that too, increases the 'good' cholesterol that protects the heart.

              

Nutrition is a key towards controlling high blood pressure. Following are blood pressure lowering foods:
*  Involves eating more fruits,vegetables,whole grain foods. 
*  low fat dairy, poultry and nuts
*  Eating less red meat, saturated fats and sweets.
*  Reducing sodium in our diet can also have a significant effect.
*  Eating food that are rich in magnesium, potassium and calcium.
*  Addition to more whole grain and cereals  like jowar, bajra, oats in the diet.
*  Reduction of taking common snacks like chips, namkeen biscuits.
*  Allicin in Garlic is the substance has been shown to relax the blood vessels and ultimately reduces the blood pressure.
*  The long chain omega-3 fatty acids EPA (eicosapentaenoic acid ) and DHA (dicosahaxaenoic acid) obtained from the oily fishes and sea foods has been studied to improve the elasticity of arteries which in turn reduce blood pressure and vascular resistance.
*  Coenzyme Q10 obtained from fresh fish, spinach, broccoli, peanuts, wheat germ, and whole grains are very effective nutritional anti-hypertensive agent. 
*  Anti oxidant nutrients, which can directly scavenge free radicals, would be protective against atherosclerotic vascular disorders.
* Oil from vegetable sources like ground nut oil, sunflower oil, olive oil saffola oil should be used which are heart friendly. Saffola is made of rice bran oil and soybean oil.
                                                  

* Dairy product like skimmed milk ,curds which contains less fat should be included in the diet.
*  Chamomile tea and Chamomile oil are very relaxing for sufferers

"Replacement of saturated and trans fat by poly unsaturated vegetable oils  effectively lowered C.H.D"

Foods high in unsaturated fats include:
*  Oily fish i.e Salmon also lowers blood triglycerides and reduces inflammation. Tuna is a good source of heart healthy omega-3 fatty acids
*  Avacados
*  Nuts & seeds
*  Sunflower, rape seed, olive, and vegetable oils
*  Switch to fat free milk toned / skimmed milk
Cooking oils: The mystery of PUFA / MUFA
* Saturated fats : Increses cholesterol- Avoid coconut oil, palm oil, vanaspati.
* Monosturated fats (MUFA) Heart healthy include oilve oil, ground nut oil, canola oil, mustard oil. Extra virgin olive oil made from the first press of olives, is especially rich in heart healthy antioxidants called polyphenols as well as healthy monosaturated fats.  3 tbsp of olive oil a day could lower the blood pressure  Olive oil is a healthy substitute for butter.
* Polyphenols may protect blood vessels. A small handful of walnuts (1.5 ounces) a day may lower blood cholesterol and reduce inflammation in the arteries of the heart.
* Polyunsaturated fats (PUFA) Heart healthy include Sunflower oil, soybean oil, Omega-3 fatty acids. Fish oil are heart healthy.
*  Trans fatty acid Repeated use of oil for deep frying may further increase TRAFA content
* Soybeans packed with proteins can lower blood triglyceride levels. Soy-milk consumption is a good option.
* Sweet potatoes are a healthy substitute for white potatoes for people concerned about diabetes.
*  Oranges are sweet, juicy fruit contains the cholesterol-fighting fiber pectin- as well as potassium, which helps control blood pressure. Orange juice may improve blood vessel function and modestly lower blood pressure through the antioxidant hesperidin.
* Carrots sweet crunchy vegetable may help control blood sugar levels and reduce the risk of developing diabetes.. They are also top cholesterol fighting food.
*  Oat which contains rich source of fiber.
* Cherries are packed with anthocyanins an antioxidant believed to help protect blood vessels. Blue cherry has good nutritive value.

*  Alfalfa helps lower blood pressure, it contains all the elements necessary for the softening of the harden arteries which are main cause of raised blood pressure. Seed are used in the form of sprouts. They are delicious and nourishing in salads and soups as well as sandwiches. Can also be used as herb tea which is made from seeds as well as dried leaves.

Apple

They have a rapid and considerable diuretic effect and relieve the kidneys by reducing the supply of sodium to a minimum. They also lower the sodium level in the tissue because of the high level of potassium.

Barley (Jau)

Barley grass juice mixed with vegetable juice is good for high blood pressure. Use regularly as cereal before the wheat revolution, barley is available as hulled barley, pearl barley, barley flour (sattu), barley water beverages. Eat it in a chapati mixed with wheat flour or as porridge with milk and sugar. A dish of vegetable, lentils and barley is also good to eat.

Bottle gourd (Lauki)

Bottle gourd 500 grams, mint-7 leaves, tulsi-7 leaves extract 1 cup juice out of it to be taken on empty stomach in the morning.

Calcium rich food

Some experts believe that high blood pressure is more due to the calcium deficiency then excess of sodium. Food rich in calcium is milk and dairy foods and green leafy vegetable.

Celery

Celery lowers pressure by reducing blood concentrations of stress hormones that cause blood vessels to constrict. This vegetable is most effective in those patients whose blood pressure is linked to mental stress.

Cucumber

  Cucumber is one of the best natural diuretics Its juice has been found to be an effective food remedy for high blood pressure. Can be taken twice a day mixed with 2 tsp of honey and 1 tsp of lime juice. This will act as an effective diuretic in treating this disease.

Fruits & Vegetables

A diet rich in fruits and vegetables can lower blood pressure substantially. Vegetarians generally suffer less from hypertension than non-vegetarians. Another benefit of it is that antioxidants contained in them increase amounts of hormone- like substance, prostacyclin which dilates blood vessels and lowers pressure. i.e. peas, beans etc.

Garlic

Consuming a clove of garlic daily has a beneficial effect in lowering blood pressure. Garlic milk is beneficial in treating heart disease. It helps reduce blood pressure and tension because of its power to ease the spasm of the small arteries. Garlic also slows the pulse, modifies heart rhythm, besides relieving symptoms of dizziness, numbness, shortness of breath. Both raw and cooked garlic can lower blood pressure, although raw garlic is thought to be more powerful.

Khus Khus Seeds

Its seeds should be crushed, mixed with little milk and taken at night with an apple.

Indian Gooseberry

Amla in any form is beneficial. As a super food source of vitamin C, it's a powerful blood pressure lowering food. A tbsp each of fresh Amla juice and honey mixed together should be taken every morning.

A low intake of food rich in vitamin C predicts high blood pressure. other food includes orange, drumstick (moringa) leaves, green leafy vegetables, sprouted green grams, Bengal gram etc.

Parsley

It is high in vitamin and mineral content and rich in ascorbic acid. Parsley is a blood pressure lowering food. It contains elements, which help maintain the blood vessels, particularly the capillaries and arterial system. It may be taken as a beverage by simmering it gently in water for a few minutes and drinking it several times daily. Or the juice made of its leaves can also be taken.

Potassium rich food

Potassium is a strong medicine for high blood pressure. Adding potassium to the diet can lower blood pressure and reducing potassium it can raise it. Food includes banana, lentils, nuts, etc.

Quinoa

It is a plant seed rich in fibre good for hypertension. It contains omega 3 fatty acid.

Rice

Rice has a low fat, low cholesterol and low salt content. It makes a perfect diet for those hypertensive persons who have been advised salt restricted diet. Calcium in brown rice, in particular, soothes and relaxes the nervous system and helps relieve the symptoms of high blood pressure.

Vegetable Juices

Raw vegetable juices, especially beet root, carrot and spinach juices constitute a powerful blood pressure lowering food. Can be taken separately or in combination. If taken in combination, 300 ml of carrot juice and 200 ml of spinach juice should be mixed together.

Watermelon Seeds

The seeds of watermelon have blood pressure lowering effect. They are a valuable safeguard against high blood pressure. Seed have dilating effect on blood vessels. Seeds should be crushed, mixed with a little milk and taken at night with an apple. Watermelon is the substitute for Aspirin.

Sendhav Namak / Rock salt

It is the preferred salt for BP patient. Another alternative is low sodium salt.

 Flax seed / oil  or linseed
It is a rich source of omega 3 fatty acids that are required for the health of almost all body system. It protects against high blood pressure.

Avoid

• Rich in cholesterol and saturated fats (to be avoided)
• Egg yolk
• Fatty meat & organ meat (liver)
• Butter chicken, fried fish
• Milk fat : Desi ghee, butter, cheese, malai, rabdi, khurchan, vanaspati, ice cream, full cream milk.
• Hidden fat like bakery  biscuits, patties, cakes, pasteries.
• Food that contain coconut or palm oil.
• Oily and fried food items
• Excess intake of salt
• Egg, alcohol, tobacco, tea, coffee
• Food causing weight gain should be avoided.
• Avoid high carbohydrate diet is associated with atherogenic small dence LDH particle.

Herbs

●      Terminalia arjuna or Arjuna bark half tsp, Tribulus terrestris or Goksura half tsp, Sounth (dry ginger) one-fourth tsp. Prepare a decoction of the above drugs. It has to be taken early morning on empty stomach

●    Ashwagandha It helps to induce sleep, calms the mind, reduces anxiety and possesses diuretic effect. Taken with milk 4 grams a day along with crystal sugar (Misri).

●      Punarnarva It acts as a diuretic and has hypertensive property.

●    Pomegranate- its juice prevents blood clots and urine retention. The seeds prevent blood platelets from coagulating.

●    Other herbs: Sarpagandha (Rauwolfia serpentine), Brahmi (Bacopa monnieri), Shankapushpi (Convolvulus pluricaulis), Chandan (Santalum album) etc. 
*    Take a teaspoon of onion juice mixed with a teaspoon of honey once a day for 1-2 weeks

●      Eat one Papaya on an empty stomach daily for a month. Do not eat anything after for about 2 hours. Or decoction of Papaya leaves.
*     Lemongrass tea with honey and without milk is good for heart

●      Some other natural diuretic are barley, Jawar, musk melon, beet root, brinjal
*     To control high blood pressure fruit of custard apple is should be eaten regularly.
*      Fresh leaf juice of jack fruit.

Acupressure point

Chakra

●      Heart Chakra (Anahata)

Located along your spine right in the center of your chest to your physical heart. Concentrate on this chakra while meditation.

Mudra

Apana Vayu Mudra (Mrit Sanjeevani Mudra)
                                              

                                                                 It acts as a Sorbitrate

Formation- This is a combination of two mudras Vayu and Apana. From Vayu mudra by placing the tip of index finger at the base of the thumb and then form Apana Mudra by joining the tips of thumb with the middle and ring fingers.

Benefit - When one gets the symptoms of heart attack this Mudra will act like an injection and helps the person to recover from pain instantly. It reduces excess gas from the stomach and makes the heart muscles to work efficiently. 

●      Vyan Mudra
                                                         

Formation- The tip of index finger and middle fingers to be joined with the tip of the thumb

Benefit-

• Blood pressure is regulated and balanced
• Performing Vyana Mudra 2-3 times a day for 50 minutes each followed by Prana mudra for 15 minutes help in regulating the blood pressure.

●      Prana Mudra

Formation- The tip of little fingers and ring fingers are joined with the tip of the thumbs.

Benefit- It is helpful for controlling BP

Dhyana Mudra

                                  

Bhairavi mudra

In Sanskrit Dhyana means meditation. This mudra is important for one to achieve spiritual progress through meditation.

Formation :

Being a meditation mudra one has to assume meditative pose  like Padmasana, Sukhasana or Siddhasana. Place the left hand on the right hand with palms facing upwards.This is called Bhairavi Mudra, The wrathful form of  Parvati the consort of Shiva who kills demons.Or one can place right hand above left with the palms facing upwards and this is called Bhairava mudra. The wrathful tantric aspect of Shiva who kills demons, which means these mudras ward off the ailments like heart attack and blood pressure..

Effect :

The palm contains heart related nerves centers and the back of the hand contains the spine related nerve centers. So placing the palm one upon the other , activate the centers of heart, lungs pancreas and kidneys on one hand and spinal nerve point on the other.

Benefits :

• Dhyana mudra helps to progress in meditation, and the meditator gets pure thoughts and attains peace.
• The mudra strengthens the muscles in the body , blood circulation becomes normal.
• Constant practice of this mudra helps one to free from blood pressure and heart ailments. All nerve centers can be easily activated and therefore one can achieve abundant peace and tranquility, resulting in removal of sleeplessness, over anxiety, indifference, hallucination, bad dreams, loss of memory, irritability and mental depression.  The mudra aids the practitioner  in reaching a state of blissful peace and attain joy of self realization. Therefore everyday one must practice Dhyana mudra for 10 minutes.

Marma

Hridaya Marma

It is located in the left side of the chest in between lungs. It is stimulated with the help of right fist. Make the fist of right hand, keep the hand over heart. And left hand folded will be kept on arms Take normal inspiration followed by expiration, with the help of right fist pressure is given over the heart. Should be done 15-18 times.

Emergency kit

FOR HEART ATTACK :

1 - Tab Disprin 150mg  - 4 (Water soluble tab) to chew.

2 - Tab Angisid - 4

3 - Deponit  NT5 skin patch - 1

If one feels sudden tightness and pain in center of chest, radiating to left arm or both sides of neck, accompanied by sweating and uneasiness one is likely to be in a state of heart attack. Following measures must be taken immediately:

a-Chew one Dispirin tablet

b-Keeping one Angisid tablet under the tongue

c-Peeling of and sticking the Deponit NT5 skin patch on left side of chest.
                             Immediately shift the patient to hospital within 3 hours.

3 Hospital's  in Delhi treatment free of cost

 1 . A.I.I.M.S All India Institute of Medical Sciences, Ansari Nagar East, New Delhi, Delhi 110029.

Open 24 hours

1. Phone: 011 2658 8500

2 . R.M.L Ram Manohar Lohia Hospital. 

Baba Kharak Singh Rd, near Gurudwara Bangla Sahib, Ram Manohar Lohia Hospital, Type III, Connaught Place, New Delhi, Delhi 110001

1. Hours: 

   Open 24 hours
   Phone: 011 2336 5525

3 . G.V. Pant Hospital Govind Vallabh Pant Hospital. 1, Jawaharlal Nehru Marg, 64 Khamba, Raj Ghat, New Delhi, Delhi 110002

Hours: 

Open 24 hours · 

Phone: 011 2323 4242

                                             

                                                                Gestational hypertension

                                        NO TO चीनी , चावल, मैदा 

Naturopathy

Fasting is advised in treating the disorders  like hypertension.

10 TIPS 

1 . Maintain a healthy Body Mass Index (BMI) of between 18.5 and 24.9. Aim BMI < than 26
2 . Exercise regularly : If you can't  manage 30 minutes a day try for three sessions for 10 minutes each.
3 . Increase your fruits and vegetables intake : Most urban Indians are barely getting one small bowl of either per day. The ideal dose is five each.
4 . Add Beetroot to your diet if your are at risk : Beetroot juice in particular has found to help lower blood pressure.
5 . Cut your salt intake : Packaged food like snacks, processed food such as breads, cereals ,soups  and sauces, and papads and pickles are all very high in salt.
6 . Cut down on hydrogenated and trans fats and sugars :  Including hidden sources such as sucrose, dextrose, fructose and glucose. Read labels carefully before buying.
7 . Say NO to Tobacco : It can clog your arteries. Smoke cessation.
8 . Reduce caffeine intake and alcohol consumption.
9 . De -Stress Stress contributes to raising blood pressure.
10 . Try and make time for offline : Activities that you enjoy - painting, listening to music. gardening, dancing or any other creative hobbies.

                     "Who follow's the rule of nature does not have heart attack."

Vedic Analysis  of B.P Patient according to Ayurveda

Movement Personality (Vata Prakriti)  Beta blockers prescribed i.e.

Beta-blockers are drugs that block the effects of adrenaline, the hormone that triggers your body's fight-or-flight response when you're stressed. This slows your heart rate and eases up on the force your heart squeezes with. Your blood pressure goes down because your heart isn't working so hard. These medicines can also relax blood vessels so the blood flows better. Beta blocker manages sympathetic activity related to heart rate. Movement is related to sympathetic and parasympathetic activity. All autonomic nervous system work at the level of movement. I can slow and / increase my movement. Side effect low pulse rate.

• Acebutolol (Sectral)
• Atenolol (Tenormin)
• Bisoprolol (Zebeta)
• Metoprolol (Lopressor, Toprol XL)
• Nadolol (Corgard)
• Nebivolol (Bystolic)
• Propranolol (Inderal, InnoPran XL)

Metabolic Personality (Pitta Prakriti ) Calcium channel  blockers are prescribed. 

Calcium channel blockers, calcium channel antagonists or calcium antagonists are a group of medications that disrupt the movement of calcium through calcium channels. Calcium channel blockers are used as antihypertensive drugs, i.e., as medications to decrease blood pressure in patients with hypertension.

• Amlodipine (Norvasc)
• Diltiazem (Cardizem, Tiazac, others)
• Felodipine.
• Isradipine.
• Nicardipine.
• Nifedipine (Adalat CC, Procardia)
• Nisoldipine (Sular)
• Verapamil (Calan, Verelan)

Structure Personality (Kapha Prakriti) ACE Inhibitors are prescribed. 

Angiotensin-converting-enzyme inhibitors are a class of medication used primarily for the treatment of high blood pressure and heart failure. They work by causing relaxation of blood vessels as well as a decrease in blood volume, which leads to lower blood pressure and decreased oxygen demand from the heart. ACE Inhibitor manages fluid and water along with sodium, potassium, calcium and magnesium.

• Benazepril (Lotensin)
• Captopril.
• Enalapril (Vasotec)
• Fosinopril.
• Lisinopril (Prinivil, Zestril)
• Moexipril.
• Perindopril.
• Quinapril (Accupril)

Formula of 80

B.P Diastolic Less than 80

Heart Rate less than 80

L.D.H (Bad Cholesterol) Less than 80

Fasting Sugar less than 80

Abdominal Circumference  Less than 80

Sit in a sun for 80 Days in a year

Give daily 80  minutes to your self daily.

Clap 80 times to avoid Heart Attack, Diabetes & Stroke.

For Heart 80 mg Statin, and 80 mg Aspirin to avoid thrombus formation.

If Heart Block less than 80 % Medical Treatment

If Heart Block more than 80 % Surgical intervention. (Angiography / By-Pass)

Cardiac Bypass Rs 80,000

Do 80 cycles of Deep Breathing (Pranayama) daily. (Parasympathetic activity)

Lungs and Kidney functions should be more than 80 %

Walk 80 Minutes

Brisk Walking 80 Steps

Without cereals 80 day / Year (Fasting in both Navratra good practice)

Air & Noise Pollution less than 80

Food less than 80 calories at a time

Liquor less then 80 ml

In  a year 80 days no cereals wheat ( anaj ) or refined carbohydrates.

No Smoking, otherwise Rs 80,000 expenditure

F.V.R Less than .8 (Fore Arm Vascular Resistance)

Cardio Respiratory Resuscitation 


                                             "Wild animals does not have heart attack." 

Treatment options for heart attack

Medical management through certain medication, when the blockage is not severe.

Angioplasty  is an advanced treatment for coronary blockages.
* Stent is a tiny wire-wire mesh tube placed during angioplasty.
* Stent helps to re-open blocked arteries and restore normal blood flow.
* Stent prevents the artery from closing up again.

Coronary Artery Bypass Grafting (CABG)  is an open heart surgery and used to treat people with extremely  severe blockages where a blocked artery is bypassed to restore the blood flow.

                                   "Periodic check up of health and body weight."

“DON’T GET HYPER,
CHECK BP CHECKED ONCE A MONTH,
DON'T SPRINKLE SALT ON YOUR FOOD,
DO SHAVASANA .
MEDITATE EVERY NIGHT,
PLAY TABLE TENIS AT WORK,
AND CRICKET/GOLF AT WEEKENDS" 


                                               “So Stay Fit and Stay healthy ”

FEW QUESTIONS?

Qn 1. What are the thumb rules for a layman to take care of his heart? Ans: 1. Diet - Less of carbohydrate, more of protein, less oil 2. Exercise - Half an hour's walk, at least five days a week; 3. Quit smoking 4. Control weight. 5. Control BP - Blood pressure and Sugar

Qn2. Can we convert fat into muscles? Ans: It is a dangerous myth. Fat and muscles are made of two different tissues, fat is fat ... Ugly and harmful... Muscle is muscle. Fat can never be converted into a muscle. 

Qn3. It's still a grave shock to hear that some apparently healthy person gets a cardiac arrest. How do we understand it in perspective? Ans: This is called silent attack; that is why we recommend everyone past the age of 30 to undergo routine health checkups.

Qn4. Are heart diseases hereditary? Ans: Yes.

Qn5. What are the ways in which the heart is stressed? What practices do you suggest to de-stress .Ans: Change your attitude towards life. Do not look for perfection in everything in life.

Qn6. Is walking better than jogging or is more intensive exercise required to keep a healthy heartAns: Walking is better than jogging, since jogging leads to early fatigue and injury to joints.

Qn7. Can people with low blood pressure suffer heart diseases? Ans: Extremely rare.

Qn8. Does cholesterol accumulate right from an early age (I'm currently only 22) or do you have to worry about it only after you are above 30 years of age?  Ans: Cholesterol accumulates from childhood.

Qn9. How do irregular eating habits affect the heart ? Ans: You tend to eat junk food when the habits are irregular and your body's enzyme release for digestion gets confused.

Qn10. How can I control cholesterol content without using medicines? Ans: Control diet, walk and eat walnut.

Qn11. Which is the best and worst food for the heart? Ans: Fruits and vegetables are the best and oil is the worst.

Qn12. Which oil is better - groundnut, sunflower, olive? Ans: Oils do no good for humans.

Qn13. What is the routine checkup one should go through? Is there any specific test? Ans: Routine blood test to ensure sugar, cholesterol is Ok. Check BP, Treadmill test after an echo.

Qn14. What are the first aid steps to be taken on a heart attack? Ans: Help the person into a sleeping position, place an aspirin tablet under the tongue with a Sorbitrate tablet if available, and rush him to a coronary care unit, since the maximum casualty takes place within the first hour.

Qn15. What is the main cause of a steep increase in heart problems amongst youngsters? I see people of about 30-40 yrs of age having heart attacks and serious heart problems. Ans: Increased awareness has increased incidents. Also, sedentary lifestyles, smoking, junk food, lack of exercise in a country where people are genetically three times more vulnerable for heart attacks than Europeans and Americans.

https://madhuchhandacdmo.blogspot.com/2017/05/hypertension-silent-killer-high-blood.html

* Medicine as suggested above should only be taken under the consultation and supervision of registered medical practitioner.