Title: Dr' HAFEEZULLAH BAIG'
1Dr. HAFEEZULLAH BAIG.
M.D.(HOMOEO) ASSISTANT DIRECTOR (H). CENTRAL
COUNCIL FOR RESEARCH IN HOMOEOPATHY, DRUG
STANDARDISATION UNIT(H), HYDERABAD
2HYPERTENSION (A SILENT KILLER)
Consistently elevated blood
pressure of 140mm/Hg systolic and
90 mm/Hg
diastolic. A level of blood
pressure which is associated with increased
morbidity and
mortality at some future time when
compared with the whole
population.
h Dec, 2008.
3PATHOPHYSIOLOGICAL MECHANISM
Renin Angiotension
System
Renal
retention of salt and water Increased cardiac
output Increased
sodium in arterial walls Auto regulation
Increased
arteriolar reactivity
Central control of sympathetic system
Arteriolar
vasoconstriction
Blood pressure increase
4 FACTORS THAT CANNOT BE
CHANGED 1.Age 2.Race 3.Socio-economic
status 4.Femilial tendency 5.Gender
5 FACTORS THAT CAN BE CHANGED 1.Over
weight 2.Sodium sensitivity 3.Alcohol
use 4.Smoking 5.Birth control pills 6.Physical
inactivity 7.Drugs- Diet pills, cold and allergy
drugs,stimullants
6 CONDITIONS REQUIRED FOR
REFERAL 1.UNEXPLAINED SEVERE HEADACHE 2.SUDDEN
OR GRADUAL CHANGE IN VISSION 3.DIZZINESS PRESENT
FREQUENTLY 4.NAUSEA ASSOCIATED WITH SEVERE
HEADACHE 5.CHEST PAIN OR HARD BREATH ON
EXCERTION 6. SECONDARY CAUSE OF
HYPERTENSION 7.ANY OTHER SEVERE SYSTEMIC
DISORDER
7 ALLOPATHIC
MEDICATION MEDICATION
EFFECT ON USING 1.GANGLION BLOCKER
HARMFUL EFFECT 2.ADRENERGIC BLOCKERS
CONTRA INDICATION 3.BETA BLOCKERS
EFFECTIVE INITIALLY AND
RESISTANT LATTER 4.RESERPINE
BIOCHEMICAL CHANGES IN
BODY 5.CLONIDINE
eg.THROMBOCYTOPENIA 6.DIURETICS
ELECTROLYTE DEPLETATION
HAEMOLYTIC ANAEMIA etc.
8 HOMOEOPATHIC
MEDICATION 1.SAFE, SIMPLE AND SINGLE
REMEDY 2.HARMLESS 3.NO CONTRA
INDICATION 4.EFFECTIVE INITIALLY AND ALSO ON
REPETITION 5.NO COMPLEMENTARY REACTION 6.NO
ADVERSE BIO-CHEMICAL CHANGES IN THE
BODY 7.CONTROLS ASSOCIATED SYMPTOMS IF
PRESENT 8.MANAGEMENT OTHER THAN TREATMENT IS
FOLLOWED AS PER TO MEDICAL
LITERATURE 9.CAN BE USED ALONG WITH ALLOPATHIC
MEDICINES
9HOMOEOPATHIC THEURAPEUTICS 1.TITLE
HYPERTENSION DISEASE RELATED 2.NAME
OF THE UNIT DRUG STANDARDISATION UNIT,
HYD. 3.PERIOD APRIL1990
TO MARCH 2003 4.AIMS AND OBJECTS TO IDENTIFY
THE RELIABLE INDICATION, USEFUL POTENCIES,
FREQUENCY OF ADMINISTRATION etc 5.MATHODOLOGY
STUDY DESIGN - OPEN CLINICAL DISEASE RELATED
TRIAL INCLUSIVE CRITERIA - CONSISTENTLY
B.P OF 140/90mm/Hg AND ABOVE WITH NO DEFENITE
CAUSE EXCLUSIVE CRITERIA - SUFFERING FROM
SYSTEMIC ILLNESS,SECONDARY HYPERTENSION,
DIASTOLIC PRESSURE ABOVE 120 AND SYSTOLIC
PRESSURE ABOVE 210mm/Hg
10 NO OF CASE STUDIED252 AGE INCIDENCEMINIMUM 23
YRS MAXIMUM 81YRS 20 YEARS TO 30 YEARS
03 30 YEARS TO 40 YEARS
31 40 YEARS TO 50 YEARS 72 50
YEARS TO 60 YEARS 88 60 AND ABOVE
58 DURATION OF
COMPLAINTSMINIMUM 1 MONTH MAXIMUM 20YRS 1
MONTH TO 6 MONTHS 21 6 MONTH TO 1
YEAR 83 1 YEAR TO 5 YEARS
126 5 YEARS TO 15 YEARS
18 15 YEARS TO 20 YEARS
04
11 ASSESEMENT OF INTENSITY OF
DISEASE
Diastolic pressure is considered in grouping the
intensity Intensity
Range Normal
lt90mm/Hg Mild
90
100mm/Hg Moderate
101-109mm/Hg Severe
gt110mm/Hg
12 CRITERIA ADOPTED FOR ASSESEMENT OF
IMPROVEMENT Marked When diastolic pressure is
less than 90 mm/Hg for more than 6 months
without any Allopathic medicine and also
add-on Homoeopathic medicine. Moderate Fall in
the diastolic blood pressure less than 90 mm/Hg
for more than 6 months with
occasionally increase and using Allopathic
medicine in 50 reduced form along with
infrequent use of Homoeopathic
medicine. Mild Fall of diastolic pressure
but registering frequently above 90 mm/Hg
for a period more than 6 months and
using Allopathy more than 50 dosage
in addition to infrequent use of add-on
Homoeopathy. Dosage followed Centesimal one
dose per week 50
millesimal thrice daily for three days
Mother tincture 10 drops BD
Trituration 4 pinches TDS
Bio-chemic salts 4
tablets TDS
13 STUDY
OBSERVATION NO. OF CASES STUDIED
252 NO. OF CASES FOUND EFFECTIVE
219 86.9 MARKEDLY
49
19.0 MODERATELY
39 21.0 MILDLY
111
46.0 NOT IMPROVED
33 13.0
BASIS OF PRESCRIPTION
Basis
Prescribed Found
effective 1.Generalities
22
18 81.8 2.Presenting complaint
99
80 80.1 3.Reportorisation
44
41 93.0 4.Specific (R.S., A.S.,W.S)
87
80 91.9
TREATMENT SPECIFICATION
HOMOEOPATHIC MEDICINE ONLY 94
84 89 ADV. TO CON.
ALLOPATHIC MED. 158
135 85
14 INTENSITY STATUS Intensity
Before TT After
TT Normal
0 103 Mild
216
141 Moderate
07
02 Severe
29 06
DURATION OF
TREATMENT Minimum 6Months.
Maximum 12 Years. Years No. of
cases Cases resp. Not
resp. lt1Year 70
20 ----- lt3Years
104 72
16 lt6Years
88 62
13 lt9Years 28
21 04 lt12Years
12 12
------ ALLOPATHIC
MEDICATION AFTER TREATMENT 1.USING UPTO 50
34
21.5 2.USING UPTO 25
45 28.0 3.USING UPTO 100
10 6.3
4.WITHDRAWN
69 43.6
15 FUNDOSCOPIC CHANGES
2 CASES OF GII HAS IMPROVED TO GI BY
LYCOPODIUM AND STRAP. 1 CASE OF GI HAS IMPROVED
TO NORMAL BY LYCOPODIUM IN 18 CASES BLOOD
CHOLESTEROL WAS REDUCED BY BRY,LYCO, RAUWOL AND
STRAP.
16 IMPROVEMENT INDICES OF COMMON ASSOCIATED
SYMPTOMS Sl.No. Signs
Symptoms No. of Cases
Found effective
Before TT After TT
1. Incresed blood pressure
252 219 86 2.
Irritability 113
46 40 3. Poor
emotional control 68 31
45 4. Impaired
memory 31 14
45 5. Drowsiness
21 12 57 6.
Sleeplessness
53 26 49 7.
Palpitation 108
50 46 8. Chest pain
52 22
42 9. Giddiness
201 136 67 10.
Headache
134 87 64 11.
Sweating 164
92 64 12. Easily
fatigue 121
51 56 13. Noises in the
ear 03 01
33 14. Pitting oedema of legs
113 62 54 15.
Puffiness of face 34
12 35 16. Loss of
appetite 6
3 50 17. Urine albumin
present 136 67
49
17- RELIABLE INDICATIONS OF THE DRUGS FOUND USEFUL
- Sl.No Name of the drug and potency
Presp. found effective - Adonis.V Q
1 1 - Allium Sativum Q,
3 3 - Allium Sativum 3X,
3 3 - Ashwagandha Q,
1 1 - Arg.Nit. 200,
2 1 - Baryta. Mur 3X,6X
7 5 - Bryonia 200, 0/1, 0/3, 0/6, 0/10, 0/20
48 41 - Conium. 200
1 1 - Glonine. 0/3
1 1 - Gelsemium.0/3
1 1 - Hydrocotyl.A.Q
3 3 - Kalmia.0/3
1 1 - Lach. 200, 0/1, 0/3
4 2
18- RELIABLE INDICATIONS OF THE DRUGS FOUND USEFUL
- Sl.No Name of the drug and potency
Presp. found effective - 14. Lycopodium. 200, 1M, 0/1, 0/3, 0/6
42 37 - 15. Nat.Mur. 200, 1M, 0/3.
3 3 - 16. Nux.Vom. 200, 0/1, 0/3.
8 7 - Phos. 200, 0/3,
8 7 - Pulsatilla. 200, 0/3.
1 1 - Rauwolfia.Serp.Q
11 6 - Rauwolfia.Serp.3X
62 62 - Sepia. 200, 0/3.
1 1 - Spartium.S. 6
6 5 - Strophanthus.H. Q
26 20 - Sulphur. 200, 1M, 0/3
6 5 - Ver.Vir.30, 200, 0/1
8 7 -
19OTHER DRUGS Aconite, Adre, Apis, Apo, Arn, A.A,
Au.Met., Au.Mur, Bart.Carb, Bell, C.V., Caust,
Cact,China, Crat.Oxy, Dig, Ign, Naj, Op, Pl.Met,
Sec.Cor, Spig. MIASM PSORA SYCOTIC TENDENCY
LYCO NUX THUJA MED SUL
CAL.CARB
20THANK YOU