Keywords : Chikitsa
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 11, Pages 3936-3952
Hypertension is a complex disease that seems to be simple but causes severe complications such as renal dysfunction, neuropathy, cerebral disorders, etc. Moreover, the side effects of the established antihypertensive medicines in contemporary science make it even worst. Due to the highly increasing prevalence rate of H.T.N. in the current era of modernization, it is the need of hour to search some alternative or adjuvant modalities to prevent & to manage it. Though Hypertension is not narrated directly in Ayurvedic sculptures, however, based on the two basic modules of Ayurveda, i.e., Hetu, Linga, it is easy to correlate the Hypertension with multiple terminologies such as Shonitdushti, Raktavruuta Prana or Vyanavrutta Prana, etc. Using these fundamentals of Ayurveda, it is possible to treat it in primary stage safely with Ayurvedic methods without using routine antihypertensive drugs or to use it as an adjuvant in the advanced stage of the disease to reduce doses & duration of conventional drugs.
This is a meta-analysis of Ayurvedic interventions in the form of Shodhana or Shamana Chikitsa used for the management of H.T.N. On extensive review of the literature, 14 clinical studies (R.C.T. & N.R.C.T.) fulfilling inclusion criteria & conducted with 995 participants at different places were critically analyzed. Both types of interventions in the form of Shodhana &Shamana Chikitsa were found to play primary or adjuvant role in the management of Hypertension in its prime or advanced stages, respectively.
The efficacy of these interventions can be justified based on pharmacological actions due to their physicochemical properties. This study demands to conduct scientific multi-centric research studies with a large sample size in the future