Hi, List

A case of High BP with out any discomfort or obvious symptoms ( since last 5- 7 years ) the BP is High as 220/110 mm of Hg at rest always ( in the last three four consultation) We have given her specifics as she was not responding to her constitutional medicine. She has to walk for some half hr to reach the Govt free Homoeopathic dispensary. So earlier she used to sit for half hr before coming in to the consultation room, last day just out of curiosity i took her BP immediately when she came and it was 140/80 and again took it after 15 min then it was 210/110.

Now the Question is :-

I want to know does it indicate and failure of the heart to compensate the work load, or it is just a important symptom for us the Homoeopath's. She had only slightly raised respiratory rate after walking.

Looking forward
Nandana T.Pai

I have dealt with people who were being treated for LOW blood pressure - when in fact that was natural to the individual .

Sounds as if you may have a case of tension/stress to deal with.

When she is walking and occupied with physical exercise - the stress/tension is in abeyance - however when she rests the cause of the stress returns to the forefront of her attention - with a consequent raise in the BP .

Only a suggestion.

hello

in all of us the BP changes often during the day,the more stress overload the higher,perhaps it is the trauma within the waiting room that is causing this stress factor to happen.The 'walk' might actually be a release/calming this is why the drop in BP.

Ignatia might not be the correct indicated remedy this is why its not working,try to redo the case again,perhaps a chronic of ignatia?

Gina Tyler

Hi group,

This letter is to clarify the doubt, that the pt may be getting tensed when she is waiting for the consultation.

As i told in the 1st letter it is a free clinic and there at that time when the Pt comes it is not a busy hour and there are no other factors, as far as i know which cause a stress during the waiting period. She was 1st diagnosed to have BP When she hit a vehicle and was taken to hospital to check up and was told to have BP. She did not suffer any serious injury in that incident. She used to feel sleeplessness earlier( around the period when she was diagnosed) which she thought to be due to High BP but now last few years there is no any complaints. She does feel Palpitation after walking. Even in her personal life she does not have any clear cut factors which cause a tension or grief. When ever u say that her BP is high ( it is me who get tensed and think and refer hard to find a cause ad cure,) she coolly or rather indifferently to the level of BP she will say that she does not feel any thing or has no any discomfort or worry grief etc.

Now coming to checking the BP in both hands it is true i must have done that but i was very very lazy to do that.

ThankYou
Nandana T Pai

Is she having *any* other problems? E.g., what was the constitutional remedy intended to address?

Are her diet and exercise appropriate?
I read that some people need to limit sodium/salt (altho most do not need to, and some *must* not) because of genetic factors. Maybe that would be worth trying?

Shannon

Hi Group,

Read all the responses.Thanks for the response it did help me a lot. Now may given a general background of the dispensary. I am a Intern will complete in May, the dispensary where i go is in a town and it is a free, govt dispensary. 90% of the pt are low income group working class, who have so much of suffering and worries and grief through out their life span.

This pt came here when she was under allopathic medication, she knew that there is medicine i homoeopathy and it will be cheaper so will come i her budget. She was diagnosed to have hight BP some 2 yrs back when she fainted and had heavy bleeding from the scalp, ( that period she was getting vertigo and used to faint due to Anemia, just 6 mnt before that when she had vertigo she had checked BP and had no high BP) She earlier had described this as accident - was not a accident but she had fainted when she was sitting on her son's bike, she was blacked out for some hrs during which she bleaded profusely and was diagnosed to have high BP and was later found to have some small pathology change in the heart. Since then she was taking allopathic medication she also had sleeplessness for which also medicine was given . A few months back when she came for the consultation she was having the sleeplessness even after taking the pill, and she was was also having pain in achilles tendon following the sleeplessness. So she thought of changing the medicine. She was having some 190/ 100 mm of hg at that time. Last 16 yrs she is a widow. Before that for 13 yrs he husband was mentally ill following some shock ( that history is not clear to her) after getting well after so many many types of consultation and constant prayers. He died in an accident. She has two sons, and had so suffer a lot to bring them up now they are having small income so she does not have to work. She used to work as a house maid in various housed for her income. - ie it was a very very hard life, she also looked after her mother who was suffering from BP and had passed away just a few 5-6 yrs back. She has a reduced appetite had no any desires or aversion, thermally no any affinity can be taken as more to ward's chilly as she does not feel much hot. Workaholic - which she cannot avoid as she through out her life never had time to rest. As her mother had BP she used to avoid excess salts in her diet. Both deliverys where normal which no any gestational complaints. She was given Sepia single dose, later which a gap of more that two weeks, single does a time she had been given Thuja, Syphilinum, Sulphur, Ignatia - Sepia - Nat mur. In various potency. Now she has occasional leg pain, no presenting complaints, she gets sleep ( very good sleep) has no any tensions in life. Has a reduced appetite. But the BP is from a range 210/110, 210/120 , 190/100 etc in these periods. She is not taking any allopathic medication. As the above medication was not working in controlling the BP we had given her spartium i potency, some time had given her Rauwlfia : Arnica etc with out any effect.

Today when she came i took the BP it was 190/100 in rt arm , she had work in home and later walked for half hr and just came and sat to take the BP not even waiting to take the op ticket and so when i was taking the BP of left had it came again down to 180/90 late she sat for some 20 minutes and when BP was taken it was again 210/120 ( rt) and 200/ 120(lt) . As there was a rush of pts when i was examining her the second time i did not get time to go more into her and to find my falls. - This is a thing which offend happens. I my self was not able to relax so how will i tell her to relax and take deep breath.

And probing more to individualis is often useless as most of them have no any craving or particulars for them self as they live with what they have (live for the children or relatives etc) . But the fact is, they are happier than i myself or any high income person is. I have told her to bring the scan report or any previous papers she is having with her.

I only wanted to know if the change( reduction ) in pressure is due to failure of the herat to compensate the hard work done during the walking. Any way it is not white collar syndrome ( i am happy to know about this)

Nandana.

Hi Group,

Last week i had given the Pt Daily dose of Ignatia 200. ( Sorry i gave this as one dose though seemed correct did not act) now today she came i took her BP on both arms. Before rest and after rest and all the result was 190/120 mm of hg and she told her sleep is ok till yesterday. But last three days she is having severe Headache :-) She told "I never had any thing like this. Though i have BP i dont have any complaints. Yesterday i did not sleep and i knew it before (night) as i was not getting sleep in the day time ( not siesta but she lie down for some time 10- 20 min after her daily chore) when i wanted to rest. "

Ecocadiogram Says the E/A ratio is less. These is thickening of mital wall ( no calcification) There is left diastolic dysfunction. Diagnosed as Essential Hypertension Known since 2002.

I gave Sl and BT.

Any comeds.

Nandana.
Kochi

Mind you, this might be the typical case of the patient having some psychic ailments which aggravated the disease (and which respond to Ign. as remedy of the acute state) whilst the core of the disease remained untouched. Ign. in itself is not often a hypertension remedy, the subjects are rather vagotonic and thus hypotensive, with lots of neurovegetative ailments.

Even if the patient does not have (or afford) special cravings, you can eventually get more symptoms by checking upon : how communicative, how freely will she talk about being in need or being ill, what's her relationship with friends and social contacts (eventually if tradition goes across patients might be reluctant to talk family issues with the doctor, happens here too, but most often even such patients will share things about the friends and acquaintances, admit who's the one they can't suffer among their bosses, etc. etc.). With such occasion actually the very conversation with the doctor and the way they lead it (or are lead through) is an invaluable source of info.
Is her disease affecting her self-image, how does she think of it. What are the concerns for being sick - is she first thinking of her, is she rather concerned with relatives losing support.
Try to put apart the poor material status, this can be a huge bias if keeps interfering the discussion.
What's her reaction when someone does something she doesn't like. Does she feel depressed, if so - for petty reasons, do petty reasons trigger depression, does she burst into cry for being simply contradicted (this will resemble Ign.).
The opposite, does she really feel deeply depressed all the time. Is crying often, does it relieve, does communication with others do good (for Ign. rather not, Ign. and Nat mur are even morose from being consolated). Does she have nerve fits, or is she rather calm even if under pressure.
Are there any activities she can do to feel better - be with her family, talk with someone, have some minor entertainment, simply walking out etc.
If someone steps over her toes does she react immediately or will keep that inside. Did she have nerve fits with the family and relatives or not. (Ign is usually bitter with entourage about her illness). Did she get ameliorated from crying or is feeling ashamed of being seen crying and hides away from relatives in order not to have them see her.
What's her day rhythm, better in morning, afternoon, evening etc., or opposite - worse; when's the regular good tonus felt over the day, when's the regular "drop" coming.
Are menses affecting her status, how regular are they, which are the irregularities if occurring. Did anger induce disrhythmic mense or painful ones ? (Ign. can have supressed menses but this occurrs with many other, other modalities should be inquired).

I am aware you eventually did all these inquiries, but if they are not apparent we can't share the judging of the case.

Hi Nandana,

Quote:

Last week i had given the Pt Daily dose of Ignatia 200. ( Sorry i gave this as one dose though seemed correct did not act) now today she came i took her BP on both arms. Before rest and after rest and all the result was 190/120 mm of hg and she told her sleep is ok till yesterday. But last three days she is having severe Headache :-) She told "I never had any thing like this. Though i have BP i dont have any complaints. Yesterday i did not sleep and i knew it before (night) as i was not getting sleep in the day time ( not siesta but she lie down for some time 10- 20 min after her daily chore) when i wanted to rest. "

I do not know whether you are just interested in the ignatia aspect - if so, just disregard the below.

As far as the hypertension goes, 2 remarks:

1) Dr. Banerji has presented results of his research on hypertension at a conference at Hyderabad. The remedies with the best results were Aconitum 200, every 24 - 48 hours (50 - 60 % of response), Rhus tox 30, every 12 to 48 hours, (60 - 65 %), Arnica 3, every 6 to 12 hours (50 - 70 %). If none of these is satisfactory, Dr. B. suggest a combination of the 3, twice a day. All to be given over months.

The range was pretty uniform - up to 250 systolic, over 100 diastolic.

2) We learned in Naturopathic School that hypertension with a high diastolic value and low difference of amplitude between the syst. and diastolic values is "kidney-hypertension". We were urged to have a thorough kidney diagnostic done in such cases. Typical would be a stenosis of the arteries to the kidneys.

Regards

Luise

dear luise
Was wondering if you are speaking of the same Dr. that was my professor in calcutta, Subrata kumar Banerjea?
Gina TYler