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Homoeopathy for hypertension.

Dear Editor

I am writing in regards to the article entitled Homoeopathy For Hypertension by Robert Medhurst published on page 29 in the March 2007 issue of the Journal of the Australian Traditional-Medicine Society.

I have considerable respect for the author. Because this is a CPE article and will be used as an educational material, I would like to highlight certain facts.

I have been treating hypertensive cases using homoeopathic medicines for the last 43 years and I cannot recall a single case of failure--a reduction of 30-40 mm can be expected in cases of essential hypertension. In secondary hypertension the primary cause should be addressed.

Every remedy has a certain depth and pace of action. Aconite, Belladonna and Glononine are acute remedies with a short duration of action, and in a chronic condition such as essential hypertension, will have to be repeated indefinitely, with no hope of cure unless followed by constitutional treatments. Glononine is a vasodilator, it dilates initially and in that action, blood pressure will be temporarily reduced and this will be followed by reactive vasoconstriction which will last longer. However I must admit that Glononine is very effective in reducing blood pressure temporarily. I realise that eminent homoeopaths like JH Clarke recommends Aconite, but this is for symptoms associated with the disease.

There are two remedies which stand out in their action of reducing blood pressure irrespective of the constitution of patients and these are Viscum album and Sumbul. A combination of these two remedies in 30C given twice a day initially will act as a 'specific' for hypertension in the majority of cases. If this isn't sufficient, one can add Aurum mur (I prefer Aurum mur because the chloride element makes it more suitable for cardiovascular disorders). Such a deep acting remedy is best used in 30C or higher twice a week.

Government is giving research grants for complementary medicine; the Professors of modern medicine do not understand constitutional treatment. For them, double blind trials using the same medicines for all patients are necessary, and if someone could take up the study of hypertension using the 'specifics' I have suggested, the practitioner should not be disappointed. That could be a PhD thesis. It is always better to use constitutional remedies in addition for a complete cure. But in my practice some patients get permanent relief with the above mentioned remedies alone.

--Dr P Sudhakaran, Melbourne

Response from Robert Medhurst

Dear Dr Sudhakaran

Thanks very much for your response to my article and the valuable clinical information that you've shared with the readers of this Journal. I agree with the points that you make; Aconite, Belladonna and Glonoine are indeed generally used as short-term palliative remedies for acute exacerbations of chronic hypertension although as indicated in the article, the constitutional homoeopathic remedy is always the best choice where its selection is possible.

In regard to Aconite, while it's often useful for the symptoms of hypertension, it is mentioned specifically for the disease by WA Dewey, Michel Bouko Levy, Kalvin B Knerr, TS Iyer, Kamal Kansal, Prakash Vakil and Jacques Jouanny. In my own practice, Aconite, Belladonna and Glonoine have been of greatest use in patients using orthodox medication whose response is inconsistent, and who experience previously uncontrollable transient acute hypertensive episodes. These three work well for this problem where indicated, which they commonly are.

However, the utility of these remedies isn't always in the acute sphere. In the case I discussed in the article's introduction, using the patient's initial case notes and confirming my suspicions at the interview mentioned, she exhibited symptoms that provided a good match to those mentioned in the proving symptoms of Belladonna. A single initial dose of the 200th potency, and another of the first millesimal potency some weeks later, did appear to be curative and no further doses of the remedy appeared to be needed.

In regard to Viscum and Sumbul, thank you for the tip. I'll certainly bear these in mind. I sincerely hope that your suggestion regarding a clinical trial on homoeopathy for the management of hypertension is taken up. The modality suffers greatly from a lack of well-designed trials.
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Article Details
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Author:Sudhakaran, P.; Medhurst, Robert
Publication:Journal of the Australian Traditional-Medicine Society
Geographic Code:8AUST
Date:Jun 1, 2007
Previous Article:Q and A.
Next Article:Ulbricht C, Basch E. Natural Standard Herb & Supplement Reference. Evidence-Based Clinical Reviews.

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