by sajeev ampadi., hom., bhms., md...
TRANSCRIPT
![Page 1: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/1.jpg)
By Sajeev Ampadi., HOM., BHMS., MD (Hom)
Head of Department of Cardiology
Essence Medical College of Homeopathy
![Page 2: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/2.jpg)
Six million Canadian adults, or one in five, have high
blood pressure
1 in 6 Canadians (762,000 individuals) with high blood pressure are unaware of their condition
Hypertension burden in Canada
![Page 3: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/3.jpg)
Homoeopathic Management of
Hypertension
Scope Primary Hypertension
Secondary Hypertension with reversible cause
LimitationHypertensive
Emergency
Secondary Hypertension with medically nonmanageable cause
![Page 4: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/4.jpg)
Outpatient settings Isolated office
hypertension(white coat)
Errors in one-time recording
Postural changes
Day/Night variations
![Page 5: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/5.jpg)
Classification of BP for Adults JNC (Joint National Council for hypertension) Criterion
![Page 6: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/6.jpg)
Blood Pressure Devices
Calibration
Maintenance
Proper Use
![Page 7: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/7.jpg)
Accidental cures
Focused treatment
PRIMARY HYPERTENSION
![Page 8: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/8.jpg)
When treating for other diseases
Taking prophylactic medicines
Organ specific remedies with true or false diagnosis
Mislabeling or misplacement by the pharmacist
Accidental cures
![Page 9: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/9.jpg)
Record BP in all patients regardless of the complaint
they come for
Recheck BP in all visits and try to figure out any unusual pattern
How to utilize the cure
![Page 10: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/10.jpg)
Analysis of such cures
FIRST STEP Trying to find out the
symptom which has maximum curability with the remedy
Trying to find out the relation of that symptom with hypertension
SECOND STEPUtilizing the
antihypertensive action of that remedy to get sustained effect on that patient
Utilizing the strategy in other cases
![Page 11: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/11.jpg)
Remedy Symptom spectrum
Hypertension
FIRST STEP
![Page 12: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/12.jpg)
Angio edema
Blurred vision
Broncho spasm
Chest pain
Claudication
Cough daytime sleepiness
Depression
Dizziness
Dyspnoea
Flushing Gingival problems Headache haematuria Muscle cramps Nocturia Palpitation Polyuria Sexual dysfunction Snoring Sweating Weakness Wight loss Weight gain
![Page 13: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/13.jpg)
Going through the Repertory and Materia Medica to
find out the remedy with maximum curability
Eg. Lycopodium having flatulance at 4 to 8 pm(Having no relation with hypertension)
FIRST STEP
![Page 14: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/14.jpg)
Going through the Repertory and Materia Medica to find out the remedy with maximum curability
Eg. Occipital headache in the morning on waking as in Lachesis (Having relation with hypertension)
FIRST STEP
![Page 15: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/15.jpg)
Note down the specific link between remedy
symptom spectrum and hypertension for that particular case.
Repeating same remedy in situations when this connection exists
It is regardless of other symptoms because in certain cases a single symptom may represent totality
Sustainability of the result.
![Page 16: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/16.jpg)
Repeating more frequently
Escalating potency
Prescribing anti-miasmatic remedies
Stand still
![Page 17: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/17.jpg)
![Page 18: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/18.jpg)
Category I– Diagnosed &
treated with Allopathy or any other system
Category II– Freshly
detected or unpolluted
![Page 19: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/19.jpg)
Patients already diagnosed & taking Modern medicines
Well controlled
Meticulous care
on tapering drugs
Numbers based follow-up
Frequent review
Counseling to prevent anxiety
Poorly controlled
Be skeptical about patients self-commitment
Discard irrational supplements
![Page 20: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/20.jpg)
Individualization
Vs
Stereotyped clinical settings
![Page 21: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/21.jpg)
Constitution
Vs
Acute symptoms
Case taking
![Page 22: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/22.jpg)
Constitution of Sulfur
BP 150/100
On Beta blockers
Presenting with a headache of Sangunaria
Sample Case
![Page 23: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/23.jpg)
CSC Protocol(2015)
Constitutional RemedyAnti miasmatic intercurrent RemedyAnti hypertensive Q or low potency, to
titrate BPSpecific Remedies to neutralize the
allopathic medicineAny Remedy matching acute symptoms
HYPERTENSIONFocused Treatment
![Page 24: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/24.jpg)
![Page 25: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/25.jpg)
Allium sativa MT – Useful to titrate high BP in the verge of Hypertensive emergency. Starts BP reduction within 30 minutes when 35 to 40 drops given.Rauwolfia MT - High BP without any other specific indications. Maniacal symptoms gives additional confirmation (Stage 1 HT) The alkaloid reserpine is the active principle. So expect adverse effects of reserpine.
Homoeopathic cardioselective Remedies for Hypertension …
![Page 26: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/26.jpg)
Homoeopathic cardioselective Medicines for Hypertension
Passiflora MT- Pre hypertension Passiflorainduces sleep & reduces fatigue facilitating BP control
Baryta mur 3x - High systolic BP and relative low diastolic. Atherosclerosis of vessels(CAD)
Adonis MT - Hypertension due to renal diseases, weak pulse
![Page 27: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/27.jpg)
Veratrum Viride 6C
HT associated with A fib or other forms of arrhythmias of Heart
Paroxysmal AFib
![Page 28: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/28.jpg)
Adrenalin 6c
The main action of Adrenaline is stimulation of the sympathetic endings, notably the splanchnic area, causing constriction of the peripheral arterioles, with resulting rise in blood pressure
BUT an adaptogenic in pre hypertension
![Page 29: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/29.jpg)
Crataegus Oxy MT
Cardiomyopathies
Diseases of heart muscles. In cases where pumping is not good.
Taraxacum
When diuretic is needed
![Page 30: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/30.jpg)
Pre disposition
Characteristic dispositions at mental & physical level
Diathesis
Characteristic particulars
Best results are produced with LM
Constitutional similimumConstitutional remedy may be selected, based on each individual case, depending on
![Page 31: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/31.jpg)
Psoric
Sycotic
Tubercular
Syphilitic
Miasmatic intercurrent
![Page 32: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/32.jpg)
Merc.sol 30 –TDS- Tapering dose, if the patient is under Betablockers
Belladonna 30/Alisma P MT Tapering dose, if the patient is under
calcium channel blockers ( nifidipine,amlodipine) with pedal edema and congestive headache.
Specific Antidotesempirical and anacdotal
![Page 33: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/33.jpg)
Homeopathic Drugs & Nutritional Supplements
Plant stanols Niacin L-Arginine
Combined Approach
![Page 34: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/34.jpg)
All combinations must be judicious (do not Mix Beer with Viagra !!!
![Page 35: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/35.jpg)
Avoid tobacco
Weight reduction
Physical activity
DASH diet
Relaxation techniques
Life style modification
![Page 36: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/36.jpg)
![Page 37: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/37.jpg)
Recommendations for follow-up
![Page 38: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/38.jpg)
cultural norms
insufficient attention to health education by health care practitioners
lack of reimbursement for health education services
lack of access to places to engage in physical activity
larger servings of food in restaurants
Prevention of Hypertension:Public Health Challenges
![Page 39: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/39.jpg)
Prevention of Hypertension:Public Health Challenges cont..,
lack of availability of healthy food choices in many schools, worksites and restaurants
lack of exercise programs in schools
large amounts of sodium added to foods by the food industry and restaurants
higher cost of food products that are lower in sodium and calories.
![Page 40: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/40.jpg)
Schedule next appointment before patient leaves office.
Use appointment reminders, preferably computer-based, and contact patients to confirm appointments.
Follow up with patients who missed appointments.
Use an office-based system approach for monitoring and follow up (e.g., educate staff to provide patient encouragement, computer or chart reminders, disease management aids).
Organize, care delivery systems(outpatient settings)
![Page 41: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/41.jpg)
Secondary hypertension having underlying
causes especially under medication
Renal parenchymal causes
Renal artery stenosis
CNS-Space occupying lesions
Hypertensive emergencies
Limitations(outpatient settings)
![Page 42: By Sajeev Ampadi., HOM., BHMS., MD (Hom)chconference.ca/wp-content/uploads/Sajeev-Ampadi-Hypertension... · Homoeopathic Management of Hypertension Scope ... Limitation Hypertensive](https://reader031.vdocuments.us/reader031/viewer/2022021621/5b3654d77f8b9a436d8e2e8b/html5/thumbnails/42.jpg)
Thanks You
Join the
Post Cardiology Diploma in Homeopathic Cardiology
and become an expert in treating Cardiology Cases
www.homeopathyeducation.ca