Hypertension
| Attributes |
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Commonality is common Incidence is approximately 1 in 5 people |
| Further Tests |
Efficacy of Alternative and Other Treatments According to GRADE* Ranking:
Six Flavor Tea (Liu Wei Di Huang Wan, Rehmannia Six) [1, 45, 46]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: No recommendation (There is insufficient evidence to show that Six Flavor Tea helps in any way in the treatment of hypertension)
Grade of Evidence: very low quality of evidence
Phytochemicals (Antioxidants) [1, 42, 43, 44]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (There is insufficient evidence to support claims that phytochemical supplements can prevent or treat diabetes. More studies are needed. A balanced diet with fruit, vegetables, and grain is recommended to prevent illness until further research into supplements is done.)
Grade of Evidence: low quality of evidence
Pau D'Arco (Lapachol, Tabebuia Impetiginosa, Tabebuia Heptaphylla) [1, 41]:
Please note, this treatment has potentially serious side effects. Some of the chemicals in the plant are known to be toxic. High doses are known to cause liver and kidney. Even at low doses, chemicals in the plant may interfere with blood clotting, causing excess bleeding and anaemia. Pau D'Arco should be avoided, especially by pregnant or breastfeeding women.
Recommendation: Strongly against (There is insufficient evidence to support claims that Pau D'arco helps to treat hypertension. This, combined with its potentially harmful side effects if taken without supervision from a doctor or pharmacist gives enough reason to avoid this treatment.)
Grade of Evidence: very low quality of evidence
Mistletoe (Iscador, Viscum Album) [1, 36, 37, 38, 39, 40]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present. WARNING: The mistletoe plant should NOT be eaten because it is poisonous. May cause seizures, coma and death. It should only be taken as a purified mistletoe extract, and only in recommended doses.
Recommendation: No recommendation (There is insufficient evidence to support claims that mistletoe has any affect on the treatment of hypertension.)
Grade of Evidence: low quality of evidence
Kampo [1, 34, 35]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: No recommendation (There is insufficient evidence to support claims that Kampo helps in the treatment of hypertension)
Grade of Evidence: moderate quality of evidence
Indian Snakeroot (Rauvolfia, Rawolfia Serpentina) [1, 32, 33]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: Strongly in favor (Reserpine, a drug which is extracted from indian snakeroot, is known to be an effective treatment for high blood pressure, as well as a tranquilizer.)
Grade of Evidence: high quality of evidence
Green Tea [1, 27, 28, 29, 30, 31]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: Weakly in favor (There is insufficient evidence to support claims that Green Tea helps to treat hypertension in any way. Although reports are positive, more studies are needed.)
Grade of Evidence: low quality of evidence
Gotu Kola (Centella Asiatica, Hydrocotyle Asiatica)[1, 21, 22, 23, 24, 25, 26]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (There is insufficient evidence to support claims that Gotu Kola helps in the treatment of hypertension in any way. More research is needed.)
Grade of Evidence: low quality of evidence
Goldenseal (Hydrastis Canadensis) [1, 14, 15, 16, 17, 18, 19, 20]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: Weakly against (There is insufficient evidence to support claims that Goldenseal helps to treat hypertension. More studies are needed. Goldenseal may produce toxic effects, including depression, constipation, rapid heartbeat, stomach pain, mouth ulcers and vomiting.)
Grade of Evidence: low quality of evidence
Glyconutrients [1, 12, 13]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (Available evidence does not support claims that glyconutrients help to treat hypertension. More studies are needed.)
Grade of Evidence: low quality of evidence
Ginseng [1, 8, 9, 10, 11]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (There is insufficient evidence to support claims that ginseng helps to treat hypertension. Studies have yielded mixed results.)
Grade of Evidence: low quality of evidence
Germanium (Germanium Sesquioxide, Vitamin O) [1, 5, 6, 7]:
WARNING: Germanium may cause permanent Kidney failure. Even organic supplements, though less toxic than inorganic supplements, have caused kidney and liver damage. NOT TO BE USED.
Recommendation: strongly against (Evidence shows that Germanium is not effective in treating hypertionsion in any way, and is also toxic, causing severe kidney and liver damage.)
Grade of Evidence: moderate quality of evidence
Chlorella (Green Algae, Chlorella Pyrenoidosa) [1, 2, 3, 4]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: weakly in favor (Small studies have suggested possible benefits in treating hypertension, but more research is needed)
Grade of Evidence: low quality of evidence
Calcium Gluconate:
Please note, this management does NOT treat the condition itself. It is proposed only as a preventative or supportive management, not as a treatment.
Recommendation: strongly in favor (Calcium supplements are effective in preventing hypertension)
Grade of Evidence: moderate quality of evidence
Calcium Supplements:
Please note, this management does NOT treat the condition itself. It is proposed only as a preventative or supportive management, not as a treatment.
Recommendation: strongly in favor (Calcium supplements are effective in preventing hypertension)
Grade of Evidence: moderate quality of evidence
Black Cohosh (cimicifuga Racemosa):
Please note, this management does NOT treat the condition itself. It is proposed only as a weak supportive symptomatic support, and even then, has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (Available evidence does not support claims that Black Cohosh helps to treat symptoms of hypertension in any way. Studies have yielded mixed results)
Grade of Evidence: moderate quality of evidence
Astragalus (Astragalus Membranaceus):
Please note, this management does NOT treat the condition itself. It is proposed only as a weak supportive symptomatic support, and even then, has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (There is insufficient evidence to support claims that Astragalus helps to treat hypertension)
Grade of Evidence: very low quality of evidence
Osteopathy:
Please note, this management does NOT treat the condition itself. It may mildly help with the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (there is insufficient evidence that osteopathy alone can treat hypertension)
Grade of Evidence: low quality of evidence
Low-Level Laser Therapy:
Recommendation: no recomendation (There is insufficient evidence that shows that laser therapy could help treat hypertension)
Grade of Evidence: very low quality of evidence
Yoga:
Recommendation: strongly in favor (research has shown that Yoga can help to treat hypertension)
Grade of Evidence: low quality of evidence
Tai Chi:
Recommendation: strongly in favor (research has shown that Tai Chi can help to treat hypertension)
Grade of Evidence: low quality of evidence
Qigong:
Recommendation: strongly in favor (reports demonstrate that Qigong can help to treat hypertension)
Grade of Evidence: low quality of evidence
Hypnosis:
Recommendation: strongly in favor (many reports demonstrate that hypnosis can help to treat hypertension)
Grade of Evidence: low quality of evidence
Meditation:
Recommendation: strongly in favor (many reports demonstrate that meditation can help to treat hypertension)
Grade of Evidence: low quality of evidence
Music Therapy:
Recommendation: strongly in favor (there is evidence that music therapy can help treat blood pressure)
Grade of Evidence: moderate quality of evidence
* www.gradeworkinggroup.org
Summary References
Treatments:
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2. Nakano, S et al. “Maternal-fetal distribution and transfer of dioxins in pregnant women in Japan, and attempts to reduce maternal transfer with Chlorella (Chlorella pyrenoidosa) supplements...” Chemosphere 2005 Dec; 61(9): 1244–55.
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6. http://www.ncbi.nlm.nih.gov/pubmed/9237323
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8. http://www.nlm.nih.gov/medlineplus/druginfo/natural/patient-ginseng.html
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11. McElhaney JE et al. (2004). "A placebo-controlled trial of a proprietary extract of North American ginseng (CVT-E002) to prevent acute respiratory illness in institutionalized older adults". J Am Geriatr Soc 52 (1): 13–19
12. http://abcnews.go.com/2020/story?id=3228488
13. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/glyconutrients
14. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/goldenseal
15. http://nccam.nih.gov/health/goldenseal/
16. Tierra Michael (1998): The Way of Herbs. New York, Pocket Books
17. Grieve M. (1971): A Modern Herbal. New York, Dover Publications, Inc
18. Mills S. and Bone K. (2000): Principles and Practice of Phytotherapy. Philadelphia, Churchill Livingstone
19. Tice Raymond (1997): Goldenseal and Two of its constituent alkaloids: berberine and hydrastine Research Triangle Park, National Institute of Environmental Health Sciences, in Seiger E: Review of Toxilogical Literature
20. http://www.henriettesherbal.com/eclectic/ellingwood/hydrastis.html
21. Winston, D., Maimes, S., Adaptogens: Herbs For Strength, Stamina, and Stress Relief, 2007, pp. 226-7
22. "A Double-Blind, Placebo-Controlled Study on the Effects of Gotu Kola (Centella asiatica) on Acoustic Startle Response in Healthy Subjects". Journal of Clinical Psychopharmacology. 20(6):680-684, December 2000. Bradwejn, Jacques MD, FRCPC *; Zhou, Yueping MD, PhD ++; Koszycki, Diana PhD *; Shlik, Jakov MD, PhD
23. B. M. Hausen (1993) "Centella asiatica (Indian pennywort), an effective therapeutic but a weak sensitizer." Contact Dermatitis 29 (4), 175–179 doi:10.1111/j.1600-0536.1993.tb03532.x
24. Cataldo, A., Gasbarro, V., et al., "Effectiveness of the Combination of Alpha Tocopherol, Rutin, Melilotus, and Centella asiatica in The Treatment of Patients With Chronic Venous Insufficiency", Minerva Cardioangiology, 2001, Apr; 49(2):159-63
25. http://en.wikipedia.org/wiki/Gotu_kola#Medicinal_effects
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27. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/green-tea
28. http://www.ncbi.nlm.nih.gov/pubmed/16968850
29. http://www.denverpost.com/nationworld/ci_4326770
30. http://www.nlm.nih.gov/medlineplus/druginfo/natural/patient-green_tea.html
31. http://nccam.nih.gov/health/greentea/index.htm
32. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/indian-snakeroot
33. http://www.mercksource.com/pp/us/cns/cns_hl_dorlands_split.jsp?pg=/ppdocs/us/common/dorlands/dorland/seven/000092149.htm
34. Shibata, Yoshiharu and Jean Wu. "Kampo Treatment for Climacteric Disorders: A Handbook for Practitioners." Paradigm Publications, 1997
35. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/kampo
36. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/mistletoe
37. http://nccam.nih.gov/health/mistletoe/ataglance.htm
38. http://www.nlm.nih.gov/medlineplus/ency/article/002883.htm
39. http://www.botanical.com/botanical/mgmh/m/mistle40.html
40. http://www.bmj.com/content/333/7582/1293.full?ijkey=56e55886cc53e0c478801e74001edc3bea1c322e&keytype2=tf_ipsecsha
41. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/pau-d-arco
42. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/phytochemicals
43. http://www.fda.gov/Food/LabelingNutrition/LabelClaims/QualifiedHealthClaims/ucm073992.htm
44. http://www.ncbi.nlm.nih.gov/pubmed/20216418
45. Shen JJ, Lin CJ, Huang JL, Hsieh KH, Kuo ML. The effect of liu-wei-di-huang wan on cytokine gene expression from human peripheral blood lymphocytes. Am J Chin Med. 2003;31(2):247-57.
46. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/six-flavor-tea
Public Discussion
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