Brief Answer: need more details [Pre/mild hypertension] Detailed Answer: Dear saroufim Thanks for contacting Ayurveda with your health concern and following points need clarification for institution of Ayurveda herbs, in the mean time dietary regime and Lifestyle Management is imparted. 1. Have you checked with your Lipid- Blood sugar and Thyroid Profile for any cardiovascular risk factor of blood pressure?? 2. I usually follow the given recommended guidelines for my patients and same is expected from your side: i. Age and Sex [there is an average of 20mm Hg systolic and 10mm Hg diastolic increase from age 30 to 65 years]... 34 in your case. And prehypertension is more common in men then in women. [sex] and any family history of the same. ii. Weight : please let me know about your weight [which is a controllable risk factor]. iii. Addiction [alcohol, smoking, salt intake]?? or use of medications like: cold remedies,decongestants,pain killers iv. Physical Lifestyle: is it Sedentary or Active? 3. Did you check with your Health care professional for the same? and did you observed it at SAME time of the day [because reading changes throughout the day]? Till the laboratory investigations and Health Examinations are done you can incorporate following dietary Regime and Lifestyle changes in your daily routine i. LOW SALT DIET . Total salt intake should not exceed 2.5 gm per day . No extra salt should be taken during meals. . Use Losalt, where salt is essential . Avoid salt rich foods: pickles, papads, sauce, cheese, salted butter/biscuits/ peanuts-cashews/butter milk, popcorns, wafers, preserved/tinned food. [Make sure high protein diet is taken in moderation] ii. LOW FAT DIET . Avoid saturated oils [coconut oil, dalda, butter,ghee, cream] instead use monosaturated oils [olive oil] or polyunsaturated oils [sunflower, corn oil] . Avoid all deep fried foods, unskimmed milk, and meat. . Increase fibre intake i.e. leafy vegetables, salads, fruits, pulses and legumes. . Use skimmed milk or double toned low fat milk. i. Do’s : . Cereals: take old brown rice, maize, barley, . Pulses: chickpea, pigeon pea, green gram, horse gram, . Fruits & Vegetables: brinjal, drum stick [shigru], black grapes, mosumbi. . Others: butter milk [not salted], cardamom, XXXXXXX warm water, intake of water before meals, food substances with pungent, bitter and astringent taste. . Lifestyle: physical exercise, massage with medicated powder, sunlight exposure, bathing with lukewarm water. ii. Don’ts: . Cereals: Newly harvested rice, wheat. . Pulses: Black gram . Fruits & Vegetables: potato, sweet potatoes, beets, yam, nuts, fruits with sweet pulp like mango, chickoos, bananas and green grapes. . Others: milk, curd, meat, fish, clarified butter, jaggery, intake of water after meals . Life style: bathing with cold water, day sleeping, luxurious life style, oil massage. iii. Develop healthy eating habits: . Do not eat only 2 large meals a day. It leads to overeating due to hunger. Take snacks in between. It is advisable to eat a good breakfast and light lunch and dinner. . Eat slowly; chewing each bite thoroughly gives a feeling of satiation. . Do not be tempted to finish up the leftovers. . Use nonstick cooking ware for cooking iv. Add 1 spoon smashed fenugreek seeds and boil in 4 cups of water, till 1 cup remains. Filter it and add 4 spoons honey and drink for 1 month v. Add 1/2 spoon roasted turmeric powder to 1 coconut water, also add 1 spoon ghee and drink it daily for 1 month [heart ache due to blood pressure decreases]. Please revert back with 1,2,3, points for Ayurveda Medicines and Treatment aspect. Dr. Munish Sood Consultant & Physician Naimittika Clinic.

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Brief Answer: Interactions and Curability. Detailed Answer: Dear Saroufim Thanks for reverting back, and following are the prescription drugs for you: i. XXXXXXX vati & hridyamrit vati & arjunarishta are CARDIOTONIC [giving strength to the muscles of the heart and also boost the immune system] ii. XXXXXXX vati & Ashvagandharishta are NERVINE TONIC [calming the mind] iii. As the prescription covers both the Psychosomatic part of pre-hypertensive problem thus will be very effective in controlling the symptoms. iv. .As you said you are pre hypertensive then take ‘mukta vati’ before breakfast and dinner (1 tablet), and will be more effective if it is chewed first and then water is taken. .If you have to take it for longer period of time, even then there is no harm,will cure associated insomnia as well as uneasiness. PS: i. use of “mukta vati” is related with nasal congestion and increase sensitivity to cold, if you experience the same, talk with your health care provider or revert back for prophylaxis of the same. ii. make sure both the "arishta" are taken with equal amount of water [daily twice] and after food and not on empty stomach. [Arjunarishta/Ashwagandha arishta: dose is as specified, not to be taken by diabetics as may raise blood sugar in them,high dose of ashwagandha arishta may cause stomach irritation [keep a check on your pulse rate, as low pulse can create problems sometimes] iii. take dietary precautions as explained earlier to prevent complications. [have a a regular check on the levels of lipids and cholesterol.] Dr. Munish Sood Naimittika

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