Menon Maanasi, Shukla Akhilesh
Dept of Kayachikitsa, Amrita School of Ayurveda, Clappana P.O., Kollam Dist, Kerala, 690525, India.
Dept of Samhita, Siddhanta, Govt. Ayurveda College, Bilaspur, Chhattisgarh, 495001, India.
J Ayurveda Integr Med. 2018 Oct-Dec;9(4):302-307. doi: 10.1016/j.jaim.2017.10.004. Epub 2017 Nov 17.
Different theories have been proposed to explain hypertension from an Ayurvedic perspective, but there is no consensus amongst the experts. A better understanding of the applied physiology and etio-pathogenesis of hypertension in the light of Ayurvedic principles is being attempted to fill this gap. A detailed review of available Ayurvedic literature was carried out to understand the physiology of blood pressure and etio-pathogenesis of hypertension from the perspective of Ayurveda. Many parallels were drawn from the concepts such as Shad Kriyakala (six stages of Dosha imbalance) and Avarana of Doshas (occlusion in the normal functioning of the Doshas) to the modern pathogenesis of hypertension to gain a deeper understanding of it. Hypertension without specific symptoms in its mild and moderate stages cannot be considered as a disease in Ayurveda. It appears to be an early stage of pathogenesis and a risk factor for development of diseases affecting the heart, brain, kidneys and eyes etc. Improper food habits and modern sedentary lifestyle with or without genetic predisposition provokes and vitiates all the Tridoshas to trigger the pathogenesis of hypertension. It is proposed that hypertension is to be understood as the Prasara-Avastha which means spread of vitiated Doshas from their specific sites, specifically of Vyana Vata, Prana Vata, Sadhaka Pitta and Avalambaka Kapha along with Rakta in their disturbed states. The Avarana (occlusion of normal functioning) of Vata Dosha by Pitta and Kapha can be seen in the Rasa-Rakta Dhathus, which in turn hampers the functioning of the respective Srotas (micro-channels) of circulation.
从阿育吠陀的角度已经提出了不同的理论来解释高血压，但专家们尚未达成共识。为了填补这一空白，人们正试图根据阿育吠陀原则更好地理解高血压的应用生理学和病因病机。对现有的阿育吠陀文献进行了详细回顾，以从阿育吠陀的角度理解血压的生理学和高血压的病因病机。从诸如“六阶段失衡（Shad Kriyakala）”和“体液阻塞（Avarana of Doshas）”等概念与高血压的现代发病机制之间进行了许多类比，以更深入地理解它。在阿育吠陀中，轻度和中度阶段无特定症状的高血压不能被视为一种疾病。它似乎是发病机制的早期阶段，也是影响心脏、大脑、肾脏和眼睛等疾病发展的危险因素。不良的饮食习惯和现代久坐的生活方式，无论有无遗传易感性，都会激发并损害所有三种体液，从而引发高血压的发病机制。有人提出，高血压应被理解为“Prasara-Avastha”，即被污染的体液从其特定部位扩散，特别是在其紊乱状态下的维那瓦塔（Vyana Vata）、普拉那瓦塔（Prana Vata）、萨达卡皮塔（Sadhaka Pitta）和阿瓦兰巴卡卡法（Avalambaka Kapha）以及血液。皮塔和卡法对瓦塔体液的阻塞（正常功能的阻碍）可以在“rasa-rakta Dhathus”中看到，这反过来又会阻碍各自循环微通道（Srotas）的功能。
