Musab Siddique,
Swaleha Akhtar,
Badrudduja Khan,
Tanzeel Ahmad,
Jamal Azmat,
- PG Scholar, Department of Moalejat, Ajmal Khan Tibbiya College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
- PG Scholar, Department of Moalejat, Ajmal Khan Tibbiya College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
- Professor, Department of Moalejat, Ajmal Khan Tibbiya College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
- Professor, Department of Moalejat, Ajmal Khan Tibbiya College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
- Assistant Professor, Department of Moalejat, Ajmal Khan Tibbiya College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
Abstract
Hypertension, defined as blood pressure elevation to a level that increases the risk of organ damage, Recent guidelines classify hypertension as systolic blood pressure ≥130 mmHg or diastolic blood pressure ≥80 mmHg, distinguishing between primary (essential) and secondary forms. It affects over one billion individuals globally and contributes to approximately 9.4 million deaths annually. Nearly 63% of total deaths in India are due to non-communicable diseases, of which 27% are attributed to cardiovascular disease which affects 45% people in the 40–69 age group. Unani medicine refers to hypertension as “Zaghtuddam Qawi,” although classical texts discuss a condition known as “Imtila,” which exhibits clinical features akin to hypertension, such as headache and palpitation, heaviness in chest. Unani scholars categorize Imtila into two types: Imtila bi Hasbil Auiya, characterized by increased blood volume and vessel tension (akin to primary hypertension), and Imtila bi Hasbil Quwa, where blood quality is compromised. The prevention and management of hypertension in Unani medicine emphasizes the Asbab-e-Sitta Zaruriya (six essential factors), including atmospheric air, diet, physical activity, psychological well-being, sleep, and elimination/retention. Proper management of these factors can help to mitigate hypertension risks. This holistic approach recognizes the interplay of lifestyle and environmental factors in maintaining health, underscoring the importance of balanced nutrition, regular physical activity, and mental tranquility. Ultimately, the integration of Unani principles with modern understanding of hypertension offers a comprehensive framework for prevention and management.
Keywords: Zaghtuddam Qawi, Imtila, Asbab-e-Sitta Zaruriya, Unani medicine, melancholic Hypertension
[This article belongs to Research & Reviews : A Journal of Unani, Siddha and Homeopathy ]
Musab Siddique, Swaleha Akhtar, Badrudduja Khan, Tanzeel Ahmad, Jamal Azmat. Prevention of Primary Hypertension Through Asbab-e-Sitta Zaruriya: A Therapeutic Paradigm. Research & Reviews : A Journal of Unani, Siddha and Homeopathy. 2024; 11(03):13-20.
Musab Siddique, Swaleha Akhtar, Badrudduja Khan, Tanzeel Ahmad, Jamal Azmat. Prevention of Primary Hypertension Through Asbab-e-Sitta Zaruriya: A Therapeutic Paradigm. Research & Reviews : A Journal of Unani, Siddha and Homeopathy. 2024; 11(03):13-20. Available from: https://journals.stmjournals.com/rrjoush/article=2024/view=180445
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References
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- Pescatello LS, Franklin BA, Fagard R, Farquhar WB, Kelley GA, Ray CA. Exercise and hypertension. Med Sci Sports Exerc. 2004;36(3):533–553. doi:10.1249/01.MSS.0000115224.88514.3
- Gupta R. Trends in hypertension epidemiology in India. J Hum Hypertens. 2004;18:73–78. doi:10.1038/sj.jhh.1001633.
- Clark M, Kumar P. Medical Management and Therapeutics. New York: Elsevier; 2011.
- Ibn e sina. Kulliyat e qanoon. Fan-2. Translated by Hakeem Kabeeruddin. Lahore: Sheikh Mohammad Basheer and Sons; pp. 238–239, 156–157.
- Jurjani AH. Zakheera Khwarzam Shahi. New Delhi: Idara Kitab us Shifa; 2010. 24–25p.
- Majusi AA. Kamil us Sana. Translated by Ghulam Husain Kanturi. New Delhi: Idara Kitab al Shifa; 2010. 548–550p.
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- Hamdani SK. Usoole Tib. Aligarh: Litho Colour Printer; 1980. 168, 202–203.
- Razi Z. Kitabul Mansuri. Urdu translation. 1st ed. New Delhi: CCRUM; 1991. 74–75p.
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- Gadiraju TV, Patel Y, Gaziano JM, Djoussé L. Fried food consumption and cardiovascular health: a review of current evidence. Nutr. 2015;7(10):8424–8430. doi:10.3390/nu7105404.
- Laura H, Macdonald IA. Impact of beverage intake on metabolic and cardiovascular health. Nutr Rev. 2015;(2):120–129. doi:10.1093/nutrit/nuv049.
- Rahman A, Ali SJ, Aslam M, Rashid B. Asbabe Sitta Zarooriya (Six Essentials of Life): A Review. Indo Am J Pharm Sci. 2014;1(6):402–506.
- Rushd I. Kitab ul Kulliyat. 2nd edition. New Delhi: CCRUM; 1987. 344–348.
- Ibn Hubl Baghdadi. Kitab ul Mukhtarat fit Tib, Part 1. Translated by CCRUM. New Delhi: CCRUM; 2005. 118–119.
- Nushrat J, Akhtar J, Khan AA. Prevention and management of lifestyle diseases through Unani system of medicine. Int J Unani Integr Med. 2020;4(2):01–04.
- Rahman MS, Salek AK. Role of exercise as a therapeutic intervention for hypertension. Univ Heart J. 2009;5(1):36–39.
- Wallace JP. Exercise in hypertension: a clinical review. Sports Med. 2003;33:585–598. doi:10.2165/00007256-200333080-00004.
- Ameen HKM, Malik W. Qadeem Ilmul Amraz. 7th edition. Delhi: NCUPL; 2017.
- Bacon SL, Campbell TS, Arsenault A, Lavoie KL. The impact of mood and anxiety disorders on incident hypertension at one year. Int J Hypertens. 2014;2014(1):953094. doi:10.1155/2014/953094.
- Bener A, Kamal A, Al-Banna M, Al-Mulla A, Elbagi IA. Are symptoms of anxiety depression and stress risk factors for hypertension. Cardiol. 2006;2(2):45–51.
- Mucci N, Giorgi G, De Pasquale Ceratti S, Fiz-Pérez J, Mucci F, Arcangeli G. Anxiety, stress-related factors, and blood pressure in young adults. Front Psychol. 2016;7:1682. doi:10.3389/fpsyg.2016.01682.
- Cameron GO. The Canon of Medicine of Avicenna. 1st edition. New York: AMS Press; 1973. 211–213.
- Calhoun DA, Harding SM. Sleep and hypertension. Chest. 2010;138(2):434–443. doi:10.1378/chest.09-2954.
- Li C, Shang S. Relationship between Sleep and Hypertension: Findings from the NHANES (2007–2014). Int J Environ Res Public Health. 2021;18(15):7867. doi:10.3390/ijerph18157867.
- Makarem N, Alcántara C, Williams N, Bello NA, Abdalla M. Effect of sleep disturbances on blood pressure. Hypertens. 2021;77(4):1036–1046. doi:10.1161/HYPERTENSIONAHA.120.14479.

Research & Reviews : A Journal of Unani, Siddha and Homeopathy
| Volume | 11 |
| Issue | 03 |
| Received | 22/10/2024 |
| Accepted | 25/10/2024 |
| Published | 29/10/2024 |
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