To Demonstrate the Efficacy of Homoeopathic Simillimum on Mild-to-Moderate Essential Hypertension by Modifying the Underlying Anger State, Trait and Expressions

Background: Raised blood pressure is an important risk factor for cardiovascular diseases and chronic kidney disease. High blood pressure is ranked as the third most important risk factor that attributes to the disease burden in South Asia. Despite the enhanced screening, early detection, and treatment of hypertension, it is clear that the scientific community has not yet found a way to prevent or treat hypertension. It is only kept in control with antihypertensives. This observation is supported by the fact that new hypertensive cases are being identified and old cases continued to be treated. Moreover, it is estimated that 90% of people will inevitably develop hypertension over their lifetime. In various Hypertension Education Programs, an emphasis has been given toward dietary modifications, exercise promotion, and strict adherence to the prescribed medications by the attending physician, yet very little emphasis has been given to the impact of the modifiable psychosocial factors such as anger on the initiation of hypertension.

This research is motivated by the possibility that blood pressure may positively correlate with the variables of anger and hostility, and thus the risk of hypertension and other cardiovascular diseases would increase.

Objective: Identifying the anger state, trait, and expressions with the help of State-Trait Anger Expression Inventory-2 (STAXI-2) in patients having essential hypertension (EHT).

Methods: This prospective ongoing, single blind, randomised control study is being conducted at the rural homoeopathic hospital in Mumbai since January 2015. Patients coming to the rural hospital and diagnosed with essential hypertension are divided into two arms. One group is given allopathic antihypertensives along with placebo, and other group is given homoeopathic simillimum after thorough case taking with antihypertensives,wherever needed. Anger is assessed through STAXI-2 along with record of the blood pressure. The effect of simillimum is then evaluated on blood pressure as well as anger and recorded.

Keywords: Anger, essential hypertension (EHT), STAXI-2

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