Exploring the lived experience of early hypertension: Insights from traditional medicine perspectives

OBJECTIVE: To elicit symptoms, risk factors, and habits existing before or right after blood pressure elevation in newly diagnosed patients with hypertension from the traditional Persian medicine perspective. METHODOLOGY: This was a concurrent nested mixed-method study conducted in 2018. We included newly diagnosed cases of hypertension (BP≥140/90 mmHg in two consecutive screenings) in the study. In contrast, those who had a history of hypertension or used anti-hypertension medication were excluded. The participants were surveyed and interviewed to identify their temperament and extract their recent experiences with hypertension. The sampling followed the criterion-based purposive technique, and the sample size was defined based on qualitative data saturation. The recorded interviews were transcribed and coded according to Persian medicine until no new code emerged. RESULTS: Twenty participants were interviewed, and two themes were extracted: (i) primary or predisposing factors, such as warm temperament, change of residence, improper eating habits, abrupt cessation of exercise, psychological factors, and irregular sleep patterns, and (ii) early symptoms that occur at the first sign of rising blood pressure, including digestive complaints and changes in body excretion, psychological manifestations, and unclassifiable general symptoms. CONCLUSION: Physicians are advised to pay attention to these items when taking a history from patients to prevent hypertension and treat it at its early stages

Abu-Sahl al-Masihi (960-1010 AD) and His Description of the Heart

Since the Old Testament era, medicine has drawn scientists from around the world. Persian physicians have played an undeniable role in the advancement of medicine worldwide and their books have been taught as medical textbooks in the East and the West for years. In the Islamic Golden Age (9th to 12th century AD), Abu-Sahl al-Masihi (960-1010 AD), was one of the great Persian scholars contemporary to Avicenna and Al-Biruni. He wrote several valuable works on medicine, philosophy, mathematics, and astronomy in Arabic. The two books titled Al-Mia fil-Tibb (Book of the Hundred [on Medicine]) and Ezhar al-Hekmat Allah Ta’ala fi Khalgh al-Ensan (Manifestations of God’s Wisdom in the Creation of Mankind) also known as Tashrih Badan al-Ensan (Human Anatomy) are among his important works in medicine. Particularly, in Tashrih Badan al-Ensan, Abu-Sahl detailed the structure and function of each organ within the human body. On heart anatomy, he presented interesting, and even innovative views. Despite the significance of his views on medicine among physicians of the Islamic era, his works have failed to be translated into Latin or other languages for unknown reasons, leaving him veiled in academic spheres. This paper aims to describe Abu-Sahl al-Masihi's opinions on heart anatomy

The therapeutic potential of Ma'aljobon, a whey product, in primary hypertension: A double-blind randomized controlled trial

Objective: Ma’aljobon is used in Persian medicine (PM) as a natural antihypertensive product. This study aimed to evaluate the hypotensive effect of Ma’aljobon in patients with uncontrolled grade 1 primary hypertension (HTN).Materials and Methods: This double-blind, placebo-controlled clinical trial included 114 patients (20-80 years) with uncontrolled grade 1 primary HTN. After obtaining informed consent, the participants were randomly divided into two groups and administered with 25g of Ma’aljobon or maltodextrin twice daily for six weeks. Systolic and diastolic blood pressures (SBP and DBP, respectively) were analyzed.Results: A total of 97 patients (52.3±10.7 years, %53.6 female) completed the study. In the Ma’aljobon group, SBP decreased from 150.3±12.3 to 130.6±12.1 mm Hg, and DBP decreased from 93.3±8.2 to 80.1±6.6 mm Hg (p<0.001). In the control group, SBP decreased from 147.6±11.2 to 138.7±14.4 mm Hg, and DBP decreased from 86.6±7.7 to 82.2±8.2 mm Hg (p<0.001). There was a significant difference in the changes of SBP and DBP between the two groups over time (p<0.001). No adverse events were observed.Conclusion: Ma’aljobon has a stronger hypotensive effect than placebo in patients with HTN and can be recommended as an add-on therapy for uncontrolled HTN

Promoting planetary health and well-being for all: harnessing indigenous knowledges for health with traditional, complementary and integrative health systems

The concept of well-being extends beyond individual health practices to encompass a burgeoning industry focusing on healthy lifestyles and products. This trend reflects a global paradigm shift toward prioritizing the holistic well-being of individuals and the planet within socioeconomic policies. This shift underscores the integration of social, economic, and environmental considerations into policy frameworks, signaling a concerted effort toward a more sustainable and health-conscious future. The article highlights the crucial role of Indigenous Knowledges for Health (IKH) and Traditional, Complementary and Integrative Health/Medicine (TCIH) systems in contributing to the interconnectedness between human well-being and the health of our planet through innovation, health promotion, and fair, equitable and sustainable benefit sharing. Various contemporary global problems stem from ways of thinking that prioritize the short-term economic interests of individuals or specific groups over the well-being of Peoples and the planet as a whole. In contrast, IKH and TCIH systems often inherently adopt a holistic, sustainable worldview where individual, community, and Planetary Health and well-being are intertwined, providing transformative solutions and models toward integrative health. By incorporating IKH and TCIH systems into contemporary development models, health, and medicine, we can promote health equity, improve well-being, and create a sustainable future for Peoples and the planet

A Telecare System for Use in Traditional Persian Medicine

Background: In Persian Medicine (PM), measuring the wrist temperature/humidity and pulse is one of the main methods for determining a person's health status and temperament. An important problem is the dependence of the diagnosis on the physician's interpretation of the above-mentioned criteria. Perhaps this is one reason why this method has yet to be combined with modern medical methods. Also, sometimes there is a need to use PM to diagnose patients remotely, especially during a pandemic. This brings up the question of how to implement PM into a telecare system. This study addresses these concerns and outlines a system for measuring pulse signals and temperament detection based on PM. Methods: A system was designed and clinically implemented based on PM that uses data from recorded thermal distribution, a temperament questionnaire, and a customized device that logs the pulse waves on the wrist. This system was used for patient care via telecare. Results: The temperaments of 34 participants were assessed by a PM specialist using the standardized Mojahedi Mizaj Questionnaire (MMQ). Thermal images of the wrist in the supine position (named Malmas in PM), the back of the hand, and the entire face were also recorded under the supervision of the physician. Also, the wrist pulse waves were evaluated by a customized pulse measurement device. Finally, the collected data could be sent to a physician via a telecare system for further interpretation and prescription of medications. Conclusion: This preliminary study focused on the implementation of a combinational hardware-software system for patient assessment based on PM. It appears that the design and construction of a customized device that can measure the pulse waves, and some other criteria, according to PM, is possible and can decrease the dependency of the diagnostic to PM specialists. Thus, it can be incorporated into a telemedicine system. </jats:sec

Evaluation of Patient Satisfaction with Medical Services at Traditional Iranian Medicine Clinics in Tehran

Introduction: Evaluation of patient satisfaction is a common method used to determine the quality of medical services. This study aimed to assess the level of satisfaction in patients referring to the clinics of traditional Iranian medicine affiliated to Tehran University of Medical Sciences (TUMS), Iran. Materials and Methods: This cross-sectional study was conducted on 260 patients with history of at least two referrals to the clinics of traditional medicine at TUMS. Subjects completed the Persian version of Patient Satisfaction Questionnaire (PSQ-18). Data analysis was performed using T-test, Chi-square, ANOVA and Pearson’s correlation coefficient. Results:Out of 260 patients with the mean age of 41.01±12.95 years, 104 patients (63.1%) were satisfied, 9 (3.4%) were completely satisfied, 67 (25.8%) were dissatisfied with the medical services, and 20 patients (7.7%) were uncertain. In subscales of access to physician, time spent with doctor, interpersonal manner and overall satisfaction, number of satisfied patients was higher than their dissatisfied counterparts. However, rate of dissatisfaction was higher in subscales of technical quality, communication and financial aspects of care. Moreover, no statistically significant relationship was observed between satisfaction scores and age, gender, education status, type and duration of disease and marital status of the subjects. Conclusion: According to the results of this study, over 60% of the patients were satisfied with the health care services offered at traditional medicine clinics. Insurance coverage for traditional treatments could significantly reduce treatment costs. Furthermore, technical quality and communication skills of practitioners need to be improved through training courses in the field of traditional medicine

Anatomical Features of the Interscapular Area Where Wet Cupping Therapy Is Done and Its Possible Relation to Acupuncture Meridians

AbstractAlthough wet cupping has been a treatment for centuries, its mechanism of action is not well understood. Because the anatomical features of the wet-cupping area might play a role in its mechanism, we focus on the features of the interscapular area in which a common type of wet-cupping therapy (WCT), called Hijamat-e-Aam in Iranian medicine, is usually applied and discuss the possible relation of those features to the acupuncture meridians. We gathered and analyzed data from reliable textbooks on modern medicine with a focus on the anatomical features of the interscapular area, topics related to WTC in Iranian medicine, and acupuncture sources obtained by searching PubMed, Google-Scholar, and Science Direct. The interscapular area used for WCT was found to have special features: brown adipose tissue, immediate proximity to sympathetic ganglia, passage of the thoracic duct, two important acupuncture meridians, and proximity to the main vessel divisions carrying blood from the heart and the brain. These features indicate that the interscapular application of WCT not only discharges waste materials through a shifting of blood to the site after application of a traction force but also invigorates the body’s metabolism, increases immunity, and regulates blood biochemistry, which are desired therapeutic effects of WCT