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Dr K K Aggarwal

Winter can be divided into wet and dry winter. Wet or early winter is characterized by fall in temperature along with high humidity. Environmentally, we see fog and smog during this season. Dry or late winter on the other hand is characterized by absence of fog, smog and presence of chilly airy winds.
Most hypothermia illnesses occur in dry late winter. The transition phase between wet and dry winter is on the day of Lohri. In terms of Ayurveda, this means shifting from Kapha to Vata atmosphere. The onset of dry winter is also the time for accelerated movement disorders in the body. Accelerated hypertension, arrhythmias, paroxysmal atrial tachycardia, brain hemorrhage, heart attack etc. all occur when dry late winter starts.
The correct lifestyle in this season has been defined in Ayurveda and it involves reducing consumption of stringent, bitter and pungent foods

During Sawan, air both in the body as well as in the atmosphere gets vitiated leading to storm of rains, high tides in the ocean and movement related disorders in the body. Ayurveda describes them as vata disorders and homeopathy describes them as Psora disorders. In allopathy, in terms of physical health, it represents dyspepsia, gases, distension, constipation, tachycardia, accelerated hypertension etc. and in terms of mind, it represents instability of mind, irritableness, anger and unsteady mind. This is one reason why in Sawan, auspicious functions are not held, including marriage as a marriage requires lot of cooperation, mental understanding and a steady mind. The mind is more unstable during Sawan is also depicted by the festival Guru Purnima which also falls in Sawan month. It indicates that during Sawan, one requires supervision to tame the mind. The Nag panchami also falls around this season. Nag is a symbolic representation of ego and Nag puja indicates again taming the mind and controlling the ego. Leafy vegetables are not allowed to be eaten during this month as they precipitate Airy disorders. It is also during this month that leafy vegetables contain more worms and their eggs and are unhygienic to eat especially in a community food serving. Sawan is also the month where on every Monday Lord Shiva is worshipped. Lord Shiva represents ability to wind up jobs. The unstable mind in Sawan month does not allow one to take decisive actions. Shiv ki pooja represents that it takes efforts to wind up jobs in Sawan month. During Sawan month, Lord Vishnu is also seen lying under a Sheshnag in an ocean in an open eye meditative pose. The ocean represents the disturbed state of mind, Sheshnag indicates the need to control the ego and meditative pose of Vishnu represents the need to do pranayama and meditation in this season and also it indicates that it is very easy to get dissociated from your consciousness in this month as the ego gets easily activated during this period.

  1. First BP should be checked at age four.
  2. Subsequent BP should be checked at age 10, than twice between the age 10 and 20;thrice between the age 20 and 30 and then yearly from age 30.
  3. Once drugs are started one should do a monthly follow up until the blood pressure is controlled.
  4. Once the blood pressure is controlled one should have a follow up visit at 3- to 6-months interval.
  5. More frequent visits are required if the initial blood pressure was more than 160/100 mm Hg or the patient has complicating co-morbid conditions.
  6. One should monitor serum potassium and blood kidney test Creatinine yearly.
  7. Any time if one encounters accelerated hypertension ( very high blood pressure) with acute target-organ damage (encephalopathy, heart attack, unstable chest pain, lung congestion, eclampsia, paralysis, head trauma, life-threatening arterial bleeding, or aortic dissection) one should get admitted immediately.
  8. Accelerated hypertension with no acute target organ damage usually does not require hospitalization, but require immediate attention and combination oral anti hypertensive therapy.