High BP in evening

58 years old male Patient has come with complain of heaviness in head and mild headache in evening. On advice of his primary physician he started monitoring his blood pressure evening and it has been observed from last 10 days his BP rises in evening On inquiry his wife states he seems stressful these days due to work pressure but patient denies it. On examination BP-146/90 mm of hg RR normal Chest auscultation normal By night time when he sleeps the complain of heaviness in head resolves on his own and BP also gets back to normal. Appetite normal Bowel & bladder normal Thirst increased from past few days Sleep disturbed- sleeps only 3-4 hours max

(Edited)

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Dear Dr. Surya Mehra, Advice for the case. Advice the patient 20 Black grapes, Dhaniya beej 1/2 tsp and Sharkara 1/2 tsp leave it in 1 glass of water for 2 hours and drink.

Thank you @Dr. Bhavesh Ramanandi
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Lycopodium 1m/3dose once in week Nux vomica 30 tds for 15 days KP6x tds for 15 days

Need Counsaling, Ashwagandharista Bhahmi ghrit nasya Brahmi vati Cephagrain tablet

Sarpina Tab Arjunarishta

Stress management

Pathyashadanga kashaya 15ml BD with equal qty of water Sarpagandhadi Gutika 1 tab morning after food and 1 tab night before 2 hours to sleep

Pathyashadanga kashayam 15 ml bd bf with 45ml lukewarm water Sarpagandhagana vati 2 at night Balahathadi thailam external application head

Start with Arjuna (Himalaya) Sarpagandha Ghan Vati in evening Pur him on Salt Restricted Diet Must drink adequate quantity of water

Any kind of working pressure is physical and also mental pressure. Take mental rest. Add sleep time.

Pathyakshadatryadi kashayam Brahmee tail for external application Ashvgandaristh Sarpaganda vati

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