I need hardly stress to you the importance of concepts in medicine. These concepts determine our whole attitude to the management of the disease and thus, in large measure, the fate of our patients. Nevertheless, it is important to realize that concepts of disease are in the nature of scientific hypotheses; they are necessary expedients in the search for knowledge, but they are useful only so long as they accord with the facts. Once they cease so to accord, they should be discarded and replaced by some other idea that does. It is my present purpose to show that the.
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Despite the well-known history of hypertension research in the modern era, like many other cardiovascular concepts, main points in the medieval concept of this disease and its early management methods remain obscure. This article attempts to make a brief review on the medieval origin of the concept of this disease from the Hidayat of Al-Akhawayni? The definition, symptoms and treatments presented for the Imtela are compared with the current knowledge on hypertension. Akhawayni believed that Imtela could result from the excessive amount of blood within the blood vessels. It can manifest with symptoms including the presence of a pulsus magnus, sleepiness, weakness, dyspnea, facial blushing, engorgement of the vessels, thick urine, vascular rupture, and hemorrhagic stroke. He also suggested some ways to manage al-Imtela ‘. These include recommendations of changes in lifestyle staying away from anger and sexual intercourse and dietary program for patients avoiding the consumption of wine, meat, and pastries, reducing the volume of food in a meal, maintaining a low-energy diet and the dietary usage of spinach and vinegar. Hypertension is an important worldwide health challenge and is known as a leading risk factor for mortality.