Year: 2026 | Month: May | Volume: 13 | Issue: 5 | Pages: 649-653
DOI: https://doi.org/10.52403/ijrr.20260562
A Comprehensive Review on Treatment of Hypertension Based on Panchabootham and Suvai of Siddha Medicine
Ramya N.U1, Sathiyaseelan R2, Selva Anbini S3, Justus Antony S4
1PG Third Year, Department of Pothumaruthuvam, Government Siddha Medical College & Hospital, Palayamkottai.
2PG Third Year, Department of Pothumaruthuvam, Government Siddha Medical College & Hospital, Palayamkottai.
3PG Third Year, Department of Gunapadam, Government Siddha Medical College & Hospital, Palayamkottai.
4Professor, Department of Pothumaruthuvam, Government Siddha Medical College And Hospital, Palayamkottai.
Corresponding Author: Ramya N.U
ABSTRACT
Background: Hypertension is a global non-communicable disease affecting over one billion individuals worldwide and constitutes the major risk factor for cardiovascular, cerebrovascular, and renal complications. The Siddha system of medicine, one of the world's oldest medical traditions, have a well established theory for the etiopathogenesis of hypertension.
Objective: This review explores the pathophysiology and management of hypertension through the concept of Panchabootham (Five Elements) theory. It systematically examines how imbalances in Earth (Prithvi), Water (Appu), Fire (Theyu), Air (Vayu), and Space (Agayam) contribute to cardiovascular dysfunction and elevated blood pressure.
Methods: A narrative review was conducted on classical Siddha texts, integrative medical literature, and clinical observations from the Pothu Maruthuvam department at Government Siddha Medical College, Palayamkottai. The pharmacological basis of two polyherbal formulations — Venthamarai Chooranam and Asai Chooranam — were analysed using the Siddha taste-element (Suvai-Bootham) correlation.
Results & Conclusion: Elemental disturbances — particularly aggravation of Theyu (Fire/Pittham) and Vayu (Air/Vadham) — were identified as the primary triggers of hypertensive pathogenesis. Polyherbal preparations to treat these imbalances through specific tastes (Suvai) shows synergistic antihypertensive, diuretic, and adaptogenic properties. This integrative work, where it is clinically proven and is further needed randomised controlled trials and biochemical validation for implementing into mainstream evidence-based practice.
Keywords: Hypertension; Panchabootham; Siddha Medicine; Venthamarai Chooranam; Asai Chooranam; Pittham; Vadham; Polyherbal; Integrative Medicine; Traditional Medicine
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