Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

the ANS' level, stress means sympathetic excitation, with the body preparing for fight or flight.Besides chronic muscular tension, the failure of the anticipated activity to occur also causes achronic increase of the arteriolic vessels' resistance. In accordance with Reich, this amounts to abiopathy: we have a "preparedness" that, in connection with situative stress, can lead to thechanges in blood pressure which are stronger than in healthy persons, as mentioned above. Thebiopathy as the basis for illness is also the reason for the wide variety of blood pressurefluctuations: chronic hypertension, unstable hypertension, or hypertensive crises.Beneath the surface - the "muscular armoring" according to Reich -, hypertension patients areemotionally still very alive. At its core, the organism keeps producing energy, it does not shutdown as in cancer. Again, the hypertensive crisis can be viewed as the organism's struggle toescape stagnation, a sort of discharge towards the inside instead of living emotions or sexuality inthe outside world.Besides neuronal factors, hormones like renine/angiotensine and aldosterone also play a role inthe increase of blood pressure.In orthodox medicine hypertension is mainly treated with medication. Beta-blockers, centrallyeffective sympatheticolytic agents (blocking sympathetic activity), saluretics (decreasing bloodvolume and sodium load), and vasodilators (dilating the blood vessels) are employed. Thepatient's compliance with this pharmaceutical therapy is often unsatisfactory, since there are nosubjective symptoms. Pharmaceutical therapy may be also difficult because of the pressure'svariability. Ideally, the medication should take effect when the blood pressure rises, but notfurther decrease normal pressure.Stress reduction, physical activity, special diet (especially in overweight patients) as well asabstinence from cigarettes, alcohol, coffee, and tea are prescribed besides medication.Relaxation techniques and psychotherapeutical approaches are on the rise. Newer studies,however, showed that relaxation techniques alone were insufficient for lowering blood pressure:after one year, a group of hypertensive patients who had been instructed in various relaxationtechniques displayed no lower readings than a control group which had only been advised by aphysician.[12]5.1.3. Psychological ComponentHypertension is found in a variety of personality structures. They all have one common