Clinic cases

Dangerously high blood pressure in a patient who declined medication, returned to normal range

O.E. · Female, age 78

This case was written by Dr. Laura Cowburn, Doctor of TCM and Registered Acupuncturist in Alberta.

Heart & Circulation Circulation

At a glance

Dangerously high blood pressure in a patient who declined medication, returned to normal range — with medical care advised as backup.

Presentation

A 78-year-old patient came to the clinic with dangerously high blood pressure: a systolic reading that sat at 150–160 mmHg and sometimes spiked to 190–200 mmHg. She refused to take medication, which was a source of deep concern given the risk to her health and life. Treatment proceeded with that concern openly acknowledged and with a clear plan to involve medical care if needed.

Diagnosis

Several patterns were at work: phlegm-dampness and Qi stagnation at the pericardium (the sac around the heart), severe sleep apnea that was significantly worsening the hypertension by causing repeated drops in blood-oxygen during sleep, Liver Qi stagnation, and blood stasis. The sleep apnea connection was especially important — treating the night-time oxygen drops was part of treating the blood pressure.

Treatment

Treatment combined acupuncture, ear seeds, and herbs:

  • Dr. Tan's 12-point combination together with Master Tung's San Sheng — established acupuncture combinations used to regulate blood pressure

Ear seeds followed Dr. Lichun Huang's combination for hypertension. A herbal mixture (for example, a Gui Zhi–based formula to address the problems at the pericardium) was prescribed to target the underlying patterns. For home care, she worked on changing her lifestyle and reducing stress — and was firmly advised to seek medical care immediately if the dangerous spikes returned or if the alternative treatment didn't hold.

Result

Her blood pressure gradually reduced to a normal range. The dangerous spikes settled as the underlying patterns — including the sleep apnea driving the night-time oxygen drops — were treated. Throughout, she was counselled to pursue conventional medical care without delay should the readings climb again.

This reflects an individual patient experience, not clinical trial data.

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