High blood pressure

High blood pressure prof. J. Pal (Die Ärztliche Praxis, No. 6, 1929) divides into two main forms: acute and permanent; The first is arterial spasm, and the second is the hypertensive setting of the muscle cells of the arterial wall ("Die hypertonische Einstellung der Muskelzellen der Arterienwand"), in which the prearterioles and arterioles are in a tense state, functionally giving rise to blood pressure. Recent research by the author has established the fallacy of the existing opinion that any persistently high blood pressure is the result of renal tissue disease. The author distinguishes primary or essential or genuinic hypertension, which, however, can lead to a shriveled kidney. Therapeutically, acute increases in blood pressure are most effectively eliminated by chloral hydrate, heat and bloodletting, and in angina pectoris - atropine, papaverine, nitrites. The author recommends treating constant increases in blood pressure with theobromine and its various combinations, bearing in mind that theobromine dilates the vessels of the heart, kidneys and brain. Balneotherapy measures are often psychogenically beneficial. The food of such patients should be poor in purines and table salt.