There are huge problems with the diagnosis and treatment of hypertension in the modern medical system.
The "Global Hypertension Report" released in 2025 (based on 2024 data) states that the prevalence of hypertension among adults aged 30-79 in China is 29%, with approximately 271.5 million patients. This means that about one in every four adults has hypertension;
If the prevalence of a disease is close to 30%, isn't there a problem with the diagnostic criteria for this disease? The current standard for hypertension is (120-80), which does not consider objective factors such as race (white, black, East Asian...), gender, age, height, weight, and region (cold, high latitude, trace element deficiency), applying a one-size-fits-all standard of 120-80. Even someone with no scientific background would feel this is inappropriate, yet the current internal medicine system has established it this way;
The treatment system for hypertension can rightly be described as neglectful and deadly. The current internal medicine explanation for hypertension is simply primary hypertension; what is primary hypertension? It means I don't know the cause, so you should take medication first!
In essence, the myriad of antihypertensive drugs can be classified into three main categories: reducing blood volume (diuretics), making the heart beat weakly (various beta-blockers), and relaxing blood vessels (various sartans). However, while these drugs lower blood pressure, they also exacerbate the underlying causes of hypertension. For example: diuretics (various thiazides) can worsen hypertension if the patient suffers from hypertension due to potassium or magnesium deficiency. Various beta-blockers can quickly lead to a brain infarction if the cause of hypertension is related to cerebral microcirculation. Taking angiotensin receptor enzyme inhibitors for renal hypertension only worsens the situation; in the end, blood pressure remains uncontrolled, and the patient may need dialysis. These antihypertensive drugs essentially counteract the body!
The causes of hypertension are very complex. Hypertension is part of the body's self-regulating system, and high blood pressure is necessary for the body itself (taller individuals tend to have higher blood pressure). Often, hypertension is temporary, possibly due to some stress response (for example: a sudden incident). These stress-induced hypertensions can return to normal after a period of rest. The body's self-repair capacity is remarkably strong. Now that blood pressure monitors are so prevalent, regardless of whether these monitors are accurate (mercury monitors are accurate, but require professional use and regular calibration), many people take a measurement when they feel fine, find that their blood pressure is high, and panic without considering the situation at the time. In fact, confirming hypertension requires extreme caution; one cannot just take medication based on a few blood pressure measurements. To confirm hypertension, one must wear a 24-hour ECG and a continuous blood pressure monitor, measuring at least once a month over 3 to 6 consecutive months (or half a year) to reach a diagnosis. The current diagnosis is far too hasty, and the current standards for hypertension are problematic.
I beg those who have never had hypertension to stop mindlessly criticizing. I, personally, have been diagnosed with hypertension by a witch doctor for nearly ten years and have experienced all sorts of pitfalls during this period; I took antihypertensive drugs, which left me feeling unwell and weak, and I almost fainted while on stage. Now, I completely avoid antihypertensive medication and rely solely on a ketogenic diet plus high potassium and magnesium intake. My blood pressure is perfectly normal!
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