INTRODUCTION: Primary hypertension is the most common type of hypertension, affecting 95% of hypertensive patients. It has no identiable cause. It is the primary cause of stroke, coronary artery disease and sudden cardiac death. In worldwide, the majority of diagnosed hypertensive patients are inadequately controlled. Approximately 20% of the worlds adults are estimated to have hypertension, when hypertension is dened as blood pressure in excess of 140/90mm Hg. The prevalence dramatically increases in patients older than 60 years. In many countries , 50% of individuals in this age group have hypertension. World wide approximately one billion people have hypertension, contributing to more than 7.1million deaths per year. MATERIALS AND METHODS: This is a hospital based cross sectional study in which 200 hypertension patients reported in national institute of siddha are selected by checking their blood pressure, patients are given with a set of questionnaire about their personal history, such as food habits, hobbies, occupational and socioec onomic status, level of stress, depression, treatment history , family history and also their disease history This study was approved by Institutional Ethical Comity of National Institute of Siddha , and registered in Clinical trials registry in india. RESULTS TABLE 1 - AGE DISTRIBUTION: Distribution of age in hypertension patients: In 200 patients , 7% are included in the age group of 25-40, 17.5% are 41-50age group, 30.5% are 51-60 age group and 12% are above 70 age group. TABLE 2: SOCIO ECONOMIC STATUS Distribution of socio economic status in hypertension patients: Out of 200 patients 42% are from poor family, 47% are from middle class family, then only 11%of patients are from upper class . CROSS SECTIONAL STUDY ON “ KURUTHLAZHALNOI” (HYPERTENSION) REPORTING IN NATIONAL INSTITUTE OF SIDDHA OPD Original Research Paper Dr. S. Priyadarshini* second year PG Scholar, Department of Maruthuvam, National Institute of Siddha ,Tambaram sanatorium, Chennai -47. *Corresponding Author Ayurveda Many disease are emerging as a trend of life style modications due to stress, secondary life style and food habits , one among them Hypertension. It is an important public health problem in both economically developed and developing nations.Kuruthiazhalnoi is the pitham dominant disease which is caused due to imbalance of pitham in human body due to dietary modications. This condition may be comparable with Hypertension in modern text. This study was a Hospital based cross-sectional study conducted in NIS OPD among 200 subjects selected using Non-randomized sampling method. Hypertension was signicantly higher in individuals more than 35 years and who take alcohol, smoking and in subjects with raised cholesterol level. In this observational study the result shows that 40.5% (81patients) got improved overall there was both reduction of symptoms and blood pressure in siddha with allopathy medication, 6%(12patients) not improved ,then 53.5%(107patients) are not having awareness about the treatment of Hypertension in siddha at NIS. ABSTRACT KEYWORDS : Hypertension, Kuruthiazhalnoi,pitham, A Cross sectional study. Dr. H. Vethamerlinkumari Associate professor , Department of Maruthuvam, National Institute of Siddha, Tamabaram sanatorium, Chennai -47. Dr. K. Manickavasakam Head of the Department& Former Director, Department of Maruthuvam, National Institute of Siddha, Tambaram sanatorium, Chennai-47. VOLUME-8, ISSUE-9, SEPTEMBER-2019 • PRINT ISSN No. 2277 - 8160 • DOI : 10.36106/gjra Subramaniyan. M Senior Research ofcer (Statistics),National Institute of Siddha, Tambaram sanatorium,Chennai-47 Dr. V. Banumathi Former Director, National Institute of Siddha, Tambaram sanatorium, Chennai-47. AGE NO OF PATIENTS PERCENTAGE 25- 40 14 7% 41-50 35 17.5% 51-60 61 30.5% 61-70 66 33% ABOVE70 24 12% ECONOMIC STATUS NO OF PATIENTS PERCENTAGE POOR 84 42% MIDDLE 94 47% UPPER 22 11% 14 X GJRA - GLOBAL JOURNAL FOR RESEARCH ANALYSIS TABLE 3 – NATURE OF LIVING: Distribution of hypertension patients according to nature of living: Out of 200 patients , 71% are from urban area and 29% are from rural area. TABLE 4 – DIETARY HABITS: Distributions of hypertension patients according to dietary habits: Out of 200 patient 80.5% are non-vegetarian,only 19.5% are vegetarian. TABLE 5 - OCCUPATIONAL HISTORY: Distribution of hypertension patients according to occupational history: Out of 200 patients 17% patients are in sedentary work,10% are in eld work,27% are in eld work with physical activity, and 33% are in house hold work and 13% of patients are retired people. TABLE 6 – PERSONAL HABITS: Distribution of hypertension patients according to personal habits: Out of 200 patients, 3% patients are smokers , 10.5% patients had the habit of smoking with alcohol, 0.5% patients had the habit of smoking alcohol and tobacco chewing, 5.5% patients had the habit of alcohol, 0.5% patients had the habit of alcohol with tobacco chewing, 1.5% patients had the habit of tobacco chewing and 78%patients were not having no other addictions. TABLE 7 – PSYCHOLOGICAL EVALUATION: Distribution of hypertension patients accoding to psychological evaluation: Out of 200 patients, 5.5% of patients having stress, 3% of patients having depression, 6.5% of patients having emotional behaviour, 1.5% of patients having stress with depression, 3.5% of patients having stress with emotional behaviour, 4.5% of patients having stress , depression and emotional behaviour and 75.5% of patients not having any other psychological problems. TABLE 8 – BODY MASS INDEX: Distribution of hypertension patients accoding to body mass index: VOLUME-8, ISSUE-9, SEPTEMBER-2019 • PRINT ISSN No. 2277 - 8160 • DOI : 10.36106/gjra NATURE OF LIVING NO OF PATIENTS PERCENTAGE URBAN 142 71% RURAL 58 29% DIET NO OF PATIENTS PERCENTAGE VEGETARIAN 39 19.5% NON VEG 161 80.5% OCCUPATION NO OF PATIENTS PERCENTAGE SEDENTARY WORK 34 17% FIELD WORK 20 10% FIELD WORK WITH PHYSICAL LABOUR 54 27% HOME MAKER 66 33% RETIRED 26 13% HABITS NO OF PATIENTS PERCENTAGE SMOKING 6 3% SMOKING &ALCOHOL 21 10.5% SMOKING ALCIHOL &TOBOCCO 1 0.5% ALCOHOL 11 5.5% ALCOHOL&TOBOCCO 1 0.5% TOBOCCO 1 0.5% BETEL NUT 3 1.5% No bad habits 156 78% PSYCHOLOGICAL EVALUTION NO OF PATIENTS PERCENTAGE STRESS 11 5.5 DEPRESSION 6 3 EMOTIONAL BEHAVIOUR 13 6.5 STRESS &DEPRESSION 3 1.5 STRESS& EMOTIONAL 7 3.5 STRESS, DEPRESSION& EMOTIONAL BEHAVIOUR 9 4.5 No psychological illness 151 75.5 BMI NO OF PATIENTS PERCENTAGE UNDER WEIGHT 3 1.5% NORMAL 70 35% OVER WEIGHT 94 47% OBESE 1 24 12% OBESE 2 9 4.5% X 15GJRA - GLOBAL JOURNAL FOR RESEARCH ANALYSIS Out of 200 patients 1.5% are comes under weight and their BMI is 17-18.5, 35% are normal weight and their BMI is18.5-25,47% are comes under over weight and their BMI is 25-30, 12% are comes under obese class 1 and their BMI is 30-35 and Only 4.5%of patients are obese class 2 and their BMI is 35-40. TABLE 9 – ASSOCIATED DISEASE : Distribution of hypertension patients according to associa ted disease: Out of 200 patients, 42.5% of patients are having diabetes mellitus, 25 % of patients having hyperlipidemia, 12.5% of patients having ischemic heart disease, and 5% of patients having chronic kidney disease. TABLE 10 – TREATMENT HISTORY: Distribution of hypertension patients according to treatment history: Out of 200 patients , 50% of patients taking allopathy treatment , 37.5% of patients taking siddha with allopathy treatment , 9% of patients taking siddha treatment and 3.5% of patients are not taking any treatment. TABLE 11 – IMPROVEMENT HISTORY : Distribution of hypertension patients according to improvement: Out of 200 patients, 40.5% of patients are improved in siddha with allopathy treatment , and only 6% of patients not improved , 53.5% of patients not having awareness in siddha treatment. DISCUSSION: High blood pressure (BP) is ranked as the third most important risk factor for attributable burden of disease in south Asia (2010) . Hypertension (HTN) exerts a substantial public health burden on cardiovascular health status and healthcare systems in India . HTN is directly responsible for 57% of all stroke deaths and 24% of all coronary heart disease (CHD) deaths in India . The WHO rates HTN as one of the most important causes of premature death worldwide . The Global and Regional Burden of Disease and Risk Factors study (2001), in a systematic analysis of population health data for attributable deaths and attributable disease burden, has ranked HTN in south Asia as second only to child underweight for age . In an analysis of worldwide data for the global burden of HTN, 20.6% of Indian men and 20.9% of Indian women were suffering from HTN in 2005 . The rates for HTN in percentage are projected to go up to 22.9 and 23.6 for Indian men and women, respectively by 2025 . Recent studies from India have shown the prevalence of HTN to be 25% in urban and 10% in rural people in India . According to the WHO 2008 estimates, the prevalence of raised BP in Indians was 32.5% (33.2% in men and 31.7% in women) . However, only about 25.6% of treated patients had their BP under control, in a multicenter study from India on awareness, treatment, and adequacy of control of HTN . Out of 200 patients 63.5% of patients comes under the age category of 51-70, and about 57% are males and 43% of patients female. 27% of patients are in eld work with physical labour is the trending pattern of occupation. Another signicant nding is 47% of patients are middle class, 80.5% are non-vegetarians, only 22% of patients having smoke, alcohol, tobacco and betel nut chewing habits and 24.5% of patients having psychological problems, 47% are over weight, 42.5% of pat ients having diabetes , 25% having hyperlipidemia, 12.5% having ischemic heart disease, 5% having chronic kidney disease. 50% of patients taking allopathy treatment, 37.5% of patients taking siddha with allopathy treatment, only 9% of patients taking siddha treatment. And 40.5%of patients improved in siddha with allopathy treatment and 6% not improved , 107 patients not having awareness in siddha treatment. CONCLUSION: In this observational study the result shows that 40.5% (81patients) get improved overall there was both reduction of symptoms and blood pressure in siddha with allopathy medica t ion , 6%(12pat ien ts ) no t improved , then 53.5%(107patients) are not having awareness about the treatment of Hypertension in siddha at NIS. VOLUME-8, ISSUE-9, SEPTEMBER-2019 • PRINT ISSN No. 2277 - 8160 • DOI : 10.36106/gjra ASSOCIATED DISEASE NO OF PATIENTS PERCENTAGE DIABETES MELLITUS 85 42.5% HYPERLIPIDEMIA 50 25% ISCHEMIC HEART DISEASE 25 12.5% CHRONIC KIDNEY DISEASE 10 5% TREATMENT HISTORY NO OF PATIENTS PERCENTAGE ALLOPATHY 100 50% SIDDHA 18 9% ALLOPATHY WITH SIDDHA 75 37.5% NO TREATMENT 7 3.5% IMPROVEMENT HISTORY NO OF PATIENTS PERCENTAGE IMPROVEMENT 81 40.5% NO IMPROVEMENT 12 6% UNKNOWN CASES 107 53.5% 16 X GJRA - GLOBAL JOURNAL FOR RESEARCH ANALYSIS REFERENCES: 1. Ka.na.kuppusamy mudhaliyar , siddha maruthuvam pothu, pg.no 214-219. 2. Chobanian AV, Bakris GL, Black HR, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA, 2003, 289(19): 2560-2572. 3. Israeli E, Korzets Z, Tekes-Manova D, et al. Blood-pressure categories in adolescence predict development of hypertension in accordance with the European guidelines. American journal of hypertension, 2007, 20(6): 705-709. 4. Elliott WJ, Black HR. Prehypertension. Nat Clin Pract Cardiovasc Med, 2007,4(10): 538- 548. 5. Wu S, Huang Z, Yang X, et al. Cardiovascular events in a prehypertensive Chinese population: four-year follow-up study. International journal of cardiology, 2013, 167(5): 2196-2199 6. 5. do Carmo Rocha J, Bustamante Teixeira MT, Azevedo E Silva G, et al. Prevalence of prehypertension and associated factors in women. Investigación y Educación en Enfermería, 2014, 32(3): 471-479. 7. Davidson clinical medicine. VOLUME-8, ISSUE-9, SEPTEMBER-2019 • PRINT ISSN No. 2277 - 8160 • DOI : 10.36106/gjra X 17GJRA - GLOBAL JOURNAL FOR RESEARCH ANALYSIS