Effect of Specialised Ayurvedic Protocol in Stress-induced Hypertension: A Case Series

Background: Bhramari Pranayama (humming bee breath), involves inhalation through both nostrils, followed by exhalation mimicking the sound of a humming bee. This simplistic yogic practice is often recommended for patients suffering from hypertension. However, there is currently a dearth in anecdotal reports as well as robust clinical evidence documenting the effects of Bhramari Pranayama. Here described are two cases of stress-induced hypertension successfully treated with Bhramari Pranayama.

Case: Patient 1 was a 42-year-old male with a history of diabetes and hypertension. His chief complaints were burning micturition and neck pain for a 2-year duration. He was diagnosed with stress-induced hypertension. Patient 2 was a 44-year-old male with history of hypertension and also a history of grade 1 fatty liver. His chief complaints were chest pain on sleeping position, disturbed sleep, and palpitations. He too was diagnosed with stress-induced hypertension. Both patients were advised combination therapy that consisted of Panchakarma hypertension therapy (Snehana, Swedana and Shirodhara), oral medication (Artyl, Serena, and Endoguard capsules) as well as Bhramari Panayama, a controlled breathing practice. Patient 1 had blood pressure measuring 142/108 mmHg at admission which significantly reduced to 124/80 mmHg after 150 days. Patient 2 had blood pressure measuring 116/87 mmHg which changed to 117/78 mmHg after 90 days.

Conclusion: Bhramari therapy was found to be effective in our patient by controlling systolic and diastolic blood pressure, thus highlighting its effect in relieving stress-induced derangements in blood pressure.