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These studies suggest that various herbal supplements and products, including resveratrol, cherry juice, beetroot juice, hibiscus tea, gastrodia-uncaria granules, and others, can effectively reduce blood pressure, though proper dosage and further rigorous clinical trials are necessary to confirm their safety and efficacy.
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Hypertension, or high blood pressure, is a significant global health issue affecting millions of people worldwide. Traditional medicine and herbal supplements have been increasingly explored as potential treatments for managing blood pressure due to their natural origins and fewer side effects compared to conventional medications. This article synthesizes recent research on the efficacy of various herbal supplements in reducing blood pressure.
A systematic review and meta-analysis of 31 studies highlighted the effectiveness of herbal supplements rich in phenolic compounds in reducing blood pressure. The meta-analysis showed significant reductions in both systolic blood pressure (SBP) and diastolic blood pressure (DBP) with supplements such as resveratrol, cherry juice, beetroot juice, bergamot extracts, barberry, and pycnogenol. These findings suggest that incorporating these supplements into the diet could be beneficial for individuals with hypertension.
Hibiscus sabdariffa L., commonly known as hibiscus tea, has demonstrated antihypertensive properties in both animal models and human studies. A randomized, double-blind, placebo-controlled clinical trial involving 65 pre- and mildly hypertensive adults found that daily consumption of hibiscus tea significantly lowered SBP compared to a placebo. This suggests that hibiscus tea could be an effective dietary addition for managing mild hypertension.
A randomized, placebo-controlled trial investigated the efficacy of a Chinese herbal formula, gastrodia-uncaria granules (GUG), in treating masked hypertension. The study found significant reductions in daytime ambulatory BP in the GUG group compared to the placebo group, indicating the potential of GUG as an effective treatment for masked hypertension.
Ginseng, particularly Korean red ginseng (KRG), has been studied for its potential to reduce blood pressure. A systematic review and meta-analysis of randomized clinical trials found that KRG significantly lowered both SBP and DBP in hypertensive patients. However, the evidence was limited, and more rigorous studies are needed to confirm these findings.
Sihogayonggolmoryeo-tang (SYM), an herbal medicine, has shown promise in treating hypertension and concurrent mood symptoms. A meta-analysis of seven randomized controlled trials found that SYM significantly lowered both SBP and DBP compared to placebo and active controls. Additionally, SYM was effective in reducing concurrent depression without serious adverse events.
Herbal therapies for hypertension often work through various molecular and cellular mechanisms. These include the modulation of endothelial cells, nitric oxide (NO) production, vascular smooth muscle cell (VSMC) proliferation, and the reduction of oxidative stress. Herbs such as garlic, grape seed, and saffron have been shown to influence these pathways, contributing to their antihypertensive effects .
The interaction between herbal supplements and prescription drugs, as well as their impact on epigenetic mechanisms, is an area of growing interest. Some herbs may enhance the efficacy of conventional antihypertensive medications or offer alternative pathways for blood pressure regulation through epigenetic modifications .
Herbal supplements offer a promising alternative or complementary approach to managing hypertension. Supplements such as phenolic-rich herbs, hibiscus tea, GUG, ginseng, and SYM have shown varying degrees of efficacy in reducing blood pressure. Understanding the molecular mechanisms and potential interactions with conventional medications is crucial for optimizing their use. Further high-quality, placebo-controlled clinical trials are needed to confirm the long-term benefits and safety of these herbal treatments.
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