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June 11, 1910

Hypertension and Treatment

JAMA. 1910;LIV(24):1957. doi:10.1001/jama.1910.02550500043025

To the Editor:  —From my standpoint, the medical profession is much indebted practically to Dr. Miller's article in the last issue of The Journal.* The prevailing fashion nowadays is, so soon as hypertension is revealed, either by palpation of the radial or by means of the finger and the sphygmomanometer, to recur to medication of an active sort to neutralize the condition, and this is done not only when there are unpleasant or it may be threatening symptoms, but also when those that exist are of very mild type, or, indeed, none is present. The condition is there and that is all. It has been clear to me and others for a long while, that hypertension may be a wholly conservative process, and on that account should not be interfered with, except for good and sufficient reasons, and then only in a judicious and temporary way. Again, it is also

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