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This small, highly personal monograph expounds the views of the author concerning the etiology, pathogenesis and therapy of hypertensive arterial disease. The basic physiologic facts are sound, but the interpretations of these facts are adapted to suit a theory. The author contends that acidosis is a primary factor in the causation of hypertension and thus that deep breathing exercises for five or six minutes from two to five times a day are curative through improved aeration and bettered elimination of carbon dioxide. The thesis is not convincing. There are some curious applications of logic; for example, the fact that hypertension is rare among professional singers in Munich is cited as proof of these contentions. The specific cases cited are unimpressive; to better the apparent results Tirala clings to the long discarded axiom that the normal arterial tension is 100 plus the age. The resulting figures are far too high. He
The Cure of High Blood Pressure by Respiratory Exercises. JAMA. 1937;109(7):530. doi:10.1001/jama.1937.02780330058033
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