It is with the treatment of chronic hypertension as with that of glycosuria or fever, or even pain; it should not, per se, be treated away, not artificially kept down,but watched as a valuable sign of most complex disturbances, of which we may or may not alter or eradicate the causes. Verily, to reduce hypertension is not its treatment; to maintain it will often be our task, as in cerebral arteriosclerosis and initial interstitial nephritis, in which increased blood-pressure is indispensable, and in which efforts to reduce tension would only aggravate the condition. In fact, there is in all pathologic hypertension a limit of irreducible tension which is above normal, but below which interference would disturb the cardiovascular equilibrium. To be guided by our nil nocere is a matter not only of academic dignity but of the most, practical value. Too often are misery and discomfort added to existing derangement
VISSCHER LG. THE TREATMENT OF CHRONIC HYPERTENSION. JAMA. 1911;LVII(23):1829–1832. doi:10.1001/jama.1911.04260120019007
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