Excerpt from Virgin Medical Monthly, Vol. 48: April, 1921-March, 1922
Causal therapy is the ideal of every rational therapeutist. Success in treatment is notably greater in those diseases for which we know causes that are removable or that can be ren dered harmless. Concerning the real cause, or causes, of chronic arterial hypertension, however, we are, unfortunately, still pro foundly ignorant. We are familiar with cer tain groups of patients in whom high blood pressure occurs and know the symptoms and signs that they present; we are acquainted, too, with the general course of the malady in these different groups and have learned the common terminations of the disease-process. But our ignorance of the etiology and the pathogenesis of chronic arterial hypertension is far more impressive than our knowledge. This want of knowledge seriously handicaps us in our efforts to plan a causal therapy.
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