General samprapti for hypertension is described as which of the following?

• A. Ama, meda, kapha, and pitta accumulation in rasa cause high blood pressure
• B. Vyana disturbs rasa and rakta
• C. Agni disturbance only
• D. Both A and B

Answer: (B)

The key idea here is that hypertension is described in Ayurveda as a disturbance of movement and circulation caused by Vyana vata. When Vyana vata is aggravated, it disrupts the handling of rasa (plasma) and rakta (blood), throwing the flow through the channels (srotas) off balance and raising arterial pressure. This Vyana-driven dushti of rasa and rakta is why the description focusing on Vyana disturbs rasa and rakta best fits the general samprapti of hypertension.

While accumulation of Ama, meda, kapha, and pitta in rasa can contribute to imbalance, and agni disturbances can play a role in disease, they do not capture the primary mechanism emphasized for hypertension as clearly as the Vyana vata–rasa–rakta pathway. The option combining A with B would imply A is the central description, which is not the standard framing.