Identify the Kapha-type hypertension herbal formula.

• A. Shatavari 5, Guwel 4, Sarpagandha 2, Brahmi 3, Jatamamsi 2, Arjuna 2
• B. Shankhpushpi 2, Punarnava 4, Arjuna 3, Amla 2
• C. Punarnava 5, Goksura 2, Hawthorne Berry 3, Arjuna 3
• D. Arjuna 4, Guggulu 2, Bilva 4

Answer: (C)

Kapha-type hypertension is best addressed by reducing excess Kapha—the heavy, moist, and congested quality that can weigh down circulation—while also supporting heart function. The most fitting formula brings together diuretic, anti-edematous herbs with strong cardioprotective actions. Punarnava is a classic diuretic that helps eliminate stagnant fluids and lessen Kapha-related edema. Gokshura (Goksura) adds to that diuretic and urinary-tract balancing effect, further targeting Kapha buildup. To shore up the heart and improve blood flow, Arjuna provides myocardial support and helps with vascular health, and Hawthorn berry adds cardiotonic and vasodilatory benefits. This combination directly tackles the fluid overload and weakened circulation characteristic of Kapha-dominant hypertension, making it the most appropriate choice.

Other formulas tend to emphasize nervine tonics, sedatives, or general cardiotonic effects without a focused diuretic approach to Kapha. For example, herbs known for moistening or calming effects can inadvertently support Kapha, while potent antihypertensives without diuretic action may not address the edema aspect of Kapha-type presentations.