Malignant hypertension is associated with which dosha type?

• A. Tridosha
• B. Kapha
• C. Vata
• D. Pitta

Answer: (B)

Kapha dominance is linked with malignant hypertension. In Ayurvedic thinking, Kapha governs structure, stability, and the slow, congestive aspects of body function. When Kapha is imbalanced, circulation can slow and channels become obstructed, leading to accumulation of fluids and toxins in the vessels. This creates high arterial pressure that can be resistant to simple measures and may escalate to dangerous, rapidly progressing hypertension. Signs such as heaviness, edema or fluid retention, and a sense of sluggishness fit Kapha’s profile and point to the pathophysiology underlying malignant hypertension. Vata would bring rapid, erratic changes and dryness, while Pitta would emphasize heat and inflammation—none fit as well as Kapha for this condition.