Do I need to have water to relax blood vessels on a regular basis? In the outpatient clinic, every spring, summer or autumn and winter, there will be elderly people who come to the outpatient clinic and ask for hanging water, hanging water that “invigorates blood circulation and removes stagnation” with the name of “unclogging blood vessels”, and when they are asked if they have any related symptoms, they often say no, but they have heard that hanging water is good for washing the blood vessels. They would often say no because they had heard that hanging in water was good for washing their blood vessels, which would make them healthier. I will earnestly tell them that they really do not need to, you have your blood pressure, blood glucose, blood lipids under control, if there are signs of atherosclerosis, usually take aspirin and statin lipid-lowering drugs for a long period of time, so you can prevent the problem before it occurs and do not need to hang up the water, and some of the elderly will listen to this and some of them are adamant that they want to hang up the water, and they really have no choice but to say that after talking too much, some of them think that they can’t do anything about it. Give an example to illustrate, sister-in-law’s old man more than 80 years old, before every year because of dizziness and bloating, at least two hospital stays, every year regularly to “dredge blood vessels”, sister-in-law accompanied in the hospital, but also to send food, etc., to pay a lot of energy not to mention that the old man is still uncomfortable, three days and two days to run to the hospital, looking for different specialists! A winter 3 years ago, the old man hung up the water, still no effect, dizziness and swelling can not go downstairs. Then I don’t know why my sister-in-law suddenly had a brainwave and said to the old man, “Why don’t you ask my sister-in-law to take a look at it? In fact, the old man lives upstairs in my house, but he never thought of looking for me to see a doctor. The old man is a very careful person, he took the previous hospitalization cases and the blood pressure values measured every day, at different times of the day and blood sugar values. I read the examination results and found that the old man’s main problem was a long history of hypertension, diabetes, chronic kidney disease, proteinuria and lacunar cerebral infarction, usually although also oral hypoglycemic and hypotensive medications, but blood glucose and blood pressure, lipid control are not ideal, especially blood pressure control is not ideal, especially in winter blood pressure control is particularly unsatisfactory. Regarding blood pressure, I gave the old man a few suggestions: first of all, first turn on the air conditioning at home, low temperatures in winter, blood vessels are prone to constriction, resulting in increased blood pressure, and secondly, to adjust the antihypertensive drugs, taking into account the elderly have proteinuria and simple systolic hypertension, my own “first” antihypertensive program, hydrochlorothiazide valacyclovir and valdesmosol regimen. Based on the following considerations: 1, the elderly simple systolic hypertension, refers to the elderly because of the decline in vascular elasticity, elevated blood pressure is only manifested as systolic blood pressure, that is, high pressure increases, and diastolic blood pressure, that is, low pressure is not high, or even low, for this kind of patients diuretics, such as hydrochlorothiazide has a miraculous efficacy, half a tablet can significantly reduce systolic blood pressure; 2, the elderly have proteinuria, increasing the amount of angiotensin receptor antagonists, such as valsartan can be a good way to increase blood pressure, but also to increase the amount of diuretics, such as valsartan. Such as the amount of valsartan can significantly reduce proteinuria, slowing down the time when renal proteinuria, and thus elevated blood creatinine, lead to the emergence of uremia. And the safe dose of valsartan is very large, you can take up to 8 tablets orally; 3, many antihypertensive drugs, although long-acting, but with the prolongation of the oral drug time, the drug concentration decreases, the optimal strength of the drug’s action decreases, take valsartan twice a day, you can better control the nighttime elevation of blood pressure, which is the nighttime blood pressure is the main factor leading to damage to the heart, kidneys, and the brain and other target organs, one of the main factors. So the specific regimen for lowering blood pressure in the old man is one hydrochlorothiazide valsartan in the morning and one valsartan at night. This regimen may be questioned by many experts, but I think it is a more appropriate one for the old man. It is very important to individualize the antihypertensive regimen. Regarding blood glucose, I suggest that the old man control the diet while adjusting the dose of insulin, and the old man’s blood glucose control does not need to be too strict, fasting 6-8 mmol/l, not more than 9 mmol/l, postprandial 8-10 mmol/l, not more than 11 mmol/l. At the same time, considering that the old man has hypertension, diabetes mellitus and hyperlipidaemia, and other risk factors for atherosclerosis, and there is a cavernous cerebral infarction with symptoms such as dizziness and head swelling, I advised him to take aspirin and moderate strength statins for long term lipid lowering and stabilization of atherosclerotic plaques (atorvastatin 20mg once a night). The old man asked me if he wanted to take some Chinese medicine , I suggested that it could be complementary, but not too many varieties, preferably one, at most two. About a week later, the old man told me the feedback is headache and dizziness symptoms significantly improved, also dare to go downstairs, and since that time, to now more than 3 years, the old man never went to hang water, life can be completely self-care, sister-in-law also do not hang water for the old man’s business busy, you can continue to swim in the mountains and play the water, haha. So that preventive hanging water, is really no role, there is no need, long-term hanging water, will damage the blood vessels, and many traditional Chinese medicine will lead to allergies and other side effects, if the small clinic hanging water, anaphylactic shock, rescue is not timely will also have life-threatening. Prevention of atherosclerosis, or to start from the source, such as controlling blood pressure stabilization, avoid blood pressure ups and downs, control blood pressure standard, control blood sugar while preventing hypoglycemia, blood lipids to meet the standard, plus the use of aspirin and statin lipid-lowering drugs can be prevented the occurrence of atherosclerosis and other diseases and the development of atherosclerosis is crucial. If someone still wants to ask me: do I need to be hooked up to water regularly to unclog my blood vessels? My answer is: no! No need! No need! It’s important to say it three times!