Abstract
The aim of the study was to increase the effectiveness of treatment of patients with arterial hypertension against the background of anxiety syndrome through the additional use of osteopathic techniques.
 Having identified the features of the clinical picture of hypertension, the level of anxiety (using the Zung scale), oculomotor reflex, orbital reflex, and changes in blood pressure dynamics, patients with hypertension were randomly divided into two groups: the first group continued to receive selected drug antihypertensive therapy; the second group was additionally treated using osteopathic techniques. Osteopathic treatment was performed exclusively on the sympathetic ganglia of the autonomic nervous system. The total duration of follow-up was 3 months.
 A significant decrease in the values of indicators on the Zung anxiety scale, the maximum values of systolic and diastolic blood pressure, and heart rate was shown. The use of osteopathic treatment led to the possibility of dose reduction, and, in some cases, the abolition of antihypertensive drugs.
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