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The paper discusses the importance of clinical investigation in understanding essential hypertension as a constitutional tendency.
While the clinician may be justified in laying the phenomenon of arterial hypertension at the door of the physiologist or pathologist, it is none the less incumbent on him to carry on his own investigations. When the real cause of hypertension is at last brought forth, it is the accumulated data of clinical investigation that will supply the background to prove or disprove the proposed ideas of the physiologist and pathologist. Under existing conditions, we are impelled to continue our approach to this study by various avenues. Observation of objects from different angles at times reveals an entirely new perspective. With this in mind, one will find a great deal of interest in the study of hypertension, particularly essential hypertension as the manifestation of a constitutional tendency. It may be commonplace, but it is true, that if we are to know disease we must first know man. And it is
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Joseph H. Barach (1928) studied this question.
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