블로그/칼럼 대사증후군 클리닉
블로그 2026년 3월 16일

Why You Still Feel Heavy Even on Blood Pressure Medication

Dr. Dr. Heo Ji-young, Director of Kyunghee Meerae Korean Medicine Clinic, Gwangjin
의료 감수 Dr. Heo Ji-young Representative Director · KMD

If you take your blood pressure medication faithfully and yet your body still feels heavy and never quite refreshed, there is a part that the numbers alone cannot explain.

There are people whose blood pressure readings are well controlled by medication, yet fatigue, swelling, and tingling in the hands and feet remain. I see this as happening because the medication lowers the resulting number — blood pressure — but does not change the flow in the body that created that number. In this article, I want to explain that difference.

Medication looks at the number, the body looks at the flow

Blood pressure medication generally lowers the reading by widening the blood vessels or by regulating the water and salt in the body. This is a necessary treatment. However, the underlying situation that raised the blood pressure in the first place — stagnant peripheral circulation, an autonomic nervous system tilted toward tension, or body fluid pooling on one side — can remain just as it was.

That is why, even when the reading is normal, the body still feels heavy, swollen, and tingly. The result is managed, but the flow stays the same.

Reading the signal that the body feels heavy

When I examine a patient, I do not simply pass over these residual symptoms; I look at which part of the flow is still blocked.

  • Swelling that worsens in the afternoon → a state where fluid does not drain well
  • Tingling and coldness in the hands and feet → a state where peripheral circulation has contracted
  • Fatigue that does not resolve even with rest → a state where the reserve used for regulation has been exhausted

When I put these signals together, a picture emerges of where the problem of flow — the part the medication could not suppress — actually lies.

Keep the medication, and help the flow alongside it

Let me be clear about the most important thing first. Do not stop your blood pressure medication on your own. Keep taking your existing medication in consultation with the doctor who prescribed it, and herbal treatment goes on top of that, in the direction of loosening stagnant circulation and restoring depleted regulatory capacity.

When we look beyond the number that is blood pressure and examine the very feeling that "the body feels heavy," there are points where you can find relief in places that medication alone did not reach. Finding those points for you is how I approach metabolism in my practice.

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Dr. Dr. Heo Ji-young, Director of Kyunghee Meerae Korean Medicine Clinic, Gwangjin

Dr. Heo Ji-young Representative Director · KMD

A graduate of the College of Korean Medicine at Kyung Hee University, with master's and doctoral degrees in pathology — the mechanisms of disease — from its graduate school. Later served as a research professor in the university's Herbology department, studying medicinal substances. Studying both disease and medicine from both sides is the foundation of this practice: explaining "why a given medicine works for a given illness" in the language of both pathology and pharmacology. Explains autonomic, chronic, and intractable conditions — and structural problems of the body — in the language of modern science, and proposes treatment matched to the cause. Has taught prescribing and clinical practice to Korean medicine doctors for over ten years, and is a co-author of "Korean Medicine, Explained by Korean Medicine Doctors," selected for the 2018 Sejong Books list (general category).

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