Introduction to the Hypertension Monograph: This monograph explores and substantiates the following positions in the ensuing discussion of hypertension in particular and true health and wellness promotion in general. 1. The chiropractic profession should play a major if not dominant role in the clinical management of chronic hypertension. At present, chiropractic care of the hypertensive patient is marginalized to an alternative and complementary role. The medical profession has taken a leadership position on the management of hypertension based on a wealth of drug research and the establishment of evidence-based clinical protocols and professional standards of care. In contrast, the chiropractic profession, although it has within its scope of practice the most effective treatments for hypertension, has not until now had a cohesive evidence-based guide for the clinical management of the hypertensive patient. This monograph serves to fill that void by providing clinicians an overview of the disease, its differential diagnoses and assessment and then by providing clear evidence-based treatment options. 2. Drug management of hypertension is by no means a panacea, leaving significant numbers of patients untreated, undertreated, or mistreated. The expenses and adverse effects of drug management leave many patients untreated. Furthermore, according to recent peer-reviewed research, shortcomings in the medical management of hypertension place patients at risk of adverse effects, inefficacy, and unnecessary expense. Lastly, by failing to address the underlying causes of high blood pressure, and by failing to treat the constellation of comorbid conditions (e.g., insulin resistance, overweight, hyperuricemia, and nutritional deficiencies), medical suppression of elevated blood pressure cannot be viewed as optimal therapy. 3. Because hypertension is a major patient-centered and public health concern, the chiropractic profession must have an evidence-based protocol for its man