Global epidemics of non-communicable diseases - hypertension, type 2 diabetes, oncology, obesity - a scourge of the 21st century. The etiology of these diseases is not exactly known, there are no effective drugs. According to the author, the above diseases are the consequences of chronic stress, and the pathological process in the body is triggered by an excessively narrowed pupil, manifested by the activation of the parasympathetic nervous system. In the initial stages of these diseases, it is suggested to moderately expand the pupil (medically or surgically), in conjunction with lifestyle modification. This approach can be useful in the treatment of other diseases that arise as a result of chronic stress.