EditorI would like to challenge your readership to read 'Herbal medicines as diuretics: A review of the scientific evidence' [1] which is extremely well read and cited since being published, suggesting that in the age when healthcare costs are increasing, there may be a place for herbals as a first-line or adjunct therapy in the management of hypertension. But, at the present time, more research and data is still needed to demonstrate the effect of herbals in controlled interventional trials.The World Health Federation (see www.world-heart-federation.org) state that worldwide there are around 970 million people with hypertension (i.e., elevated blood pressure) and the World Health Organization considers this to be one of the most important causes of premature death. Indeed, by 2025, it is estimated that 1.6 billion adults will be living with hypertension.There are a number of therapies that can be used clinically to manage hypertension. These include the use of angiotensin converting enzyme inhibitors, beta blockers, calcium channel blockers and diuretics. This latter class work by increasing the excretion from the body of urine and sodium in urine. The review 'Herbal medicines as diuretics: A review of the scientific evidence' [1] assesses the studies reporting diuretic effects with traditional / herbal medicines as it was unclear which plant extracts actually had an effect similar to those used in clinical practice. A literature search was conducted to: (1) capture the pool of studies performed in this area; (2) identify which extracts had been reported in the studies identified; (3) determine the effect of these extracts on urinary volume and urinary sodium excretion. From this it was possible to assess the support for specific extracts and to recommend potential candidates for future research and potential use.A search of Medline was conducted and studies identified were graded according to the results reported. The Medline search included all English language articles published containing the following terms: natriuresis, natriuretic, diuresis, diuretic, aquaretic and urinary flow. These were combined with the following search terms: food, herb, botanical, nutrient and extract. The plants identified were then confirmed using http://www.ipni.org. None traditional extracts, e.g., caffeine and polyherbal preparation Jawarish Zarooni Sada, were excluded, as were vitamins and minerals.Seventy-seven articles were identified and reviewed; however, of more note is the fact that only nine of these were conducted in human intervention trials. Table 1 summarizes these studies by extract and also includes the study design and the responses in terms of urinary volume and urinary sodium excretion. Other studies were also highlighted, as they are supporting evidence, with 13 studies identified in anaesthetised animals and 55 studies in conscious animals.