When we asked people in our survey the cause of each case of heart distress in their family, we received a long list of answers. Figure 1 shows these reported causes, arranged in general categories. Causes include feelings of sadness and anxiety (qus o qam, fikr, xiyalet , sadness and mourning, worry, anxiety) and the situational bases of these feelings (deaths, debts and poverty, quarrels, fights, family illness); old age; pregnancy, delivery, and miscarriage ; contraception ; feelings of weakness, blamed on lack of blood , high or low blood pressure , too few vitamins: problems of nerves; fright or the evil eye ; dampness and foul