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Relevance of Unani Medicine (Greco-Arab Medicine) in Management of Bawāsῑr (Hemorrhoids): An Updated Review

Irfan Ahmad, Mohd Adil, Masroor Ahmad Qureshi, Nirmala Devi, Haseeb Alam Lari, Mohd Yasir

Abstract


Hemorrhoids is a prevalent anorectal disease with substantial compromise in quality of life, and various important factors are implicated in its causation. Increased abdominal pressure, excessive straining and hard stool lead to the venous engorgement of the hemorrhoidal plexus clinically characterized by per rectal bleeding, thrombosis and symptomatic prolapse of haemorrhoidal mass. In Unani System of medicine, the primary cause for the development of hemorrhoidal disease is focal retention of Sawdavi Ghaleez Dam (abnormal black bile or viscous blood) in the anal region. Numerous single and compound drugs are mentioned in Unani classical texts that have been validated in recent past including Kundur, Muqil, Anjeer, Habb-e-Bawaseer, Habb-e-Muqil etc. The present manuscript is a sincere effort to delineate Unani perspective on haemorrhoids along with current scenario of clinical research in Unani medicine and what policies and strategies should be adopted to expedite the research in this direction.

Keywords


Unani, Bawaseer, Haemorrhoids, Piles, Sawda

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References


Lohsiriwat V. Treatment of hemorrhoids: A coloproctologist’s view. World J Gastroenterol. 2015;

Coughlin O, Page M. Hemorrhoids: Anatomy, Physiology, Concerns, and Treatments. In: Anorectal Disease [Internet]. Cham: Springer International Publishing; 2016. p. 225–42.

Villalba H. Hemorrhoids: Modern Remedies for an Ancient Disease. Perm J. 2007 Apr;11(2):74–6.

Ansari S, Hussain AB, Shaikh A. Concept of Hemorrhoid (Bawaseer) and Management in Unani System of Medicine. Res Rev A J Unani, Siddha Homeopath. 2018;5(2):15–8.

Maseehi IQ. Kitabul Umda fil Jarahat, Volume 2. New Delhi: CCRUM; 251–252 p.

Tabri A bin M. Al Moalajat Buqratiya, Volum.2. New Delhi: CCRUM; 1997. 392–397p.

Abul Hasan Ali Ibn Abas Majoosi. Kamil al-Sanaa’at. New Delhi: Idara Kitab us-Shifa; 2010. 516–18 p.

Zakariya Razi. Kitab al Hawi, Volume.11. New Delhi: CCRUM; 2004. 30 p.

Ahmed al-Hasan Jurjani. Zakhira Khwarzam Shahi, Volume.6. New Delhi: Idara Kitab us-Shifa; 2010. 461–472 p.

Ibn Sina. Al Qanoon fil Tib,volume.3, Part.2. 2nd ed. New Delhi: Idara Kitab us-Shifa; 2014. 985–990 p.

Mohammed Azam khan. Iksir-e-Azam. 1st ed. New Delhi: Idara Kitab us-Shifa; 2011. 661–672 p.

Bagdadi ibne Hubal. Kitab al Mukhtarat fil Tib,Volume.4. New Delhi: CCRUM; 2007. 65–66 p.

Arzani A. Meezan al Tib. New Delhi: Idara Kitab us-Shifa; 2002. 178–179 p.

Rizwan HK. Trajuma Sharh Asbab, Volume.3. New Delhi: CCRUM; 2010. 167–173 p.

Ibn Sina. Al Qanoon fil-Tibb. vol. 2. 2nd ed. New Delhi: Idara Kitab us-Shifa; 2014. 985–90 p.

Sun Z, Migaly J. Review of Hemorrhoid Disease: Presentation and Management.

Clin Colon Rectal Surg [Internet]. 2016 Mar;29(1):22–9.

Najar F. A., Faisal M., Khesal A. ATA. Prevalence Of Hemorrhoid Among The Patients Visiting Surgery Opd At Nium Hospital. Eur J Biomed Pharmaceutical Sci. 2018;5(1):435–7.

Dandroo JN, Fatimah M, Alam SS, Ansari MS, Najar FA. An Overview of Haemorrhoids (Bawaseer) with Surgical Interventions from Ancient to Modern Era. Res Rev A J Ayurvedic Sci Yoga Naturopathy [Internet]. 2018 Jan 15;4(3):23–30.

Ravindranath GG, Rahul BG. Prevalence and risk factors of hemorrhoids: a study in a semi-urban centre. Int Surg J [Internet]. 2018 Jan 25;5(2):496.

Mary R. Kwaan; David B. Stewart Sr; Kelli Bullard Dunn. Colon, Rectum, and Anus. In: F. Charles Brunicardi, editor. Schwartz’s Principles of Surgery. 11th ed. New York: McGraw Hills; 2019. p. 1310–2.

Yamana T. Japanese Practice Guidelines for Anal Disorders I. Hemorrhoids. J Anus, Rectum Colon [Internet]. 2017 Jul 27;1(3):89–99.

Kopljar M, Balduzzi S, Patrlj L, Mihanovic J, Markulin H, Bakota B, et al. Topical treatment for hemorrhoids. Cochrane Database Syst Rev [Internet]. 2011 Nov 9;(11).

Lohsiriwat V. Hemorrhoids: from basic pathophysiology to clinical management. World J Gastroenterol [Internet]. 2012 May 7;18(17):2009–17.

Chandpuri K. Moojizal Qanoon. 2nd ed. New Delhi: Traqi Urdu Beuru; 1988. 352–353 p.

Thomson WH. The nature of haemorrhoids. Br J Surg [Internet]. 1975 Jul;62(7):542–52.

Yoon S-O, Park S-J, Yun C-H, Chung A-S. Roles of matrix metalloproteinases in tumor metastasis and angiogenesis. J Biochem Mol Biol [Internet]. 2003 Jan 31;36(1):128–37.

Jilani HG. Makhzan al Jawahar. New Delhi: Eijaz Publishing House; 2010. 159–160 p.

Tabri R al. Firdoos ul Hikmatchapter.16. New Delhi: Idara Kitab us-Shifa; 2010. 252–253 p.

Khan HA. Haziq. Karachi: Madina Publishing Company; 1983. 363–367 p.

Fareed DA, Nowshahri. Concept of haemorrhoids (Bawaseer). Indian J Appl Res. 2019;9(4):1–3.

Zakariya Razi. al-Hawi. vol. 11. New Delhi: CCRUM; 2004. 28–43 p.

Harichand Multani. Tajul Haikmat. Lahour: Nadeem Interpresis Lahour; 215–221 p.

Sun Z, Migaly J. Review of Hemorrhoid Disease: Presentation and Management. Clin Colon Rectal Surg [Internet]. 2016 Feb 16;29(01):022–9.

Gilani HG. Makhza ul Illaj, Volume. I-II. New Delhi: Idara Kitab us-Shifa; 2005. 564–565 p.

Mohammed Azam khan. Ikseere Azam. 1st ed. New Delhi: Idara Kitab us-Shifa; 2011. 661–666 p.

Lohsiriwat V. Treatment of hemorrhoids: A coloproctologist’s view. World J Gastroenterol [Internet]. 2015;21(31): 9245.

Bhagat P, Raut S, Lakhapati A. Clinical efficacy of Jalaukawacharana (leech application) in Thrombosed piles. AYU (An Int Q J Res Ayurveda). 2012;33(2):261.

Mohammad Kabeeruddin. Makhzan al-Mufradat. 3rd ed. New Delhi: Eijaz Publishing House; 2014. 83–84, 120–121, 252, 320–21, 333, 388–89 p.

Ammon HPT, Safayhi H, Mack T, Sabieraj J. Mechanism of anti-inflammatory actions of curcumin and boswellic acids. J Ethnopharmacol [Internet]. 1993 Mar;38(2–3):105–12.

Francis J, Raja S, Nair M. Bioactive Terpenoids and Guggulusteroids from Commiphora mukul Gum Resin of Potential Anti-Inflammatory Interest. Chem Biodivers [Internet]. 2004 Nov; 1(11):1842–53.

Patil VV., Patil VR. Evaluation of anti-inflammatory activity of Ficus carica Linn. leaves. Indian J Nat Prod Resour. 2011 Jun; 2(2):151–5.

Ratheesh M, Shyni GL, Helen A. Methanolic extract of Ruta graveolens L. inhibits inflammation and oxidative stress in adjuvant induced model of arthritis in rats. Inflammopharmacology [Internet]. 2009 Apr 11;17(2):100–5.

Gupta PJ. The efficacy of Euphorbia prostrata in early grades of symptomatic hemorrhoids—a pilot study. Eur Rev Med Pharmacol Sci [Internet]. 2011 Feb;15(2):199–203.

Faujdar S, Sati B, Sharma S, Pathak AK, Paliwal SK. Phytochemical evaluation and anti-hemorrhoidal activity of bark of Acacia ferruginea DC. J Tradit Complement Med [Internet]. 2019 Apr;9(2):85–9.

Standard Unani Treatment Guidelines for Common Diseases. New Delhi: CCRUM; 2014. 109–112 p.

Mujahid Shaikh, Jalees Ahmed, Manzoor Ahmad, Akhtar Husain Chaudhary KA. Efficacy of A Compound Unani Formulation HABB-E-BAWASEER In The Management of Haemorrhoids (BAWASEER). Int J Adv Heal Sci. 2015;2(6):722–30.

Albina AT. Effect of Habb-E-Bawaseer Khooni in Internal Haemorrhoids: A Controlled Clinical Trial. PARIPEX—INDIAN J Res. 2016;5(10):103–6.

Zakir Habib Khan, Mohammed Shahnawaz Akhtar Parveen, Mohammed Wasi Akhtar S. Clinical Study on Haemorrhoids and Therapeutic Evaluation of Habb-e-Rasaut and Habb-e-Muqil in its Management. Hamdard Med. 2013;56 (1):31–9.


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