CELLMED (셀메드)

Cellmed Orthocellular Medicine and Pharmaceutical Association (셀메드 세포교정의약학회)
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CONCEPT AND MANAGEMENT OF ISTISQĀ' (OEDEMA) IN UNANI SYSTEM OF MEDICINE

  • Khan, Khalid Ali (Department of Ilmul Jarahat (Unani surgery), Rajputana Unani Medical College Hospital & Research Centre) ;
  • Zakir, Mohammad (Department of Ilmul Advia (Pharmacology), National Research Institute of Unani Medicine for Skin Disorders (NRIUMSD)) ;
  • Khan, Shahid Ali (Department of Moalajat (Unani Medicine), Rehbar Ayurvedic & Unani Tibbi Medical College, Hospital & Research Center) ;
  • Khan, Rashid Ali (Department of Amraz-e-Jild wa Zohrawiya wa Tazeeniyat (Unani Dermatology, Cosmetology & Venerology), University College of Unani)
  • Received : 2020.11.02
  • Accepted : 2021.02.04
  • Published : 2021.02.26
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Abstract

Ascites is the accumulation of fluid in the peritoneal cavity, and it is generally allied with liver disease like cirrhosis of the liver. The ascites is commonly associated with liver cirrhosis, malignancy, or cardiovascular disease today. The liver cirrhosis is the most significant cause of ascites in developed countries as per the available data. In the modern medicine system, the treatment includes the restriction of sodium intake, use of diuretics, and paracentesis done in severe cases. There are many side effects of synthetic chemical diuretics, and their long-term use is not recommended. The alternative medicine like Unani system of medicine provides natural diuretics and drugs which also have protective effects on kidney, liver and other internal organs. It is well known in all drug systems that the prognosis is poor in ascites, but the use of Unani herbal medicines can minimize the side effects caused by synthetic chemical diuretics. The natural herbs used for the management of ascites have fewer side effects as compared to synthetic drugs. The natural drugs can be used for longer duration and provide some dietary supplement which improves the quality of life. This review addressed the thorough treatment of ascites by natural diet and medications.

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References

  1. Ahmad HHJ. Tazkirah Jaleel. (New Delhi, India; Central Council for Research in Unani Medicine), 2008.
  2. Al Qamari. Abu al-Mansur al-Hasan ibn Nuh, [d.990 AD], Ghina Muna (Urdu), (Lucknow, India; Manager Dawa Khana Ma'dan al-Adwiya), 1839.
  3. Antaki. al-Shaykh Da'ud ibn 'Umar al-Darir [b. 1541 AD], Tadhkira Uli al-Albab, Vol. I-III, (Egypt ;Al-Matba' al-Azhariyya), 1930.
  4. Arroyo V, Gines P, Planas R, Panes J, Rodes J. Management of patients with cirrhosis and ascites. Seminars in Liver Disease. 1986;6(4):353-369. https://doi.org/10.1055/s-2008-1040617
  5. Baghdadi. Muhadhdhab al-Din Abu al-Hasan 'Ali ibn Ahmad ibn 'Ali ibn Hubal. [d. 1213 AD], Kitab al-Mukhtarat fi'l Tibb Vol. III. (New Delhi, India; Central Council for Research in Unani Medicine), 2004.
  6. EASL. European Association for the Study of the Liver. Clinical practice guidelines on the management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndrome in cirrhosis. Journal of Hepatology. 2010;53(3):397-417. https://doi.org/10.1016/j.jhep.2010.05.004
  7. Ghani, N. Khazainul Advia. (New Delhi, India; Idara Kitabul Shifa), 2011.
  8. Gines P, Quintero E, Arroyo V, Teres J, Bruguera M, Rimola A, et al. Compensated cirrhosis: Natural history and prognostic factors. Hepatology. 1987;7(1):122-128. https://doi.org/10.1002/hep.1840070124
  9. Ibn Sina. al-Shaykh al-Ra'is Abu 'Ali al-Husayn ibn 'Abd Allah. [980-1037 AD]. Kitab-al-Qanoon fi al-Tib. (Kanpur, India; Matba Munshi Naval Kishor), 1895.
  10. Kabir al-Din, HM. Kitab-ul-Advia, Vol. 2, Makhzan-ul-Mufradat. Hyderabad. Daftar al-Masih, (Hyderabad. India; Bazar Nur al-Umara.), 1955.
  11. Khan, MHA. Haziq. 1st ed. (Hyderabad, India; Firdaus Book Depot), 1987.
  12. NFUM. National Formulary of Unani Medicine, Part-I. (New Delhi, India; Central Council for Research in Unani Medicine), 2006.
  13. NFUM. National Formulary of Unani Medicine, Part-II, Vol-I. (New Delhi, India; Central Council for Research in Unani Medicine), 2007.
  14. NFUM. National Formulary of Unani Medicine, Part-V. (New Delhi, India; Central Council for Research in Unani Medicine), 2008.
  15. NFUM. National Formulary of Unani Medicine, Part-VI. (New Delhi, India; Central Council for Research in Unani Medicine), 2011.
  16. Rabban Tabari, Abu'l Hasan 'Ali ibn Sahl [775-890 AD], Firdaws al-Hikma fi'l Tibb. (New Delhi, India; Central Council for Research in Unani Medicine), 1928.
  17. Razi, AMBZ. Kitab-al-Mansoori, (Urdu). (New Delhi, India; Central Council for Research in Unani Medicine), 1991.
  18. Ripoll C, Groszmann R, Garcia-Tsao G, Grace N, Burroughs A, Planas R, et al. Hepatic venous pressure gradient predicts clinical decompensation in patients with compensated cirrhosis. Gastroenterology. 20071;33(2):481-488.
  19. Runyon BA. Introduction to the revised American Association for the Study of Liver Diseases Practice Guideline management of adult patients with ascites due to cirrhosis 2012. Hepatology. 2013;57(4):1651-1653. https://doi.org/10.1002/hep.26359
  20. Salerno F, Guevara M, Bernardi M, Moreau R, Wong F, Angeli P, et al. Refractory ascites: Pathogenesis, definition and therapy of a severe complication in patients with cirrhosis. Liver International. 2010;30(7):937-947. https://doi.org/10.1111/j.1478-3231.2010.02272.x
  21. Schrier RW, Arroyo V, Bernardi M, Epstein M, Henriksen JH, Rodes J. Peripheral arterial vasodilation hypothesis: A proposal for the initiation of renal sodium and water retention in cirrhosis. Hepatology. 1988;(5):1151-1157.
  22. SUTM. Standard Unani Medical Terminology, (New Delhi, India; Central Council for Research in Unani Medicine), 2012.
  23. Tandon P, Garcia-Tsao G. Bacterial infections, sepsis, and multiorgan failure in cirrhosis. Seminars in Liver Disease. 2008;28(1):26-42. https://doi.org/10.1055/s-2008-1040319