Zo’f-e- Kabid (Hepatic Debility) is a condition in which functions of liver become weak. It is characterized by the yellowish or whitish discolouration of skin, decreased appetite, weight loss and general weakness.
In Hepatic debility (Zo’f-e- Kabid), all the four faculties of liver or some of them become weak. According to Unani Medicine, liver is an organ for production of humours (Akhlat) and its four vital powers (Quwa) namely power of absorption (Quwat-e- Jaziba), power of digestion (Quwat-e- Ghaziya), power of retention (Quwat-e Masikah) and power of excretion (Quwat-e- dafe’a) perform all the functions related to liver.
Liver (Kabid) is the largest organ of the body, considered as source of innate heat (Hararat-e-ghariziya) for body. Jalinoos (Galen) even stated liver counterpart with sun.
The basic functions of liver are conveniently grouped under vascular functions, excretory and secretory functions, metabolic functions and detoxifications functions.
The derangement of function of any of four powers of liver produces derangement in temperament of humours. Moreover, deranged temperament of the humours leads to accumulation of morbid material (mawad-e- fasida) and ultimately pathological changes in the liver. The derangement of temperament of humours may be simple (Saada) which need simple therapeutic measures or it may be compound (Maddi) in which organic disturbance and quantitative changes take place in the liver cells.
A number of liver diseases are mentioned in Unani Medicine, such as Su-e- Mizaj (Abnormal/ Pathological temperament of the Liver), Zo’f-e- Kabid (Hepatic debility), Sudda-e- Jigar (Hepatic obstruction), Dard-e- Jigar (Hepatalgia), Warm-e-Jigar (Hepatitis), Zarba-e- Jigar (Trauma), Dabila-e- Jigar (Hepatic Abscess), Segar-e-jigar (Cirrhosis of Liver), Su-ul- Qinaya (Anemia) and Istiska (Ascites).
Zo’f-e- Kabid (Hepatic debility) is caused by simple/ compound morbid temperament (Su-e- mizaj sada/ maddi), diseases of neighbouring organs (Amraaz-e- A’za-e- Mujaawirah) e.g. stomach, uterus, gall bladder, spleen etc. and other hepatic disorders such as hepatic congestion (Imtila-e- Kabid), hepatic calculi (Hasaat-e- Kabid), hepatic atrophy (Tasaghghur-e- Kabid) and hepatitis (Waram-e- Kabid).
It is characterized by the whitish or yellowish discolouration of skin, decreased/ suppressed appetite, weight loss and general weakness. In hepatic debility condition the stool colour looks similar to the colour of washed water of meat and other features will be related to disease of liver or its neighbouring organs (as per the causative factor).
Principles of Treatment (Usool-e- Ilaj)
Pharmacotherapy (Ilaj Bil Dawa)
Single Unani Drugs
Compound Unani Dtugs
Regimental Therapy (Ilaj Bil Tadbeer)
Note: Unani drugs should be taken under the advice of the qualified Unani physician. The patients are required to follow strict Unani regimen for optimum results.