Pleurisy (Zat-ul- Janb)

Pleurisy (Zat-ul- Janb)

Introduction

Pleurisy (Zat-ul- Janb) is a condition in which the pleura (a membrane consisting of a layer of tissue that lines the inner side of the chest cavity and a layer of tissue that surrounds the lungs) becomes inflamed.

Inother words, it is a condition in which inflammation occurs in covering of lungs, inner muscles of thoracic cavity and diaphragm. It causes sharp chest pain (pleuritic pain) that worsens during breathing. It is also called pleuritis.

Sometimes Pleurisy (Zat-ul- Janb) which is caused by bronchitis or another viral infection can resolve on its own, without treatment. Only medication for relieving pain and taking rest can help relieve symptoms of pleurisy (Zat-ul- Janb), while the lining of your lungs heals. This can take up to two weeks in most cases. It's important to get medical care if you think you have pleurisy (Zat-ul- Janb) and associated symptoms.

Causes of pleurisy (Zat-ul- Janb)

As per Unani Philosophy, it is caused by yellow bile (Safra) and Billious sanguine (Dam Safrawi). It is characterized by dry cough, dyspnoea, high grade fever, piercing pain and Nabz Minshari (Pulsus serratus).

Other Causes of pleurisy (Zat-ul- Janb) include:

Viral infection, such as the flu (influenza)
Bacterial infection, such as pneumonia
Fungal infection
Autoimmune disorder, such as rheumatoid arthritis
Lung cancer near the pleural surface
Certain medications
Certain inherited diseases, such as sickle cell disease
Rib fracture etc.

Pleurisy (Zat-ul- Janb) occurs when the pleura becomes irritated and inflamed. As a result, the two layers of the pleural membrane rub against each other, producing pain when you inhale and exhale. The pleuritic pain lessens or stops when you hold your breath.

Signs and Symptoms of Pleurisy (Zat-ul- Janb)

The main signs and symptoms of pleurisy might include:

Chest pain, that worsens when patient breathe, cough or sneeze
Shortness of breath, because patient is trying to minimize breathing in and out
Cough also appear but only in some cases
Fever also occurs in some cases
Pain caused by pleurisy also might affect your shoulders or back.
In some cases of pleurisy (Zat-ul- Janb), fluid builds up in the small space between the two layers of tissue (pleural space). This is called pleural effusion.
When there is a fair amount of fluid, pleuritic pain lessens or disappears because the two layers of pleura are no longer in contact.
A large amount of fluid in the pleural space can create pressure, compressing your lung to the point that it partially or completely collapses. This makes breathing difficult and might cause you to cough.
The extra fluid can also become infected. This is called an empyema.
An empyema is often accompanied by fever.

Management/ Treatment

In Unani philosophy of natural healing the entire personality of a patient is taken into account, because each individual patient has his or her own basic structure, psychic makeup, self- defence mechanism, and reactions to environmental factors, likes and dislikes etc.

Treatment in the Unani system of medicine is affected through any one or more of the three modes, i.e., Ilāj bit Tadbīr (Regimental therapy) including Ilāj bil Ghiza (dietotherapy), Ilāj bil Dawa (pharmacotherapy) and Ilāj bil Yad (surgery).

Principles of Treatment (Usool-e- Ilaj)

Evacuation (Tanqiya)
Resolution (Tahleel)
To extinguish the abnormal heat (Tatfiya)
Rarefaction (Talteef)
Laxation (Talayin)
To ease cough and pain (Taskin-e- Suaal wa waja)
To produce wetness (Tarteeb)
To strengthen the body (Taqwiyat)

Pharmacotherapy (Ilaj Bil Dawa)

Oral administration of Maa-ul- Fawaakeh (Fruit juices)
Oral administration of Maa-ul- Asl (Honey water)
Oral administration of decoction of Unnab (Zizyphus jujube Mill & Lamk), Sapistan (Cordia latifolia Linn.), Khatmi (Althoea officinalis Linn.), Khubbazi (Malva sylvestris Linn.), Asl-us- Soos (Glycyrhiza glabra Linn.) and Khayarayn (Cucumis sativus Linn.) with Sharbat-e- Unnab (a compound Unani formulation).
Oral administration of decoction of Unnab (Zizyphus jujube Mill & Lamk), Anjir (Ficus carica Linn.), Suboos-e- Gandum (Wheat husk), Jau Muqashshar (dehusked seed of Hordeun vulgare Linn.) and Parsiyaoshan (Adiantum cappillus-veneris Linn.) with Khameera Banafsha (a compound Unani formulation).
Oral administration of decoction of Unnab (Zizyphus jujube Mill & Lamk), Behidana (Cydonia oblonga Mill.) and Gul-e- Banafsha (Viola odorata Linn.) and mixing with Sharbat-e- Unnab and sprinkling with Khaksi (Sisymbrio irio Linn.).
Oral administration of decoction of Unnab (Zizyphus jujube Mill & Lamk), Khatmi (Althoea officinalis Linn.) and Gul-e- Banafsha (Flower of Viola odorata Linn.) after mixing with Sharbat-e- Neelofar (a compound Unani formulation) and sprinkling with Khaksi (Sisymbrio irio Linn.).
Oral administration of Sharbat-e- Dana-e- Ilaichi Khurd (Seed of Elettaria cardamomum Maton.) 3 gram with Arq-e- Mako (a compound Unani formulation) 60 ml and Gulqand Aftabi (a compound Unani formulation) 34 gms.
Local application of Roghan-e Gul boiled with decoction of Post-e- Khashkhash (Rind of Papaver somniferum Linn.).

Single Unani Drugs

Malkangni Celastrus paniculatus Willd.
Tukhm-e-Katan Linum usitatissimum L.
Karanjawa Althaea officinalis
Unnab Zizyphus jujube Mill & Lamk
Sapistan Cordia latifolia Linn.
Khubbazi Malva sylvestris Linn.
Asl-us- Soos Glycyrhiza glabra Linn.
and Khayarayn Cucumis sativus Linn.
Khatmi Althaea officinalis Linn.
Anjir Ficus carica Linn.
Suboos-e- Gandum Wheat husk
Jau Muqashshar Dehusked seed of Hordeun vulgare Linn.
Parsiyaoshan Adiantum cappillus-veneris Linn.
Behidana Cydonia oblonga Mill.
Gul-e- Banafsha Viola odorata Linn.
Dana-e- Ilaichi Khurd Seed of Elettaria cardamomum Maton.

Compound Unani Drugs

Laooq-e- Katan
Laooq-e- Khyarshambar
Sharbat-e- Zufa
Sharbat-e- Khashkhash
Sharbat-e- Neelofar
Sharbat-e- Unnab

Ilaj Bil Tadbeer (Regimental Therapy)

Bloodletting (Fasd)
Purgation (Ishaal)
Cupping (Hijama)

Dietary Recommendations

Aghziya Latifa
Maa-ul- Sha’ir

Dietary Restrictions

Excessive intake of food
Aghziya Harra

Tahaffuz (Prevention/ Precaution)

Pleurisy cannot be prevented in all cases. Receiving early treatment for viral infections (e.g. influenza), bacterial respiratory infections (e.g., pneumonia) and managing underlying conditions effectively can help reduce the risk for developing pleurisy.

Avoid exposure to cold air

Investigations

CBC (Complete Blood Count)
Montoux Test
X-Ray Chest
Ultrasonography

References

Note:

Along with medicine the patients have to follow strict regimen as per the concept of Unani system. The patients are therefore, strongly advised to avoid self-medication.
They are advised to visit the nearest authorized Unani treatment centre for advice and treatment.

PUBLISHED DATE : Sep 03, 2019
PUBLISHED BY : NHP Admin
CREATED / VALIDATED BY : Dr. Mahtab Alam Khan
LAST UPDATED ON : Sep 03, 2019