Waram-e- Kabid Balghami (Phlegmatic Hepatitis)
Unani Medicine (Greco-Arab Medicine) is one of the ancient systems of medicine. A vast array of literature about liver diseases has been documented in this system of medicine. Liver (Kabid) is an organ for origin of Natural powers (Quwaa). Galen, (129-217 AD) even stated liver as counterpart with sun, which is a source of energy for others planets.
Liver (Kabid) is also an organ for production of humours (Akhlat) for nourishment, growth and development of the human body. Each of the four humours named dam (sanguine), balgam (Phlegm), safra (Yellow bile) and sauda (Black bile) carries their own normal temperaments. The derangement in quality and quantity of humours, leads to liver pathologies. Waram-e- kabid balghami (Phlegmatic Hepatitis) is one of them.
It is a waram-e- rakhw (Soft swelling) of liver. It is also known as waram-e- tahabbuji. It is caused by predominance of phlegm (Balgham) accumulated either due to excessive production or its deficient resolution. It is characterised by heaviness in right hypochondrium without pain and fever, softness on palpation along with the features of predominance of phlegm.
According to dominating humours (Akhlat), eminent Unani scholars such as Muhammad Bin Zakariya Razi, Ali Ibn-e- Abbas Majoosi, Sheikh Bu Ali Sina, Muhammad Akbar Arzani, Ibn-e- Hubal and Muhammad Azam Khan have classified hepatitis (Waram-e- kabid) as:
Waram-e- Kabid Balgami (Phlegmatic Hepatitis)
It is a disease condition characterized by waram-e- rakhw (Soft swelling) of liver. It is caused by predominance of Balgham (Phlegm) accumulated either due to excessive production or its deficient resolution. It is characterised by heaviness in right hypochondrium without pain and fever, softness on palpation along with the features of predominance of phlegm.
In Unani medicine Waram-e- Kabid Balgami (Phlegmatic Hepatitis) has been treated very effectively by its holistic approach. It is an acute inflammatory condition of liver due to predominance of phlegm (Balgham).
Signs and symptoms of Waram-e- Kabid Balghami (Phlegmatic Hepatitis)
White colouration of face and even stool colour also white in this disease is a peculiar symptom. Along with facial whiteness, whitish colouration of tongue is also seen. Viscosity of the blood will be decreased. It is characterized by continuous low grade fever sometimes with and sometimes without chills. In mild condition of the disease fever is not a compulsory symptom. Diminished thirst, mild swelling in right hypochondriac region below the ribs.
Sometimes constipation, loss of appetite, indigestion along with other features of predominance of phlegm (Balgham) are also seen. Face of the patient will be puffy and feet of the patient becomes inflamed.
Types of Phlegmatic hepatitis (Waram-e- kabid Balghami)
Causes of Phlegmatic hepatitis (Waram-e- kabid Balghami)
Usool-e- Ilaaj (Principles of Treatment)
Ilaaj Bil Tadbeer (Regimenal Therapy): Some Unani regimens which are very effective for the management of phlegmatic hepatitis are.
Ilaaj Bil Ghiza (Dietotherapy)
Ilaaj Bil Dawa (Pharmacotherapy)
Joshanda Beekh-e- Karafs, Beekh-e- Izkhar, Shaghoofa-e- izkhar, Anisoon, Booti ghafis, Zoofa, Pudina, Ghaareeqoon, Turbud, Qanturiyoon Daqeeq, Maweez Munaqqa, Injeer along with Sugar.
Joshanda-e- tukhm-e- karafs, anisoon, baadiyaan, ajwain desi, beekh-e- kasni along with sikanjabeen buzoori
Apart from that uses of hot temperament diets and drugs to make the temperament of the live hot is important in such cases.
Hot Temperament Drugs: Use of capsule made up of following drugs are very effective.
Gul-e- surkh, aneesoon, tukhm-e- karafs, shaghoofa-e- izkhar, mastagi, sumbul-ut- teeb, asaaroon, rewand, foowa, luk, and zaafaran.
Hot Temperament Diets: Diets specially made up of Teehoo, Teetar, Chana, Roghan-e- Zaitoon, Muri (Kanji) Zeerah and Daarcheeni.
Local application of following paste (Zimaad)
Single Drugs Recommended
Compound Drugs Recommended
Tahaffuz (Prevention/ Precaution)