Unani therapy proved safe and effective in treating Osteoarthrosis Reviewed by Momizat on . HERBAL CHIKITSA Steoarthrosis is the commonest lifestyle disorder. In the West, radiographic evidences of this disease is prevalent in majority of people who ha HERBAL CHIKITSA Steoarthrosis is the commonest lifestyle disorder. In the West, radiographic evidences of this disease is prevalent in majority of people who ha Rating: 0
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Unani therapy proved safe and effective in treating Osteoarthrosis

Unani therapy proved safe and effective in treating Osteoarthrosis

HERBAL CHIKITSA
Steoarthrosis is the commonest lifestyle disorder. In the West, radiographic evidences of this disease is prevalent in majority of people who have reached 65 years of age and about 80 per cent of those who have crossed 75 years of age. Despite exhaustive work, the modern medical system failed to come up with satisfactory answer. Conservative measures are ineffective and run the risk of producing adverse drug reactions.

However, Unani physicians e.g. Galen, Ibn Sina, Razi, Majoosi, Akbar Arzani, Azam Khan and Kabiruddin have suggested Fasd as an adjuvant regimental therapy for various types of arthritis. Though venesection is in vogue, its scientific validation has not been carried out so far about its safety, efficacy and mechanism of action. To explore new alternatives and for scientific validation of Fasd, a study has been carried out to evaluate its safety and efficacy; and to explore the mechanism of action of Fasd in the cases of Osteoarthrosis.

As per Unani medical doctrine derangement of the temperament occurs due to the presence of morbid humours in the body and the blood circulation, which are responsible for the disease. Hence, bloodletting is applied for the purpose of Tanquia-e-mawad (elimination of morbid material) from the body (Arzani, ynm) in order to restore the bodily humours and thereby maintain health.
There are three important modes of bloodletting described in the Unani literature, namely Fasd (Venesection), Flijamat (Cupping therapy) and Taleeq (Leech therapy). Jalinoos, Ibn Sina (1927), Arzani (1956), Razi (ynm), Majoosi (ynm), Arzani (ynm), Khan (ynm), (Kabiruddin, 1916; Kabeeruddin, 2003) have recommended application of venesection as an adjuvant therapy in the treatment of Wajaul Mafasil. Osteoarthrosis is a kind of disease, Wajaual Mafasil. Hence, Fasd is equally applicable to osteorthrosis as in other types of arthritis.

Since the application of venesection has been recommended by various Unani physicians as an adjuvant therapy in the cases of arthritis, this intervention has been selected to combat the signs and symptoms of O.A.
Patients aged between 35 and 65 years, who had definite osteoarthritis of the knee as defined by American College of Rheumatology, were screened in Majeedia Hospital, New Delhi. A total of 40 patients, 20 in each group, were randomly allocated to both groups by a non-stratified block randomisation with equal block lengths. Sequentially numbered envelopes containing the treatment assignment were prepared.

When a patient met the inclusion criteria and consented for participation, the investigator opened the lowest numbered envelope, which determined the group of assignments. The cases randomly selected for test group i.e. group ‘B’ were administered the oral + local drugs and venesection simultaneously.

In group ‘A’ (control group), Cap. ‘AUJAI’ were given 2 BD after meals and Roghan Surkh was provided to apply locally on affected joints once at night. Both formulations are from Hamdard (Wakf) Lab Delhi, a GMP certified company.
In group ‘B’ (Test group), same drugs and dosage was administered as group ‘A’ with application of venesection on the indicated vein. The total duration of treatment was fixed 6 weeks (42 days) for both groups.

Since all the cases were having knee osteoarthrosis, either small saphenous or popliteal vein was selected for venesection. The blood was allowed to be let out till it stopped on its own. Then, the tourniquet was released and the wound was closed by applying a piece of gauze containing antiseptic solution. On day 14th, patients returned for the second visit; day 28th for third visit and on 42nd day the final visit took place.

The outcome of the measures was change in knee pain, joint stiffness, joint swelling, muscular weakness and restriction of joint movement as derived from the mean Visual Analog Score of each component. Each question was assessed by a 10 cm horizontal VAS score. For the 50-meter walk test, patients were asked to walk, at their own naturally preferred ‘comfortable’ pace, across a distance of 50 feet.

The time taken to complete the distance was measured using a hand-held stop watch. Three repetitions of the walk were undertaken and the mean was used for subsequent analysis. Radiological assessment of the joint was also done pre and post treatment intervention.

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