Vol. 4, Issue - 3, Part B (2020)

2020, Vol. 4 Issue 3, Part BPages: 100-106

The clinical study of Qarha -E- hazmiyah (Peptic ulcer) and comparative evaluation of unani formulation in its management

Fasiur Rahman
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Abstract:
Aim
1. To evaluate the effects of Unani medicine in case of peptic ulcer.
2. To evaluate the various etiological factors prevalent in Indian conditions.
3. To assess the therapeutics efficiency of Unani medicine. 4. To provide cheap easily available non complicatory drugs.
5. To prevents various surgical hazards of modern system of medicinal to minimize surgical needs. 60 cases were selected for this study of both sexes with different dietary habits, Temperament, mijaz, occupation, socio-economical condition blood group and hygiene ages ranging from 20-70 years mean main 31-40 years the criteria of selection of cases in this study was based on previous history, clinical sign and symptoms and clinical examination, inspections, X-Ray barium meals and endoscopy test as per detailed Performa mentioned. Laboratory investigations, CBC, ESR, and general routine investigation were advised. The chief sign and symptoms guide towards the disease a few cases were committed from study before selection as they were having systemic disease as like TB, Ulcerative colitis, Jaundice, Chronic disease and chronic infective disease.
Aims of Study
6. To evaluate the effects of Unani medicine in case of peptic ulcer.
7. To evaluate the various etiological factors prevalent in Indian conditions.
8. To assess the therapeutics efficiency of Unani medicine.
9. To provide cheap easily available non complicatory drugs.
10. To prevents various surgical hazards of modern system of medicinal to minimize surgical needs. 60 cases were selected for this study of both sexes with different dietary habits, temperament, mijaz, occupation, socio-economical condition blood group and hygiene ages ranging from 20-70 years mean main 31-40 years the criteria of selection of cases in this study was based on previous history, clinical sign and symptoms and clinical examination, inspections, X-Ray barium meals and endoscopy test as per detailed Performa mentioned. Laboratory investigations, CBC, ESR, and general routine investigation were advised. The chief sign and symptoms guide towards the disease a few cases were committed from study before selection as they were having systemic disease as like TB, Ulcerative colitis, Jaundice, Chronic disease and chronic infective disease.
Materials and Methods: The design of the study was clinical response to the Unani treatment before and after trails by two different groups of Unani medicine and their comparative study for a period of 60 days and a fortnightly follow up. The clinical manifestations of patients were recorded in Performa. Details regarding age, sex, diet, occupation, socioeconomic status, addiction, pain abdomen, site, periodicity etc noted. Natural pain and relation of pain to ingestion of food, history of acidity oh haematemesis and malena were noted. Apart from the above clinical feature the confirmation of the case of Qarah-e-hazmi (peptic ulcer) were based on the endoscopic reports. Though the routine investigation were performed such as barium meal x-ray, CBC, ESR, Stool examination etc., as these tests are unreliable, cases only confirmed after endoscopic examinations. Patients were also instructed to avoid ingestion of antacid for 24 hours. Generally, no pre medication is given. The fibroscopic is passed with the patient lying in the lateral position. The instrument is guided over the tongue by the left index finger and patient asked to swallow. When the tip was in the esophagus it is steadily pushed into stomach, keeping the esophagus throughout. The esophagus is examined in detail during initial introduction as well as later during withdrawal of the instrument, as distal end enters the stomach; the entire surface of the gastric mucosa is examined. A view of the fundus of the stomach is obtained by retro flexion of the instrument in ‘U’ or ‘J’ shape passing his instrument into duodenum is easily accomplished under direct vision unless the pylorus is too scared to allow passage of the instrument. Entire mucosa of the duodenum is examined for any evidence of ulcer. In this study 60 cases were subjected for endoscopy, performed in different diagnostic centers. In this study two ways of statistical representation are elicited through graphs, photographs and statistical table.
Conclusion: After the completion of the study and interpretation of the data, it can be easily concluded that qarah-e-hazmi can be better treated and managed with Unani drugs under the principals of the line of treatment of Unani systems which gives importance in diet control along with medications and diet control restrictions. As per the follow up records we can come to a conclusion that the drugs used for the treatment of qarah-e-hazmi has revealed that in majority of the cases along with the healing of ulcers, it had also controlled recurrence of the ulcer (qarah).
The drugs are easily available, economical, their mode of administration was easy as it was palatable. Above all, the surgical intervention can be avoided unnecessarily.
How to cite this article:
Fasiur Rahman. The clinical study of Qarha -E- hazmiyah (Peptic ulcer) and comparative evaluation of unani formulation in its management. Int J Unani Integ Med 2020;4(3):100-106. DOI: 10.33545/2616454X.2020.v4.i3b.152
 
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