2022, Vol. 6 Issue 2, Part APages: 13-19
A randomized standard controlled clinical study on overactive bladder and its management with Majoon Qust
Dr. Shaista Faiyaz, Dr. Zeenat idreesi and Rais-ur-Rahman
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Overactive bladder (OAB) is a chronic medical disease that affects the quality of life for a large percentage of the population. Many people who are afflicted do not seek medical assistance. Patients with OAB usually get it as they become older.1 It is a condition in which various Lower Urinary Tract Symptoms (LUTS) related to urine storage coexist, with urinary urgency serving as the essential parameter and does not require confirmatory urodynamic evaluation. Urgency with at least one other symptom is essential to diagnose OAB. Thus, urgency is the pivotal symptom. Urgency incontinence is described as involuntary urine leakage that is accompanied or preceded by urgency in many OAB patients. this standardized definition abandoned the need that the leakage be a "social or sanitary problem" to be termed incontinence. In a prevalence survey, 69% of women had “any incontinence,” but only 30% found this a “social or hygienic problem”. In Unani Classical literature, the term Overactive bladder (OAB) as such is not traceable although there is much description of various lower urinary tract symptoms (LUTS). The Clinical features of the OAB can be compared with the symtoms of zoaf-e-masana, sal-e-sul boul, and isterka-e- masana described in Unani System of Medicine. According to Ibn Sina, causes of zoaf-e-masana are sue mizaj barid and weakness of bladder, because of which the patient cannot withhold urine, and passes it frequently. The treatment of OAB in Modern system of medicine is present but recurrence of the disease and side effects of the medicine are very troublesome. A compound polyherbal Unani formulation namely “Majoon qust” is selected from classical literature which have been used since very long but scientific data on safety purpose is not available.