2025, Vol. 9 Issue 3, Part APages: 39-42
Understanding pica (Fasād al-shahwa): A guide to unani and contemporary medical perspectives
Toyiba Ibrahim, Sana Bila Suhail and Mohd Afsahul Kalam
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Abstract:
Eating disorders are a significant global public health issue, with pica representing a distinct condition characterized by the persistent consumption of non-nutritive, non-food substances for at least one month. Within the Unani framework, the condition is understood through concepts such as Fasād al-Shahwa (perversion of appetite), a broad category encompassing cravings for non-edible substances, and Wahm (illusionary perception), which describes cravings for specific, often extreme, tastes. Historically, pica was recognized by Greek and Roman physicians who categorized this disorder as morbid appetite concerning the quality or nature of the substance ingested. This review provides a comprehensive synthesis of both contemporary medical and traditional Unani perspectives on pica, focusing on its definitions and etiological factors. By integrating contemporary biomedical knowledge with the detailed etiological insights of Unani medicine, this review underscores the value of a combined approach to enhance the understanding of this complex disorder across diverse populations.