Review Article
Volume 3 Issue 12 - 2020
An Approach to the Management of Abnormal Vaginal Discharge in Unani System of Medicine: A Review
Anjum AA1*, Tabassum K2 and Bano S3
1Associate Professor, Department of Surgery, Government Unani Medical College, Bangalore, India
2Reader, Department of OBG, National Institute of Unani Medicine, Bangalore, India
3Principal, Government Unani Medical College and Hospital, Bangalore, India
*Corresponding Author: Anjum AA, Associate Professor, Department of Surgery, Government Unani Medical College, Bangalore, India.
Received: October 12, 2020; Published: November 28, 2020




Abstract

Abnormal Vaginal discharge is one of the commonest complaints in women attending the Sexually Transmitted Disease [STD] clinics, gynaecology clinics, general practitioners and reproductive health clinics. For ages the term VD has been used synonymously with Leucorrhoea.

In classical Unani literature leucorrhoea is mentioned under the heading of Sayalan-al-Rahim. It is due to weakness of quwat-e-ghazia, jazibaand masika of uterus. Weakness of these quwat causes accumulation of waste material in the uterus and expel in the form of abnormal vaginal discharge. The discharge may be damvior balghami or safravior saudavi. Unani system of medicine advocates the treatment of this disease by changing lifestyle, adapting the hygienic conditions and administration of appropriate medicine.

Unani drugs are in use since ages because of its holistic approach. For the management of a disease, Unani system of medicine takes entire constitution of the individual and lifestyle into account for diagnosing and prescribing the treatment. Current modern therapy advocates the use of antibacterial and antimicrobial which though effective produces adverse effects in the human body. In Unani system of medicine number of muffarad (Single) and murrakab (Compound) drugs are available for treating Sayalan al Rahim. Treatment goals encompass not only the amelioration of sign and symptoms of Sayalan al Rahim, but also prevention of adverse health outcomes, adverse pregnancy outcomes and long-term reproductive sequelae. Single drugs such as Salab Misri, Arade Moong, Tabasheer, Tukhme Khurfa, Mastagi and Kundurwas as they exhibit the properties of Habis [Styptic], Qabiz [Astringent], Muhallil Auram [Anti-inflammatory], Jaali [Detergent], Dafe Taffun [Anti septic], Muqawi Jigar aur Meda [Tonic to liver and stomach], Musammin badan [Nutritive] and Mumsik [Retentive] etc. Further, these drugs contain flavonoids, tannins, steroids, lactic acid, and phenolic acids which probable may reduce the inflammation and helps in relieving sign and symptoms of Sayalan al Rahim. This review paper reveal about abnormal vaginal discharge in detail.

Keywords: Abnormal Vaginal Discharge; Leucorrhoea; Sailan Ur Rehm; Unani Medicine; Management

References

  1. Kafle P and Bhattarai SS. “Prevalence and Factors Associated with Reproductive Tract Infections in Gongolia Village, Rupandehi District, Nepal”. Advances in Public Health1 (2016): 1-5.
  2. Rabiu KA., et al. “Female reproductive tract infections: Understandings and care seeking behaviour among women of reproductive age in Lagos, Nigeria”. BMC Women's Health1 (2010): 8.
  3. Polk J., et al. “28: Chronic cervicitis: presenting features and responses to therapy”. American Journal of Obstetrics and Gynaecology6 (2015): 907.
  4. Sánchez A., et al. “Cervical erosion as result of infectious vaginitis”. European Journal of Experimental Biology5 (2012): 1659-1663.
  5. Lakshmi V and Gupta RK. “Ayurvedic Concept of Leucorrhoea: Sweta Pradara”. International Journal of Ayurveda and Pharma Research 3 (2014): 119-123.
  6. Panda G and Mohapatra KB. “Clinical effect of Kukkutanda Twak Bhasma in the management of Sweta Pradara”. AYU3 (2011): 370-374.
  7. Kumar P and Malhotra N. “Jeffcoate’s Principles of Gynaecology”. 8th New Delhi: Jaypee Brothers Medical Publishers (2016): 23-24, 315-317, 383-385, 613-617.
  8. Thulkar J., et al. “Aetiology and risk factors of recurrent vaginitis and its association with various contraceptive methods”. Indian Journal of Medical Research 1 (2010): 83-57.
  9. Definition of Leucorrhoea, www.merriam-webster.com.
  10. Misra JS., et al. “Cytological studies in women complaining of Leucorrhoea”. Journal of Cytology1 (1997): 11.
  11. Stenchever MA., et al. “Comprehensive Gynaecology”. Philadelphia: Elsevier science (2001): 147, 208-230, 332
  12. Fox KK and Behets FM. “Vaginal discharge: how to pinpoint the cause”. Postgraduate Medicine3 (1995): 87-104.
  13. Bala V and Chhonker YS. “Recent developments in anti-Trichomonas research: An update review”. European Journal of Medicinal Chemistry 143 (2018): 232-243.
  14. Hodiwala AB Koli. “Bacterial Vaginosis”. International Journal of Current Microbiology and Applied Sciences 6 (2015): 530-538.
  15. Bitew A., et al. “Prevalence of Bacterial Vaginosis and Associated Risk Factors among Women Complaining of Genital Tract Infection”. International Journal of Microbiology (2017): 1-8.
  16. Sina I. Al-Qanoon Fit Tib (Urdu trans. By Kantoori GH), Volume II and III. New Delhi: Idarae Kitab us shifa (2007): 360-361, 385-386, 267-304, 1094-1095.
  17. Majoosi ABA. Kamil us Sana (Urdu trans. by Kantoori GH), Vol. I. and IX. Lucknow: Munshi Nawal Kishore (1889): 39-40, 155-58, 182-84, 344, 426-28 498-99, 533, 535.
  18. Ali KZ., et al. “Sailan-ur-Rahem (Abnormal Vaginal Discharge) in Greco-Arabic Medicine: A Review”. RRJoUSH 2.4 (2017) :1-6.
  19. Shamshad N and Naaz SA. “Iltehab-e-Mahbal (Vaginitis) and its Unani Concept "A Review". International Journal of Enhanced Research in Medicines and Dental Care7 (2017): 1-5.
  20. Razi ABMBZ. Kitabul Hawi. New Delhi: CCRUM 2001&2007: 14-15, 71, 97-98, 110.
  21. Jurjani I. Tarjuma Zakheerae Khawarzum Shahi (Urdu trans. by Khan AH), Vol VI. Lucknow: Munshi Nawal Kishore (1903): 596, 606-609.
  22. Hubal I. Kitabul Mukhtarat Fil Tibb, Volume II. New Delhi: CCRUM (2005): 155, 185-186, 168-169, 284.
  23. Arzani MA. “Tibbe Akbar”. Deoband: Faisal Publication (1890): 577-583.
  24. Khan A Al-Akseer (Urdu trans.by Kabeeruddin). Volume II. New Delhi: Aijaz publishing house (2003): 715, 1382-1384.
  25. Tabri R. “Firdous ul Hikmat”. (Urdu trans. by Shah S). Deoband: Faisal publishers 2 (2002): 254.
  26. Ali KZ., et al. “Sailan-ur-Rahem (Abnormal Vaginal Discharge) in Greco-Arabic Medicine: A Review”. RRJoUSH 2.4 (2017) :1-6.
  27. Kabeeruddin M. “Kulliyate Nafisi”. New Delhi: Idarae Kitab us Shifa (1954): 110-16, 277-278.
  28. Qarshi MH. “Jamiul Hikmat”. New Delhi: Idarae Kitab us Shifa (2011): 1121-1122.
  29. Khan MA. “Muheete Azam”. New Delhi: CCRUM, Ministry of Health and Family Welfare, Govt. of India 1 (2012): 191-194.
  30. Rushd I. “Kitabul Kulliyat”. 2nd New Delhi: CCRUM (1987): 28, 114-118, 292, 302.
  31. “Makhzan-ul-Ilaj”. New Delhi: Idarae Kitab us shifa (2005): 651-652.
  32. National Formulary of Unani Medicine, Part-I. New Delhi: Ministry of Health and Family Welfare (1993): 145-146, 149, 158-159.
  33. Bayaze Kabeer. Hyderabad: Hikmat Book Depot (1935): 107-109.
  34. Khan A. Hazique. Karachi: Madeena Publishing Company (1983): 482, 485-487.
Citation: Anjum AA., et al. ““An Approach to the Management of Abnormal Vaginal Discharge in Unani System of Medicine: A Review”. EC Clinical and Medical Case Reports 3.12 (2020): 11-20.

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