Abstract

MANAGEMENT OF WAJAUL MAFASIL BALGHAMI (CHRONIC KNEE OSTEOARTHRITIS) WITH DIMAD (COMPOUND UNANI FORMULATION): A CASE REPORT

Ali Hamid*, Aslam Mohd, Ahmed Shamim and Ahmed Kamal

ABSTRACT

Wajaul mafasil is also known as arthritis in modern medicine, which encompasses all types of joint pain such as Niqras (Gout), Wajaul Warik (Ischial pain), Irqun Nasa (Sciatica), Wajaur Rukbah (Knee pain) etc. Eminent Unani scholars classify Wajaul mafasil into sada or maddi, on the basis of quantitative or qualitative derangement of humours. Among maddi, Wajaul Mafasil Balghami is one, which occurs due to accumulation of abnormal Balgham (Phlegm) in the joint cavity, clinically it resembles with Chronic Knee Osteoarthritis of modern medicine. Various modes of treatment are available in Unani system of medicine to manage Wajaul Mafasil Balghami, among them Dimad is one, in which a thick paste of medicine is applied to the affected joint. From numerous formulations of Dimad, one formulation containing Hulba (Trigonella foenum- graecum), Tukhme Katan (Linum usitatissimum L.), Tukhme Khatmi (Althaea officinalis), Baboona (Matricaria chamomilla), Iklilul Malik (Astragalus hamosus), Aarad Jo (Hordeum vulgare L.) has been selected to evaluate its efficacy in management of Wajaul Mafasil Balghami. This Dimad was applied over the affected joint and replaced with new one after two days. Total five sittings of Dimad application were given to patient. Significant improvement was observed on Knee Injury and Osteoarthritis Outcome Score.

Keywords: Wajaul Mafasil Balghami, Dimad.