03/12/2025
DR. ALI:
🔴 Classical Fasd Vs. Today’s Practice — And the Ideal Applied Technique
🔷1. Is Today’s Fasd the Same as Classical Fasd?
In most clinical settings today :
No
What is commonly performed now is simple phlebotomy—a needle inserted into a superficial vein to remove blood.
But classical Fasd (الفصد) described in Qanoon, Zakhira, Kamil-us-Sana’ah, Akseer-e-Azam, and others was a much more precise, principle-driven intervention, involving:
Selection of a specific vein based on Mizaj, organ involvement, humor dominance, and disease stage.
Control over depth, direction, speed, and quantity of blood.
Differentiation of fasd-e-‘am (general venesection) vs fasd-e-khaas (organ-targeted venesection).
A strict protocol of pre-evaluation, diet regulation, post-illaj, and tanqiya.
So modern Fasd ≠ Classical Fasd in philosophy, technique, and therapeutic reasoning.
🔷2. Classical Fasd — The Core Principles We Must Preserve
(a) Fasd is an Organ-Specific Intervention
Classical texts specify veins for particular organs:
Basilic vein → Liver & spleen disorders
Cephalic vein → Head, upper body, brain, migraine
Median vein → Heart, chest & systemic issues
Saphenous vein → Lower limb, varicosities, joint diseases
Today’s random peripheral cannula insertion does not fulfil this organ specificity
(b) Fasd is a Tanqiya (Purification) and Imala (Diversion) Technique
The goal is not just blood removal.
It is the removal of morbid matter (Madda-e-Fasida) through:
Tanqiya-e-Sudad (clearing obstructions)
Imala-e-Akhlat (shifting morbid humors toward the selected vein)
Modern practice often ignores the humoral direction and organ targeting.
(c) The Classical Technique Controls the Quality of Blood Removed
Ancients describe:
Ghaleez khoon (thick)
Raqq khoon (thin)
Souda-dominant, Safra-dominant, or Balgham-dominant blood
Therapeutic value changes depending on the humor extracted.
Today we remove whatever blood comes out—not the humor-specific targeted extraction.
🔷3. What Should Be the Modern Ideal Technique for Authentic Fasd?
Step 1: Detailed Pre-Evaluation
Before Fasd, assess:
Mizaj (Temperament)
Dominant morbid humor (Balgham/Safra/Sauda/Dam)
Organ involvement
Patient strength (Quwwat-e-Muddabira)
Disease stage (Hadd / Muzmin)
Contraindications (children, elderly, pregnancy, severe anemia, etc.)
This matches classical Tahqeek-e-Amraz and Ain-e-Ilaj.
Step 2: Exact Vein Selection (Classical Matching)
Example:
Condition - Classical Vein & Purpose
🔸Varicose veins, leg pain, Waja-ul-Rukbah -
Great saphenous vein Diverts morbid matter from legs
🔸Sann-e-Mafasil, gout - Saphenous or popliteal Extracts morbid Safra/Sauda
🔸Migraine, sinusitis - Cephalic (Qifal) vein
Decongestion of head
🔸Hepatic disorders -
Basilic vein
Tanqiya of liver
🔸Hypertension, systemic heat -
Median cubital vein
for General Fasd
Today’s practice selects whatever vein is visible—this must be corrected.
Step 3: Technique of Incision or Needle Use
Classical method used a controlled incision with a lancet (Fasadi blade).
Modern method uses IV cannulas / 18 no.needle
The ideal modern approach:
Use a butterfly needle or cannula
Angle: 20–30°, shallow, avoiding nerve injury
Depth: Just enough to pass through the venous wall
Allow blood to flow freely, not forcibly aspirated
Keep cup/bowl below heart level
This blends modern safety with classical free-flow method.
Step 4: Control of Blood Quantity
Classical texts emphasize “amount based on strength, disease, and season”:
Weak patients → small removal
Strong patients + Ghaleez Khoon → more removal
Hot seasons → less
Cold seasons → more
Today: people remove a fixed amount—this is incorrect.
Modern guideline (adapted from classical principles):
Start with 30–60 ml
Can extend to 100–120 ml in strong adults
Stop immediately if dizziness, pallor, slow flow, or thin blood appears
Step 5: Post-Fasd Protocol (Very Important)
Classical post-care includes:
Cold applications for vasoconstriction
Qairooti / Roghan for soothing
Light, cooling, easily digestible diet
Avoiding exertion, sunlight, and heat
Mufarrehat (cardiac tonics) if weakness occurs
Monitoring pulse & complexion
Modern practice often neglects this.
🔷4. How to Achieve Classical Results Today
A Modernized, Evidence-Aligned Model
1. Proper diagnosis of humor (through clinical signs, lab correlation, Mizaj).
2. Exact classical vein selection (not just any vein).
3. Use of sterile, modern tools but classical philosophy of extraction.
4. Controlled flow without vacuum or syringe pulling.
5. Humor-targeted quantity control.
6. Integration with Ilaj-bil-Tadbeer & Ilaj-bil-Ghiza.
7. Pre- and post-Fasd regimen to maximize therapeutic extraction.
When these elements combine, modern Fasd becomes true classical Fasd—therapeutically potent, organ-specific, and humoral-balanced.
5. Summary
Classical Fasd was a precise, philosophy-driven, organ-specific therapeutic technique—
today’s practice is only a partial limitation, and must be refined using classical principles with modern safety to achieve full results.
کلاسیکی حکماء نے vascular pathophysiology کو micro -level پر بخوبی سمجھا تھا ۔۔۔اسلئے حکماء کا اصل مقصد peripheral vascular impurities کو physically evacuate کر نا تھا اور یہ چیز آج کے modern venesection کبھی نہیں کر سکتا
⚠️ کیوں جدید فصد (Phlebotomy) روح سے خالی ہے؟
آج کی venesection :
صرف خون نکالتی ہے
peripheral pathological blood کو نہیں چھوتی
endothelial debris کو نہیں ہٹاتی
مزاجی و فعلی ہم آہنگی کو بحال نہیں کرتی
directional logic استعمال نہیں کرتی
یعنی جسم موجود ہے، مگر کلاسیکی روح غیر حاضر ہے
