14/12/2019
ARTHRITIS (Waja-ul- mafasil-Jodon Ka Dard)
Unani system identifies and attributes diseases like Arthritis to a weak immunity and poor digestive system. It suggests a number of polyherbal formulations for the treatment of this condition and other joint disorders.
In the Unani context the arthritis is known as Waja-ul- mafasil which in broader terms means pain in joints. Waja-ul- mafasil is used to describe all kinds of joint disorders including pain, swelling, and stiffness. It has been described as Waja-ul- mafaasil aam (arthritis), Waja-ul- zuhr (back pain), Naqras (gout) and Arqun Nisa (sciatica) etc.
According to Majoosi, when all the joints of the body are painful it is called as Waja-ul- mafaasil aam.
As per Jurjani,s point of view, when pain and inflammation is in the smaller joints of hand it is Waja-ul- mafaasil khas (Rheumatoid arthritis).
Causes of Waja-ul- Mafaasil
According to Ali Ibn-e- Abbas Majusi, the etiology of Waja-ul- mafaasil is so obscure and complicated that it is not possible to pinpoint the exact causative factor of the disease.
According to Ibn-e- Sina, the psychic factors play an important role in the causation of this disease. Other factors, which are responsible for the disease, include hereditary and joint weakness etc.
According to Samarqandi the madda (substance) which is responsible for the cause of Waja-ul- mafaasil is of a very thick consistency and white in colour, whereas Ibn Sina states that this madda almost resembles to pus (Reem).
The Khilt (humour) in the joint gets putrified and gets converted into the harmful substances, which then induce Waja-ul- mafaasil.
Symptoms of Arthritis (Waja-ul- mafaasil)
Symptoms of arthritis include joint pain, swelling, fatigue and weight loss. Inflammation and stiffness in the fingers, arms, legs, and wrists in the same joints or on both sides, especially soon after awakening may also be present in extreme cases of arthritis.
Management of Arthritis (Waja-ul- mafaasil)
The Unani literatures and classic text books have detailed information regarding the disease and its management. As per Unani philosophy following modes of treatment are advised for complete relief according to the preference
1. Dieto therapy (Ilaj bil ghiza)
2. Regimental therapy(Ilaj bil tadbeer)
3. Pharmaco therapy(Ilaj bil dawa)
4. Surgery (Ilaj bil yad)
Dietary Recommendations
According to Zakariya Razi, bird meat and fish are beneficial in arthritis. Research has proven that fasting has definite effect on the reduction of symptoms in arthritis.
Other dietary items recommended are wheat (Triticum aestivum), pulses specially Bengal gram, Indian millet (Panicum miliaceum), Big Beans, French Beans, Palak (Spinacia oleracea), Piyaz (Allium cepa), Beat root/ Choqandar (Beta vulgaris), Carrot (Daucus carotra), Red chilly (Capsicum annuum), Black pepper (Piper nigrum), Injeer (Ficus carica), Badam (Prunus amygdalus), Pista (Pistacea vera), Walnut, Khajoor/ Khurma (Phoenix dactylifera), Apricot, Angoor (Vitis vinifera), Aaloo (Solanum tuberosum), Pure ghee, Menthi (Trigonella foenum-graecum), Shaljam (Brassica rapa), Seb (Malus sylvestris/ pumila), Makka (Zea mays) and Papita (Carica papaya).
Dietary restrictions
Food items which are having hot temperament should be avoided in the diseases of joints particularly in arthritis. These items include most of the cold temperament drugs, red meat etc. Protein rich diet aggravate the symptoms of arthritis, e.g. red meat and kidney beans etc.
Some of the restricted dietary items are, curd, butter mixed with milk, kela (Musa paradisiaca), amrood (Psidium guajava), brinjal/ baingan (Solanum melongena), Gobhi (Brassica olearacea) etc.
Pharmaco-therapy(Ilaj bil dawa)
For Pharmacotherapy and detailed information about Arthritis kindly visit my clinic or web page.