Role of unani medicine in the management of irritable bowel syndrome - a review

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Journal name: World Journal of Pharmaceutical Research
Original article title: Role of unani medicine in the management of irritable bowel syndrome - a review
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Author:

Mohammad Azam


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Role of unani medicine in the management of irritable bowel syndrome - a review

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20198-14733

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

Irritable bowel syndrome (IBS) is a prevalent functional bowel disorder marked by symptoms such as abdominal pain, discomfort, and altered bowel habits in the absence of identifiable structural abnormalities. Often misunderstood, many physicians historically viewed IBS as a reflection of psychological stress rather than a genuine medical condition. This oversight has led to significant distress among patients and challenges for healthcare providers. The etiology of IBS remains elusive, with contributing factors including psychological issues, dietary elements, and gut microbiota. As conventional medical interventions often focus on symptom relief without addressing the root cause, the Unani system of medicine offers various therapeutic approaches to manage IBS.

Role of Psychological Factors in IBS

One of the significant factors associated with IBS is psychological distress. The intricate connection between the brain and the intestines means that emotional states can directly influence gastrointestinal function. Many patients with IBS often exhibit symptoms of anxiety and depression, which can trigger or exacerbate their bowel symptoms. Stress, both emotional and physical, appears to lead to heightened sensitivity of the bowel and irregular bowel motility. In traditional medicine, psychological interventions like psychotherapy are used, and some physicians prescribe antidepressants to provide temporary relief, although these often come with long-term side effects. This emphasizes the need for a holistic treatment approach that addresses both psychological and gastrointestinal symptoms.

Dietary Approach to Managing IBS

Diet is another critical factor influencing IBS symptoms, with certain foods acting as triggers for individuals. The Unani system emphasizes specific dietary strategies as part of treatment. Patients are encouraged to consume easily digestible foods like fruits and vegetables while avoiding irritants such as spicy foods, caffeine, and processed sugars. The focus is on light and non-acidic meals, which can help soothe the gastrointestinal tract and reduce symptoms. By adopting a suitable diet, patients may experience an improvement in their condition and overall wellbeing. This dietary management aligns with the Unani principle that food can be a vital component of healing.

Unani Medicine and Its Therapeutic Interventions

The Unani system of medicine provides a multifaceted approach to treating IBS by utilizing various therapies, including dietotherapy, pharmacotherapy, and regimental therapies. Treatment plans typically involve the use of herbal formulations and natural remedies tailored to address the specific symptoms and the underlying imbalances within the body. Unani practitioners may recommend specific herbal concoctions known for their soothing properties on the gastrointestinal tract. Moreover, treatments focus on eliminating excess humor that may contribute to the condition, reinforcing the importance of balance within the body. Such a holistic methodology can serve as a significant complement to more conventional treatments.

Conclusion

Irritable bowel syndrome remains a complex and often frustrating condition for patients and healthcare providers alike. The Unani system of medicine presents promising therapeutic avenues that not only seek to alleviate symptoms but also address the root causes through dietary modifications, psychological support, and herbal treatments. Emphasizing a comprehensive approach that validly integrates both the physical and psychological components of the disorder can enhance patient outcomes. As research continues to explore the efficacy of such treatments, the need for scientifically validated Unani methods is evident, allowing for a broader understanding and effective management of IBS.

FAQ section (important questions/answers):

What is Irritable Bowel Syndrome (IBS), and how common is it?

Irritable Bowel Syndrome (IBS) is a functional bowel disorder causing abdominal pain and altered bowel habits. It affects 10-20% of the population, with women being more likely to be diagnosed than men.

What psychological factors are associated with IBS symptoms?

Psychological disturbances like anxiety and depression are common in IBS patients. Stress can exacerbate symptoms, causing bowel spasm and discomfort, adding to the overall challenge of managing the condition.

What are the main symptoms of IBS in patients?

Common symptoms of IBS include recurrent abdominal pain, bloating, and altered bowel habits. Patients may experience constipation, diarrhea, or a mix of both, often feeling a sense of incomplete evacuation.

What are the causes of IBS according to the Unani system of medicine?

The Unani system attributes IBS causes to excess humors impacting the intestine, irritation from toxic substances, and dietary factors. Various conditions like indigestion, coldness of the stomach, and alcohol consumption are contributing factors.

How does traditional Unani medicine approach the treatment of IBS?

Unani medicine emphasizes dietary therapy, pharmacotherapy, and regimental therapies, aiming to restore balance among bodily humors. Specific medications and dietary adjustments target both symptoms and underlying causes of IBS.

What role do dietary recommendations play in managing IBS?

Dietary recommendations in Unani medicine advise patients to consume light and easily digestible foods while avoiding spicy, acidic, or irritating substances. Foods like pomegranate, grapes, and fresh curd are encouraged.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Role of unani medicine in the management of irritable bowel syndrome - a review”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Pain:
Pain is a central symptom associated with Irritable Bowel Syndrome (IBS), often described as recurrent abdominal discomfort that can significantly impact a patient's quality of life. It can manifest as cramping or colicky pain, typically relieved by defecation, highlighting its role in the disorder's diagnosis and management.

2) Irritation:
Irritation in the gut is a contributing factor to IBS and can arise from various sources, including dietary components and psychological stress. The Unani system recognizes different types of intestinal irritation, which can lead to symptoms like abdominal pain and altered bowel habits, necessitating specific therapeutic approaches.

3) Medicine:
Medicines in the context of IBS signify both conventional pharmaceuticals and traditional herbal remedies. Understanding the efficacy and roles of these medicines informs treatment choices, as patients often seek both immediate relief and long-term management strategies.

4) Disease:
Diseases encompass a wide range of health issues, including functional gastrointestinal conditions like IBS. Understanding the broader context of diseases helps in recognizing common symptoms and drawing parallels with other disorders that may share similar underlying mechanisms or require correlated therapeutic approaches.

5) Drug:
Drugs in the context of IBS treatment can include both conventional pharmaceuticals and traditional remedies from the Unani system. The use of different drugs addresses symptoms, but the Unani approach emphasizes using natural formulations to balance the body's humors, particularly where conventional methods fall short.

6) Anxiety:
Anxiety is significantly correlated with IBS, often exacerbating symptoms like abdominal pain and altered bowel habits. Recognizing the psychological aspect of the disorder, treatment approaches in both conventional and Unani medicine aim to address anxiety as part of comprehensive care for impacted patients.

7) Water:
Water is vital for overall health and plays a crucial role in dietary management for individuals with IBS. Proper hydration can aid digestion and alleviate certain gastrointestinal symptoms; thus, including adequate water intake is an essential aspect of both diet and treatment in managing IBS.

8) Food:
Food serves as both a potential trigger and remedy in IBS management. Identifying food intolerances and incorporating therapeutic dietary practices are central to treatment; the Unani system emphasizes specific dietary guidelines that help reduce gastrointestinal irritation and improve overall digestive health.

9) Depression:
Depression often coexists with IBS, contributing to the complexity of symptoms and treatment. It is important for healthcare providers to address mental health as a part of the holistic treatment plan, recognizing how emotional distress can worsen physical symptoms and affect the quality of life.

10) Substance:
Substance refers to the various materials consumed, including food, that can influence IBS symptoms. The Unani system evaluates the nature of these substances, guiding dietary choices to prevent irritation in the gut and promote healing through natural, easily digestible ingredients.

11) Bleeding:
Bleeding in the context of IBS usually represents a serious concern that warrants further investigation to rule out more severe conditions such as inflammatory bowel disease (IBD) or colorectal cancer. Medical evaluation is essential when bleeding is present to ensure appropriate diagnosis and management.

12) Quality:
Quality of life is significantly impacted by IBS symptoms, particularly due to chronic pain and discomfort. Treatment strategies in both conventional and Unani medicine strive to enhance the patient's quality of life by alleviating symptoms and addressing the emotional aspects associated with the disorder.

13) Cancer:
Cancer concerns arise in IBS patients, especially when symptoms like bleeding or significant changes in bowel habits occur. Routine screening and diagnostic assessments are crucial in differentiating benign conditions from potential malignancies, thereby ensuring timely intervention when necessary.

14) Shiras (Siras, Siro, Shirash):
Shirah refers to specific herbal formulations used in Unani medicine intended to alleviate symptoms associated with disorders like IBS. Formulating remedies that encompass various herbs addresses both the physiological and psychological aspects of the illness, promoting overall digestive health and balance.

15) Phlegm:
Phlegm in the Unani perspective represents a humoral imbalance that can contribute to gastrointestinal disturbances like IBS. Recognizing the role of phlegm in digestion and its impact on the symptoms leads to targeted treatments focusing on restoring balance through dietary and herbal interventions.

16) Life:
Life reflects the overall wellbeing and quality experienced by patients with IBS. Effective management and treatment not only address the physical symptoms but also emphasize psychological health and lifestyle adjustments that enhance a patient's capacity to enjoy a better quality of life.

17) Pharmacotherapy:
Pharmacotherapy encompasses the systematic use of medications for managing IBS symptoms. While conventional pharmacological approaches often provide temporary relief, Unani medicine emphasizes long-term solutions through natural remedies, dietary adjustments, and personalized treatment plans aimed at addressing the root causes.

18) Banafsha:
Banafsha, or violets, is considered a beneficial herb within the Unani system, recognized for its soothing properties. It may be utilized in formulating remedies that aim to relieve the symptoms of IBS, contributing to the holistic approach to treatment by integrating natural ingredients.

19) Neurosis:
Neurosis highlights the psychological dimension associated with IBS, where emotional disturbances can manifest as physical symptoms. Understanding this connection is crucial for providing comprehensive care that includes both psychological support and physical treatments for effective symptom management.

20) Nature:
Nature encompasses the inherent qualities of foods, substances, and plants used in traditional healing. In the Unani system, recognizing the natural characteristics of various ingredients aids practitioners in formulating treatments that align with the body's needs and restore balance to affected systems.

21) Sahi:
Shahi refers to certain formulations or compounds within Unani treatment practices. It signifies the importance of particular ingredients in addressing digestive issues, emphasizing the value of traditional knowledge and remedy selection in treating IBS symptoms effectively through tailored approaches.

22) Salt (Salty):
Salt can exacerbate gastrointestinal symptoms for some individuals with IBS. Dietary guidelines often recommend limiting salt to manage bloating and discomfort, illustrating the importance of personalizing dietary recommendations in IBS management.

23) Amla:
Amla, or Indian gooseberry, is valued in Unani medicine for its health benefits, particularly in digestion. Its use in formulations aimed at IBS focuses on promoting gut health, enhancing digestion, and reducing discomfort associated with gastrointestinal imbalances.

24) Diet:
Diet is a crucial component of IBS management, encompassing the types of foods consumed that significantly influence symptoms. Both Unani and conventional practices highlight the importance of dietary modifications to help alleviate discomfort and promote digestive health through tailored nutritional interventions.

25) Milk:
Milk can be a controversial component in the diet of IBS patients. While it provides essential nutrients, some individuals experience lactose intolerance, leading to exacerbated symptoms. Unani dietary recommendations may adjust milk intake based on individual tolerance levels to promote comfort.

26) Young women (Young woman):
Young women are a demographic particularly affected by IBS, reported to be diagnosed two to three times more frequently than men. This gender disparity emphasizes the need for targeted approaches in understanding and treating IBS within this population for effective symptom relief.

27) Dysmenorrhea (Dysmenorrhoea):
Dysmenorrhoea often intersects with IBS symptoms, particularly in women. The presence of abdominal pain linked to menstrual cycles can complicate IBS management, necessitating a comprehensive approach that considers both menstrual and digestive health in treatment plans.

28) Pomegranate:
Pomegranate is hailed in Unani medicine as a beneficial fruit for digestive health. Its inclusion in dietary recommendations for IBS patients highlights its potential to ease symptoms and promote gut well-being through its antioxidant and nutrient-rich properties.

29) Observation:
Observation is a key aspect of diagnosing IBS, requiring a careful consideration of symptoms and health history. Accurate clinical evaluation ensures appropriate treatment strategies are employed, reflecting the synergy between patient experiences and practitioner knowledge in managing IBS.

30) Scratching:
Scratching refers to the irritation experienced in the intestinal surface, often linked to conditions like IBS. Identifying this symptom helps practitioners discern the underlying issues contributing to gastrointestinal discomfort and can lead to targeted treatment interventions.

31) Alcoholism:
Alcoholism may exacerbate IBS symptoms for many individuals by irritating the gastrointestinal tract. Understanding the relationship between alcohol consumption and digestive disturbances leads to counseling on lifestyle modifications as part of a comprehensive treatment strategy for IBS.

32) Science (Scientific):
Scientific methods underpin the evaluation of treatments for IBS, encouraging rigorous studies to validate effectiveness. The integration of scientific inquiry within Unani medicine emphasizes the importance of evidence-based practices in developing reliable interventions for gastrointestinal disorders.

33) Gaozaban:
Gaozaban (Borage) is an herb employed in Unani medicine, recognized for its potential benefits in easing gastrointestinal discomfort. Its therapeutic properties can contribute to alleviating IBS symptoms, highlighting the relevance of herbal treatments in holistic care approaches.

34) Vomiting:
Vomiting can occur in IBS patients, often linked to gastrointestinal distress. Understanding its presence as a symptom guides clinicians to investigate underlying causes and offers a basis for comprehensive therapeutic approaches that address both gastrointestinal and psychological aspects.

35) Activity:
Activity, particularly physical exercise, is recommended in IBS management to promote overall well-being and improve intestinal motility. Encouraging regular moderate physical activity aligns with both conventional and Unani treatment strategies to alleviate symptoms and enhance quality of life.

36) Account:
Account refers to the record of patient symptoms and responses to treatment. Maintaining a detailed account is vital for monitoring progress in IBS management, allowing for adjustments in therapeutic approaches to optimize outcomes and effectively address individual patient needs.

37) Falling:
Falling refers to the decrease in health status linked to uncontrolled IBS symptoms. Understanding this concept is essential for practitioners as it emphasizes the importance of timely intervention to prevent further deterioration of the patient's physical and emotional well-being.

38) Burning (Burn, Burned, Burnt):
Burning sensations often describe the discomfort felt by IBS patients, particularly around the abdomen. Identifying this symptom assists in formulating treatment strategies that alleviate discomfort, focusing on dietary adjustments and herbal remedies that promote digestive health.

39) Allergy:
Allergy refers to adverse reactions to specific substances, which can overlap with IBS symptoms. Understanding allergy-related triggers in IBS patients facilitates dietary modifications and personalized treatment strategies that avoid aggravating the condition while promoting digestive comfort.

40) Brinjal:
Brinjal (eggplant) may cause digestive discomfort for some IBS patients. This vegetable could trigger symptoms in susceptible individuals, highlighting the importance of personalized dietary recommendations that consider individual tolerances and preferences for optimal management of IBS.

41) Surface:
Surface, particularly the intestinal surface, can be a focus in diagnosing IBS-related irritation. Understanding the condition of this surface aids practitioners in identifying irritants and developing targeted treatment strategies to alleviate digestive symptoms.

42) Family:
Family history can influence the likelihood of developing IBS, suggesting a potential genetic or environmental component to the condition. Understanding familial patterns assists clinicians in assessing risk factors and guiding preventative strategies for individuals with a family history of IBS.

43) Nausea:
Nausea is a common symptom associated with IBS, often reflecting the complex interplay between stress and gastrointestinal function. Addressing nausea within treatment plans is essential for holistic management, incorporating both dietary modifications and psychological support.

44) Badam:
Badam (almond) is beneficial in Unani medicine for digestive health. Its incorporation into dietary recommendations for IBS highlights its potential role in alleviating symptoms while providing essential nutrients to support overall gastrointestinal function.

45) Ulcer:
Ulcer concerns arise in differential diagnoses for IBS, as ulcerative conditions can mimic IBS symptoms. Understanding the distinction between IBS and ulcerative diseases guides clinicians in implementing appropriate diagnostic evaluations and treatment plans.

46) Doubt:
Doubt often permeates the understanding of IBS, as patients frequently question the cause and management of their symptoms. Addressing these doubts through clear communication and education about the disorder empowers patients to take an active role in their treatment.

47) Blood:
Blood presence in stool is concerning for patients with IBS, necessitating thorough medical evaluation to rule out serious conditions such as colorectal cancer. Understanding the implications of blood in bowel movements guides clinicians in appropriate diagnostic and management strategies.

48) Anger (Angry):
Feeling angry or emotionally distressed can exacerbate IBS symptoms, underlining the significance of addressing psychological well-being in treatment plans. Emotional states directly influence gastrointestinal function, highlighting the need for integrative approaches that consider both physical and emotional health.

49) Cola:
Cola and similar carbonated beverages may aggravate IBS symptoms due to their caffeine content and carbonation. Understanding the impact of these beverages helps guide dietary recommendations that minimize gastrointestinal irritation and support symptom relief.

50) Yoga:
Yoga is recommended as a beneficial practice for IBS patients, promoting relaxation and stress relief. Engaging in yoga supports overall mental and physical well-being, aiding in the management of symptoms through holistic approaches that emphasize mind-body connections.

51) Medas (Meda, Medash):
Meda refers to the stomach in Unani terminology, where digestive health concerns arise. Understanding the role of Meda in gastrointestinal function informs practitioners of the importance of nurturing digestive health through dietary and therapeutic interventions tailored to IBS.

52) Mash (Mas):
Mash, the term used for a paste or mixture, is significant in preparing certain Unani formulations aimed at alleviating IBS symptoms. The emphasis on well-prepared formulations demonstrates the importance of traditional practices in managing gastrointestinal health.

53) Bile:
Bile plays a critical role in digestion, influencing conditions like IBS through its interaction with food. Understanding the function of bile aids in creating dietary recommendations that prevent disturbances in gastric environment and promote digestive balance.

54) Anar:
Anar (pomegranate) is recognized in Unani medicine for its digestive benefits, particularly in managing IBS symptoms. Its antioxidant properties are leveraged in formulations aimed at promoting gut health and alleviating discomfort associated with gastrointestinal disturbances.

55) Curd:
Curd is noted for its digestive health benefits, often recommended in dietary management for IBS. Its probiotic properties facilitate gut health and help alleviate symptoms, embodying the Unani principle of incorporating natural foods to support overall well-being.

56) Rice (Rce):
Rice is considered a safe food choice for many IBS patients due to its gentle nature on the digestive system. Its inclusion in dietary recommendations reflects the need for light, easily digestible foods in managing gastrointestinal discomfort.

57) Meat:
Meat consumption can vary among IBS patients depending on individual tolerance. Understanding the role of different types of meat in the diet informs dietary guidelines aimed at maintaining digestive comfort while ensuring adequate nutrient intake.

58) Fish:
Fish is often recommended as part of a balanced diet for IBS patients due to its nutritious profile and anti-inflammatory properties. Including fish in dietary recommendations aligns with the Unani focus on promoting health through well-rounded, natural food choices.

59) Wind:
Wind, or gas, is frequently experienced by IBS patients, contributing to discomfort and bloating. Understanding the causes of excessive gas helps in developing dietary strategies aimed at reducing its production and improving overall digestive health.

60) Ghi (Ghee):
Ghee, or clarified butter, is valued in Unani medicine for its digestive properties. Its use in formulations and dietary recommendations reflects its role in soothing the digestive system and promoting nutrient absorption for individuals with IBS.

61) Sour:
Sour foods can trigger gastrointestinal symptoms in some IBS patients, making dietary avoidance essential for symptom management. Understanding individual dietary triggers like sour elements informs treatment plans that foster comfort and support digestive health.

62) Pur:
Poor quality of life is commonly experienced by individuals with IBS due to chronic pain and discomfort. Recognizing the impact of IBS on well-being emphasizes the importance of effective management strategies that enhance patients' physical and emotional health.

63) Male:
While IBS affects both genders, studies indicate a female predominance in diagnosis. Understanding the gender differences in IBS experiences helps tailor approaches that consider differing symptom presentations and management needs between male and female patients.

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Discover the significance of concepts within the article: ‘Role of unani medicine in the management of irritable bowel syndrome - a review’. Further sources in the context of Science might help you critically compare this page with similair documents:

Pharmacotherapy, Mental agony, Treatment Success, Clinical feature, Psychological stress, Irritable bowel syndrome, Gut microbiota, Clinical observation, Dietary factor, Unani system of medicine, Food Intolerance, Regimental therapies, Unani physicians, Antidepressant drug.

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