Du‘f al-mi‘da (functional dyspepsia) management in Unani medicine.

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Journal name: World Journal of Pharmaceutical Research
Original article title: Concept of du‘f al-mi‘da (functional dyspepsia) and its management through unani medicine
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:

Shagufta Rehman, Misbahuddin Azhar and Sheereen Afza


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Concept of du‘f al-mi‘da (functional dyspepsia) and its management through unani medicine

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

Doi: 10.20959/wjpr202010-18476


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Summary of article contents:

Introduction

Functional dyspepsia (FD), referred to as Du‘f al-Mi‘da in Unani medicine, is a common gastrointestinal disorder affecting approximately 11-30% of the global population. Characterized by a range of symptoms, including nausea, bloating, and early satiety, it can significantly impact the quality of life. The rise in FD cases has been attributed to shifts in lifestyle, particularly in developing countries where sedentary habits are increasingly common. The Unani system of medicine offers a rich repository of knowledge regarding digestive health, providing alternative perspectives on managing FD through both dietary practices and herbal remedies.

Unani Concept of Humoral Imbalance

One significant concept in relation to Du‘f al-Mi‘da is the Unani belief in humoral balance, which asserts that any imbalance in the body's humors can lead to disorders of the gastrointestinal system. According to this philosophy, a properly functioning GI system will maintain equilibrium, producing normal humors crucial for overall health. Du‘f al-Mi‘da is essentially linked to an alteration in the temperament of the stomach, where food stays longer than normal, leading to delayed digestion. This retention is viewed as a consequence of weakened digestive faculties, leading to various symptoms associated with dyspepsia.

Causes of Functional Dyspepsia

In Unani medicine, the causes of Du‘f al-Mi‘da involve various pathologies such as a deviation in the stomach’s temperament, accumulation of morbid materials, and the presence of inflammation or ulcers. Specifically, the retention of food can lead to gas formation, creating discomfort. These factors often stem from a mix of physiological and lifestyle influences, such as dietary habits and psychological stress, which are echoed in contemporary medical paradigms identifying excessive acid secretion and traditional triggers, including medication side effects and infections like Helicobacter pylori.

Treatment Modalities in Unani Medicine

The treatment approach towards Du‘f al-Mi‘da within the Unani system emphasizes a holistic methodology that encompasses regimenal therapy, dietary changes, pharmacotherapy, and, when necessary, surgical interventions. Regimenal therapy—focusing on lifestyle modifications regarding food intake—plays a crucial role in recovery. This is supported by a variety of single herbal drugs and compound formulations specified in classical literature, designed to strengthen the digestive system and alleviate symptoms. In contrast to certain allopathic treatments, Unani remedies are primarily herbal, making them cost-effective and generally free from adverse effects.

Conclusion

Du‘f al-Mi‘da (functional dyspepsia) poses a considerable healthcare challenge globally, especially given its heterogeneous symptom presentation. The Unani system of medicine provides valuable insights into the nature of this condition, both in terms of understanding its causes and offering holistic management strategies. The emphasis on humoral balance, dietary regulation, and the utilization of herbal formulations represents an alternative healing perspective that may complement modern medical approaches. Continued exploration of Unani remedies could pave the way for more effective treatment options for those suffering from FD, fostering better health outcomes in society.

FAQ section (important questions/answers):

What is Du‘f al-Mi‘da and its prevalence?

Du‘f al-Mi‘da, or Functional Dyspepsia (FD), affects 11-30% of the global population and is a significant concern for physicians, arising due to lifestyle changes in urban areas.

What are the primary causes of Functional Dyspepsia?

In Unani medicine, causes include imbalanced temperament of the stomach, accumulation of morbid materials, gas retention, and inflammation. Allopathic medicine cites various factors, including excessive acid secretion and psychological influences.

What symptoms indicate Functional Dyspepsia in patients?

Symptoms of Du‘f al-Mi‘da include nausea, vomiting, abdominal pain, belching, and loss of appetite, which align with the characteristics of Functional Dyspepsia in modern medicine.

How is Du‘f al-Mi‘da diagnosed in practice?

Diagnosis often involves ruling out organic diseases through tests such as blood counts, endoscopy, and H. pylori testing, ensuring no structural abnormalities contribute to symptoms.

What treatment modalities does Unani medicine offer for FD?

Unani medicine employs a holistic approach, utilizing regimenal therapy, dietary changes, pharmacotherapy, and various single and compound herbal formulations aimed at restoring balance in the digestive system.

Are there specific Unani formulations for treating Du‘f al-Mi‘da?

Yes, Unani medicine includes numerous formulations like Habb Halteet and Jawarish Aamla, using herbal components to address symptoms of Du‘f al-Mi‘da effectively.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Du‘f al-mi‘da (functional dyspepsia) management in Unani medicine.”. 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) Medicine:
Medicine refers to the science and practice of diagnosing, treating, and preventing diseases. In the context of this text, it emphasizes the various systems of medicine, particularly Unani, which is based on holistic approaches to health, focusing on overall body balance and treatment modalities for specific ailments like Du‘f al-Mi‘da (functional dyspepsia).

2) Disease:
Diseases encompass a broad range of health disorders affecting individuals physically and mentally. The discussion focuses on functional dyspepsia as a common ailment, layered with symptoms and potential underlying causes. Understanding its relationship with other diseases helps in crafting effective therapeutic approaches.

3) Food:
Food is essential for nutritional support and influences health significantly. In Unani medicine, the characteristics and quality of food intake are believed to play vital roles in digestion and overall health. The text mentions food retention related to Du‘f al-Mi‘da, indicating that dietary management can be crucial for alleviating digestive problems.

4) Drug:
Drugs refer to multiple medicinal substances used for various therapeutic purposes. The text explores numerous Unani drugs effective for treating Du‘f al-Mi‘da and emphasizes the system's reliance on herbal sources for creating formulations that improve digestion, showcasing the extensive pharmacopoeia available in Unani practices.

5) Sign:
A sign in medical terminology denotes an observable phenomenon indicating the presence of a condition or disease. This paper elaborates on the signs associated with Du‘f al-Mi‘da, which includes symptoms like nausea and pain after eating, illustrating the importance of recognizing these signs for proper diagnosis and treatment.

6) Accumulation (Accumulating, Accumulate):
Accumulation pertains to the gathering or build-up of substances within the body, which can lead to dysfunction. In the context of Du‘f al-Mi‘da, the text notes that accumulation of food or morbid materials in the stomach is a key factor, resulting in various digestive symptoms that require intervention.

7) Hindi (Himdi):
Hindi refers to the language spoken widely in India. Some references in this text may be in Hindi as Unani medicine is practiced in a culturally rich context where multiple languages play a role in knowledge transfer. This could aid practitioners in accessing traditional medicinal texts.

8) Blood:
Blood is a vital fluid that circulates in the body, carrying oxygen and nutrients. In functional dyspepsia contexts, blood tests are essential for examining anemia or other underlying conditions resulting from chronic gastrointestinal issues like Du‘f al-Mi‘da.

9) Medas (Meda, Medash):
Meda, in Unani terminology, refers to the stomach or digestive system, which holds significant importance in diagnosing and treating gastrointestinal disorders. The text discusses various conditions affecting Meda, particularly its role in the symptoms related to functional dyspepsia.

10) Pain:
Pain signifies an unpleasant sensory and emotional experience linked to actual or potential tissue damage. In this context, pain is one of the chief symptoms experienced by individuals with functional dyspepsia, illustrating the need for effective treatment strategies to minimize discomfort.

11) Vomiting:
Vomiting is a reflex action that expels contents from the stomach through the mouth. The text identifies vomiting as a significant symptom associated with Du‘f al-Mi‘da, emphasizing its relevance in diagnosing functional dyspepsia and understanding the digestive health of individuals.

12) Quality:
Quality refers to the standard or degree of excellence inherent in substances, including food and medical treatments. The discussion emphasizes the importance of food quality in Unani medicine, particularly how proper dietary habits can aid in managing digestive issues and enhance overall health.

13) Common People (Common Folk):
Common people refer to the general public who may benefit from accessible medical treatments. The paper implies that Unani medicine provides economically viable and effective health solutions for common people, addressing widespread issues like Du‘f al-Mi‘da without the necessity of expensive interventions.

14) Citrus medica:
Citrus medica, known as citrons, is a fruit historically valued in various traditional medicines. In the context of Unani medicine, it may be referenced for its therapeutic properties aiding digestion and health, exemplifying the use of natural ingredients in managing conditions like functional dyspepsia.

15) Inflammation:
Inflammation is the body’s immune response to injury or infection, leading to redness, swelling, pain, or heat. The text mentions inflammation due to the accumulation of morbid materials as a contributing factor in functional dyspepsia, accentuating the need for understanding inflammatory mechanisms in treatment.

16) Developing:
Developing refers to countries experiencing economic growth but often facing health concerns tied to lifestyle changes. The text notes that functional dyspepsia is increasingly prevalent in developing regions, highlighting the urgent need to address health issues related to modern lifestyle shifts.

17) Debility:
Debility signifies a state of weakness, often resulting from prolonged disease or nutritional deficiencies. The concept is relevant in discussing how functional dyspepsia can lead to general body weakness as the digestive system fails to absorb essential nutrients effectively.

18) Nausea:
Nausea is a sensation of discomfort in the stomach often preceding vomiting. The text highlights nausea as a common symptom of Du‘f al-Mi‘da, illustrating its importance in diagnosing functional dyspepsia and prompting the necessity for effective management strategies.

19) Makki:
Makki, as referenced in the text, often denotes substances derived from plant sources within the Unani medical system. The term may imply the usage of herbal remedies in treating conditions like functional dyspepsia, consistent with the holistic approach of Unani practices.

20) Table:
Table in a medical context often refers to a chart or list summarizing data, such as symptoms or disorders. This paper may include tables providing comparative insights on symptoms and treatments related to gastric issues like dyspepsia, facilitating clearer understanding.

21) Shada (Sada, Sadas):
Sada refers to something that is plain or pure. In the Unani context, it could signify formulations or drugs that are unadulterated and emphasize the importance of using high-quality, authentic ingredients in treatment for optimal health outcomes.

22) Nana (Na-na):
Nana commonly denotes mint in various cultures, renowned for its soothing properties. Within Unani medicine, Nana can be referenced for its digestive benefits, highlighting its relevance in natural remedies for alleviating conditions like Du‘f al-Mi‘da related to digestive health.

23) Diet:
Diet is a structured plan for nutrition that affects health and well-being. In Unani medicine, dietary practices are integral to treatment; the text emphasizes the regulation of diet—time, amount, and quality—as fundamental for managing digestive ailments like functional dyspepsia.

24) Rich (Rch):
Rich denotes abundance, often referring to the resources, knowledge, or quality available. The text describes Unani literature as rich in information about digestive health, showcasing the wealth of historical knowledge that can enhance modern treatment strategies for dyspeptic conditions.

25) Mita:
Mida pertains to the digestive system, particularly in Unani medicine. The text frequently addresses Mida in relation to functional dyspepsia, illustrating how disturbances in stomach function significantly influence overall health and wellness.

26) Life:
Life refers to the condition of being alive, encompassing health and well-being. The implications of health management through Unani medicine can enhance life quality, especially for those suffering from conditions like functional dyspepsia, making it essential for holistic healing practices.

27) Trigonella foenum-graecum:
Trigonella foenum-graecum, known as fenugreek, is celebrated for its health benefits, particularly in digestive health. Its mention in the context of Unani medicine underscores the reliance on herbal treatments for enhancing gastrointestinal function and symptom relief in conditions like Du‘f al-Mi‘da.

28) Nardostachys jatamansi (Nardostachys jatamamsi):
Nardostachys jatamansi, commonly known as spikenard, is valued in traditional medicine for its calming and digestive properties. In this text, its use in managing digestive conditions ties into Unani practices that utilize herbal ingredients to balance bodily humors and enhance digestive health.

29) Cinnamomum zeylanicum:
Cinnamomum zeylanicum, or Ceylon cinnamon, is acknowledged for its medicinal properties, particularly in supporting digestive health. In Unani treatments for functional dyspepsia, its properties may be utilized to aid digestion and alleviate symptoms, reflecting the importance of natural remedies.

30) Tinospora cordifolia:
Tinospora cordifolia, known as Guduchi, is recognized for its immunomodulatory and digestive benefits. In the discussion of Unani medicines, this herb's role in enhancing digestive functions and addressing conditions like functional dyspepsia highlights the systematic use of effective herbal treatments.

31) Phyllanthus emblica:
Phyllanthus emblica, known as Amla, is celebrated for its high vitamin C content and digestive benefits. Cited in the context of Unani medicine, Amla's applications in managing dyspepsia highlight the relevance of utilizing rich, natural sources for effective therapeutic interventions.

32) Glycyrrhiza glabra:
Glycyrrhiza glabra, or licorice, is noted for its soothing properties on the digestive tract. In the context of Unani formulations for conditions like functional dyspepsia, its incorporation illustrates the holistic approach to health care that emphasizes the balancing of humors through herbal remedies.

33) Terminalia chebula:
Terminalia chebula, also known as Haritaki, is valued in Ayurvedic and Unani medicines for its digestive support. Mentioned in the context of functional dyspepsia, it reflects the emphasis on traditional herbal therapies for restoring digestive harmony and health.

34) Cinnamomum tamala:
Cinnamomum tamala, recognized as bay laurel or Indian cassia, has medicinal properties associated with digestion and respiratory health. Its integration into Unani therapeutics for functional dyspepsia highlights the approach of leveraging local herbal assets for treating common digestive ailments.

35) Berberis aristata:
Berberis aristata, known as tree turmeric, has been traditionally used for its astringent and antimicrobial properties. The relevance within Unani formulations is significant, as it indicates the incorporation of a wide array of herbs to address gastrointestinal disorders and promote digestive health.

36) Santalum album:
Santalum album, or sandalwood, is revered for its calming and aromatic properties. In Unani therapies for functional dyspepsia, it might be incorporated not only for its flavor but also for its potential soothing effects on the digestive system, underscoring the holistic focus.

37) Mesua ferrea:
Mesua ferrea, known as nutmeg tree, is valued for its anodyne and digestive properties. This indicates its use in Unani medicine to treat gastric disorders, showcasing the diverse and rich sources utilized to enhance digestive health and improve symptoms like those seen in dyspepsia.

38) Piper longum:
Piper longum, commonly referred to as long pepper, is recognized for its digestive and respiratory health benefits. Incorporated into Unani formulations, it signifies reliance on traditional herbs to balance bodily humors and ease conditions associated with functional dyspepsia.

39) Piper cubeba:
Piper cubeba, known as cubeb pepper, has therapeutic uses particularly for digestive disorders. Its mention relates to the rich heritage of using various spices and herbs in Unani medicine, highlighting how these can enhance gastrointestinal health and overall digestion.

40) New Delhi:
New Delhi serves as a hub for traditional medicine research and practices in India. In the context of this text, the importance of local resources and studies conducted here supports the application and validation of Unani medicine in addressing common health issues like functional dyspepsia.

41) Pharmacotherapy:
Pharmacotherapy denotes the treatment of disease through the use of medications. The text presents Unani medicinal practices as a form of pharmacotherapy that utilizes natural herbal solutions for treating conditions like Du‘f al-Mi‘da, emphasizing its efficacy and economic advantages over allopathic approaches.

42) Hordeum vulgare:
Hordeum vulgare, or barley, is valued in various traditional medicinal systems for its health benefits. In the framework of Unani medicine, its usage points toward a focus on holistic dietary practices and foods that support digestion and alleviate symptoms of digestive disorders like dyspepsia.

43) Punica granatum:
Punica granatum, recognized as pomegranate, holds significant cultural and health value in traditional medicine. Its inclusion in Unani treatments illustrates the rich array of fruits used for their health-promoting properties, especially in supporting digestive function and managing related ailments.

44) Aegle marmelos:
Aegle marmelos, known as bael, is revered in traditional medicine for its digestive benefits. The text’s mention of this fruit reflects the traditional knowledge rooted in Unani practices, advocating for natural diet components to treat ailments related to digestion like functional dyspepsia.

45) Allium sativum:
Allium sativum, or garlic, is renowned for its health properties, particularly in digestion and immune support. Its reference in Unani formulations signals the system's reliance on widely recognized natural ingredients that contribute positively to digestive health and address issues like Du‘f al-Mi‘da.

46) Citrus limon:
Citrus limon, known as lemon, is valued for its vitamin content and digestive properties. The inclusion of lemon in Unani practices not only underscores its health benefits but also illustrates the therapeutic focus on integrating fruits that aid in digestive conditions and enhance overall wellness.

47) Irritation:
Irritation signifies discomfort and inflammation, which may arise from various factors such as diet and stress. The text illustrates how irritation results from digestive issues like functional dyspepsia, reinforcing the need for proper dietary management to alleviate such unpleasant symptoms.

48) Cannabis:
Cannabis has recognition for its medicinal attributes, particularly in managing pain and digestive disorders. Although not the main focus of this text, its mention highlights the broader scope of natural treatments considered in traditional medicine, including possible applications in digestive health.

49) Mineral:
Minerals are essential nutrients that play various roles in bodily functions, including digestion and metabolism. Discussions surrounding dietary intake in the text may include minerals to emphasize their importance in preventing deficiencies that could exacerbate conditions like functional dyspepsia.

50) Science (Scientific):
Science refers to the systematic study of the nature and behavior of the physical and natural world. The text that blends the principles of traditional Unani medicine with a scientific approach conveys the necessity of evidence-based practices in understanding and treating conditions like Du‘f al-Mi‘da.

51) Tamala:
Tamala, or Indian cassia, is recognized for its therapeutic applications, especially in herbal treatments. Its inclusion in Unani practices highlights the traditional knowledge utilized to address digestive disorders effectively, reflecting the systematic use of spices and herbs in healthcare.

52) Cancer:
Cancer refers to a group of diseases characterized by uncontrolled cell growth. The text notes various diagnostic methods for functional dyspepsia to rule out malignancies, illustrating the importance of thorough evaluation in primary care to address potential serious conditions among patients.

53) Bitter:
Bitter pertains to a taste quality associated with certain compounds that can stimulate digestion. The acknowledgment of bitter herbs in Unani formulations illustrates their significance in digestive health, particularly in treating symptoms of dyspepsia and enhancing the overall digestive process.

54) Reason:
Reason signifies an underlying cause or explanation for a phenomenon. The text discusses various causes and underlying pathologies related to Du‘f al-Mi‘da, highlighting the importance of understanding these reasons to implement effective treatment strategies in Unani and modern medicine.

55) Animal:
Animal refers to organisms in the kingdom Animalia, which can also have medicinal significance. Though primarily plant-based, the mention of animal-derived components in Unani medicine indicates a broader understanding of sourcing treatments, reflecting the comprehensive approach in addressing health issues.

56) Pitha:
Peetha, in Unani medicine, refers to prepared foods or remedies that consider both quality and temperament necessary for good health. This conveys the significant role of dietary practices in treating conditions like functional dyspepsia, emphasizing the need for appropriate nutritional strategies.

57) Pista (Pishta):
Pista, or pistachio, is a nut known for its health benefits, including fiber and healthy fats. In Unani traditional practices, it might be championed for its nutrient profile, reflecting how diverse food sources can positively influence digestive health and well-being.

58) Ushna (Usna):
Ushna indicates a warm or hot quality pertinent to traditional medicine, relating to the temperament theory in Unani. The reference signifies the importance of considering temperamental factors in dietary provisions and treatment choices for alleviating conditions like functional dyspepsia.

59) Delhi:
Delhi serves as a significant center for various traditional medical practices in India. The references to studies and cultural practices related to Unani medicine here emphasize the importance of integrating regional medical knowledge with contemporary healthcare practices for addressing widespread conditions like dyspepsia.

60) Amala:
Amala, or Phyllanthus emblica, is highly regarded for its health benefits, particularly in digestion and skin health. Its emphasis within Unani medicine underscores the reliance on effective herbal solutions to treat conditions like Du‘f al-Mi‘da and enhance overall health.

61) Kabir:
Kabir could refer to a significant ancient figure renowned for wisdom or it represents the need for gravity in understanding health issues. It conveys traditional thematic aspects that encourage comprehensive approaches in diagnosis and treatment within Unani practices.

62) Sugar:
Sugar signifies carbohydrates that serve as energy sources but can lead to health issues like obesity if consumed excessively. The text could underline the need for dietary control, citing how sugary substances can exacerbate conditions like functional dyspepsia through nutritional imbalance.

63) Jamun:
Jamun, or Indian black plum, is a fruit acknowledged for its medicinal properties, particularly in digestive health and blood sugar regulation. This reinforces Unani's focus on leveraging local, accessible fruits to enhance therapeutic outcomes for individuals with digestive ailments.

64) Honey:
Honey is a natural sweetener known for its antimicrobial and soothing properties, beneficial for digestive health. Its mention in Unani medicine highlights the focus on holistic health approaches utilizing natural remedies while considering the nutritional profiles of food.

65) Ulcer:
Ulcer indicates open sores on the skin or mucous membranes that can arise from various causes, including digestive issues. The text emphasizes the significance of recognizing ulcer-related symptoms in patients diagnosed with functional dyspepsia, promoting timely management to prevent complications.

66) Shiras (Siras, Siro, Shirash):
Siras could refer to specific terms in Unani referencing bodily aspects or organ functions. The mention indicates the detailed approach within Unani medicine to understanding the interconnectedness between various body parts and symptoms, further informing treatment methods.

67) Pearl:
Pearl represents rare and valuable items and can symbolize wisdom in traditional healthcare practices. Its inclusion may resonate with the utilization of unique natural substances in Unani remedies, enhancing treatment efficacy and promoting integrative practices in health management.

68) Study (Studying):
Study signifies the systematic investigation of subjects, crucial in validating medical practices and efficacy. The text underscores the importance of research into Unani medicine and its formulations, reflecting on the need for evidence-based practices to improve treatment protocols.

69) Lemon:
Lemon, noted in both culinary and therapeutic contexts, is valued for its digestive benefits and high vitamin content. In Unani practices, it represents the incorporation of fruits with health advantages, significant for managing gastrointestinal conditions like functional dyspepsia.

70) Wall:
Wall can indicate barriers within anatomical structures. The mention of walls hints toward possible structural concerns related to digestive health, emphasizing thorough evaluations in understanding conditions like functional dyspepsia awaiting proper treatment.

71) Tila:
Tila, commonly known as flaxseed or sesame seed, is recognized for its nutritional and medicinal properties. Reference in Unani suggests its use in dietary applications to facilitate overall digestive health, emphasizing the integration of diverse natural sources in treatment.

72) Sira (Shira):
Sira may refer to internal pathways or channels in the context of Unani medicine. Its mention reflects the intricate understanding of bodily functions and the holistic approach needed to address issues of digestion or health in individuals.

73) Desi (Deshi):
Desi denotes local or indigenous elements, often highlighting traditional practices and local produce. Its inclusion emphasizes the context of Unani medicine within cultural frameworks, showcasing how indigenous knowledge contributes to effective health management solutions.

74) Bora:
Bora refers to specific herbs or plants known for their medicinal properties within local traditions. Highlighting Bora substances reflects the rich heritage of utilizing various plant sources for effective treatments in Unani medicine, particularly for digestive health conditions.

75) Gilo:
Gilo, linked to the herb Tinospora cordifolia, is recognized for its medicinal applications, particularly in bolstering immunity and digestion. Its reference within the context enhances the understanding of valuable herbal resources in managing ailments like functional dyspepsia.

[Note: The above list is limited to 75. Total glossary definitions available: 85]

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