Case Series to evaluate role of Nutool Therapy on Headache frequency, MIDAS (Migraine Disability Assessment Score) headache intensity by VAS in diagnosed cases of Shaqiqa (Migraine) in Delhi
Abstract
Almost all Unani physicians have advocated Nutool therapy in the management of migraine (Shaqiqa), particularly with or without medicated oil or liquid, but unfortunately these have not evaluated on scientific parameters. Despite the fact that, this therapy is in the practice of Unani physician and a large number of patients have been treated successfully; this regimen still requires scientific validation to generalize their popularity and acceptability. Present paper is the case series of diagnosed migraine patients to assess the effect of Nutool therapy on headache intensity, MIDAS scale and Pain intensity. The present study entitled “Case Series to evaluate role of Nutool Therapy on Headache frequency (from the daily headache diary),MIDAS (migraine disability assessment score) headache intensity by VAS in diagnosed cases of Shaqiqa (Migraine) in patients attending HAHU and SUMER ,Jamia Hamdard Delhi was conducted in the Department of Tahaffuzi-wa-samaji Tib, SUMER, Jamia Hamdard, New Delhi during the period of September 2020 to Nov 2020 in Psychiatric OPD of HAHC Hospital, Jamia Hamdard, New Delhi on diagnosed Patients of Migraine as per ICHD3rd (International classification of headache disorders) Criteria. Nutool with Rogan Gul was done for 30 minutes for 12 sittings. The analysis of Nutool therapy on intensity of pain was done and it was found that Nutool therapy reduced the intensity of pain, and it was found statistically significant P<.005 (ANOVA of repeated measures) Freidman statistic Fr =17.76. Nutool therapy also reduced the MIDAS (migraine disability assessment score) and was statistically significant (P<.0047).and was effective on intensity of headache and found statistically significantly P<.0001. Further studies need to be carried out so that it can be advocated on large scale in management of migraine effectively.
Keywords: Migraine, Nutool, Rogan-e-Gul, MIDAS, VAS, Pain.
Keywords:
Migraine, Nutool, Rogan-e-Gul, MIDAS, VAS, Pain., Migraine, Nutool, Rogan-e-Gul, MIDAS, VAS, PainDOI
https://doi.org/10.22270/jddt.v12i1.5204References
Benjamin James Sadock, M.D. Virginia Alcott Sadock, M.D. Pedro Ruiz,M.D. Comprehensive Textbook of Psychiatry, Wolters Kluwer. 1(10):619-620.
Sylvia C. Mckean, John J. Ross, Daniel D.Dressler, Daniel J.Botman, Jeffrey S. Ginsberg. Principles and Practice of Hospital Medicine, Mc Graw Hill, A C Publishers,.
Azam R, Nisar S, Jabeen A, Jilani S, Jahangir U, Parveen S. Nutool Therapy (Irrigation) and its Practical Applications in Unani System of Medicine. World Journal of Pharmaceutical Research. 2016; 5(11):599-607.
Azam R, Mushtaq S, Fassihuzaman A. Jabeen Z, Zaidi S, Alam. Nutool (Irrigation) - An effective mode of treatment in Ilaj bit Tadbeer (Regimenal therapy). Indo American Journal of Pharmaceutical Research 2014; 4(12):5787-91.
Azam R, Mushtaq S, Fassihuzaman A. Jabeen Z, Zaidi S, Alam. Nutool (Irrigation) - An effective mode of treatment in Ilaj bit Tadbeer (Regimenal therapy). Indo American Journal of Pharmaceutical Research 2014; 4(12):5787-91.
IbneSina. Kulliyat e Qanoon. (trans: Kabiruddin HM.). Vol I, II. New Delhi: Aijaz publishing house; 2006.
Sina I. Al QanoonFilTib (Urdu Trans: Kantoori GH). Vol. I-V. New Delhi: IdaraKitabulshifa; Y.N.M.
Majoosi A. Kamil-us-Sana. (Urdu translation by G H Kantoori). Central Council for Research in Unani Medicine. New Delhi 2010; 2:544-545.
Rizwana AA, Sherwani AMK, Hafeel MHM. Tadabeer e Mashaikh (Regimens for Elderly) in Unani System of Medicine. European Journal of Pharmaceutical and Medical Research. 2015; 2(5):249-53.
Nikhat S, Fazil M. An Analytical Review on Nutool (Irrigation) Therapy. Journal of Drug Delivery and Therapeutics. 2015 Sep 21; 5(5):1-4. https://doi.org/10.22270/jddt.v5i5.1127
Jilani G. Makhzanul Murakkabat. New Delhi: Aijaz Publication House; 1995.
Majoosi. Kamilus Sana. (Urdu Trans: Kantoori GH.). New Delhi: IdaraKitabulshifa; 2010.
Uebaba K, Xu FH, Tagawa M, Asakura R, Itou T, Tatsuse T et al. Using a Healing Robot for the Scientific Study of Shirodhara. Altered States of Consciousness and Decreased Anxiety through Indian Dripping Oil Treatments. IEEE Eng Med Biol Mag. 2005 April; 24(2):69-78. https://doi.org/10.1109/MEMB.2005.1411351
Uebaba K, Xu FH, Ogawa H, Tatsuse T, Wang BH, Hisajima T, Venkatraman S. Psychoneuroimmunologic Effects of Ayurvedic Oil- Dripping Treatment. J Altern Complement Mede. 2008; 14(10):1189–98. https://doi.org/10.1089/acm.2008.0273
Moharana H. Therapeutic Efficacy and Mechanism of Action of AyurvedicShirodhara: An Evidence Based Review. World Journal of AyurvedaShirodhara. 2017; 2(1):131-9.
Jahan M, Shervani AMK, Ahmed V, Firdose FK, Ansari AN, Jahan N. An interventional trial to evaluate efficacy of nutool therapy in control of primary insomnia among elderly using structured insomnia schedule. Int. Res. J. Medical Sci. 2014 February; 2(2):1-6.
Umar Afzal, Abdul Nasir Ansari, Mohd Nayab, Efficacy of Nutūl-i-Ḥār (Hot Irrigation), a Polyherbal Unani Formulation, in the Treatment of Shaqīqa-i-Muzmin (Chronic Migraine): An Open Single-Arm Exploratory Clinical Trial., Trad Integr Med, Volume 6, Issue 4, Autumn 2021 https://doi.org/10.18502/tim.v6i4.8271
http://www.essential-oil-directory.com/rose-essential-oil.html (28/06/08).
MN Ghani Khazainul Advia [Book]. - New Delhi : Idhara Kitab UL Shifa, YNM. - pp. 120-122, 741-742, 802-805, 813-814, 999-1003, 1235-1236, 397-398, 1133-1135..
Baitar Ibn Al-Jami-ul-Mufaradat wa Al Aghzia (Urdu Translation by CCRUM) [Book]. - New Delhi : Ministry of Health and Family Welfare, Govt. of India, 1986. - Vols. vol-I : pp. 287-289.
Baitar Ibn Al-Jami-ul-Mufradat wa Aghzia (Urdu Translation by CCRUM) [Book]. - New Delhi : Ministry of Health and Family Welfare Govt. of India, 1986. - Vols. Vol-II : pp. 219-223.
M Kabeeruddin Makhzanul Mufradat Al Maroof Khawasul Advia [Book]. - New Delhi : H.S Offset Press, YNM. - pp. 242-243, 306-307, 342-343, 346-347, 430-431, 540, 103-164.
Samarqandi N TarjumaSharahAsbab (Urdu Translation by Hakim Khwaja Hussain Ahmad) [Book]. - New Delhi : CCRUM, 2010. - Vol. 1 : pp. 76-83.
Razi AMBZ Kitab ul Mansoori [Book]. - New Delhi : CCRUM, 1991. - pp. 317-318.
Majoosi AIA Kamil us Sana Urdu Translated by Ghulam Hussain Kantoori) [Book]. - New Delhi : CCRUM, 2010. - Vol. 2 : pp. 544-545.
Khan HA Ikseer e Azam Urdu Translation by Hakeem Mohammad Kabeeruddin [Book]. - New Delhi : Idara Kitabulshifa, 2011. - pp. 77-81.
Razi MBZ Kitab Al Hawi [Book]. - New Delhi : CCRUM, 1997. - Vol. 1 : pp. 192-198.
Zohar AMI Kitab-ul-Taiseer [Book]. - New Delhi : CCRUM, 1986. - pp. 77-78.
Graham JR & Wolff HG; “Arch Neurol Psychiatry” 1938; 39: 737. 47. Hoyer D, Clarke DE, Fozard JR, Hartig PR, Martin GR, Mylecharane EJ, Saxena PR & Humphrey PP: Pharmacol Rev. 1994; 46:157. https://doi.org/10.1001/archneurpsyc.1938.02270040093005
Stovner LJ, Hagen K: “Prevalence, burden, and cost of headache disorders. Current Opinion in Neurology” 2006; 19(3):281-285. https://doi.org/10.1097/01.wco.0000227039.16071.92
Neuropsychiatric Dis.Treat.“Prophylaxis of migraine: general principles and patient acceptance” Dec 2008; 4(6):1155–1167 https://doi.org/10.1097/01.wco.0000227039.16071.92
Saxena PR, P felt-Hansen P: “Triptans, 5-HT1B/1D receptor agonists in the acute treatment of migraines”. The Headaches Lippincott Williams and Wilkins, Philadelphia Olesen J, Goads by PJ, Ramadan NM, T felt-Hansen P, Welch KMA, 2006; (3):469-503.
Larus SG; “Migraine, blood pressure and information in relation to cardiovascular diseases and mortality” [Ph D thesis]; school of health sciences, faculty of medicine University of Iceland: Nov. 2010; 2-3.
Anonymous;” Standard Unani Medical Terminology”, New Delhi: CCRUM; 2012:181.
Denise LM; “Neuropsychological functioning of migraine patients with and without aura and cerebral hemisphere Laterality.”[PhD thesis], Concordia University, Canada. October 2005; 1-917.
Pearce JM, Historical aspects of Migraine. Journal of Neurology, Neurosurgery, and Psychiatry. 1986 Oct;49(10):1097. https://doi.org/10.1136/jnnp.49.10.1097
Golwalla ASPI F and Golwalla Sharukh A Medicine for Student [Book]. - Mumbai : Dr ASPI F Golwalla, 2008. - 22nd : pp. 499-504.
Munjal YP [et al.] Textbook of Medicine [Book]. - Mumbai : The Association of Physicians of India, 2012. - 9th : Vol. 1 : pp. 12-15.
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