Management of Dubayla al-Kabid (Liver abscess) in Unani medicine: A review

Authors

Abstract

Dubayla al-Kabid (Liver abscess) is a condition in which collection of pus occurs in the liver commonly involving the right lobe. Traditional Unani medicine offers a detailed description of liver disorders alongwith their management. Causative factors of Dubayla al-Kabid include- infection, chronic dysentery, liver injury, cholelithiasis, irregular diets etc. The symptoms are fever with chills, abdominal pain, loss of appetite and difficulty in breathing.  The line of treatment under Usool-e-Ilaj of the disease is based on evacuation of pus, use of medicines with Dāfi‘-i-Ḥummā (Antipyretic) , Daf‘-i-Ta‘affun (Antiseptic), Muḥāfiẓ-i-Jigar (Hepatoprotective) and Muqawwī-i-Jigar(Liver tonic) properties. In contemporary medicine liver abscess is an encapsulated collection of suppurated material within the liver resulting from either fungal, bacterial, or parasitic infection. Although Klebsiella pneumoniae accounts for 50–70% of cases in the Asian subcontinent, Entamoeba histolytica is also frequently seen in routine clinical practice causing liver abscesses. Escherichia coli is the most common bacterium causing liver abscesses. Thus, infection that spreads throughout the biliary system is one of the most frequent causes of liver abscess requiring antibiotics.  The drainage of pus is the treatment of choice in cases of large abscess while small liver abscess of 2-3 cm is conventionally treated with antibiotics. Antimicrobial resistance and persistence are associated with an elevated risk of treatment failure and relapsing infections. Hence there is a need to explore the ages old treatment strategies for the management of small liver abscess laid down in traditional Unani medicine. This paper will further pave the way of developing novel therapies for the effective management of liver abscess.

Keywords:  Dubayla al-Kabid, Unani management, Usool-e-Ilaj

Keywords:

Dubayla al-Kabid, Unani management, Usool-e-Ilaj

DOI

https://doi.org/10.22270/jddt.v14i5.6579

Author Biographies

Ziaur Rahman, Regional Research Institute of Unani Medicine Mumbai CCRUM Ministry of Ayush Govt of India.

Regional Research Institute of Unani Medicine Mumbai CCRUM Ministry of Ayush Govt of India.

Shah Alam, Regional Research Institute of Unani Medicine Mumbai CCRUM Ministry of Ayush Govt of India.

Regional Research Institute of Unani Medicine Mumbai CCRUM Ministry of Ayush Govt of India.

Irfan Ahmad, Regional Research Institute of Unani Medicine Mumbai CCRUM Ministry of Ayush Govt of India.

Regional Research Institute of Unani Medicine Mumbai CCRUM Ministry of Ayush Govt of India.

Nikhat Shaikh, Regional Research Institute of Unani Medicine Mumbai CCRUM Ministry of Ayush Govt of India.

Regional Research Institute of Unani Medicine Mumbai CCRUM Ministry of Ayush Govt of India.

Mohammad Adil, Regional Research Institute of Unani Medicine Mumbai CCRUM Ministry of Ayush Govt of India.

Regional Research Institute of Unani Medicine Mumbai CCRUM Ministry of Ayush Govt of India.

Piyush Yadav, Regional Research Institute of Unani Medicine Mumbai CCRUM Ministry of Ayush Govt of India.

Regional Research Institute of Unani Medicine Mumbai CCRUM Ministry of Ayush Govt of India.

Nirmala Devi MK, Regional Research Institute of Unani Medicine Mumbai CCRUM Ministry of Ayush Govt of India.

Regional Research Institute of Unani Medicine Mumbai CCRUM Ministry of Ayush Govt of India.

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Published

15-05-2024
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How to Cite

1.
Rahman Z, Alam S, Ahmad I, Shaikh N, Adil M, Yadav P, et al. Management of Dubayla al-Kabid (Liver abscess) in Unani medicine: A review. J. Drug Delivery Ther. [Internet]. 2024 May 15 [cited 2024 Dec. 6];14(5):191-3. Available from: https://jddtonline.info/index.php/jddt/article/view/6579

How to Cite

1.
Rahman Z, Alam S, Ahmad I, Shaikh N, Adil M, Yadav P, et al. Management of Dubayla al-Kabid (Liver abscess) in Unani medicine: A review. J. Drug Delivery Ther. [Internet]. 2024 May 15 [cited 2024 Dec. 6];14(5):191-3. Available from: https://jddtonline.info/index.php/jddt/article/view/6579