Modern Insight into an ancient practice: Fasd (Venesection) for varicose vein Relief: A case study
Abstract
Varicose veins are defined as vein disorders, particularly in the legs, in which several dilated and lengthened veins have permanently lost their valvular efficiency. This impairs backward flow and causes turbulence in the blood circulation in the lower extremities. It is particularly prevalent in the superficial veins of the legs, and it presents with a number of related symptoms that exacerbate varicose veins. The Unani medical system uses many Tadbeer (regimental therapies), which is also known as Ilaj-Bit-Tadabeer like Fasd (Venesection) and Irsale-Alaq (Leech therapy). This study has demonstrated the effectiveness of Fasd (Venesection) in treating varicose veins by enhancing blood circulation and lowering Imtila (Blood congestion). In order to achieve this, the patient was monitored for a month and treated by Fasd (Venesection) every third day with a supportive herbal medicine that included a decoction of 6 grams bark of Arjun (Terminalia Arjuna) twice a day for 21 days. Fasd (Venesection), has been shown to dramatically lower venous engorgement by reducing oedema, congestion, and pain.
Keywords: Unani Medicine, Imtila, Ilaj-Bit-Tadbeer, Fasd(Venesection), Bark of Arjun.
Keywords:
Unani Medicine, Imtila, Ilaj-Bit-Tadbeer, Fasd(Venesection), Bark of ArjunDOI
https://doi.org/10.22270/jddt.v15i7.7260References
1. Leeches. Dent Register, 1881, 35: 246-48. Available at www.fauchard.org.
2. Jurjani I. Zakhira Khawarzam Shahi. Vol. VI. (Urdu Trans. by Khan HH) 17.
3. Arzani MA. Tibbe Akbar. (Urdu Trans. by Hussain M) Deoband: Faisal Publications; YNM: 628-29.
4. Ibn Sina. Alqanoon Fil Tib. Vol. III. (Urdu Trans. by Kantoori GH) New Delhi: Idara Kitabul Shifa; 2007: 371-73.
5. Quamri MH. Ghina Muna maa Tarjuma Minhajul Ilaj. PNM; YNM: 286
6. Russell RCG, William NS, Christopher JK, Bulstrode. Bailey & Love's Short Practice of Surgery. 24th ed. London: Arnold a member of the Hodder Head line Group; 2004: 956-66.
7. Berkow Robert, Beers MH, Fletcher AJ, Altman LK, Gabbard GO, Blumenthal SJ, et al. The Merck Manual of Medical Information. Home Edition. New Jersey: Merck Research Laboratories; 1997:144-46.
8. Shah SN, Anand MP, Acharya VN, Karnad DR, Bichile SK, Kamath SA, et al. API Text book of medicine. 7th ed. Mumbai: The Association of Physicians of India; 2003: 519-20.
9. Robertson L, Evans C and Fowkes FG: Epidemiology of chronic venous disease. Phlebology 2008;23:103-111. https://doi.org/10.1258/phleb.2007.007061 PMid:18467617
10. Malhotra SL. An epidemiological study of varicose veinsin Indian railroad workers from the south and north of India, with special reference to the causation and prevention of varicoseveins. Int. J. Epid 1972; 1:17783. https://doi.org/10.1093/ije/1.2.177 PMid:4669192
11. Razi AZ. Kitab Al-Hawi Fil Tib. Vol. XI. (Trans. By CCRUM) New Delhi: CCRUM Ministry of Health & Family Welfare; 2004: 189-98.
12. Mustafa I, Hasan A, Qadir H. Al-Mojam-ul- waseet. Deoband: Faisal publications; 2006.
13. Baghdadi IH. Kitab Al Mukhtarat Fit Tib. Vol. 1. New Delhi: CCRUM, Ministry of Health and Family Welfare, Govt. of India; 2007.
14. Sina I. Al Qanoon Fit Tib. Vol. 1 (Urdu Translation by GH Kantoori). New Delhi: Idara Kitab us Shifa; 2010.
15. Masihi IQ. Kitab Al- Umda Fil Jarahat. Vol. 1. New Delhi: CCRUM, Ministry of Health and Family Welfare, Govt. of India; 2000.
16. Parapia LA. History of bloodletting by phlebotomy. Br J Haematol.2008;143($):490-495 https://doi.org/10.1111/j.1365-2141.2008.07361.x PMid:18783398
17. Al-KhujandiIbneAbiNusar. AttalwihIlaAsraritTanqih. Ed,1st. New Delhi: Hakim Abdul Bari Falahi; 2008.
18. Ibne Sina Bu Ali. Kulliyat-e-Qanoon. (Translated by Hakeem Mohammad Kabeeruddin). Lahaur: NadeemYonus Printer; YNM.
19. Zahrawi AQ. Jarahiyatzahrawi (Urdu translation by Hk. Nasir Ahmad Kakorvi). New Delhi: CCRUM, Ministry of Health and Family Welfare, Govt. of India; 2012.
20. Ahmed, S.1., (1980). Introduction to Al-Umur al Tibi yuh, Ist ed., Hakim Nuzhat Ishtiaq, A and U Tibbiya College, New Delhi.
21. Row LR, Murty PS, Subbarao GSR, Sastry CSP Ran KVJ. Chemical examination of Terminalia arjuna: Part-XII: isolation and structure determination of aris acid, a new trihydroxytriterpene carboxylic acid from Terminalia urje bark Indian Chem. 1970:8:716-721.
22. Honda T, Murae T, Tsuyuki T. Takahashi T, Sawai M. Arjunpenin, arjunglucoside I and arjunglucoside II, a new triterpene and new triterpene-glucosides from Terminatia orjuna. Bull Chem Sot jpn. 1976.49:3213-3218. https://doi.org/10.1246/bcsj.49.3213
23. Singh DV. Verma RK Gupta MM. Kumar S. Quantitative determination of ole ane derivatives in ferminalia arjuno by high performance thin layer chroma tography. Phytochem Anal, 2002:13-207-210. https://doi.org/10.1002/pca.643 PMid:12184173
24. Singh DV. Verma RK, Singh SC, Gupta MM. RP-LC determination of oleane derivatives in Terminalia arjuna. J Pharm Biomed Anal. 2002:28:447-452 https://doi.org/10.1016/S0731-7085(01)00590-8 PMid:12008123
25. Anjaneyulu ASR, Prasad AVR, Structure of terminic acid, a dihydroxy-triterpene carboxylic acid from Terminalia arjuna. Phytochemistry 1983;22;993-998 https://doi.org/10.1016/0031-9422(83)85039-0
26. Singh B, Singh VP, Pandey VB, Rucker G. A new triterpeneglycoside frum fer minalia arjuna. Planta Med. 1995:61-576-577. https://doi.org/10.1055/s-2006-959380 PMid:17238114
27. Wang W. All Z, Shen Y, Li X, Khan A. Ursane triterpenoids froot the bark of Terminalla arjuna. Pitoterapia. 2010:81-480;484. https://doi.org/10.1016/j.fitote.2010.01.006 PMid:20079816
28. Row LR, Murty PS, Subba Rao GSR, Sastry CSP, Ran KVJ. Chemical examination of Terminalia arjuna: Part-XII: Isolation and structure determination of arjo netin from Terminalia arjuna bark. Indian Chem. 1970:8.772-775.
29. Honda T, Murae T. Tsuyuki T, Takahashi T. The structure of arjungen; a new sapogenin from Terminalia arjuna. Chem Pharm Bull. 1976;24;178-180. https://doi.org/10.1248/cpb.24.178
30. Sharma PN, Shoeb A, Kapil RS, Popli SP. Arjunolone: a newflavones from stem bark of Terminalia arjuna. Indion Chem. 1982;218;263-264.
31. Tripathi VK, Pandey VB, Udupa KN. Rucker G. Arjunolitin, a triterpene glycoside from Terminalia arjuna. Phytochemistry, 1992;31;349-351, https://doi.org/10.1016/0031-9422(91)83075-V
32. Ali A, Kaur G, Hayat K, All M. Ather M. A novel naphthanolglycoside from Terminalia arjuna with antioxidant and nitricoside inhibitory activities. Phormazie. 2003;58;932-934,
33. Ali A, Kaur G, Hamid H, et al. Terminoside A, a new triterpanegivcoside from the bark of Terminalia arjuna inhibits nitricoxide production in murine macro-phages. J Asian Nat Prod Res. 2003;5;137-142 https://doi.org/10.1080/1028602031000066834 PMid:12765198
34. Wang W. Ali 2, Li XC, Shen Y. Khan IA. Triterpenoids from two Jennimalta species. Planta Med. 2010:76;1751-1754. https://doi.org/10.1055/s-0030-1249809 PMid:20383817
35. Patnaik T. Dey RK, Gouda P. Isolation of triterpenoidelycoside from bark of Terminalia arjuna using chromatographic technique and investigation of pharmacological behavior upon muscle tissues. EJ Chem. 2007:4 474-479. https://doi.org/10.1155/2007/538932
36. Ahmad MU, Mullah KB, Norin T. Ulla JK. Termino acid, a new trihydroxy-triterpene carboxylic acid from bark of Terminalis arjune Indian Chem. 1983:22:738-740.
37. Pettit GR, Hoard MS, Doubek DL, et al. Antineoplastic agents 333. The cancer cell growth inhibitory. Constituents of Terminalia arjuna (Combretaceae J Ethnopharmacol. 1996:53:57-63. https://doi.org/10.1016/S0378-8741(96)01421-3 PMid:8844460
38. Anonymous. Terminallia arjuna.Altern Med Rev.1999;4:436-437
39. Saha A, Pawar VM. Jayaraman 5. Characterization of polyphenols in Ferminatm arjuna bark extract. Indian J Pharm Sct. 2012,74:339-347. https://doi.org/10.4103/0250-474X.107067 PMid:23626389 PMCid:PMC3630729
40. Takahashi SH. Tanaka H, Hano Y, Itok T. Nomura 1. Shigenobu k. Hypotensive effects in rats of hydrophilic extract from Terminaho arjuna containing tannin related compounds. Phytother Res. 1997;11:424-427, https://doi.org/10.1002/(SICI)1099-1573(199709)11:6<424::AID-PTR117>3.0.CO;2-K
41. Lin TC, Chien SC, Chen HF, Hsu Fl. Tannins and related compounds from Combretaceae plants. Chin Pharm / 2001.52:1-26.
42. Kuo Pl, Hsu YL, Lin TC, Lin LT. Chang JK. Lin CC Casuarinin from the bark of Terminalia arjuna induces apoptosis and cell cycle arrest in human breast adenocarcinoma MCF-7cells. Planta Med. 2005:71:237-243. https://doi.org/10.1055/s-2005-837823 PMid:15770544
43. Dwivedi S, Udupa N. Terminalia arjuna pharmacognosy, phytochemistry, pharmacology and clinical use a review. Fitoterpia, 1989.60:413-420
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