Alteration in Asbāb-e-Sitta Ḍarūriyya (Six Essential Factors) for the Prevention of Buthūr Labaniyya (Acne Vulgaris): A Narrative Review of Unani and Contemporary Perspectives

Authors

  • Shaikh Mohammad Aatif Afzal Department of Amraze Jild wa Tazeeniyat (Dermatology and Cosmetology) National Institute of Unani Medicine, Kottigepalya, Magadi Main Road, Bengaluru-91, Karnataka, India.
  • Momin Arshad Manzoor Ahmed Department of Tahaffuzi wa Samaji Tib (Preventive & Social Medicine) National Institute of Unani Medicine, Kottigepalya, Magadi Main Road, Bengaluru-91, Karnataka, India. https://orcid.org/0009-0000-9195-507X
  • Niyazi Abdullah Khizar Department of Ilaj Bit Tadbeer (Regimenal Therapy), National Institute of Unani Medicine, Kottigepalya, Magadi Main Road, Bengaluru-91, Karnataka, India. https://orcid.org/0009-0006-4422-4817
  • Mohd Tarique Department of Moalajat (Medicine), National Research Institute of Unani Medicine for Skin Disorders, Telangana State. 500038 Hyderabad https://orcid.org/0009-0000-4808-9938
  • Samira Khatoon Choudhary Department of Ilmul Qabalat wa Amraze Niswan (Gynaecology and Obstetrics) National Institute of Unani Medicine kottigepalya magadi main road Bengaluru -91 Karnataka, India

Abstract

Acne vulgaris (Buthūr Labaniyya) is a prevalent chronic inflammatory disorder of the pilosebaceous unit, commonly affecting adolescents and young adults. The condition often leads to significant psychosocial distress and impaired quality of life. In the Unani system of medicine, Buthūr Labaniyya is attributed to humoral imbalance and disturbances in Asbāb-e-Sitta Ḍarūriyya, the six essential prerequisites for maintaining health. Classical Unani scholars emphasize disease prevention through regulation and moderation of these factors before initiating pharmacological treatment, aiming to restore systemic balance and limit drug dependency. This narrative review examines the role of alterations in Asbāb-e-Sitta Ḍarūriyya in the prevention and management of acne vulgaris by integrating evidence from classical Unani texts with contemporary understanding of acne pathophysiology. The review highlights lifestyle and dietary modifications as supportive, non-pharmacological strategies that may complement conventional acne management and contribute to a holistic therapeutic approach.

Keywords: Acne vulgaris; Buthūr Labaniyya; Unani medicine; Asbāb-e-Sitta Ḍarūriyya; Lifestyle modification

Keywords:

Acne vulgaris, Buthūr Labaniyya, Unani medicine, Asbāb-e-Sitta Ḍarūriyya, Lifestyle modification

DOI

https://doi.org/10.22270/jddt.v16i2.7578

Author Biographies

Shaikh Mohammad Aatif Afzal , Department of Amraze Jild wa Tazeeniyat (Dermatology and Cosmetology) National Institute of Unani Medicine, Kottigepalya, Magadi Main Road, Bengaluru-91, Karnataka, India.

Department of Amraze Jild wa Tazeeniyat (Dermatology and Cosmetology) National Institute of Unani Medicine, Kottigepalya, Magadi Main Road, Bengaluru-91, Karnataka, India.

Momin Arshad Manzoor Ahmed , Department of Tahaffuzi wa Samaji Tib (Preventive & Social Medicine) National Institute of Unani Medicine, Kottigepalya, Magadi Main Road, Bengaluru-91, Karnataka, India.

Department of Tahaffuzi wa Samaji Tib (Preventive & Social Medicine) National Institute of Unani Medicine, Kottigepalya, Magadi Main Road, Bengaluru-91, Karnataka, India.

Niyazi Abdullah Khizar , Department of Ilaj Bit Tadbeer (Regimenal Therapy), National Institute of Unani Medicine, Kottigepalya, Magadi Main Road, Bengaluru-91, Karnataka, India.

Department of Ilaj Bit Tadbeer (Regimenal Therapy), National Institute of Unani Medicine, Kottigepalya, Magadi Main Road, Bengaluru-91, Karnataka, India.

Mohd Tarique , Department of Moalajat (Medicine), National Research Institute of Unani Medicine for Skin Disorders, Telangana State. 500038 Hyderabad

Department of Moalajat (Medicine), National Research Institute of Unani Medicine for Skin Disorders, Telangana State. 500038 Hyderabad

Samira Khatoon Choudhary , Department of Ilmul Qabalat wa Amraze Niswan (Gynaecology and Obstetrics) National Institute of Unani Medicine kottigepalya magadi main road Bengaluru -91 Karnataka, India

Department of Ilmul Qabalat wa Amraze Niswan (Gynaecology and Obstetrics) National Institute of Unani Medicine kottigepalya magadi main road Bengaluru -91 Karnataka, India

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2026-02-15
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How to Cite

1.
Afzal SMA, Manzoor Ahmed MA, Khizar NA, Tarique M, Choudhary SK. Alteration in Asbāb-e-Sitta Ḍarūriyya (Six Essential Factors) for the Prevention of Buthūr Labaniyya (Acne Vulgaris): A Narrative Review of Unani and Contemporary Perspectives. J. Drug Delivery Ther. [Internet]. 2026 Feb. 15 [cited 2026 May 30];16(2):92-7. Available from: https://jddtonline.info/index.php/jddt/article/view/7578

How to Cite

1.
Afzal SMA, Manzoor Ahmed MA, Khizar NA, Tarique M, Choudhary SK. Alteration in Asbāb-e-Sitta Ḍarūriyya (Six Essential Factors) for the Prevention of Buthūr Labaniyya (Acne Vulgaris): A Narrative Review of Unani and Contemporary Perspectives. J. Drug Delivery Ther. [Internet]. 2026 Feb. 15 [cited 2026 May 30];16(2):92-7. Available from: https://jddtonline.info/index.php/jddt/article/view/7578

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