Open Access Open Access  Restricted Access Subscription Access

A Comprehensive Review on Plethora: Etiopathogenesis, Signs, Symptoms, and Complications from the perspective of the Unani Medicine


Affiliations
1 Department of Ilmul-Amraz, Faculty of Unani Medicine, Aligarh Muslim University, Aligarh – 202001, Uttar Pradesh, India
2 Department of Moalejat, Faculty of Unani Medicine, Aligarh Muslim University, Aligarh - 202001, Uttar Pradesh, India
 

The concept of Imtila (plethora) is defined vividly and scientifically in Unani classical literature. Imtila (plethora) is the most common humoral disease and has multiple etiology and clinical manifestations. The signs and symptoms associated with Imtila (plethora) are headaches, clogged eyes, pulsatile conduits, flushing of the face, puffiness of the face, inability to speak, heavy head and dark and dense urine, etc. Long-lasting effects of untreated Imtila (plethora) can lead to various co-morbidities, such as Jarayan al-Dam (Haemorrhage), Tashannuj (Convulsion), Sakta (Apoplexy), Falij (Paralysis), Junun (Insanity) Hidhayan (Delirium), Ghashi Imtila’i (Syncope), Ufunat-e-dam (infection in the blood), Dasoomat e Dum (dyslipidemia), etc. Therefore, it is essential to identify the symptoms of Imtila (plethora). Early detection will aid in obtaining urgent medical attention and treatment, which can reduce complications. Unani physicians used various methods to eliminate surplus, harmful, and undigested humour that might have further tainted the humour. Unani physicians prescribed various exercises and regimens in combination with food and drugs to restore the humoral balance of the body. The present review paper systematically emphasizes the proper understanding of Imtila (plethora) to understand its etiopathogenesis, signs, & symptoms, and complications. We have also discussed the course of treatment suggested by Unani physicians considering the physiopathology and clinical characteristics.

Keywords

Imtila, Plethora, Stroke, Unani Medicine.
Font Size

User

Notifications
JOURNAL COVERS
  

  • Fariba KA SA. Avoidant Personality Disorder - NCBI Bookshelf [Internet]. StatPearls. 2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559325/
  • Ali F. Concept of physio-dynamism of Tabiat in the Unani system of medicine. Journal of Integrated Community Health. 2012; 1(2):25-8.
  • Zargaran A, Kordafshari G, Kenari HM, Nazem E, Moghimi M, Reza M, et al. The role of nature (Tabiat) in Persian Medicine. Traditional and Integrative Medicine. 2017; 4(7):177-81.
  • Razi MZ. Kitabul Murshid.pdf. 1st ed. Urdu Tarjuma by Mohd Raziul Islam Nadvi, editor. Delhi: Taraqqi Urdu Bureau; 2000. p. 48-54.
  • Majoosi AIA. Sana K. Part-1 UT by GHK, editor. Matba Munshi Naval Kishore, Lukhnow; 1889; 41-60:548-551.
  • Kabeeruddin HM. Tarjuma wa sharah Kulliyat-e-Qanoon. Part II. Daftarul Maseeh Karolbagh, New Delhi; 1930. p. 433-437,457-461,463-464.
  • Masihi ASI bin Y bin I. Kitabul Miah fil Tib. 1st ed. CCRUM UT by, editor. New Delhi: CCRUM; 2008. p. 101-110, 180-190.
  • Abu Al Walid Mohammed Ibne Rushed. Kitabul Kullyat. Urdu Translation by CCRUM, editor. New Delhi: Central Council for Research in Unani Medicine; 1980. p. 156-160
  • Khan BD, Azmat J. Hypertension in Unani system of medicine 1. 2017; 12(1):21-30.
  • Al-Shaikh, Al- Rais, Abo Ali, Al-Husain, Bin Abdullah, Bin Sina. Al Qanun Fil Tibb. 1st ed. English translation of the critical Arabic text, editor. New Delhi: Department of Islamic Studies, Jamia Hamdard; 1993. p. 183, 198.
  • Grmier OC. The canon of medicine of Avicenna. 1st ed. New York: AMS Press; 1973. p. 252-259.
  • Alam MA, Quamri MA, Sofi G, Tarique BM. Understanding hypothyroidism in Unani medicine. J Integr Med. 2019; 17(6):387-91. https://doi.org/10.1016/j.joim.2019.05.006 PMid:31164280
  • Ahmer S, Amin MMW, Fahad A. Geriatric care in pandemic era: From the perspective of Unani medicine guidelines. Journal of Indian System of Medicine. 2021; 9(4):235. https://doi.org/10.4103/jism.jism_44_21
  • Urooj S, Jahangir U, Maaz M, Azam R. Dyslipidemia from Unani prospective and its management with Safoof e Muhazzil: An update. Phytomedicine Plus. 2021; 1(4):100103. https://doi.org/10.1016/j.phyplu.2021.100103
  • Syed Ishtiyaq Ahmad. Al Umoor Al Tabi’yah. New Delhi: Central council for research in Unani Medicine; 1980. p. 162-167, 174-175 p.
  • Kabiruddin M. kulliyat-e-Nafisi. part 1,. Urdu translation by Nafis, editor. New Delhi: Idara kitab al Shifai; 1954. 13-77, 119, 319, 474.
  • Khan AA. Clinical study on management of essential hypertension with a compound formulation of Sankhahauli, filfil Siyah and parsiyoshan. Jamia Hamdard, New Delhi; 2004.
  • Khan QA, Khan AA, Jabeen A, Jahangir U KM and AS. Essential hypertension: A co-relational approach in Unani medicine. International Journal of Pharmacognosy. 2016; 3(6):240-4.
  • Iqbal N, Ali SR SR, Ansari AA, Khan KZ, Khan BD AN. Concept of hypertension (Zaghtuddam Qawi) in Unani system of medicine. Int Pharm Sci. 2013; 3(2):1-5.
  • Avicenna (980-1037). Kitāb al-Qānūn fī al-tibb. Arabic. Romae In Typographia Medicea 1593; p. 60.
  • Anwar A, Khan AA, Anjum PR. Hypertension and its management through Unani approach -A review. J Emerg Technol Innov Res. 2020; 7(8):1873-7.
  • Pathological Physiology of the Blood System; 2010.
  • Heydari M, Dalfardi B, Golzari SEJ, Habibi H, Zarshenas MM. The medieval origins of the concept of hypertension. Heart Views. 2014; 15(3):96. https://doi.org/10.4103/1995-705X.144807 PMid:25538828 PMCid:PMC4268622
  • Shazia Parveen F, Qaumri Reader M, Ahmed Medical Officer K, Sultan T, Anzar Alam Scholar M, Farooqui Shazia Parveen C, et al. Concept and management of hypertension: A review. International Journal of Unani and Integrative Medicine. 2017; 1(1):17-20.
  • Borrelli S, Provenzano M, Gagliardi I, Ashour M, Liberti ME, De Nicola L, et al. Sodium Intake and Chronic Kidney Disease. Int J Mol Sci. 2020; 21(13):1-13. https://doi.org/10.3390/ijms21134744 PMid:32635265 PMCid:PMC7369961
  • Nafees B. Kulliyat-e-Nafeesi. Part-1, Ta. Kabeeruddin H, editor. Matba Daftarul Maseeh, Hydrabaad; 1954. p. 70-86.
  • Kantoori GH. Tarjuma Qanoon. Volume-1. Urdu translation original author S, Sina AI e AI, editors. Lucknow, UP: Munshi Nawal Kishore; 1889. p. 498-549.
  • Abul Hasan Ali Bin Raban Tabri. Firdausul Hikmat.pdf. Deoband: Faisal Publication; p. 124, 306, 307, 470.
  • Hakim Syed Kamal Husain Hamdani. Daqaiqul Kulliyat. New Delhi: Aijaz Publishing House; 1996. p. 180.
  • Shah MH. The general principles of Avicena’s Canon of Medicine. Darya Ganj New Delhi: Idara Kitab-ul-Shifa; 2007. p. 227.
  • Jurjani A ul H. Zakhira Khwarzam Shahi. Vol-II, Ur. Lukhnow: Matba Munshi Naval Kishore; 1902. p. 17, 23, 102, 220.
  • Mohammad Zakariya Razi. Kitabul Mansoori. Urdu Trans. CCRUM, New Delhi; 1991. p. 160.
  • Ali SJ, Ansari AN, Anwar M. Study of risk factors of stroke in patients visiting neurology OPD, NIUM, Bangalore with special reference to Unani Medicine. World Journal of Pharmaceutical And Medical Research. 2017; 3(7):118-21.
  • Adams F. Aphorisms. The works of Hippocrates and Galen: Hippocrates, Galen: Free Download, Borrow, and Streaming: Internet Archive. Available from: https://archive.org/details/TheWorksOfHippocratesAndGalen
  • Nozad A, Naseri M, Safari MB, Abd Al Ahadi A, Ghaffari F. Food reduction in Avicenna’s view and related principles in classical medicine. Iran Red Crescent Med J. 2016; 18(6). https://doi.org/10.5812/ircmj.25760 PMid:27621927 PMCid:PMC5003059
  • Parvizi MM, Nimrouzi M, Lankarani KB, Alorizi SME HM. Health recommendations for the elderly in the viewpoint of traditional Persian medicine. Shiraz E Med J. 2018; 19(1):1- 8. https://doi.org/10.5812/semj.14201
  • Ahmed A, Nasir Ansari A, Javed Ali S, Yasir M. Efficacy of munzij wa mushil-e-balgham (poly herbal formulations) and massage with roghan-e-malkangani in falij nisfi (Hemiplegia): A randomised controlled clinical trial. Int J Pharm Sci Res. 2015; 6(1):453. Available from: https:// ijpsr.com/bft-article/efficacy-of-munzij-wa-mushil-ebalgham-poly-herbal-formulations-and-massage-withroghan-e-malkangani-in-falij-nisfi-hemiplegia-a-randomised-controlled-clinical-trial/
  • Eghbalian F, Mohammadi Kenari H, Kordafshari G, Karimi M, Atyabi A, Shirbeigi L. The role of phlebotomy (Fasd) and cupping in the treatment of epilepsy from perspective of Persian medicine. Iran J Public Health. 2019; 48(7):1392- 4. https://doi.org/10.18502/ijph.v48i7.2977 PMid:32548057 PMCid:PMC7283194
  • Hakim Kabeeruddin. Meezanut Tib. 1st ed. Daftarul Masih, Karolbagh ND, editor. Barqi Press, Delhi; 1923. p. 3, 4, 15
  • Kordafshari G, Ardakani MRS, Keshavarz M, Esfahani MM, Nazem E, Moghimi M, et al. The Role of Phlebotomy ( Fasd) and Wet Cupping ( Hijamat) to Manage Dizziness and Vertigo From the Viewpoint of Persian Medicine. J Evid Based Complementary Altern Med. 2017; 22(3):369-73. https://doi.org/10.1177/2156587216672757 PMid:30208737 PMCid:PMC5871156
  • Mehta P, Dhapte V. Cupping therapy: A prudent remedy for a plethora of medical ailments. J Tradit Complement Med. 2015; 5(3):127-34. https://doi.org/10.1016/j.jtcme. 2014.11.036 PMid:26151023 PMCid:PMC4488563
  • Mohamed Ameen Shaikhu. Addawaul Ajeeb. 1st Edition. Syria: Published by Markaz Al Hassam Lit Tiba’ah; 1999. p. 229-233.
  • Kenari HM, Kordafshari G, Moghimi M. The effectiveness of cupping in Iranian researches: A systematic review of animal and human studies. Traditional and Integrative Medicine. 2022; 7(1):135-49.
  • Al-Bedah AMN, Elsubai IS, Qureshi NA, Aboushanab TS, Ali GIM, El-Olemy AT, et al. The medical perspective of cupping therapy: Effects and mechanisms of action. J Tradit Complement Med. 2019; 9(2):90. https://doi.org/10.1016/j.jtcme.2018.03.003 PMid:30963043 PMCid:PMC6435947
  • Ahmad T, Anwar M. Clinical importance of leech therapy. Indian Journal of Traditional Knowledge. 2009; 8(3):443-5.
  • Alshowafi FK. Effect of blood cupping on some biochemical parameter. Med J Cairo Univ. 2010; 78(1):311-5.
  • Niasari M, Kosari F AA. The effect of wet cupping on serum lipid concentrations of clinically healthy young men: a randomized controlled trial. J Altern Complement Med. 2007; 13(1):79-82. https://doi.org/10.1089/acm.2006.4226 PMid:17309381
  • Waris Jamil A. “Tauzeehat-E-Kulliyat.” Muslim University Press, AMU, Aligarh; 2010. p. 199.
  • Ahmad I, Azeez A, Ansari AN, Ali M. Efficacy of Riyazat ( Physical Exercise ) with Hammam-E-Bukhari ( Steam Bath ) in the Management of Simane Mufrit ( Obesity ). Int J Health Sci Res. 2019; 9:239-47. Available from: https://www.ijhsr.org/IJHSR_Vol.9_Issue.8_Aug2019/IJHSR_ Abstract.034.html
  • Kabir H. Murakkabat (Unani formulation) book.pdf. 1st ed. Shamsher Publisher; 2003. p. 71.
  • Kabir H. Introduction to Ilmul Advia. Shamsher Publisher and Distributors. Delhi: Bharat offset; 2002. p. 152.
  • The Diagnostic Process - Improving Diagnosis in Health Care - NCBI Bookshelf Available from: https://www.ncbi.nlm.nih.gov/books/NBK338593/
  • Ferguson DB. The cells of the blood. Physiology for Dental Students. 1988; 54-72. https://doi.org/10.1016/B978-0-7236-0725-0.50007-1
  • Seravalle G, Dell’Oro R, Quarti-Trevano F, Spaziani D, Bertoli S, Airoldi F, et al. Sympathetic overactivation in patients with essential hypertension and hepatic iron overload. Hypertension. 2020; 1444-50. https://doi.org/10.1161/HYPERTENSIONAHA.120.15511 PMid:32981363
  • Pasquel FJ, Lansang MC, Dhatariya K, Umpierrez GE. Management of diabetes and hyperglycaemia in the hospital. Lancet Diabetes Endocrinol. 2021; 9(3):174-88. https:// doi.org/10.1016/S2213-8587(20)30381-8 PMid:33515493
  • Danve A, Sehra ST, Neogi T. Role of diet in hyperuricemia and gout. Best Pract Res Clin Rheumatol. 2021; 35(4):101723. https://doi.org/10.1016/j.berh.2021.101723 PMid:34802900 PMCid:PMC8678356
  • Sharma R, Sharma S. Physiology, Blood Volume. StatPearls. 2022.

Abstract Views: 183

PDF Views: 77




  • A Comprehensive Review on Plethora: Etiopathogenesis, Signs, Symptoms, and Complications from the perspective of the Unani Medicine

Abstract Views: 183  |  PDF Views: 77

Authors

S. M. Ahmer
Department of Ilmul-Amraz, Faculty of Unani Medicine, Aligarh Muslim University, Aligarh – 202001, Uttar Pradesh, India
Ataullah Fahad
Department of Ilmul-Amraz, Faculty of Unani Medicine, Aligarh Muslim University, Aligarh – 202001, Uttar Pradesh, India
S. Javed Ali
Department of Moalejat, Faculty of Unani Medicine, Aligarh Muslim University, Aligarh - 202001, Uttar Pradesh, India

Abstract


The concept of Imtila (plethora) is defined vividly and scientifically in Unani classical literature. Imtila (plethora) is the most common humoral disease and has multiple etiology and clinical manifestations. The signs and symptoms associated with Imtila (plethora) are headaches, clogged eyes, pulsatile conduits, flushing of the face, puffiness of the face, inability to speak, heavy head and dark and dense urine, etc. Long-lasting effects of untreated Imtila (plethora) can lead to various co-morbidities, such as Jarayan al-Dam (Haemorrhage), Tashannuj (Convulsion), Sakta (Apoplexy), Falij (Paralysis), Junun (Insanity) Hidhayan (Delirium), Ghashi Imtila’i (Syncope), Ufunat-e-dam (infection in the blood), Dasoomat e Dum (dyslipidemia), etc. Therefore, it is essential to identify the symptoms of Imtila (plethora). Early detection will aid in obtaining urgent medical attention and treatment, which can reduce complications. Unani physicians used various methods to eliminate surplus, harmful, and undigested humour that might have further tainted the humour. Unani physicians prescribed various exercises and regimens in combination with food and drugs to restore the humoral balance of the body. The present review paper systematically emphasizes the proper understanding of Imtila (plethora) to understand its etiopathogenesis, signs, & symptoms, and complications. We have also discussed the course of treatment suggested by Unani physicians considering the physiopathology and clinical characteristics.

Keywords


Imtila, Plethora, Stroke, Unani Medicine.

References





DOI: https://doi.org/10.18311/jnr%2F2023%2F31817