It is a disorder in which one side of the face droops leading to its unnatural appearance.
It is caused either by Istirkhā’/Flaccidity (Laqwa Istirkhā’ī) or Tashannuj/Spasm ( Laqwa Tashannujī) of muscles of eyelids and face.
It is characterized by flaccidity of angle of mouth and weakness of its movement leading to involuntary expulsion of air and dropping of lower eyelid with lacrimation from the affected side. In addition, there will be partial impairment of senses (if caused by Istirkhā’/Flaccidity). However there will be stretching of the skin of forehead, decreased salivation, and inability of patient to close the eye of normal side in case of Laqwa Tashannujī.
It is a disorder in which one side of the face droops leading to its unnatural appearance.
It is caused either by Istirkhā’/Flaccidity (Laqwa Istirkhā’ī) or Tashannuj/Spasm ( Laqwa Tashannujī) of muscles of eyelids and face.
It is characterized by flaccidity of angle of mouth and weakness of its movement leading to involuntary expulsion of air and dropping of lower eyelid with lacrimation from the affected side. In addition, there will be partial impairment of senses (if caused by Istirkhā’/Flaccidity). However there will be stretching of the skin of forehead, decreased salivation, and inability of patient to close the eye of normal side in case of Laqwa Tashannujī.
- Mā’ al-Usūl (For Nuzj) in case of Laqwa Istirkhā’ī followed by evacuation of Balghmī Rutūbāt (Phlegmatic secretions) through Mushil-i Balgham Adwiya (Phlegm purgatives). Evacuation of remaining Balgham (Phlegm) with ‘Atūs (Sneezing agent), Sa‘ūt (Snuff) and Gharghara (Gargle).
- ‘Atūs (Induction of sneezing) with Kundush (Centipeda minima, Linn.)/Kharbaq Safed (Veratrum viride, Ait.).
- Gharghara (Gargle) with Nawshādar (Ammonium chloride) mixed with Āb-i Marzanjosh (Juice of Oliganum vulgare, Linn.).
- Mazūgh (Mastication) with any of the following drugs, in case of Laqwa Istirkhā’ī
- Jawzbuwā (Myristica fragrans, Houtt.)/Qaranfal (Myrtus caryophyllus, Linn.)/Zanjabīl (Zingiber officinale, Roscoe.).
- Mazūgh (Mastication) with any of the following drugs, in case of Laqwa Istirkhā’ī
- Aqarqarha (Anacyclus pyrethrum, DC.) along with Kundur (Boswellia serrata, Roxb.)
- Sa‘ūt (Snuff) with Roghan-i Kalonjī.
- Fomentation with cotton cloth dipped in hot water (in case of Laqwa Tashannujī).
- Hot fomentation with any membranous bag filled with suitable hot oil (in case of Laqwa Tashannujī).
- Massage with oil of Khardal (Brassica nigra, Linn.)/castor oil.
Compound drugs:
| Anqardiyā Kabīr | 4 gm. with ‘Arq-i Bādiyān 12 Tola at empty stomach in the morning5 |
| Ayārij-i Fayqrā | 3-5 gm. |
| Ayārij Lawghāziya | 5-10 gm. |
| Habb-i Ayārij | 3-9 gm. with ‘Arq-i Gāozabān 12 Tola at empty stomach in the morning |
| Ma‘jūn Lanā | 1-3 gm. with gm to 3 gm with ‘Arq-i Bādiyān |
| Ma‘jūn-i Sīr ‘Alvī Khānī | 5-10 gm. |
| Ma‘jūn-i Jogrāj Gugul | 3-5 Māsha |
| Ma‘jūn-i Azārāqi | 1-5 Māsha with ‘Arq-i Gāozabān |
| Habb-i Jund | 125-500mg. |
| Roghan-i Qust | Local application |
| Roghan-i Shifā | Local application |
- Aghziya Munaffikha o Mubakhkhira
- Muwallid-i Balgham Aghziya
- Tadhīn (Oil massage) with heated oils in case of Laqwa Tashannujī.
- Facial exercise with mirror.
- Aghziya Latīfa
- Mā’ al-‘Asl
- Decoction of black gram
- Bright light to be avoided.
- Cold air and places to be avoided.
- Drugs of high potency to be avoided during treatment.