• It is condition in which non-pitting oedema leads to increase in the girth of legs.
• It is caused by Sawdā’ (Black bile) [commonly], Balgham (Phlegm) and Dam (Sanguine) [rarely].
• It is characterized by an increase in the circumference of foot and leg as much as they may resemble to elephant’s legs., In the initial stages, the part remains hard,hot and red but later on becomes ash coloured sometimes accompanied with cracks and ulcerations (when caused by black bile) but in case of causative factor being Balgham (Phlegm), the part will be comparatively soft and cold. Moreover, there will be difficulty in walking and decreased local sensation.

• Oral administration of Joshānda-i Aftīmūn.
• Natūl (Irrigation) of the following decoction on the affected part.

           Bābūna (Matricariachamomilla Linn.), Tukhm-i Hulba (Seed of Trigonella foenum-graeceumLinn.), Nākhūna (Pods of Trigonella uncata Boiss.), Sabūs (Wheat               husk).

• Local application of paste prepared with Sibr (Aloe vera Linn.), Murr (Commiphoramyrrha Nees.), Aqāqiya (Extract of pods of Acacia Arabica Willd.), Post-i Anār (Fruit rind of Punicagranatum Linn.) and vinegar.

Compound drugs

• AghziyaGhalīza - Dry and viscous foods such as dry date, ‘Adas Musallam (Lens esculenta Moench.), etc. These are of two types i.e. Mahmūda (that produces good humour) and Ghayr Mahmūda (that produces morbid humour).
• Aghziya Bārida - The food of cold temperament having ability to produce the humours which induce coldness in the body e.g. Khas (Andropogan muricatus Retz.), Kāsnī (Cichorium intybus Linn.), etc.
• Aghziya Muwallid-i Balgham - The foods which produce excessive quantity of phlegm in the body e.g. sheep milk, beet root, cucumber, etc.
• Aghziya Muwallid-i Sawdā’ - The foods which produce an excessive quantity of black bile in the body e.g. cabbage, brinjal, etc.
• Salty and sour diets

• Assays for circulating antigens of W. Bancrofti
• Doppler Ultrasound for suspected cases of lymphatic filariasis
• Absolute Eosinophil count
• IgE

• Qay’ (Emesis)
• Ishāl (Purgation)
• Fasd-i Bāslīq (Bloodletting through basilic vein)
• Fasd-i Mābiz (Bloodletting through popliteal vein)
• Hijāmat-i Sāq (Cupping on calf)

• Mā’ al-Jubn - Goat milk is boiled and a sour substance is added to it, so that the suspended albumins are clotted and separated from the liquid component. It is then filtered and whey is obtained.
• Aghziya Latīfa - Food stuffs which are easy to digest but have little nutritional value, and produce such a sanguine which is normal in viscosity. These are of two types i.e. Mahmūda (that produces good humour) and Ghayr Mahmūda (that produces morbid humour) e.g. garlic, radish, spicy and salty foods, etc.

• Avoid standing and walking for a longer period of time.