Scabies ( Jarab)

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  • It is a contagious skin infection in which papules appear initially between the fingers and spread to other areas of body. Persistent itching and skin irritation are its distinctive attributes.
  • It is caused by Fasād-i Dam (Derangement of sanguine), mixing of Sawdā Safrāwī (Biliary black bile) and Balgham Shor (Sour phlegm) with sanguine, excessive use of Aghziya Hirrīfa (Spicy diets), Aghziya Ghalīza (Slow to digest diets), Adwiya Hārra (Drugs of hot temperament) and salted diets.
  • It is characterized by the appearance of rashes initially between the fingers, spreading to other areas especially wrist, elbow, groin, etc. The papules at a later stage are converted into pustules.Jarab is marked by the itching and irritation of affected area.

 

  • It is a contagious skin infection in which papules appear initially between the fingers and spread to other areas of body. Persistent itching and skin irritation are its distinctive attributes.
  • It is caused by Fasād-i Dam (Derangement of sanguine), mixing of Sawdā Safrāwī (Biliary black bile) and Balgham Shor (Sour phlegm) with sanguine, excessive use of Aghziya Hirrīfa (Spicy diets), Aghziya Ghalīza (Slow to digest diets), Adwiya Hārra (Drugs of hot temperament) and salted diets.
  • It is characterized by the appearance of rashes initially between the fingers, spreading to other areas especially wrist, elbow, groin, etc. The papules at a later stage are converted into pustules.Jarab is marked by the itching and irritation of affected area.

 

  • Joshānda-i  Halayla-Decoction of Post-i Halayla Kābulī (Terminalia chebula Retz.) 36 gm., Shāhtra (Fumaria parviflora Lamk.) 24 gm., Tukhm-i Kasūs (Cuscuta reflexa Roxb.) 10 gm., Tukhm-i Kāsnī (Cichorium intybus Linn.) 10 gm., Post-i Bekh-i Bādiyān (Foeniculum vulgare Mill.) 7 gm., Ālū Bukhāra (Prunus domestica Linn.) 20 pieces and ‘Unnāb (Zizyphus jujuba Mill & Lamk.) 20 pieces mixed with Maghz-i Amaltās (Fruit pulp of Cassia fistula Linn.) 54 gm. and Ma‘jūn-i Dabīd al-Ward 54 gm.
  • Joshānda-i  Aftīmūn- Halayla Siyāh (Terminalia chebula Retz.), Halayla Kābulī (Terminalia chebula Retz.), Halayla Zard (Terminalia chebula Retz.), Āmla (Phyllanthus emblica Linn.) 17 ½ gm. each, Gāozabān (Borago officinalis Linn.), Bisfā’ij (Polypodium vulgare Linn.), Bādranjboya (Melissa parviflora Benth.), Ustuūkhudūs (Lavandula steochas Linn.) 14 gm. each, Turbud (Ipomoea turpethum Br.) 7 gm., Shāhtra (Fumaria parviflora Lamk.) 24 ½ grams, Ālū Bukhāra (Prunus domestica Linn.) 20 pieces, Mawīz Munaqqā (Vitis vinefera Linn. ) are soaked and boiled in 1600 ml of water till 600 ml of liquid is left. Thirty five grams of Aftīmūn (Cuscuta reflexa Roxb.) is added to it and boiled again till it is reduced to 400 ml. The boiled material is filtered and 52 ½ grams of Maghz-i Falūs-i Khiyār Shambar (Fruit pulp of Cassia fistula Linn.), 3 gm. of Ghārīqūn (Agaricus alba Linn.) and honey are added to the filtrate.
  • Joshānda-i  Fawākih-Imlī (Tamarindus indica Linn.), Ālū Bukhāra (Prunus domestica Linn.), ‘Unnāb (Zizyphus jujube Linn.) 70 gm. each, Mawīz Munaqqā (Vitis vinefera Linn.) 35 gm., Halayla Siyāh (Terminalia chebula Retz.), Halayla Kābulī (Terminalia chebula Retz.), Halayla Zard (Terminalia chebula Retz.), Banfsha (Viola odorata Linn.), Sanā Makkī (Cassia lanceolata Linn.), Gulāb (Rosa damascena Mill.), Afsantīn (Artemisia absinthium Linn.), Asl al Sūs (Glycyrhhiza glabra Linn.) 14 gm. each, Tukhm-i Kāsnī (Cichorium intybus Linn.), Tukhm-i Kasūs (Cuscuta reflexa Roxb.)10 gm. each are soaked and boiled in 1400 ml. water till the liquid is reduced to 350 ml.Seventy gm. of Shīr-i Khisht (Fraxinus ornus Linn.) is added to the filtrate and taken orally.
  • Local application of a paste having following ingredients:
  • Sandal (Santalum album, Linn.), Rasavt (Berberis aristata, DC.), Ārd-i Jaw (Flour of Hordeum vulgare, Linn.) mixed with fresh coriander juice and Roghan-i Gul.
  • Local application of Roghan-i Gul mixed with vinegar.
  • Local application of Gandhak (Sulphur)  mixed with vinegar.
  • Local application of Nawshādar (Sal Ammoniac) and common salt mixed with vinegar.

Compound drugs:

‘Arq-i Shāhtra 60-144 ml. along with Sikanjabīn.
Itrīfal Kishnīzī 9-24 gm.at bed time.
Habb-i Kibrit 250-500 mg.
Itrīfal Shāhtra  7-12 gm. at bed time with ‘Arq-i Gaozabān 144 ml./water.
Sharbat-i Shāhtra 24-48 ml.
Sharbat-i ‘Unnāb 24-48 ml. with water in morning.
  • Aghziya Hārra (Diets of hot temperament)-The foods of hot temperament having ability to produce the humours which induce heat in the body e.g. onion, garlic, etc.
  •  Aghziya Hirrīfa (Spicy diets)-Spicy (Pungent) foods that may produce heat in the body e.g. pepper.
  •  Aghziya Ghalīza (Slow to digest diets)-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).
  • Hammām (Bath)
  •  Fasd-i Bāslīq  (Bloodletting through basilic vein)
  •  Ishāl (Purgation)
  • 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.
  • Mā’ al-Sha‘īr-Barley water
  • Adwiya Hārra (Drugs of hot temperament) to be avoided.
  • Hygiene to be maintained.