Chronic Sinusitis ( Waram i Tajawif i Anf Muzmin)

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  • It is a condition which resembles with Nazla o Zukām Bārid as described in Unani classical literature.
  • It is caused by Sū’-i Mizāj Bārid (Cold morbid temperament) of brain as a result of various external factors e.g. exposure to cold water, cold air, etc. It may also be caused by collection of Khilt ‘Afin (Putrified matter) in and around the olfactory organs. The predisposing factors include cold season, cold temperament of individual and old age.
  • It is characterized by Tamaddud (Heaviness) of face, forehead and head, nasal discharge, Sudda-i Anf (Nasal obstruction) Nazla Halaqī (Post nasal drip), Ghunna (Nasal voice), Nuqsān o Butlān-i Hiss-i Shamm (Hyposmia/ Anosmia), Daghdagha (Irritation), diminished taste and cough.
  • It is a condition which resembles with Nazla o Zukām Bārid as described in Unani classical literature.
  • It is caused by Sū’-i Mizāj Bārid (Cold morbid temperament) of brain as a result of various external factors e.g. exposure to cold water, cold air, etc. It may also be caused by collection of Khilt ‘Afin (Putrified matter) in and around the olfactory organs. The predisposing factors include cold season, cold temperament of individual and old age.
  • It is characterized by Tamaddud (Heaviness) of face, forehead and head, nasal discharge, Sudda-i Anf (Nasal obstruction) Nazla Halaqī (Post nasal drip), Ghunna (Nasal voice), Nuqsān o Butlān-i Hiss-i Shamm (Hyposmia/ Anosmia), Daghdagha (Irritation), diminished taste and cough.
  • Takmīd Hār with Sabūs (Wheat husk) tied in cloth.
  • Takmīd Hār with common salt and Jāwras (Pennissetum glaucum R. Br.).
  • Local application of paste of Khardal (Seed of Brassica nigra Linn.) and Qust (Saussurea lappa Clarke.) on forehead and head.
  • Inkibāb (Steaming) of head with turnip and Bābūna (Matricaria chamomilla Linn.).
  • Oral administration of decoction of Asl al-Sūs (Glycyrrhiza glabra Linn.) 7 gm., Gāozabān (Borago officinalis Linn.) 7 gm., Parsiyāoshān (Adiantum capillus-veneris Linn. & Bedd.) 7 gm., Mako (Solanum nigrum Linn.) 9 gm., Banafsha (Viola odorata Linn.) 9 gm. and ‘Unnāb (Zizyphus vulgaris Lamk.) 7 pieces  with Khamīra-i Banafsha 48 gm.
  • Oral administration of powder of Shonīz (Seed of Nigella sativa Linn.) 1 gm., Zarambād (Curcuma zedoaria (Christm.) Roscoe.) 1 gm., Bisbāsa (Aril of Myristica fragrans Houtt.) mixed with 24 ml. of honey.
  • Oral administration of powder of Tukhm-i Bādranjboya (Seeds of Nepeta ruderalis Ham.)1.5 gm. and Ustūkhūdūs (Lavendula steochas Linn.) 2 gm. mixed with 12 ml. of honey.
  • Oral administration of powder of Tukhm-i Alsī Biryān (Roasted seed of Linum usitatissimum Linn.) mixed with honey and small amount of Filfil (Piper nigrum Linn.).
  • Oral administration of powder of Kundur (Boswellia serrata Roxb.) mixed with purified honey.
  • Instillation with the  combination of 3.5 gm. of powdered Ustūkhūdūs (Lavendula steochas Linn.) and suitable quantity of honey.
  • Chewing of almond, sugar and pine nuts.
  • Oral administration of Harīra prepared with wheat husk and almond oil.
  • Bakhūr (Fumigation) with Shonīz (Seed of Nigella sativa Linn.).
  • Bakhūr (Fumigation) with Qust (Saussurea lappa Clarke.).
  • Inhalation with Shonīz (Seed of Nigella sativa Linn.).
  • Inhalation with Qust (Saussurea lappa Clarke.).
  • Instillation of nasal drops prepared with Shonīz Biryān (Roasted seed of Nigella sativa Linn.) soaked in vinegar and mixed with olive oil.

Compound drugs:

Habb-i Ayārij  3-9 gm. with lukewarm water at bed time
Sharbat-i Ustūkhūdūs 24-48 ml.
Sharbat-i Zūfā 24 ml.
Ma‘jūn-i Falāsifa 7 gm.
Itrīfal-i Ustūkhūdūs Up to 12 gm. at bed time 
Itrīfal Zamānī 7 gm. at bed time
Itrīfal Mulayyin 4.5-13.50 gm. at bed time
Itrīfal Muqawwī-i Dimāgh 12 gm. in the morning on empty stomach
Roghan-i Banafsha Instillation and local application on chest
Qayrūtī Hār Local application on chest
  • Excessive food intake
  • 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.
  • Oily food
  • Heavy food
  • Complete Blood Count, Erythrocyte Sedimentation Rate
  • X-ray Paranasal Sinuses
  • Takmīd with warmed cloth.
  • To induce sneezing
  • Daghdagha (To produce irritation) in the nostrils
  • Intake of lukewarm water
  • Mā’ al-‘Asl - A liquid preparation in which honey and water are mixed in ratio of 1:4 and boiled at low temperature, till 2/3 of it is left. It is filtered and filtrate is used.
  • Mā’ al-Sha‘īr - Barley water
  • 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.
  • Aghziya Musakhkhina - Foods producing heat in the body e.g. spices. 
  • Avoid sleeping in the day time  and intake of cold water.
  • Avoid exposure to cold.
  • Avoid smoking.