Nephritis ( Waram-i-Kuliya)

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  • It is the inflammation of kidneys that can be Hār (Hot) or Bārid (Cold). The inflammation may involve one or both kidneys at a time.
  • It is caused by the predominance of Dam Ghalīz (Thick sanguine) or Safrā’ (Yellow Bile) in case of Waram Hār and of Balgham (Phlegm) in case of Waram Bārid. Incomplete resolution of Waram Hār and Waram Bārid may also convert into Waram Sulb. Waram Sulb may also be caused by the accumulation or predominance of Sawdā’ (Black Bile) in the kidneys.
  • It is characterized by pain, heaviness and swelling on the affected side, excessive thirst, sleeplessness, Hummā Mukhtalita (Irregular fever), bilious vomiting, dysuria, and Ikhtilāt-i Zehn (Mental confusion) in case of Waram Hār. Waram Bārid is characterized by mild pain, heaviness accompanied with strain, puffiness of face and swelling of the body. Waram Sulb is characterized by severe heaviness, numbness of lower part of the body and watery urine. When it is accompanied with ascites, Waram Sulb usually becomes fatal.
  • It is the inflammation of kidneys that can be Hār (Hot) or Bārid (Cold). The inflammation may involve one or both kidneys at a time.
  • It is caused by the predominance of Dam Ghalīz (Thick sanguine) or Safrā’ (Yellow Bile) in case of Waram Hār and of Balgham (Phlegm) in case of Waram Bārid. Incomplete resolution of Waram Hār and Waram Bārid may also convert into Waram Sulb. Waram Sulb may also be caused by the accumulation or predominance of Sawdā’ (Black Bile) in the kidneys.
  • It is characterized by pain, heaviness and swelling on the affected side, excessive thirst, sleeplessness, Hummā Mukhtalita (Irregular fever), bilious vomiting, dysuria, and Ikhtilāt-i Zehn (Mental confusion) in case of Waram Hār. Waram Bārid is characterized by mild pain, heaviness accompanied with strain, puffiness of face and swelling of the body. Waram Sulb is characterized by severe heaviness, numbness of lower part of the body and watery urine. When it is accompanied with ascites, Waram Sulb usually becomes fatal.
  • Oral administration of Lu‘āb-i Aspghol (Mucilage of Plantago ovata Forsk.) Lu‘āb-i Bihīdāna (Mucilage of seed of Cydonia oblonga Linn.), Shīra-i ‘Unnāb (Zizyphus jujuba Mill & Lamk.) with Sharbat-i Banafsha in case of Waram Hār
  • Oral administration of decoction of Tukhm-i Karafs (Seed of Apium graveolens Linn.), Khār Khasak (Tribulus terristris Linn.), Anīsūn (Pimpinella anisum Linn.), Parsiyāoshān (Adiantum capillus-veneris Linn.), Halyūn (Asparagus officinalis Linn.) withSharbat Buzūrī in case of Waram Bārid.
  • Oral administration of powder of Tukhm-i Khatmī (Seed of Althaea officinalis Linn.), Tukhm-i Katān (Seed of Linum usitatissimum Linn.), Tukhm-i Hulba (Seed of Trigonella foenum-graecum Linn.) along with Shīra-i Tukhm-i Khayārayn (Seed of Cucumis sativus Linn.) and Tukhm-i Kharpaza (Seed of Cucumis melo Linn.) in case of Waram Sulb.
  • Local application of Zimād (Paste) prepared from mixing the powder of Ārd-i Jaw (Flour of Hordeum vulgare Linn.), Mako (Solanum nigrum Linn.), Sandal (Santalum album Linn.),Tukhm-i Kāsnī (Seed of Cichorium intybus Linn.) in Āb-i Mako Sabz (Juice of fresh Solanum nigrum Linn.) and Āb-i Kāsnī Sabz (Juice of fresh Cichorium intybus Linn.) in case of Waram Hār.
  • ·Local application of lukewarm Zimād (Paste) prepared with Bābūna (Matricaria chamomilla Linn.), Nammām ( Ocimum sanctum Linn.), Barg-i Ghār (Leaf of Laurus nobilis Linn.), Marzanjosh (Origanum majorana Linn.) in case of Waram Bārid.
  • Local application of Zimād (Paste) prepared with Bābūna (Matricaria chamomilla Linn.), Nākhūna (Pods of Trigonella uncata Boiss), Bazr-i Katān (Seed of Linum usitatissimum Linn.), Hulba (Trigonella foenum-graecum Linn.), Khatmī (Althaea officinalis Linn.), Muqil (Balsamodendron mukul Hook.), and Ushaq ( Dorema ammoniacum D. Don.) in case of Waram Sulb.
  • Huqna (Enema) with decoction of Bābūna (Matricaria chamomilla Linn.), Karnab (Brassica olearacea Linn.), Nākhūna (Pods of Trigonella uncata Boiss), Tukhm-i Khatmī (Seed of Althaea officinalis Linn.), Sabūs-i Gandum (Wheat husk) in case of Waram Sulb.

Compound drugs:

Zimād-i Waram- i Kulya Qawī Local application on renal area
Banādiq al-Bazūr 5-7 pills with water in divided doses three times a day
Iksīr-i Gurda 1-2 gm.
Jawārish Zar‘ūnī ‘Ambarī Ba Nuskha Kalān 5 gm. with ‘Arq-i Gāozabān and Bed-i Mushk
Sharbat Bazūrī Mu‘tadil 24-48 ml. with water in the morning.
  • Sweet diets in case of Waram Hār
  • Complete Blood Count
  • Erythrocyte Sedimentation Rate
  • Kidney Function Test
  • Blood Sugar-Fasting & Postprandial
  • Renal Ultrasound
  • Urine-Routine & Microscopic
  • Fasd-i Bāslīq (Bloodletting through basilic vein) of the affected side in case of Waram Hār
  • Fasd-i Sāfin (Bloodletting through saphenous vein) in case of Waram Hār
  • Fasd-i Mābiz (Bloodletting through popliteal vein) in case of Waram Hār
  • Huqna (Enema) with Roghan-i Ghār in case of Waram Bārid
  • Qay’ (Emesis) in case of Waram Sulb
  • Mā’al-Jubn in case of Waram Hār - 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-Shaīr - (Barley water) mixed with ‘Usāra-i Bed Sāda (Extract of Salix alba Linn.) in case of Waram Hār
  • 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.
  • Harīra -  It is a semiliquid preparation prepared by roasting flour or semolina in clarified butter.
  • 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.
  • Honey
  • Avoid Hammām in case of Waram Hār - It is bath, medically used for producing moistness/dryness/compactness/rarefaction in the skin/body.