Benign Prostatic Hyperplasia ( Izam-i-Ghudda-i-Mazi Sada)

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  • It is a condition resembling with the clinical features discussed under ‘Usr-i Bawl (Dysuria), Ihtibās-i Bawl (Retention of urine) and Taqtīr-i Bawl (Dribbling of urine) in classical literature of Unani System of Medicine. Physicians have mentioned that Waram-i A‘zā’-i Mujāwira (Inflammation/swelling of neighboring organs) of urethra may compress it causing obstruction to flow of urine. These conditions may be correlated to Benign Prostatic Hyperplasia (BPH) where enlarged prostate compresses prostatic urethra and produces symptoms such as hesitancy, intermittent voiding, diminished stream, incomplete emptying, and post void leakage.
  • It is caused by the abnormal accumulation of Balgham Ghalīz (Thick phlegm) which has been mentioned as the leading cause of swelling/inflammation of any ‘Azw Ghudadī (Gland) of the body .
  • It is characterized by urinary frequency, hesitancy, strangury and urgency with weak urinary stream. Patient may have feeling of incomplete bladder emptying, straining and terminal dribbling. Acute and chronic urinary retention may also be present.
  • It is a condition resembling with the clinical features discussed under ‘Usr-i Bawl (Dysuria), Ihtibās-i Bawl (Retention of urine) and Taqtīr-i Bawl (Dribbling of urine) in classical literature of Unani System of Medicine. Physicians have mentioned that Waram-i A‘zā’-i Mujāwira (Inflammation/swelling of neighboring organs) of urethra may compress it causing obstruction to flow of urine. These conditions may be correlated to Benign Prostatic Hyperplasia (BPH) where enlarged prostate compresses prostatic urethra and produces symptoms such as hesitancy, intermittent voiding, diminished stream, incomplete emptying, and post void leakage.
  • It is caused by the abnormal accumulation of Balgham Ghalīz (Thick phlegm) which has been mentioned as the leading cause of swelling/inflammation of any ‘Azw Ghudadī (Gland) of the body .
  • It is characterized by urinary frequency, hesitancy, strangury and urgency with weak urinary stream. Patient may have feeling of incomplete bladder emptying, straining and terminal dribbling. Acute and chronic urinary retention may also be present.
  • Oral administration of Mā’ al-Usūl  with castor oil.
  • Oral administration of decoction of following drugs along with Gulqand in the morning.

            Bādranjboya (Nepeta ruderalis Ham.) 10.5 gm., Bādiyān (Foeniculum vulgare Gaertn.) 10.5 gm.

  • Oral administration of powder of following ingredients in a dose of 4.5 to 7 gm. along with Gulqand in the morning.

           Turbud (Ipomoea turpethum Br.), Zanjabīl (Zingiber officinale Roscoe.), Mastagī (Pistacia lentiscus Linn.), Sugar

  • Oral administration of decoction of Bādiyān (Foeniculum vulgare Gaertn.)10.5 gm. with Gulqand ‘Aslī 35 gm. in the morning.
  • Oral administration of 3.5 gm. of  Habb-i Khīzrān prepared with following ingredients.

            Ayārij-i Fayqra 10.5 gm., Ghārīqūn (Agaricus alba Linn.) 8.75 gm., Shahm-i Hanzal (Citrullus colocynthis Schard.) 5.25 gm., Anzarūt (Astragalus                                      sarcocolla Dymock) 14 gm., Turbud (Ipomoea turpethum Br.) 24.5 gm., Jāoshīr (Ferula galbaniflua Boiss. Et Buhse) 4.5 gm., Nawshādar (Sal ammoniac)                      7 gm.,Saqmūniya (Convolvulus scommonia Linn.) 4.5 gm. mixed with juice of Gandanā (Allium ampeloprasum Linn.).

  • Oral administration of 7-10.5 gm. of  Habb Wāsilī prepared with following ingredients.

          Sumbul al-Tīb (Nardostachys jatamansi (D. Don) DC.) 3.5 gm., Salīkha (Cinnamomum aromaticum Nees) 3.5 gm., Habb-i Balsān (Fruit of Commiphora                          opobalsamum Linn.) 3.5 gm., Asārūn (Asarum europaeum Linn.) 3.5 gm., ‘Ūd-i Balsān (Commiphora opobalsamum Linn.) 3.5 gm., Mastagī (Pistacia lentiscus               Linn.) 3.5 gm., Dārchīnī (Cinnamomum zeylanicum Linn.) 3.5 gm., Za‘farān (Crocus sativus Linn.) 3.5 gm., Sibr (Aloe vera Linn.) 56 gm., Ustūkhudūs                            (Lavandula stoechas Linn.) 17.5 gm., Shahm-i Hanzal (Citrullus colocynthis Schard.) 17.5 gm., Turbud (Ipomoea turpethum Br.) 24.5 gm. Namak Hindī (Salt)                7 gm., Saqmūniya (Convolvulus scommonia Linn.) 14 gm.

  • Oral administration of powder of Ustūkhūdūs (Lavandula steochas Linn.) in a dose of 1 gm. with 12 gm. of Itrīfal Saghīr, followed by administration of decoction of Gul-i Khatmī (Flower of Althaea officinalis Linn.) 3 gm., Mawīz Munaqqa (Vitis vinefera Linn.)10 pieces, Tukhm-i Kāsnī (Seed of Cichorium intybus Linn.) 6 gm. mixed with 12 ml. of honey and sprinkled with 6 gm. of Aspghol (Plantago ovata Forsk.).
  • Ābzan (Sitz bath) with decoction of following drugs.

           Bābūna (Matricaria chamomilla Linn.), Shibit (Anethum sowa Roxb.), Bekh-i Khatmī (Root of Althaea officinalis Linn.)

  • Ābzan (Sitz bath) with decoction of following drugs

           Bābūna (Matricaria chamomilla Linn.), Nākhūna (Pods of Trigonella uncata Boiss.), Banafsha (Viola odorata Linn.), Shīh (Artemisia maritima Linn.), Qaysūm                  (Achillea millefolium Linn.), Marzanjosh (Oliganum vulgare Linn.)

  • Ābzan (Sitz bath) with decoction of following drugs in a quantity of  24 gm. each.

           Khār Khasak (Tribulus terristris Linn.), Bābūna (Matricaria chamomilla Linn.), Shibit (Anethum sowa Roxb.), Karafs (Apium graveolens Linn.), Nākhūna (Pods of             Trigonella uncata Boiss.), Parsiyāoshān (Adiantum capillus-veneris Linn.), Barg-i Turb (Leaf of Raphanus sativus Linn.), Barg-i Karnab (Cabbage), Khatmī                     (Althaea officinalis Linn.), Bazr-i Katān (Seed of Linum usitatissimum Linn.), Hulba (Trigonella foenum-graeceum Linn.), Banafsha (Viola odorata Linn.) sabus                 (Wheat husk)

  • Natūl (Irrigation) with decoction of following drugs.

           Bābūna (Matricaria chamomilla Linn.), Shibit (Anethum sowa Roxb.), Bekh-i Khatmī (Root of Althaea officinalis Linn.)

  • Application of paste of following drugs on the bladder area after mixing with juice of cabbage and Roghan-i Khasak  .                                                    Ārd-i Hulba (Flour of seed of Trigonella foenum-graeceum Linn.), Khubāzī (Malva sylvestris Linn.), Banafsha (Viola odorata Linn.), Bābūna (Matricaria     chamomilla Linn.), Nākhūna (Pods of Trigonella uncata Boiss.)
  • Application of paste of Shora Qalmī (Potassium nitrate) on the bladder area.
  • Application of hot paste of Rewand Chīnī (Rheum emodi Wall.) mixed with ‘Arq-i Bādiyān at pubic area, testicles and around urethra.
  • Application of Roghan-i Khasak /Roghan-i Bābūna /Roghan-i Gul at pubic region.

Compound drugs:

Habb-i Ayārij  3-9 gm.
Itrīfal Ghudadī 12 gm. in the morning.
Itrīfal Saghīr 12 gm. at bed time
Banādiq al-Bazūr  5-7 pills
Sharbat Dīnār 24-48 ml.
‘Arq-i Mako 144 ml.
Habb Hindī  14-21 gm.
Roghan-i Khasak  Local application on pubic region
Roghan-i Bābūna Local application on pubic region
Roghan-i Gul Local application on pubic region
  • Aghziya Ghalīza - 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 Hāmiza - Sour foods e.g. lemon, sour pomegranate, sour apple, orange, vinegar, curd, etc. They change the thick waste products of stomach into smaller particles. 
  • Aghziya Qābiza - Foods that produce constipation
  • 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.
  • Ultrasonography
  • Uroflowmetry
  • Serum prostate-specific antigen (PSA)
  • Serum acid phosphatase
  • Urethral catheterization
  • Ābzan (Sitz bath)
  • Natūl (Irrigation)
  • Aghziya Murattiba - Foods of wet/moist temperament having ability to produce the humours which give rise to wetness in the body e.g. milk, Kadū (Cucurbita maxima Duchesne.), cucumber, watermelon, clarified butter, almond oil, etc.