11/03/2020
Waram-e- Mi’da (Gastritis)
Introduction
Waram-e- Mi’da (Gastritis) is a disorder affecting all age groups and both s*xes, but it is more common amongst adolescents (12-17 years). It is the commonest GIT (Gastrointestinal tract) disorder in all cultures and civilizations. The term "Gastritis" refers usually to inflammation, erosive state to the stomach lining tissue which may occur either instantly (acute) or gradually (chronic).
It occurs when there is an imbalance between the acid production, resulting in swelling and damage of the stomach lining. In fact there is excess secretion of acid by the gastric glands of the stomach.
The most common symptoms of acute gastritis include:
• Abdominal bloating or stomach fullness
• Belching (expelling air from the stomach through the mouth)
• Waterbrashes (sudden filling of the mouth with dilute saliva)
• Upper abdominal pain, discomfort or heaviness
• Nausea/vomiting feeling
• Irregular bowel movement
• Recurrent indigestion
• Chest burn or gnawing feeling between meals (heartburn)
• Hiccups
• In addition to these symptoms, chronic gastritis may include weight loss, continuous flatulence, black stool, loss of appetite and even anaemia.
Unani Perspective of Waram-e- Mi’da (Gastritis)
Unani physicians have mentioned the disease by different names e.g Waram-e- Me’da, Sozish-e- Me’da, Hurqat-e- Me’da, and Iltehab-e- Me’da.
As per Unani Philosophy Waram-e- Mi’da (Gastritis) is caused by Su’-e- Mizaj- Mi’da Haar (Hot temperament of stomach) or Su’-e- Mizaj- Me’da Baarid (Cold temperament of stomach),.
In other words it is caused by the accumulation of Dam (Samguine), Safra (Yellow bile), Balgham (Phlegm) or Sauda (Black bile) in the stomach, leading to the inflammation of gastric mucosa. It may also be elaborated as retention of humours (Akhlaat) within the stomach is main cause of Waram-e- Mi’da (Gastritis).
Principles of treatment (Usool-e- Ilaj)
1. Taqleel-e- ghiza (Dietary restriction)
2. Islah-e- Mizaj-e- Me’da (correction of gastric temperament) wa Taqwiyat-e- Me’da (Toning up of stomach)
3. Tahleel-e- waram (Resolution of swelling) in case of Waram-e- haar (Hot swelling)
4. Ishaal (Purgation) through e***a in case of Waram-e- haar (Hot swelling)
5. Rad’e mawaad (Replellence of causative matter) in case of Waram-e- haar (Hot swelling)
6. Istifraagh (Evacuation) by mushil-e- sauda drugs in case of waram-e- sulb (hard nature swelling)
Treatment :
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