Aysha Raza* and Ubaid Amir


Pelvic inflammatory disease (Marz-e-Iltihab-e-Hauz-e-Ana) is an infection of the female upper genital tract that involves uterus, endometrium, ovaries, fallopian tubes, pelvic peritoneum and adjacent tissues. It consists of ascending infection from the lower to upper genital tract. Most cases of PID can be categorized as sexually transmitted or endogenous and are associated with more than one organism or condition including Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, Mycoplasma hominis, Bacterial vaginosis. Pre-disposing factors of PID are sexual contact, history of STI’s, procedures involving the upper female genital tract including dilatation & curettage (D&C) history of recent intrauterine device (IUCD) insertion and therapeutic abortion. Actual incidence of disease is unknown yet, due to lack of reliable diagnostic techniques as well as asymptomatic nature of disease. Approximately more than 1000 women become infertile each year as a result of PID and large proportion of ectopic pregnancy occurring each year are due the consequence of PID. According to Unani system of medicine every person in her state of health has a specific humoral (Akhlat) and temperament (Mizaj). Humors are four in number. Dam (blood), Balgham (phlegm), Safra (yellow bile), Sauda (black bile). Any qualitative or quantitative variation in Akhlat leads to disease. In classical Unani literature (PID)can be correlates with Waram-e-Rahem. It is divided into two types Waram-e-Rahem Har and Waram-e-Rahem Barid. Waram-e-Rahem further classified according to khilt as Waram-e-Rahem Har Damwi and Waram-e-Rahem Har Safrawi and Waram-e-Rahem Barid Balghami and Waram-e-Rahem Barid Sudawi. In modern treatment PID is treated by antibiotic therapy but these drugs produce various side effects. Unani treatment is one of the most effective treatment with no side effects. Various single and compound drugs mentioned in Unani literature for the treatment of the Waram-e-Rahem possessing the properties of Musaffi-e-Khoon (Blood Purifier), Muhalil-e-Awaram (Anti-inflammatory), Dafeh-e-Taffun (Anti septic), Daf-e-Humma (Antipyretic). Since last two decades, I have gone through various aspect and dimension of PID in many patients. Various fascinating and successful stories of PID are encountered during my 20 years clinical Practice. In this paper, few of them will be presented in details.

Keywords: Marz-e-Iltihab-e-Hauz-e-Ana, Warm-e-Rahem, Humour (Akhlat), Muhalil-e-Awaram.

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