AN OPEN LABEL RANDOMIZED CLINICAL STUDY TO EVALUATE THE EFFICACY OF HABB-E-RASAUT IN THE MANAGEMENT OF BAWASEER-E- DAMWI

Dr. Ansari Sajid Hussain Shahid Hussain*, Dr. Mussarat Nafees and Dr. Mushtaque Mukadam

ABSTRACT

Bawaseer (Haemorrhoids) arise from congestion of the internal and/ or external venous plexuses around the anal canal.[1] Haemorrhoids are dilated veins within the anal canal in the sub epithelial region formed by radicles of the superior and inferior rectal veins.[2] Multiple factor has been claimed to be the etiologies of haemorrhoidal development including constipation and prolonged straining. The abnormal dilatation and distortion of the vascular channel, together with destructive changes in the supporting connective tissue with the anal cushion is a paramount finding of haemorrhoiddiseases. Aim of the study, to evaluate the efficacy of Habbe-Rasaut in the managementof Bawaseer-e-Damwi (Haemorrhoid), to provide natural and cost effective Unani treatment for Bawaseer-e- Damwi(Haemorrhoid), to avoid the surgicalintervention and to develop a better understanding of the concept of Bawaseer-e- Damwi (Haemorrhoid) and its management in view of Unaniliterature. Methods: The present clinical study entitled as “An open label randomized clinical study, inclusion creiteria: An uncomplicated patient of Bawaseer Damwi (Hemorrhoid) was taken on the basis of clinical presentation, general and physical examination and per rectalexamination. Age group between 20-65 years of age, both male andfemale. Patients willing to participate and willing to give written informed consent. Patients attending OPD/IPD of reputed Unani medical college & hospital. Exclusion criteria: Patients suffering from any other systemic diseases like, Chronic Heart Diseases, Acute Renal Failure/Chronic Renal Failure, Diabetes mellitus, Tuberculosis, Endocrinedisorders. Pregnant women and lactatingmother. Patients with complicated Bawaseer (Haemorrhoid) such as a fistula or fissure or any malignant growth in analcanal and Mentally retarded patient. 2 Haboob given two times a day for90 days to all the patients. Result: The average improvement in Per Rectal Bleedingscore at visit 2, visit 3 and visit 4 was 25.0%, 79.2% and 84.2% respectively (P-value<0.001 for all). The average improvement in Anal pain score at visit 2, visit 3, and visit 4 was 83.3%, 94.4%, and 100.0% respectively (P-value<0.001 for all).The average improvement in Anal pruritus score at visit 2, visit 3, and visit 4 was 74.1%, 93.1% and 93.1% respectively (P-value<0.001 for all).The average improvement observed in Mass feeling score at visit 2, visit 3 and visit 4 was 1.7%, 65.0% and 74.2% respectively (P- value<0.001 forall).The average improvement in Constipation score at visit 2, visit 3 and visit 4 was 10.8%, 60.8% and 85.0% respectively (P-value <0.001 forall). Interpretation and conclusion: Haemorrhoid is higher in those having Saudawi (melancholic blood) temperament. Derangement in quantity and quality of sauda and to some extent Balgham results in the development of piles. Habb-e-Rasaut which consists of Rasaut, Guggul, and Post Halela zard has been mentioned as Mushil-e-Sauda and Mushil-e-Balgham therefore, it helps in cleaning out (Tanquia) of causative matter and improving the condition, reduction in the symptoms of per rectal bleeding may be attributed to the action of Habb-e-Rasaut having Habis-ul-dam (haemostatic) and Mohallil-e-Awram (anti-inflammatory) properties, certainly helped in checking per rectal bleeding. Habb-e-Rasaut has some additional action such as Muqawi Meda wa Ama (Tonic for stomach and intestine), and Muqawwi- e-Jigar effects which help to improve function of digestive system.

Keywords: Bawaseer-e-damwi, Habb-e-Rasaut, piles, VAS.