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ConjunctivitisSabaq al-Ain — classical name in Unani

Conjunctivitis

On this page

  1. 1.Overview
  2. 2.Causes
  3. 3.Signs & Symptoms
  4. 4.Herbs & Natural Substances
  5. 5.Therapeutic Approaches
  6. 6.Lifestyle & Daily Routine
  7. 7.Traditional Preparations
  8. 8.Frequently Asked Questions

Overview

In Unani medicine, Conjunctivitis is known as Ramad, which signifies an inflammation of the Tabqa-e-Multahima, or conjunctiva. This condition can manifest in two primary forms: haar (hot) and barid (cold), indicating different underlying humoral imbalances.

The causes of Ramad are diverse, stemming from factors such as heatstroke (Humma-e-Shamsia), the presence of foreign bodies (Ajsam-e-Khabisa), or imbalances in the yellow bile (Safra) and blood (Dam) humors. Impairments in yellow bile (Sue-e-Mizaj-e-Safra), black bile (Sue-e-Mizaj-e-Sauda), or phlegm (Sue-e-Mizaj-e-Balgham) can also contribute. Exposure to extreme cold breezes, cold weather accompanied by coryza, and certain systemic diseases like diphtheria (Khunaq), syphilis (Aatshak), and gonorrhea (Suzaak) are also recognized as potential triggers.

Ramad typically presents with symptoms such as swelling, pain, irritation, and redness of the eye. Other common manifestations include watery discharge (epiphora), purulent discharge, and a feeling of heaviness in the head, often accompanied by symptoms related to the dominant imbalanced humor. The Unani approach to treatment focuses on principles like evacuation through purgation (Tanqiya through Ishāl), resolution of swelling (Tahlīl-i Waram), and moistening the brain (Tartīb-i Dimāgh) specifically for the Sawdāwī type of Ramad.

Causes According to Unani

  • ✅ Humma-e-Shamsia (Heatstroke)
  • ✅ Ajsam-e-Khabisa (Foreign bodies)
  • ✅ Predominance of yellow bile (Safra) and Dam (blood)
  • ✅ Sue-e-Mizaj-e-Safra (Impairment of yellow bile)
  • ✅ Sue-e-Mizaj-e-Sauda (Impairment of black bile)
  • ✅ Sue-e-Mizaj-e-Balgham (Impairment of phlegm)
  • 💨 Extreme cold breeze
  • 💨 Cold and coryza
  • 🦠 Some systemic diseases such as Khunaq (diptheria), Aatshak (syphilis), Suzaak (gonorrhoea), etc.
  • 🌧️ Dust
  • 🌧️ Smoke
  • 🌧️ Exposure to sunlight

Signs & Symptoms Recognised in Unani

  • 👁️ Inflammation of the conjunctiva (Tabqa-e-Multahima) known as Ramad.
  • 🌡️ May be associated with 'hot' (haar) or 'cold' (barid) humours.
  • 🩸 Predominance of yellow bile (Safra) and blood (Dam) can be a cause.
  • 💨 Can be caused by extreme cold breeze or cold with coryza.
  • 🦠 Associated with systemic diseases like diphtheria (Khunaq), syphilis (Aatshak), and gonorrhea (Suzaak).
  • ⚠️ Characterized by swelling, pain, and redness in the eye.
  • 💧 Accompanied by irritation, epiphora (watery discharge), and purulent discharge.
  • ⚖️ A feeling of heaviness in the head can be present.
  • ✨ Symptoms may vary based on the causative humour.

Herbs & Natural Substances

SuhagaUsed in eye preparations
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Flowers of MundiUsed in eye preparations
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UnnabUsed in eye preparations
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Rind of yellow HalailaUsed in eye preparations
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ZarishkUsed in eye preparations
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PhitkariUsed in eye preparations
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ChaksuUsed in eye preparations
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Gul-i BābūnaUsed in head irrigations
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Gul SurkhUsed in head irrigations
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MarzanjoshUsed in head irrigations
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Tukhm-i HulbaUsed in eye drops
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Tukhm-i KatānUsed in eye drops
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SandalUsed in local application paste
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RasawtUsed in local application paste
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MāmīsaUsed in local application paste
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Therapeutic Approaches in Unani

The Unani system of medicine employs a multi-faceted approach to treating conjunctivitis, focusing on evacuation, resolution of swelling, and balancing humors. For conditions like Ramad Sawdāwī, specific treatments aim to moisten the brain. Pharmacotherapy involves the use of various herbal decoctions and preparations, such as the Joshānda-i Halayla for Ramad Safrāwī, and irrigations of decoctions containing Gul-i Bābūna, Gul Surkh, and Marzanjosh applied to the head.

External applications and procedural practices are also integral to Unani treatment. This includes the local application of pastes made from ingredients like Sandal, Rasawt, Māmīsa, and others. Eye drops prepared from mucilaginous decanted liquids derived from Tukhm-i Hulba and Tukhm-i Katān are administered directly into the eyes.

Principles of treatment also encompass evacuation through purgation (Ishāl) to remove morbid humors from the body. The resolution of swelling (Tahlīl-i Waram) is a key objective, alongside specific interventions like brain moistening for conditions attributed to black bile predominance. These methods aim to restore the natural balance and function of the eyes.

Lifestyle & Daily Routine

  • ✅ Keep the eyes clean.
  • ❌ Avoid frequent rubbing or touching of the eyes.
  • ✅ Apply Kohl (Surma) in the eyes.
  • ✅ Use Arq-e-Gulab (Rose water) as eye drops frequently.
  • ✅ Wash eyes frequently.
  • ✅ Apply Asl (Honey) in the eyes.
  • ✅ Use a muslin cloth dipped and dried in Chob Zard Mehlool (turmeric paste) for wiping the eyes.
  • 💨 Protect eyes from extreme cold breezes.
  • ❌ Avoid exposure to dust and smoke.
  • ❌ Avoid prolonged exposure to sunlight.

Traditional Preparations

Decoction

Joshānda-i Halayla

Halayla

Decoction of Halayla

For Ramad Safrāwī

Decoction

Natūl

Gul-i BābūnaGul SurkhMarzanjosh

Decoction of Gul-i Bābūna, Gul Surkh, and Marzanjosh for irrigation on the head

For Ramad

Preparation

Eye drop from mucilaginous decanted liquid

Tukhm-i HulbaTukhm-i Katān

Preparation of mucilaginous decanted liquid from Tukhm-i Hulba and Tukhm-i Katān

As eye drop

Paste

Paste of Sandal, Rasawt, Māmīsa

SandalRasawtMāmīsa

Local application of paste

Local application for Ramad

Preparation

Ayāraj-i Fayqra

Ayāraj-i Fayqra

Compound drug

For Ramad Balghamī

Preparation

Shiyāf Abyaz

Shiyāf Abyaz

Local application

Local application for Ramad

Frequently Asked Questions

Can conjunctivitis be cured with Unani medicine?+
Conjunctivitis, known as Ramad in Unani medicine, is an inflammation of the conjunctiva that can be treated. Unani principles of treatment involve evacuation, reducing swelling, and moistening the brain if related to a specific humour. Various herbs and natural remedies are utilized in Unani pharmacotherapy for its management.
How long does conjunctivitis last with Unani treatment?+
The duration of conjunctivitis under Unani treatment can vary depending on the underlying cause and severity. Unani principles focus on addressing the root imbalance, which may involve evacuation, reducing inflammation, and specific pharmacotherapy. While acute cases might resolve relatively quickly with appropriate management, chronic conditions may require a more extended treatment period.
What are the best Unani herbs for conjunctivitis relief?+
In Unani medicine, several herbs are traditionally used to address conjunctivitis, also known as Ramad. These include Suhaga (Borax), Flowers of Mundi (Sphaeranthus indicus), Unnab (Jujuba), and the rind of yellow Halaila (Terminalia chebula). Additionally, Zarishk (Berberis aristata), Phitkari (Alum), and Chaksu (Cassia absus Linn.) are recognized for their potential benefits in managing this condition.
Are there any diet restrictions for conjunctivitis in Unani?+
In Unani medicine, dietary recommendations for conjunctivitis (Ramad) often include light foods (Aghziya Latifa) and barley water (Ma' al-Sha'ir) for certain types. Conversely, dietary restrictions may involve avoiding sour foods, sweet foods, and spices to help manage the condition.
When should I consult a Unani physician for conjunctivitis?+
You should consult a Unani physician for conjunctivitis if you suspect it is caused by systemic diseases like diphtheria, syphilis, or gonorrhea. It is also advisable to seek their expertise if the condition is associated with heatstroke or the presence of foreign bodies in the eye.

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