CONCEPT AND MANAGEMENT OF SHAQEEQA (MIGRAINE) IN UNANI SYSTEM OF MEDICINE: A REVIEW

Authors

  • Mohd. Riyazuddin Markaz Unani Medical College, Kozhikode, Kerala, India.
  • Arisha Shahid Markaz Unani Medical College, Kozhikode, Kerala, India.
  • Nazreen Fatma National Institute of Unani Medicine, Bangalore, Karnataka, India
  • Musab Ahmad National Institute of Unani Medicine, Bangalore, Karnataka, India
  • Mohammad Zaki Ahmad National Institute of Unani Medicine, Bangalore, Karnataka, India

Abstract

Migraine is one of the oldest medical conditions afflicting mankind. It is form of primary headache derived from term “hemi-crania”. Its historical background dates back to Mesopotamian era but first written documentation was done by Buqrat, and further description about its location and cause was given by Jalinoos. Al-Razi, described its aetiopathogenesis, clinical features and management. Migraine manifests with recurrent attacks of pulsating headache, mostly associated with nausea, vomiting, photophobia and phonophobia, with or without an aura. Onset is unilateral, with varying intensity, frequency and duration. The word Shaqeeqa is derived from Arabic word ‘Shiq’ which means ‘a part’ or ‘a side’. As per classical literature it is a type of Suda, in which pain occurs on one side of head. The causative factor for Shaqeeqa are the morbid matters and Bukharat e Radiya (morbid vapours) arising from morbid humours which are either excessive in amount, too hot or too cold. Tabiyat fails to eliminate the cause and propels it to one part of the brain which is weak and tries to protect the other side. It often results due to Sue Mizaj Maddi (abnormal substantial temperament) giving two variants Shaqeeqa haar and Shaqeeqa barid. Since the pain occurs in a part rather than entire head giving it name Shaqeeqa, characterized by recurrent episodes that are moderate to severe in nature. In Unani medicine treatment of Shaqeeqa mainly consists of elimination of morbid matter which is accumulated in the body and strengthening the brain using Muqawwiyat-e-Dimagh (brain tonics).

Key-words: Bukharat e Radiya; Migraine; Muqawwiyat-e-Dimagh; Shaqeeqa; Suda; Sue Mizaj Maddi; Tabiyat.

Author Biographies

  • Mohd. Riyazuddin, Markaz Unani Medical College, Kozhikode, Kerala, India.
    Assistant Professor, Department of Moalajat (Medicine)
  • Arisha Shahid, Markaz Unani Medical College, Kozhikode, Kerala, India.
    Assistant Professor, Department of Moalajat (Medicine)
  • Nazreen Fatma, National Institute of Unani Medicine, Bangalore, Karnataka, India
    PG Scholar, Department of Moalajat (Medicine)
  • Musab Ahmad, National Institute of Unani Medicine, Bangalore, Karnataka, India
    PG Scholar, Department of Moalajat (Medicine)
  • Mohammad Zaki Ahmad, National Institute of Unani Medicine, Bangalore, Karnataka, India
    PG Scholar, Department of Ilaj Bit Tadbeer

References

Tabri ABM. Moalajat-e-Buqratiya. Vol 1. New Delhi: CCRUM; 1995: 284-290.

Ayyub MI.Tarjuma Aqsarai. Urdu translation of Mojaz. Lucknow: Matba Munshi Nawal Kiashor; YNM: 24-25.

Baghdadi ABH. Mukhtarat Fil Tib.Vol 3. New Delhi: CCRUM; 2004: 19-20.

Ibn e Sina. Al QanoonFilTib. Vol 3. Part 1. New Delhi: Idara KitabulShifa; YNM: 530-531.

Jurjani AH. Zakheera KhawarzamShahi. (Urdu translation by HadiHussain Khan). Vol 6. New Delhi:IdaraKitabulShifa; 2010: 105-106.

Arzani HMA. Meezan ul Tib. New Delhi: IdaraKitabulShifa; 2002: 46-47.

Razi MBZ. Kitab ul Fakhir. Vol 1. Part 1. New Delhi: CCRUM; 2008: 62-69.

Jamaluddin NIE. Mualijat-e-Nafisi. Lucknow: Munshi Nawal Kishor; 1906: 125-126.

Samarqandi N. Tarjuma Sharah-e-Asbab.(Urdu translation by Hakim Khuaja Rizwan Ahmad). Vol.1. New Delhi: CCRUM ; 2010: 76-83.

Pearce JM. Historical aspects of migraine. Journal of neurology, neurosurgery, and psychiatry. 1986 Oct;49(10):1097.

Munjal YP, Sharma SK, Kamanth SA, Agarwal AK, Singal RK, Gupta P, et al. API Textbook of Medicine. 9thed. Vol 1. Mumbai: The Association of Physicians of India; 2012: 12-15.

Golwalla ASPI F, Golwalla Sharukh A. Medicine for students. 22nd ed. Mumbai: Dr Aspi F Golwalla; 2008: 499-504.

Tripathi KD. Essential of Medicine Pharmacology. Sixth ed. Jaypee Brother Medical Publisher (P) Ltd; 2010: 169.

Ropper A H, Samuels M A. Headache and other craniofacial pains. Adams and Victor’s Principles of Neurology. 9th ed. United States of America: McGraw-Hill Companies; 2009: 162-185.

Headache Classification Committee of the International Headache Society (IHS)- The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018; 38(1): 1–211.

Campbell WW. Dejong’s The Neurologic examination. 7th ed. New Delhi: Wolters Kluwer; 2015: 792-793.

Goldman L, Schafer AI. Goldman’s Cecil Medicine. 24th ed. USA: Elsevier; 2012: 2246-2248.

Das KVK. Textbook of Medicine. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd; 2008: 1220-1222.

Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J editors. Harrison’s Principles of Internal Medicine. 18th ed. Vol 1. USA: The McGraw Hill Companies; 2012: 114-121.

Jafarpour M, Yousefi G, Hamedi A, Shariat A, Salehi A, Heydari M. Effect of a traditional syrup from Citrus medica L. fruit juice on migraine headache: A randomized double blind placebo controlled clinical trial. Journal of Ethnopharmacology. 2016; 170-176.

Dodick Dw, AZ Scottsdale, Krank W, AZ Scottsdale, B Richard, Bronx Lipton, et al. Current Review: Basic Science Serotonin and migraine: biology and clinical implication. Headache Current. Cephalalgia. 2007; 27: 1295-1300.

Steiner T, Stovner L J, Bribeck G. Migraine: the seventh disabler. Journal of Headache and Pain. 2013; 14(1): 1-2.

Orr S L O, Friedman B W, Christie S C, Minen M T, Bamford C, Kelley N E et al. Management of adults with acute migraine in the emergency department: The American headache society evidence assessment of parenteral pharmacotherapies. Headache. 2016 April 13; 56: 911-940.

Brennan K C, Charles A. An update on the blood vessel in migraine. Current Opinion in Neurology. 2010; 23: 266-274.

Wan D, Wang C, Zhang X, Tang W, Chen M, Dong Z. Association between angiotensin-converting enzyme insertion/deletion polymorphism and migraine: a meta-analysis. Int J Neurosci. 2015; 1-16.

Arzani HA. Tib e Akbar. (Urdu translation by Hakim Mohammad Hussain).Deoband: Faisal Publications; YNM: 20-21.

Majoosi AIA. Kamilussina. (Urdu translation by GhulamHussainKantoori). Vol 2. New Delhi: CCRUM; 2010: 544-545.

Khan HA. Ikseer e Azam. Urdu translation by Hakim Mohammad Kabeeruddin. New Delhi: Idara Kitabul Shifa; 2011: 77-81.

Razi MBZ. Kitab Al Hawi. Vol 1. New Delhi: CCRUM; 1997: 192-198.

Raban Tabri ABS. Firdous ul Hikmat. New Delhi: Idara KitabulShifa; 2017: 155-156.

Alqamri AMA. Ghina Muna. New Delhi: CCRUM; 2008: 2-7.

Razi AMBZ. Kitabul Mansoori. New Delhi: CCRUM; 1991: 317-318.

Jeelani HG. Makhzan-ul-Hikmat. Vol.2. New Delhi: Aijaz Publishing Houseb; 1996: 111-117.

Qarshi HMH. Jami-ul-Hikmat. New Delhi: Idara Kitab-us-Shifa; 2011: 323-328.

Ahmad HHJ. Tazkir-e-Jaleel. Lahor: CCRUM; 2008: 35-36.

Downloads

Published

2020-07-14