SOLVING THE PUZZLE OF NON-HEALING ULCERS THROUGH THE UNANI SYSTEM OF MEDICINE

Abstract

The challenge of managing non-healing ulcers remains a persistent concern in modern clinical practice due to its complex etiology, prolonged healing time, and associated socio-economic burden. While conventional medicine defines such ulcers as wounds that do not improve within four weeks or fail to heal within eight, the Unani system of medicine addresses this condition through an entirely different lens. Termed Aseer-al-Indemal Qarha, non-healing ulcers in Unani medicine are understood as disruptions in tissue continuity (Tafarruq-e-Ittesal) rooted in temperamental imbalances (Sue Mizaj)—whether local (Maqami), systemic (Umoomi), qualitative (Sada) or materialistic (Maddi). This paper explores the Unani approach to diagnose and manage such ulcers by focusing on correction of underlying temperament and restoration of physiological harmony. Through detailed pathophysiological insights and therapeutic strategies including dietary, pharmacological, and topical interventions, this study highlights how chronic wounds becomes manageable and treatable within the Unani paradigm. By addressing root causes rather than symptoms, Unani medicine offers a holistic, cost-effective, and personalized solution to the enduring puzzle of non-healing ulcers.