humma e saudaviya

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 Humma e Saudaviya Humma e Saudaviya By: By: Dr. M.S.M. Shiffa Dr. M.S.M. Shiffa BUMS (Hons) BUMS (Hons)

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Humma e SaudaviyaHumma e Saudaviya

By:By:

Dr. M.S.M. ShiffaDr. M.S.M. ShiffaBUMS (Hons)BUMS (Hons)

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IntroductionIntroduction

The attack (bari) comes every 4The attack (bari) comes every 4thth dayday

therefore it is also calledtherefore it is also called Humma e RibHumma e Rib

This results due to ufoonath in Sauda.This results due to ufoonath in Sauda. There are two typesThere are two types

4.4. Ribbe DayeraRibbe Dayera

5.5. Ribbe LazimaRibbe Lazima

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Humma e Ribbe DayeraHumma e Ribbe Dayera

Duration – 72 hoursDuration – 72 hours

Attack – every 4Attack – every 4thth dayday

Usually found in moist & damp areasUsually found in moist & damp areasThis is found abundantly in BulghamiThis is found abundantly in Bulghami

mizaj peoplemizaj people

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AetiologyAetiology It is due to putrefaction of SaudaIt is due to putrefaction of Sauda

Excludes which are produced from badExcludes which are produced from badmaddamadda

i.e.- after oxidization of other akhlatsi.e.- after oxidization of other akhlats

end product of other akhlatsend product of other akhlatsScientifically it is caused by a particular typeScientifically it is caused by a particular type

of organism which multiplies every 72 hoursof organism which multiplies every 72 hours

According to Avicenna and other physiciansAccording to Avicenna and other physiciansthis fever is present in terminal stages of this fever is present in terminal stages of 

other feversother fevers

In most of the cases this fever is presentIn most of the cases this fever is present

along with the diseases of Liver along with the diseases of Liver 

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AlamatAlamat Attack comes every 4Attack comes every 4thth dayday Fever starts with chills and rigorsFever starts with chills and rigors

Itching sensationItching sensation Pain in bones and muscles (takasur)Pain in bones and muscles (takasur) Feeling of heavinessFeeling of heaviness FatigueFatigue Diminished visionDiminished vision Perspiration - Safravi > Sauda > BulghamiPerspiration - Safravi > Sauda > Bulghami Fever subsides with the perspirationFever subsides with the perspiration Decreased thirstDecreased thirst If the diseased madda is in the blood and notIf the diseased madda is in the blood and not

evacuated then it will lead to inflammation of theevacuated then it will lead to inflammation of thespleen causes pain and splenomegalyspleen causes pain and splenomegaly

Long standing inflammation of spleen leads toLong standing inflammation of spleen leads to

AscitesAscites

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Nabz – Sagheer Nabz – Sagheer 

BatiBati

Zayeef Zayeef MutafavitMutafavit

When fever results due to oxidation of other When fever results due to oxidation of other khilthkhilth

8.8. Bulghami akhlathBulghami akhlath

Fever duration – prolongedFever duration – prolonged

Perspiration – decreasedPerspiration – decreasedUrine – viscousUrine – viscous

Nabs – softNabs – soft

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2.2. Damavi akhlathDamavi akhlath

Alamat of damavi fever Alamat of damavi fever 

Urine – redUrine – redFace – flushedFace – flushed

Nabz – azeemNabz – azeem

8.8. Safravi akhlathSafravi akhlathChills & rigors – presentChills & rigors – present

Thirst – increasedThirst – increased

Perspiration – increasedPerspiration – increased

Urine –Urine – yellowish in early stageyellowish in early stageblack in later stageblack in later stage

Nabz – sariNabz – sari

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Humma e Ribbe LazimaHumma e Ribbe Lazima

This type is very severeThis type is very severeThis fever is continuous fever This fever is continuous fever 

Actually it is a combination of two Dayera fever Actually it is a combination of two Dayera fever 

AlamatAlamat

fever starts without chills & rigorsfever starts without chills & rigors

fever does not decrease with perspirationfever does not decrease with perspiration

before finishing one attack of humma other before finishing one attack of humma other 

attack occurs – causative factor reaches theattack occurs – causative factor reaches thebody and multiplied in the body within 3 days &body and multiplied in the body within 3 days &causes fever for 3 dayscauses fever for 3 days

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IlajIlajUsoole ilajUsoole ilaj

Treatment should be done according to theTreatment should be done according to thetype of the fever and the khilth involvedtype of the fever and the khilth involvedMunzij e saudaMunzij e sauda

Mulayyin drugs or mild huknaMulayyin drugs or mild hukna If the disease is severe give mushilathIf the disease is severe give mushilathDo not give the food during the attackDo not give the food during the attack

Easily digestible food can be given after theEasily digestible food can be given after theSauda became nuzjSauda became nuzjBarid food (curds) should be avoidedBarid food (curds) should be avoidedPrecaution should be taken as liver & spleenPrecaution should be taken as liver & spleen

are involvedare involved

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Ilaj proper Ilaj proper 

Mushil e saudaMushil e sauda

aftimoonaftimoon 3m3m

ustakudoosustakudoos 3m3mbisfayijbisfayij 3m3m

gharikoongharikoon 3m3m

Boil in water, add turanjabeen and use 2 times a dayBoil in water, add turanjabeen and use 2 times a day

Munzij e saudaMunzij e sauda

barge sahathrabarge sahathra 3m3m

charayta e talqcharayta e talq 3m3mtukhm e kasoostukhm e kasoos 3m3m

Anjeer e zardAnjeer e zard 2D2D

maveez munakkamaveez munakka 2D2D

Boil in water and add gulkand Use 2 times dailyBoil in water and add gulkand Use 2 times daily

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Mushil e aamMushil e aam

HaleelaHaleela 6m6m AftimoonAftimoon 6m6m AfsanteenAfsanteen 6m6m

Usar e ghafisUsar e ghafis 3m3m Amla khuskAmla khusk 3m3m Tukhm e karafsTukhm e karafs 3m3m AnisoonAnisoon 3m3m

BadiyanBadiyan 3m3mBoil in water Boil in water 

Give two times a dayGive two times a day

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TabreedTabreedArk e kasniArk e kasni 7T7T

Or Ark e gauzabanOr Ark e gauzaban 4T4TIs mixed with sharbath e unnab andIs mixed with sharbath e unnab and

sprinkle with tukhm e reehansprinkle with tukhm e reehan 5m5m

Compound drugsCompound drugs

hub e hilteethub e hilteet

hub e shifahub e shifa

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Habb e shifaHabb e shifa

Tukhm e daturaTukhm e datura 3T3T

Revand chiniRevand chini 2T2T

SountSount 1T1T

Gond e baboolGond e babool 10m10m

powder first three drugs finely. Add luab epowder first three drugs finely. Add luab egond e babool and make chana sizegond e babool and make chana sizetabletstablets

one tablet with warm water two times aone tablet with warm water two times adayday

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Thank youThank you