Management of Wajaʹ al-Rakba(knee Osteoarthritis) by TakmīdHārRatab(hot and moist fomentation) and Habb-i-Sūranjān: A case study
Knee osteoarthritis is a painful condition that represents the degeneration of the cartilages and osteophyte formation in knee joint that affects millions of people worldwide. In Unāni System of Medicine, it has been treated by a number of single or compound drugs and various regimens of ‘Ilajbi’lTadbīr such as cupping, venesection, massage, hot fomentation, irrigation etc. Among these regimens Takmīd (fomentation) either moist or cold is being used with the aim to resolve the swellings caused by rīh (gas), to reduce the pain and to make soften, and also for diversion and evacuation of Mawād-i-fāsida (morbid materials) from the affected parts. A patient with chief complaints of pain in both knee joints, along with the swelling and mild tenderness feeling severe pain while performing daily activity for last 1 yearwas treated atIPD of the Hospital National Institute of Unani Medicine, Bangalore, to evaluate the efficacy of TakmidHār Ratab with a warm decoction of drugs including Babūna (dried leaves and branches), Nākhūna (dried legumes), Makokhushq (dried fruits), Gul-i-tīsu (dried flowers), SūranjānTalkh (dried corm) and Namak-i-lᾱhori in crude form locally for 10 sittings of alternate application. Along with local, oral compound drugHabb-i-Sūranjᾱn2 two times a day for 30 days. The patient was assessed at zero day and 30th day on the basis of changes in subjective and objective parameters, with the help of Knee injury and Osteoarthritis Outcome Score (KOOS).At the end of the treatment patient got significant relief in subjective and objective parameters. The present study reveals that TakmīdHār Ratab along with Habb-i-Sūranjān is pills safe and effective therapy in the treatment of Waja’ al-Rakba without any side effect. Hence this case may be recommended for further larger sample sized study.