Efficacy of Itrifal muqil in Bawaseer-e-ghaira (Internal haemorrhoids) - An observational clinical study.

As per Unani literature haemorrhoid is known as “Bawaseerâ€. Bawaseer is pleural of basoor which means warts or polyp like swelling. It is an excessive growth at the mouth of vessels present in anus which forms due to ghaleez khilt-e-sauda. Buqrat (Hippocrates) described the haemorrhoids as the flow of blood from the veins of anus..According to Majoosi*, Bawaseer* is an excessive growth at mouth of vessels present in anus. Whereas Ibn Hubal Baghdadi described that the formation of Bawaseer indicates that the morbid viscid humour (ghaleez akhalat) is present in the body. Unani physicians described that the khilt-e-sauda is responsible for this disease. The basic principle of management of Haemorrhoids are Izale-sabab (elimination of cause) that means avoid the food (diet) which forms khilt-e-sauda in body, Tanqiya-e-ma‘dda (evacuation of morbid matter) through venesection, cupping and laxatives. Other methods which can be used for the treatment of haemorrhoids include correction of liver, intestine, stomach and spleen because haemorrhoids can never form without Su-e-mizaj of these organs. Exercise like brisk walk and use of Hamam to dissolve the morbid matterThe Itrifal prepared from Unani formulation (Halela kabuli, Post-e-balela, Amla muqashar, Muqil arzaq, Aab-e-gandana and Honey) has specific action in treatment of Bawaseer-e-ghaira. Halela kabuli has property of evacuation of Sauda, Balela has the property to remove the toxins from blood as well as evacuate the sauda. Amla possess the property of evacuation of sauda, acts as haemostatic & laxative. Aab-e-gandana act as haemostatic and Muqil has haemostatic as well as laxative properties Dose: three misqal(13.5gm) in divided dose per day after meal for 45 days