Comparative evaluation on efficacy of Habb-e-Rasuat vs Habb-e-Muqil in bawaseer ghaira (Internal Haemorrhoids) – An open label Randomized clinical trial

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.11 According to Majoosi, Bawaseer is an excessive growth at mouth of vessels present in anus.12 Whereas Ibn Hubal Baghdadi described that the formation of Bawaseer indicates that the morbid viscid humour (ghaleez akhalat) is present in the body.

The basic principle of management of haemorrhoids is 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.In Unani system of medicine the drugs used in the treatment of haemorrhoids should have following properties like Habis-ud-dam (Haemostatic), Mullayin (Laxative), Muhallille Warm (Anti Inflamatory), Mujaffif (Desiccative), Mudammil (Healing property), and Musakkin-e-alam (Analgesic).

Based on the above principle above mentioned intervention is being evaluated for its efficacy in the management of internal haemorrhoids.