Efficacy of Hijama Bila Shart in Wajaur Raqaba - A randomized clinical trial

Cervical spondylosis is a degenerative condition of cervical spine in the general population, occurs mostly in 4th and 5th decades of life.Abouttwo third of the population have neck pain  at some  time in their live  and prevalence is highest  in  middle age.As neck pain affectes persons life both at home and at work,therfore relief from pain is mandatory  for social , psychological, economical and medical reasons.

In Unani system of medicine tje term Wajaur Raqaba is not mentioned in any clasiscal test books, but most of the eminent physicians have used a  broad term Waja ul Mafasil to describe all types of joint pain. unani physicians have treated Waja ul Mafasil successfully with various drugs and regimenal modalities including hijamah bila shart, dalk, riyazat etc, hijamah bila shart is one which is commonly prescribed to evacuate Mawad e Fasida and provide relief to the patient of Waja ul mufasil.  The main aim of the study is to optimize the duration of application of cups in the pain management of wajaur raqaba. Total duration of the study is 15 days ,inclusion criteria will be clinically and radiologically diagnosed patients of wajaur raqaba of 20 to 60 years of age of either gender. total 3 cups will be applied ,1 large cup over the junction of 7th cervical vertebra  and 1st thoracic vertebra and 2 medium cups will be applied over the right and left supraclavicular fossa for 8,10,and 12 minutes respectively in each group .Total 15 patients will be there in each group.Any adverse reaction during therapy will be recorded and reported.The outcome will be assessed by using  VAS scale and Vernon and Mior Cervical spine questionnaire.