An Observational study to Evaluate the Efficacy of Hijamah Bis Shurt (Wet Cupping) in the management of Bathur Labniya (Acne vulgaris)

Acne vulgaris is a chronic inflammatory disease of pilosabaceous glands presenting with seborrhea,open and closed comedones,papule,pustule and nudocystic lesion in severe cases.Acne primarily affects the face,neck,uppertrunk,upperarms.It has been estemitatec that 70% of the general population have some clinically evident acne at some stage during adolescence.Acne vulgaris is among the tewn most common dermatoses found in Kashmir.As per Unani concept,BathurLabniyaare tiny ,white eruptions on nose & cheeks which resemble with condensed milk droplets.These are caused by suppurative matter which comes to surface of skin due to bukharat(vapour) of the body.30-50% of adolescents experience psychological difficulties associated with acne including body image concerns,embarrasement ,social stigma,anxiety and poor self-esteem.In modern medicine, effective treatment is available for acne vulgaris,but due to some concerns like antibiotic resistance and teratogenicity,alternative options are to be explored.Now a days Unani system of Medicine is getting authentication for the treatment of such type of disease by its unique concept which is equilibrium of humors, for this purpose different methods of treatment are applied like Ilajbil Giza (Dietotherapy), IlajbilDawa (Pharmacotherapy) , IlajbilTadbeer (Rehimenal Therapy), and IlajbilYad (Surgery). Importantly it can bring down the oral medicine burden to the patient which has to be taken for long duration. So the present study is designed“To evaluate  Efficacy of HijamahbisShurtin the management of BathurLabniya(Acne vulgaris*)”.*In the management of the disease more emphasis was given on the evacuation of KhiltGaleezthrough Hijamah.**Hijamahis a non-pharmacological method comes under Ilaj bit Tadbeer, by this method evacuation of RaddiMawad (morbid humors) by specific method creating vacuum in between the shoulder blades.

Enrolled cases of Acne will be randomly allocated into two groups of 20 each, after obtaining a written informed consent. Group A will be allocated forHijamahbisShurt(Wet cupping) as test groupand Group B will be treated with ArqMurakkabMusaffikhoonas control group.

The pre and post treatment subjective and objective findings (effects) will be compared in both groups, and its significance will be evaluated through a suitable statistical test.