Philosophy of Detoxification through Munzij And Mushil

Philosophy of Detoxification

Philosophy of Detoxification through Munzij And Mushil: According to Unani system of medicine, health is attributed to the quantitative and qualitative equilibrium of Akhlat (humours) i.e Damvi (sanguinous), Safra (Bilious/choleric), Balghami (Phelgamatic) and Saudavi(melancholic). Besides this, there is Asbab eSittah Zarooriya (six essential factors) which are the main determinants of health. These factors are highly modifiable and any imbalance in any of these factors is likely to cause diseases. Proper evacuation of morbid materials is the prerequisite of humoral equilibrium or in other words maintenance and restoration of health. this mode of treatment for thousands of years. It has been advocated in many diseases including arthritis, Falij (paralysis), Humma(Fevers), Suda( Headache) and many more.

Philosophy of Detoxification

What is the Philosophy of Detoxification?

The concept of Tanqeyah (Detoxification/Systemic Cleansing) through Munzij (Concoctives) and Mush (Purgatives) in the treatment of diseases though seems to be archaic but has tremendous efficacy in the management of chronic diseases.
This therapy works on the principal of systemic cleansing. The entire regimen consists of two components:
Nuzz is defined as a process in which diseases causing Maddah Mard (Tenacious morbidities are transformed to a state that can be feasibly eliminated out of the body with the help of Mus’ hilat (purgatives). Nuzj is usually carried out in chronic diseases but it is optional in acute diseases depending upon the severity and acuteness of the condition.

Hararat Ghareezia (innate heat of body). Nuzj is a routine phenomenon in the presence of temperamental normalcy but if temperament is derailed then proper Nuzz cannot take place and then it is required to facilitate the immunity from outside in order to make Nuzj happen It is for these reasons appropriate medicines are required for Nuzj.

Recommendations of Nuzj (Concoction):

Duration of Nuzj (Concoction):

Duration of Nuzj varies depending upon the humoral morbidities involved i,e:
Safra-e-khalis. …… 3 days
Safra-e-Ghair khalis……5 days
Balgham Raqeeq 5 days
Balgham Ghaleez……12 days
Sauda-e-khalis…… 15-40 days
In case of Sanguineous diseases Moadillat-e-Dam (blood alteratives) and Mussffiyat-e- dam (blood purifiers) are given instead of Munzij drugs.

Routs of Nuzj (Concoction):

The route to be opted depends on the type of organ afflicted and morbid material involved (Maddah Marz) e.g in case of Hummiyat (fevers) Maddah Marz is in the blood, then Nuzj will preferably be done through kidneys in urine.

In case of cutaneous abscess, through skin pores as these serve as best channels of elimination.

Sign of Nuzi (Concoction):

For confirmation, the examination of secretions corresponding to route of Nuzj involved such as sputum, urine etc is carried out along with the examination of pulse to see sign of completion of Nuzj.
Urine: As the sign of completion of Nuzj in urine, there are changes in viscosity, color and precipitate.. These changes however are not only noted as a result of completion of Nuzj

Pulse

Sputum

There are considerable changes in the sputum in the diseases of lungs and thorax after giving Munzij (Concoctives).

Type of Mushilat (Purgatives) according to severity of actions:

Mushilat-e-Khafeef (Mild Purgatives)

These drugs simply increase the peristaltic movements of the intestine, cause spasmodic pain in abdomen and produce semi loose stool e.g. Turbuds (Ipomoea turpethum), Sana Makki (Cassia augustfolia) etc.

Mushilat-e-Shadeed (Strong Purgatives)

These are the drugs which increase the peristaltic movements of the intestine and cause watery stools without causing the spasmodic pain. Purgatives are also classified according to their affinity to particular humoral morbidity and hence named as:

Bilious purgatives:

Strong purgatives. Haleelah Zard (Terminalia chebula), Sibri Aloe barbadensis), Sakmoonia(Convu scammony).
Mild purgatives: Iijas(Prunus domestica), Banafsha (Violo odorata)

Melancholic Purgatives:

Strong purgatives: Harbak Aswad (Veratrum album), Gil-e- Armani(Bole armetise rahe Gareekoon(Agaricus albus), Aftimoon(Cuscuta reflexa), Haleelah Siyah(Terminalia chebula) and Bistay (Polypodium vulgare) etc.

Phlegmatic purgatives:

Strong purgatives: Shaham-e-Hanzal (Citrullus colocynthis), Fasarul hamar, Kuntariyoon dake Turbodi Ipomoea turpethum), Bazr-ul-Inzirah, Mazi kurtum etc.

Indication of Is’hal (Purgation):

Contra-indications:

Wet and dry climate.
Inflammatory condition of the intestine.
Pregnancy especially first and third trimester.
Menstruation.
Elderly, weak people and children.
Cases of hypertension.

Preferable time for Ishal (Purgation):

In summer and Rabi season(Spring), purgation should be done in the morning.
In winter season and autumn it should be given two hours after sunset.
Purgation should not be done preferably in Rabi and Khareef seasons(Autumn).

Special precautions during Is’hal (Purgative):

If the drugs given as purgatives are of bad taste, then the patients should be advised to chew Aqirqaha or Darchini (Cinnamomum zeylanicum). Neutralize the effects of bad smell or sense of vomiting. Mild body massage may also be advised.

Support given in Is’hal (Purgation):

Sharbat Wared Murakkab 250ml and Sharbat Denar 250ml may be given to the patient for increasing the effects of purgatives.

Philosophy of Detoxification

Management of Complications of Is’hal (Purgation):

Tabreed (Cold regimen):

It is one of the basic principles of Unani System of Medicine tat Tabreed (Cold regimen) is advocated after inducing purgation as an interrupted intervention. This loss of fluid further adds up to the increased core temperature and dryness. To compensate these undesired effects Tabreed (cold regimen) is compulsorily be advised to avoid any unwanted adverse effect of purgatives and also to bring normaley in temperament. Tukhm-e-Raihan(Ocimum basilicum), and Tukhm-e-Teratezak for moderate temperament and cold temperament are given respectively.

Commonly used formulations for Tabreed are as follows:

Khameera Gaozaban with Warq Nuqra and Loboob-e Bihidana 3 gm; Shera Unnab 10 pieces(To be made
in Arq Gaozaban) with Sharbat Banafsa 20 ml.
Since the case of disease, Unani System is considered the derangement of humors, so the evacuation of such morbid materials are necessary for which Nuzz and Ishaal is must.
According to predominant humours following combination of drugs for Nuzj, Mu’shil and Tabreed can also be given.

Mushillat-e-Safra

Haleelah (Terminila chebula), Aloo-bukhara (Prunus domestica), Sharbat Banafsha, Sharbat Fuwakah, Joshandah Khayar Shanbari, Sakhmoonia (Convulvulus scammony).
Haleelah zard (Terminila chebula), Unaab (Zizyphus sativa), Tamarbindi (Tamarind indicus), Shahitrah (Fumeria officinalis), Sana(Cassia angustifolia), Banafsha (Viola odorata), Inab-u-salab (Solanum nigrum), Khatmi (Althoca officinalis), Tukhm kasini (Cinchorium intybus) in equal

Munzijat-e-Balgam:

Depending upon the derailment of temperament and quantity of morbid material the Munzij can be given for Talteef (attenuation), Tahleel (resolution), Taqtich (rectifying). Aneessoon(Pimpinella anisum), Beeke Badiyan, Beekh Kibr(Root of Capparis spinosa), Ayrusa(Iris ensata), Azkhar(Andropogon scaenar), Zoofa(Hyssopus officinalis), Pudina (Menthe piperita), Ac Sudab(Ruta graveolans), Baranjasiť (Artemisia vulgaris), Marzanjosh, Bargjhar (Prunus laurocerasus), Baboona Maticaria chamomilla), Aklielulmulq (Trigonella ancata) and Shibt (Anethum sowa)
If more quantity of morbid humour or more temperament derailed than add Aqirkarha (Anacylus pyrethum), Farfuraan (Rheum officinalis).

Mushilat-e-Balgam:

Initially mild Mu’shil should be tried in Galeez (viscid) and layas dhar (malacious) humors than gradually strong one should be given e.g. Initially Ayarij Feekirah (Aloe barbedensis), Turbud (Ipomoea turpethum), Aftimoon (Cuscuta reflexa), Gareekoon(Polyporous officinalis) ete. Later Habb-e-Shibyar, Habb-e-Ayarij can be given.

Munzijat-e-Sauda:

For munzij saudah it is necessary to give Taleeyn and Tabreed medicine and for that give Unaab (Zizyphus vulgaris), Nelofar (Nymphae lotus), Anjeer (Ficus carica), Khameerah Banafsa after that use second and third degree anti-inflammatory drugs e.g Barg Gowzabaan (leaves of Barago officinalis), Bisfayij (Polypodium vulgare), Barj Badranjboya(leaves of Mellisa officinalis), Sapistan (Cordial latifolia), Turanjabeen(Fraxinus ornus). It is twice repeated because it is difficult to Nuzj melancholic morbid humors.
Following combination of drugs in the form of decoction can be given for Munzj; Bisfayij (7 grms), Usthakhudus (Lavendula stoechas) (7grms), Badranjboyah (7 grms), Iftimoon(7grus), Maviez Munaqqah (Vitis vinefera)

Mushilat-e-sauda

Magz Khayer Shamber(Cassia fistula) 60 gms, Sheer Khast(Fraximus ornus) 40 gms, Sanamakki(Cassia angustifolia) 9gms, Haleelah siyah (Terminilla chebula) 9gms, Roghan badam (oil of Prunus amygldlus) 20 ml mixed in Sharbat Gulaab.
Therefore, In unani system of medine disease are attributed to qualitative or quantitative derangement of humors leading to imbalance in homeostasis. Restoration of health will therefore require bringing back the humoral equilibrium. This evacuation of morbidities is a routine and normal process of the body but in certain circumstances this evacuation may not take place at its own. There are sufficient drugs that have been in use for centuries for the elimination of respective morbidities in diseases and for the restoration of health.

Application of Mizaj as Therapeutic and Prophylaxis approach

 

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