Management of Bawl fi’l Farāsh Ibtidayi (Primary Nocturnal enuresis) through Unani medicine: A Case Report

Abstract

Introduction: Bawl fi’l Farāsh Ibtidayi (Primary Nocturnal enuresis) is a condition in which involuntary urination occurs while sleeping in the absence of organic disease. Nocturnal enuresis is the most common urologic complaint in paediatric patients, and it is defined as the involuntary loss of urine during sleep that occurs at least twice a week in children older than 5 years of age (or the developmental equivalent) for at least 3 months. In India the prevalence of Nocturnal enuresis ranges approximately from 7% to 12.6%. As per Unani concept the predominance of Ruṭūbat i.e. excessive moistness in children causes the disease. This leads to Istirkhā’-e-Adlaat badan including Aḍala al-Mathāna causing involuntary urination. Complaints: A seven-year-old child with chronic complain of nocturnal enuresis visited OPD of RRIUM Mumbai. Clinical Findings: on taking detailed history there is no history of congenital defect, family history of stress was positive. Intervention: Unani formulation Majun Masik-ul-Baul was prescribed with Majun Flasfa for the management of Bawl fi’l Farāsh Ibtidayi Outcome: Patient got complete relief after 6 weeks of treatment without any complications. Details are given in the case report. Key words: Bawl fi’l Farās Ibtidayi h, Primary Nocturnal enuresis, Majun Flasfa, Majun Masik-ul-Baul