Meraj Meraj, Arif Anees, Intezar Ahmad, Abdul Rehman M I, Sadique Husain, Noushiba Khan
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引用次数: 0
Abstract
Background: Calcaneal spur refers to a condition in which a sharp bone growth occurs at the heel. In Unani, the calcaneal spur is best categorized under Waja'al-'Aqib (heel pain). This study aims to report the effect of traditional Unani medicine on severe heel pain due to calcaneal spur.
Methods: The current case, a 43-year-old female patient, presented to the outpatient department in Hakim Syed Ziaul Hasan Government Unani Medical College & Hospital, Bhopal on October 10, 2023, complaint of sharp pricking localized pain with heat sensation, morning stiffness in the bottom of the left heel, and difficulty in walking for five days. On assessment, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Visual Analog Scale (VAS), and Foot Function Index (FFI) for the patient's left foot were scored 56, 9, and 134, respectively, indicating the severity of pain and functional impairment of the left heel. The X-ray of the left foot (anterior-posterior and lateral views) showed an inferior bony spur projecting forward from the calcaneal tuberosity. Management was planned with the integrative treatment comprising Ilājbi'l Tadbīr (regimenal therapy) and Ilājbi'l Dawā (pharmacotherapy). Additionally, Pāshoya (immersion of the feet in medicated decoction), Tadhīn (Applying medicated oil locally over the ankle), and two oral Unani medicines- Habb-i-Suranjan, an Unani pill, and Ma'jūn-i-chobchini, a semisolid Unani pharmacopoeial formulation having active ingredients Suranjan (Colchicum luteum) and chobchini (Smilax chin), respectively, were used for 14 days.
Results: On treatment completion, the WOMAC, VAS, and FFI scores significantly reduced from 56, 9, and 134, to 8, 1, and 34, respectively.
Conclusion: The case demonstrates that Unani interventions, including Pāshoya (footbath), Tadhīn (medicated oil application locally), and oral Unani medicines, are effective, safe, and convenient for managing calcaneal spur. Further well-designed clinical research is recommended.
背景：跟骨刺指的是一种情况下，一个尖锐的骨头生长发生在脚跟。在Unani，跟骨刺最好被归类为Waja'al-'Aqib（脚跟疼痛）。本研究旨在报道传统乌纳尼药物治疗跟骨刺引起的严重跟痛的效果。方法：患者女，43岁，于2023年10月10日在博帕尔Hakim Syed Ziaul Hasan Government Unani Medical College & Hospital门诊部就诊，主诉为尖锐刺痛性局部疼痛伴热感，左足跟底部晨僵，行走困难5天。评估时，患者左脚的西安大略省和麦克马斯特大学骨关节炎指数（WOMAC）、视觉模拟量表（VAS）和足功能指数（FFI）分别为56分、9分和134分，表明左足跟疼痛和功能损伤的严重程度。左脚x线片（前后位和侧位片）显示下骨刺从跟骨结节向前突出。管理计划采用综合治疗，包括Ilājbi'l tadb ā r（方案治疗）和Ilājbi'l Dawā（药物治疗）。此外，Pāshoya（将脚浸泡在药液中）、tadh n（将药油局部涂在脚踝上）和两种口服乌纳尼药物——habbi -Suranjan（乌纳尼药丸）和Ma'jūn-i-chobchini（一种半固体乌纳尼药料制剂，分别含有有效成分苏纳尼（秋水仙花）和chobchini（菝刀）），共使用14天。结果：治疗完成时，WOMAC、VAS和FFI评分分别从56分、9分和134分显著降低到8分、1分和34分。结论：本病例表明，Pāshoya（足浴）、tadh n（局部药油涂抹）和口服Unani药物治疗跟骨刺是有效、安全、方便的。建议进一步进行精心设计的临床研究。关键词：植物医学，病例报告，跟骨刺，Ilājbi'l tadb r（方案治疗），Pāshoya（足浴），Unani医学，Waja'al-'Aqib（足跟疼痛）。
期刊介绍：
Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field.
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