PREVALENCE OF - (POLYARTHRITIS) IN VICINITY OF LUCKNOW UTTAR PRADESH

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1 wjpmr, 2019, 5(2), SJIF Impact Factor: Research Article WORLD JOURNAL OF PHARMACEUTICAL AND MEDICAL RESEARCH ISSN WJPMR PREVALENCE OF - (POLYARTHRITIS) IN VICINITY OF LUCKNOW UTTAR PRADESH Dr. Zeshan Haider Rizvi* 1, Masood Ahmad 1, Mohd Tariq 1, Mohd Naime 1, Jamal Akhtar 2 and Maqbool Ahmad Khan 1 1 Central Research Institute of Unani Medicine, Lucknow. 2 Central Council for Research Institute of Unani Medicine, New Delhi. *Corresponding Author: Dr. Zeshan Haider Rizvi Central Research Institute of Unani Medicine, Lucknow. Article Received on 25/11/2018 Article Revised on 18/12/2018 Article Accepted on 09/01/2019 ABSTRACT Joints pain (arthritis) is well described in ancient classical literature of Unani system of Medicine. The ancient physicians not only discovered the disease they also put light to that this problem may lead to cripple the movement of affected person. The disease itself has become so common that globally and in India that according to an estimate it affects 15% people i.e. over 180 million people in India. This prevalence is higher than many well known diseases such as diabetes, AIDS and cancer. Shortage of classical literature has led to its management by untrained doctors, practitioners of allopathic medicine and quacks which mainly rely on pain killers and steroids which have their deleterious effects on body. This article aims at providing scientific information on arthritis showing its prevalence in Vicinity of Lucknow Uttar Pradesh to protect and promote health of population in large. These commitments requires the re-orientation of health and social care services that support the promotion of health and the development of the skills and capacity of those outside the Health promotion workforce to adopt a stronger evidence-based health promoting role. KEYWORDS: Polyarthritis, Waja a - a, Unani Medicine. INTRODUCTION According to National Unani Morbidity Code Waja a - a a is defined as a type of arthalgia which involves several joints [1,2,3] As per involvement of humours it is of four types i.e. 1. Damawi 2. Balghami 3. a 4. Sa d ī According to severity of symptoms it is again divided into acute and chronic type. When two humours are involved this is known as Waja a - a a a Prevalence by meaning according to Cambridge Business English Dictionary Cambridge University Press) stands for the fact of something existing or happening often. [4] Unani concept of Osteoarthritis In the book Alakseer Azam it is written, when the patient of joints pain suffers from the disease for longer duration. The joints become immovable as the madda (fluid) freeze in the joints and they become hard. This happens because of purification of madda like its thickness or coldness and stickiness. Sometimes it happens due to mistake of physician by mishandling of the prob. [5] As per Modern System of Medicine according to ABC of Rheumatology Kraus VB et al has defined Arthritis Osteoarthritis (OA) is the most common condition to affect synovial joints, the most important cause of locomotor disability, and a major challenge for health - care providers Because OA increases significantly with age. It was long considered to be a degenerative disease that was an inevitable consequence of ageing and trauma. However, it is viewed now as a metabolically dynamic process characterized by an imbalance of joint breakdown in association with a maladaptive and insufficient repair process. [12] 139

2 X-ray of hip showing changes of Osteoarthritis. Note the superior joint space narrowing (N), subchondral sclerosis (S), marginal osteophytes (white arrows) and cysts (C). [7] According to Harrison s Principle of Internal Medicine Osteoarthritis (OA) is a disorder characterized by progressive joint failure in which all structures of the joint have undergone pathologic change. The pathologic sine qua non of OA is hyaline articular cartilage loss accompanied by increasing thickness and sclerosis of the subchondral bone plate, outgrowth of osteophytes at the joint margin, stretching of the articular capsule, and weakness of the muscles bridging the joint. There are numerous pathways that lead to OA, but the initial step is often joint injury in the setting of a failure of protective mechanisms. [8,9,10] 140

3 DISCUSSION The data was collected from the respective five spots which are mentioned as follows: 1. Bhauli:- The spot situated at distance of 13 km in north west direction having population of 10,000 of which from 5,000 SC population, Health facility was not available, 60-70% open field sanitation, unsafe drinking water and poor hygienic conditions was present, transport facility availability was not so good either by government and private transport facility. 2. Ismailganj:- The spot situated at distance of 18 km in east direction having population of 4500 of which from 2,500 SC population, 1 PHC was situated at kamta but no Unani centre was present and 30-40% open field sanitation, unsafe drinking water and poor hygienic conditions was present, transport facility available by government and private transport service. water and poor hygienic conditions was present, only private transport facility available. Table No. 1 Showing Total No. of Patients in Undertaken Villages. S. No Name of the Spots Total No. of Patients 1 Bhauli Ismailganj Moulviganj Mahona Mirzapur Maulviganj:- The spot situated at distance of 20 km in West direction having population of of which from 2000 SC population, Health facility was not available, 10-20% open field sanitation, unsafe drinking water, water logging is very common no proper drainage of water and poor hygienic conditions was present transport facility availability was not so good either by government and private transport facility. 4. Mahona:- The spot situated at distance of 14 km in SOUTH direction having population of 10,000 of which from 2500 SC population, Health facility was not available, 25-30% open field sanitation, unsafe drinking water and poor hygienic conditions was present, transport facility available both by government and private transport facility. 5. Mirzapur:- The spot situated at distance of 09 km in NORTH direction having population of 5000 of which from 2200 SC population, Health facility was not available, 70-75% open field sanitation, unsafe drinking Graph No. 1: Showing Total No. of Patients in Undertaken Villages. Spot no 1 Bhauli Table 2: Total No. of Patients at Bhauli. No. of Patients % Complete Relief % Partial Relief % No Response % Dropout % Total % Graph 2: Total No. of Patients at Bhauli

4 Table 3. Age wise Response of Patients at Bhauli. Age 11 to to to to to to to 90 Complete Relief Partial Relief No Response Dropout Total Graph 3: Showing Age Wise Response at Bhauli. Table 4: Response of Patients According To Dietary Habits at Bhauli. Vegetarian Non Vegetarian No. of Patients % No. of Patients % Complete Relief Partial Relief No Response Dropout Total Graph 4: Showing Response According to Dietary Habits at Bhauli

5 Table 5: Response of Patients According to Sex at Bhauli. Male Female No. of Patients % No. of Patients % Complete Relief Partial Relief No Response Dropout Total Graph 5: Showing Statistics of Response According to Sex at Bhauli. Table 6: Statistics of Response According to Caste at Bhauli. SC General No. of Patients % No. of Patients % Complete Relief % % Partial Relief % % No Response % % Dropout % % Total % % Graph 6: Showing Statistics of Response According to Caste at Bhauli

6 Spot No 2 Ismailganj Table 7: Total No. of Patients at Ismailganj. No. of Patients % Complete Relief % Partial Relief % No Response % Dropout % Total % Table 8: Total No. of Patients at Ismailganj. Graph 7: Total No. of Patients at Ismailganj. Age 11 to to to to to to70 71 to 90 Complete Relief Partial Relief No Response Dropout Total Graph 8: Showing Age Wise Response at Ismailganj

7 Table 9: Showing Response According to Dietary Habit at Ismailganj. Vegetarian Non vegetarian No. of Patients % No. of Patients % Complete Relief % % Partial Relief % % No Response % % Dropout % % Total % % Graph 9: Showing Response According to Dietary Habit. Table 10: Showing Response According To Sex at Ismailganj. Male Female No. of Patients. % No. of Patients % Complete Relief Partial Relief No Response Dropout Total Graph 10: Showing Response According to Sex at Ismailganj

8 Table 11: Showing Response According to Caste at Ismailganj. SC General No. of Patients. % No. of Patients. % Complete Relief % % Partial Relief % % No Response % % Dropout % % Total % % Graph 11: Showing Response According to Caste at Ismailganj. Spot No 3 Moulviganj Table No. 12: Showing Total No of Patients at Moulviganj. No. of Patients. % Complete Relief % Partial Relief % No Response % Dropout % Total % Graph No. 12: Showing Total No of Patients at Moulviganj

9 Table No 13: Showing Age wise Response at Moulviganj. Age 11 to to to to to to 90 Complete Relief Partial Relief No Response Dropout Total Graph 13: Showing Age wise Response at Moulviganj. Table No. 14: Showing Response According To Dietary Habit At Moulviganj. Vegetarian Non Vegetarian No. of Patients % No. of Patients % Complete Relief % % Partial Relief % % No Response % % Dropout % % Total % % Graph No. 14: Showing Response According to Dietary Habit at Moulviganj

10 Table No. 15: Showing Response According To Sex. Male Female No. of Patients % No. of Patients % Complete Relief % % Partial Relief % % No Response % % Dropout % % total % % Spot No 4 Mahona Table No. 16: Showing Total No Patients at Mahona. Graph 15: Showing Response According To Sex. No of Patients % Complete Relief % Partial Relief % No Response % Dropout % TOTAL % Graph 16: Showing Total No Patients at Mahona

11 Table 17: Showing Age wise Response at Mahona. Age 11 to to to to to to 90 Complete Relief Partial Relief No Response Dropout Total Graph 17: Showing Age wise Response at Mahona. Table 18: Showing Response according to Dietary Habit at Mahona. Vegetarian Non Vegetarian No of Patients % No of Patients % Complete Relief % % Partial Relief % % No Response % % Dropout % % Total % % Graph 18: Showing Response According to Dietary Habit at Mahona

12 Table 19: Showing Response According to Sex at Mahona. Male Female No of Patients % No of Patients % Complete Relief % % Partial Relief % % No Response % % Dropout % % Total % % Graph 19: Showing Response According to Sex at Mahona. Table 20: Showing Response According to Caste at Mahona. SC General No of Patients % No of Patients % Complete Relief % % Partial Relief % % No Response % % Dropout % % Total % % Graph 20: Showing Response According to Caste at Mahona

13 Spot No 5 Mirzapur Table No 21: Showing Total No Patients at Mirzapur. No of Patients % Complete Relief Partial Relief No Response Dropout Total Table No. 22: Showing Agewise Response At Mirzapur. Graph No. 21: Showing Total No Patients at Mirzapur. Age 11 to to to to to to 90 Complete Relief Partial Relief No Response Dropout Total Graph 22: Showing Age wise Response at Mirzapur

14 Table No. 23: Showing Response According To Dietary Habit at Mirzapur. Vegetarian Non Vegetarian No of Patients % No of Patients % Complete Relief Partial Relief No Response Dropout Total Graph No. 23: Showing Response According To Dietary Habit at Mirzapur. Table No. 24: Showing Response According To Sex At Mirzapur. Male Female No of patients % No of Patients % Complete Relief Partial Relief No Response Dropout Total Graph 24: Showing Response According To Sex At Mirzapur

15 Table No. 25: Showing Response According to Caste at Mirzapur. SC General No of Patients % No of patients % Complete Relief Partial Relief No Response Dropout Total Graph 25: Showing Response According to Caste at Mirzapur. This study showed that the risk of disability increases with the presence of joint pain in the centre of population. It will be more widespread and will be an imperative grounds of disability in the future. There is a requirement of instant awareness toward this concern in the figure of inference of problem of OA and various risk factors responsible for its development. There is a need to take suitable steps regarding OA in order to amplify consciousness of variable factors like significance of daily exercise, proper positioning of the body during daily activities and also control over the other modifiable known factors such as dietary habits, obesity, adequate treatment and rehabilitative services in the form of physiotherapy and advanced therapy. REFERENCES 1. Anonymous, Standard Unani Medical Terminology, Central Council For Research In Unani Medicine, Department of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy (AYUSH), Ministry of Health & Family Welfare, Government of India, 290; Anonymous, National Unani Morbidity Codes, Central Council For Research In Unani Medicine, Department of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy (AYUSH), Ministry of Health & Family Welfare, Government of India, revalence. 5. Maqbool Ahmad Khan, Mohd Tariq, Mohd Naime, Jamal Akhtar. Tahajjur Mafasil Understanding The Etiology, Pathophysiology, Complications And Treatments. World Journal of Pharmaceutical and Medical Research, 2018; 4(9): Ade Adebajo, ABC of Rheumatology, Fourth edition, Wiley Blackwell Publishing House, Yorkshire, UK, Colledge et al, Davisdson s Principles and Practices of Medicine, 21 st edition, Churchill Levingston, Elsevier s. 8. Fauci et al, Harrison s Principle of Internal Medicine, 17 th Edition, Mc Graw Hill Publication, New York,

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