CLINICAL EVALUATION OF VENESECTION THERAPY

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TJPRC: International Journal of AYUSH Medicine & Research (TJPRC: IJAMR) Vol. 1, Issue 2, Dec 2016, 21-26 TJPRC Pvt. Ltd. CLINICAL EVALUATION OF VENESECTION THERAPY SYED M. M. AMEEN 1 & ANVARDEEN 2 1 Project Director & Chief Functionary, Center for Unani Ilaj Bit Tadbeer, Regimental Therapy, Project Funded by Ministry of AYUSH, Govt. of India, A Unit of Niamath Science Academy, Tiruvallur, Tamil Nadu, India 2 Junior Research Fellow, Center for Unani Ilaj Bit Tadbeer, Regimental Therapy, Project Funded by Ministry of ABSTRACT AYUSH, Govt. of India, A Unit of Niamath Science Academy, Tiruvallur, Tamil Nadu, India Venesection is one among the methods of Regimental Therapy. It is a method used for cleaning and evacuation of morbid humours from the body by giving an incision to the superficial veins and blood is allowed to flow in order. It is one of the oldest classical modes of treatment in Unani system of medicine. The parameters used for selection of patient and the treatment method are discussed in this communication. KEYWORDS: Bloodletting, Phlebotomy, Blood and Draining Received: Sep 14, 2016; Accepted: Oct 08, 2016; Published: Oct 11, 2016; Paper Id.: TJPRC:IJAMRDEC20165 INTRODUCTION Venesection causes diversion of the blood flow and so indirectly relieving the inflammatory congestion. Hence it is highly effective method against various diseases. The maximum quantity of blood that may be let out should not exceed 640 grams. The art of Venesection (Phlebotomy) or bloodletting was followed well before Hippocrates in the 5 th century B.C. Original Article The detailed method of process of venesection is discussed in this communication. Aim and Objectives To maintain the normal volume of blood To stimulate the Istehalah To divert the morbid matter As Preventive Measures To cure the generalized infection of blood To cure Sanguineous Disorders Indications Skin disorders Nervous system disorder

22 Syed M. M. Ameen & Anvardeen Inflammation of anus, rectum, penis Haemorrhoids Abscess MATERIALS AND METHODS Materials Sterile Scalpel Sterile Cotton Bandage Antiseptic Lotion Gloves Methods The method for Venesection was followed with utmost caution. The sites that have been decided to perform Venesection were cleaned thoroughly. After cleaning, patients were applied proximally to make the vein more prominent. Local anesthetic agents like Kafour (Cinamomum Camphora Linn), Ajwain Khurasani (Hyoscyamus Niger) should be applied to numb the site before venesection. The needle is inserted in a selected vein (cephalic vein) was chosen for drawing blood and an approximately 20 25 ml of blood was drawn into a kidney tray or collection bag and after drawing the required blood, sterile plaster was applied to the punctured site and the patients were advised to take precautions to avoid infection at the site. Patients were advised regarding food, exercise, which should be light and then gradually made to normal food. The patient is advised to avoid heavy meals and physical activity, immediately after the procedure. The patient should be kept under close observation to avoid severe hemorrhage, hypovolemic shock, fainting, agitation and disturbance of body humors, hematoma formation, infection & petechial hemorrhage and specifically embolism & pulmonary thrombosis. Photographs of Venesection therapy on a patient for curing Blood Pressure Figure 1: Selection of Vein

Clinical Evaluation of Venesection Therapy 23 Figure 2: Piercing the Vein Figure 3: Blood Draining Venesection Therapy Data Figure 4: Application of Bandage The following data reveals the total number of Patients treated followed by Graphical representation: Total Number of Patient s Data Table 1 Total Total Number of Therapy Period Number of Patients in Patients Venesection VENESECTION OCT 2011 - SEP 2015 53639 2675

24 Syed M. M. Ameen & Anvardeen Figure 5 Table 2 Therapy Period Inpatient Outpatient Total VENES ECTION October 2011 - September 2015 1284 1391 2675 Figure 6 The data shown are for the treatment given by exercise in order to alleviate certain diseases or illness like pain, sinusitis, skin disorders with graphical representation. Total Number of Patient s Data In a Particular Disease Table 3 Therapy Pain Sinusitis Skin Others Total Venesection 1792 229 380 274 2675

Clinical Evaluation of Venesection Therapy 25 Figure 7 DISCUSSIONS AND RESULTS In the Center for Unani Ilaj Bit Tadbeer, the venesection process was used for rectification of blood disorders. 2675 Patients were seen in this therapy for various ailments like pain, sinusitis, skin disorders and others. 100 patients were subjected to venesection for hypertension, blood pressure. The patients with high blood pressure were monitored well before and after treatment of venesection. The patients were kept under observation and vitals were noted and discharged with review date. Hence, the venesection treatment showed great results in rectification of morbid blood disorders and is considered a cost effective treatment. ACKNOWLEDGEMENTS The authors of this communication on Venesection one of the Regimental Therapies are indebted to the Ministry of AYUSH, Govt. of India for sanctioning the project and financial support for the successful completion of the five years and bringing out this scientific communication. We further, much grateful to Dr. Hakim Syed Khaleefathullah, Founder President, Niamath Science Academy for his vigilant, valuable suggestions, insistent help and advices in every manner towards a better completion of this communication. We are indebted to our colleagues (Mr. A. Ramasamy, Dr. Syed M.A. Iqbal and Mr. Mohammed Niyas) in extending their services in bringing out this communication in a successful manner. REFERENCES 1. Ibn al Quf Masihi 1354 Hijri.Kitab ul Umdah fil Jarahat, Vol. I, Dairatul Maruf, Osmania University, Hyderabad. 2. Ibn e- Habl Baghdadi 1362 Hijri. Kitab- al- Mukhtarat fit tib, Dairatul Maruf, Osmania University, Hyderabad. 3. Ibn e- Sina 1402 Hijri. Al-Qanoon Fit tib, Vol. I IHMMR, New Delhi. 4. Introduction to Al-Umur Al-Tibiah by Hk. Syed Ishtiaq Ahmed, Published & Edited by Hk. Nuzhat Ishtiaq (BUMS) Edition Ist 1980. 5. The General Principles of Avicenna s Canon of Medicine by Mazhar H \Shah, Published by Idarar Kitab-ul-Shifa,

26 Syed M. M. Ameen & Anvardeen 6. An Introduction of Unani System of Medicine by Govt. Nizamia Tibbi College, Charminar, Hyderabad. 7. Kulliyat-e-Nafisi Mukamil by Allama Kabeer Uddin. Published by Idara-Kitab-ul-Shifa. 8. Ifad-e-Kabeer Mujmil by Allama Alauddin Qureshi, Urdu translation by Hk. Kabeer Uddin, Faisal publisher Jamia Deoband. 9. Human Anatomy by B. D. Chaurasia s, Vol. 1., 4th Edition, CBS Publishers & distributors. 10. A text book of Human Anatomy by T. S. Ranganathan, 6th Edition, Rajendra Ravindra Printers. 11. Usul-e-Tib by Hk. Syed Kamal Uddin Hamdani, Qaumi Council Barae Farogh Urdu, New Delhi, Ist Edition 1988. 12. Al Qanun Fil Tib, Vol. 1, Urdu translation by Ghulam Hussain Kantoori, published by Idarar Kitab-ul-Shifa, New Delhi-2007. 13. Firdous-ul-Hikmat, Urdu translation Idarar Kitab-ul-Shifa, Kucha Chelan, New Delhi, 2010. 14. Abu Bakar Mohammed Bin Zakaria Razi, Kitab-ul-Mansoori Urdu translation by CCRUM, New Delhi, 1991. 15. Kamil-us-Sana by Majoosi Ali Ibne-e-Abbas, Urdu translation by Ghulam Hussain Kantoori. 16. Umoor-e-Tibiyah Prof. Iqtidarul Hasan Zaidi, published by Idarar Kitab-ul-Shifa, Ist Edition 2008. 17. Sharah Asbab, Tarjumae Kabeer Vol. 3, by Alama Najeeb Uddin Samar Khamdi, Urdu tarjuma by Hk. KabeerUddin, Jalal Uddin Hospital Urdu Bazar, Lahore. 18. Grey s Anatomy, An Introduction to Human Anatomy by Henry Grey s Senior, Editor Lawrence H. Bannister 38th Edition. 19. Alakseer Vol. 2. AllamaHk. Kabeer Uddin Sahab, Aijaz Publishing House, New Delhi. 20. Fundamentals of Human Anatomy, Vol. 1, N. Chakraborty& D. Chakraborty, Central Book Agency. 21. Human Anatomy by B. D. Chaurasia, 5th Edition, Vol. 2. 22. Moalejat by Hk. Waseem Ahmed Azmi, Vol. 4, published by Qaumi Council Baray Farogh Urdu Zaban. 23. Ibn-ul-Quf Abu Farj Kitab-al-Umda Fil Jarahat, Urdu translation by CCRUM, Vol. II, New Delhi, Ministry of Health & Family Welfare 1986.