Abstract
Background: Ovarian cyst / Dawera Mubayaz is a common gynaecological problem that can occur in any women at any age. In symptomatic women intervention is sometimes necessary to alleviate symptoms and cyst recurrence. Ibne Sina mentioned that Akyas / Dawera-e- Mubayaz are a type of localised swellings (inflammation) mainly due to localised or generalised accumulation of abnormal phlegm (Ghair Tabyi Khilte Balgham).
Aims and Objectives: Objectives of this study is to find out alternative management of ovarian cyst by polyherbal formulation (Dawae Akyas).
Materials and Methods: This prospective clinical study included sixty individuals on the basis of examination as well as on sonography and CA-125 report.
Results: This study shows a significant response with P<0.001value, in terms of cyst resolution, relieving symptoms and correction of abnormal temperament.
Conclusion: It is concluded that Unani polyherbal formula (Dawae Akyas) not only resolves the cyst but it relieves complaints of the participants and correct their overall health.
Keywords: Ovarian Cyst, Dawae Akyas, Unani Polyherbal Formulation, Balghami Mizaj, Ultrasonography, Cancer Antigen-125.
References
- Royal College of Obstetrics and Gynecology. 2013 June; www.rcog.org.uk/womens-health/clinical-guidance/ovarian-masses-premenopausal-women-management-suspected-green-top-62
- J. Tortora’s .Principles of Anatomy & Physiology, 15th Edn, published by John Wiley & Sons; 2017: 1073, 1103.
- The American College of Obstetricians and Gynecologists. Ovarian Cysts, 2017; https://www.acog.org/patient-resources/faqs/gynecologic-problems/ovarian-cysts
- Howkins & Bourne Shaw’s Textbook of Gynaecology, 16th Edn, published by Reed Elsevier India Private Limited; 2015: 429.
- C. Dutta’s Textbook of Gynecology including Contraception, Enlarged & Revised Reprint,6th Edn, published by Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India. 2013: 289.
- Trish Chudleigh & Basky Thilaganathan, Obstetric Ultrasound How, Why and When, 3rd Edn, Published by Elsevier Limited 2004: 76.
- S. Ou, Y. H. Liu,V. Zabriskie, and R. Rowbotham, Alternate methods for laparoscopic management of adnexal masses greater than 10 cm in diameter, Journal of Laparoendoscopic and Advanced Surgical Techniques. 2001, vol: 11; 125–132
- Alobaid et al-Laparoscopic Management of Huge Ovarian Cysts, Hindawi Publishing Corporation Obstetrics and Gynecology International Volume, 2013; http://dx.doi.org/10.1155/2013/380854
- Guy Rofe et al- Benign ovarian cysts in reproductive-age women undergoing assisted reproductive technology treatment, Open Journal of Obstetrics and Gynecology, 2013; 17-22, http://dx.doi.org/10.4236/ojog.2013.37A1005 (http://www.scirp.org/journal/ojog/).
- William’s Gynecology, 2nd Edn, published by McGraw-Hill, 2012: 266, 263.
- Gupta P et al., Management of Ovarian Cysts with Percutaneous Aspiration and Methotrexate Injection. Niger Med J. Jan-Feb 2016; 57(1):19-23. doi: 10.4103/0300-1652.180566.
- El Gergawy et al.,Efficacy of Intra-Cystic Methotrexate Injection in Management of Benign Persistent Ovarian Cysts, Open Journal of Obstetrics and Gynecology, 2017: 51-60 http://www.scirp.org/journal/ojog .
- S A Farghaly-Current diagnosis and management of ovarian cysts; Clinical and Experimental Obstetrics & Gynecology, 01 Jan 2014, 41(6):609-612 PMID: 25551948
- Parity and risk of ovarian cysts: Cross-sectional evidence from the Dongfeng-Tongji cohort study, Journal of Huazhong University of University of Science and Technology[Medical Sciences],october2016, vol 36:767-771
- Berek & Novak’s Gynecology, 15th Edn, Wolters Kluwer Lippincott Williams & Wilkins,2012;754.
- Mazhar h., The General Principles of Avicenna’s Canon of Medicine, published by Idara Kitab-ul-Shifa, New Delhi,2007; 342.
- Sayed Kamal Husain Hamdani, Usool-E- Tib, published by National Council For Promotion Of Urdu Language, Ministry of Education Department of Higher Education Government of India, 1998; 58,138-140.
- Hakeem Abdul Razzaq, Taalem-ul-Qabila; 323,338.
- Hakeem waseen Ahmed Azmi, Amraz-e-Niswan, Aejaz Publishing House, 1995; 359.
- Shafaqat Azmi, Amraz-e-Nisan;248-251.
- Hakeem Ishtiyaq Ahmed, AL-Umur-Al- Tabai’yah(principles of human physiology in Tibb), published by Hakim(mrs) Nuzhat Ishtiyaq,New Delhi, 1980; 77,81-82,113.
- Hakeem Kabeeruddin, Maqzan-ul-Mufaradaat, Aejaz Publishing House,New Delhi;74, 489,549.
- National Formulary Of Unani Medicine,1stEdn:p3,6; Ministry of Health & Family Welfare, Govt. of India, Dept.of Indian Systems of Medicine and Homeopathy, 2001,2011;110,103,135.
- Standardisation of single drugs of Unani medicine,Part 2, Central Council for Research in Unani Medicine, Ministry of Health & Family Welfare, Govt. of India, 1987;282-287.
- K.M. Nadkarni’s, Indian Metria Medica, Popular Prakash Pvt Ltd, Mumbai 2009, Vol:I- II , 720,582-84,1072-73.
- Trease & Evans. Pharmacognosy, 16th Edn, Published by Elsevier Limited, 2009; 305.
- The Wealth of India - A Dictionary of Indian Raw Material and Industrial Products. CSIR, New Delhi, 2005; 151-154.
- Current Diagnosis& Treatment Obstetrics & Gynecology, 11th Edn, The McGraw-Hill Companies,Inc. 2013,Chap:14;1156.
- Nalini YL et al., A clinical study of large ovarian cyst with various presentations: Prospective interventional study, Int J Reprod Contracept Obstet Gynecol. 2018 Jan;7(1):239-24. DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20175853. . www.ijrcog.org
Corresponding Author
Asiya Farheen