EC Clinical and Medical Case Reports

Amenorrhea, the absence of menstruation in women of reproductive age, is a significant indicator of underlying health concerns, classified as primary or secondary. Primary amenorrhea refers to the absence of menarche by age 16, while secondary amenorrhea is defined as the cessation of menstruation for at least six months in women who previously menstruated. In Unani medicine, amenorrhea, termed Ihtibas al-Tamth, is attributed to imbalances in bodily humors, including Su’-i-Mizaj (abnormal temperament) and Du’f al-Quwwat-i-Dafia (weakened expulsive power). Causes may include anatomical abnormalities, ovarian dysfunction, or endocrine disturbances, often accompanied by symptoms such as headaches, nausea, fatigue, and abdominal pain. Unani treatments encompass dietary modifications, lifestyle changes, and herbal remedies like Habb-i-Mudir, Kushta Faulad, and Safoof Muhazzil, alongside regimenal therapies such as Fasd-i-Safin, Hammam-i-Murattib, and Hijama-i-Nariya. Cupping therapy (Al-hijamah), rooted in prophetic medicine, is increasingly recognized for its therapeutic effects in eliminating pathological substances from blood, lymph, and intercellular fluids through negative pressure suction. This practice facilitates the removal of excess lipids, uric acid, and autoantibodies, promoting immunity and cardiovascular health. Its potential in managing hyperlipidemia, hypertension, and musculoskeletal pain underscores its significance. Integrating Unani principles with modern medical insights could enhance treatment outcomes for amenorrhea and related conditions. Further research is needed to explore these holistic approaches within contemporary healthcare. The present study has been a comparative clinical innovative approach in this direction.

Keywords: Ihtibas al-Tamth Sanvi; Secondary Amenorrhea; Hijama Bila Shurt; Dry Cupping Therapy; Mudir Haiz; Unani Medicine

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