Role of Ilaj bid Dawa with Rationalising of Usoole Ilaj in the Treatment of Falij - A Pharmacological Perspective

Falij has been a major topic in Unani literature since centuries. The aspects of diagnosis and treatment based on Usoole Ilaj have remained a hallmark in the management of Falij. The packaged treatment of Falij includes almost all modalities of treatment- Ilaj Bil Ghiza, Ilaj Bid Dawa, and even surgical intervention. Unani medicine has dealt the disease management in stepwise, rational manner. The treatment strategies vary from the day patient seeks treatment and duration of the disease in the patient. Emphasizing on administration of Maul-Asal / usool in the initial days, munzij mushil therapy in the mid-course along with drugs for tabreed and taqwiyat administration in the later days is regarded as the standard treatment guideline for Falij. Along with this guideline rules related to Ayaame buhran which depend on the Mizaj of the person and the deranged khilt are taken into consideration for individualisation of the treatment is very evident. Since the treatment of any disease needs to be dealt keeping various features in view, so framing of usoole Ilaj has got paramount importance. The paper details the pharmacological basis of the treatment along with Usoole Ilaj of various phases of treatment delineating the Unani mechanism of action underlying each Afa'al (pharmacological actions) of Unani drugs.