ORIGINAL_ARTICLE
Treatment of Diabetic Foot Ulcer in a 74-year-old Female Patient based on Iranian Traditional Medicine in Bojnurd
Background: Diabetic foot ulcer is one of the major problems suffered by diabetic patients, so much so that the annual incidence of this problem has increased from 0.1% to 4.1% in diabetic patients and the probability of its incidence is over 25% during the diabetic individual's life. Case Presentation: The patient was a 74-year-old woman with diabetes for more than 20 years. She was hospitalized with complaint of diabetic foot ulcers, uncontrolled blood sugar, and sepsis at Emam Reza Hospital of Bojnurd in March 2014. She was under the primary treatment of sugar control drugs and infection control. The patient's foot ulcer did not respond to current treatments, and the orthopaedist advised amputation of the affected foot. The patient referred to traditional medicine clinic for counselling. The patient had a sore on the big toe of her right foot, and the severe inflammation was spread over the other fingers and continued to the ankle. The wound had cyanosis and severe infection for at least two months. During this time, the patient was treated with modern medicine methods, which did not give any effective result, so the patient's wound and overall health situation were getting worse every day. After entering the traditional medicine clinic, the patient was under the control of health and nutrition. Pharmaceutical measures of this patient were according to disease temperament and conditions including medicinal herbs, combination drugs, and modern blood sugar control drugs. The manual measures were utilized including full back cupping every night until the end of therapy and leech therapy inside and around the wound with six medium-to-fine-size leeches in 10 sessions once every three days. The diabetic foot ulcer healed completely, the patient's physical and mental states improved, and her blood sugar was controlled after 40 days of treatment. Conclusion: Given the patient's healing process, it seems that combining the modern and Iranian traditional medicine as ‘Iranian Effective Medicine’ can treat most of the common diseases, and it is essential to perform a wide range of assessments and studies in different diseases based on the teachings of medicine.
https://www.ajcrtam.ir/article_24881_26c5e2818e16c3ea57791856880ffaca.pdf
2017-03-01
1
10
10.22040/ajcrtam.2017.24881
Diabetic Foot Ulcer
Leech Therapy
Traditional medicine
Iranian Effective Medicine
Hassan
Hajtalebi
hajtalebihasan@gmail.com
1
General Practitioner, Department of Health, Hajtaleb Medical Complex of Alternative and Complementary, Bojnurd, Iran
AUTHOR
Hassan
Khani Iurigh
dr.h.khani@gmail.com
2
General Practitioner, North Khorasan University of Medical Sciences, Bojnurd, Iran
LEAD_AUTHOR
Hamid Reza
Hajtalebi
hamidtelebi1373@gmail.com
3
Pharmacy Student, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
[1] Levin ME. Pathogenesis and general management of foot lesions in the diabetic patient. In: Bowker JH, Pfeifer MA, editors. The Diabetic Foot. 6th edition. New York: St. Louis, CV Mosby; 2001.
1
[2] Alberti KG, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its-complications. Part 1: diagnosed and classification of diabetes mellitus, provisional report of WHO Consultation. Diabet Med 1998; 15(7): 539-53.
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[5] Wieman TJ, Smiell JM, Su Y. Efficacy and safety of a topical gel formulation of recombinant human platelet-derived growth factor-BB (becaplermin) in patients with chronic neuropathic diabetic ulcers. A phase III randomized placebo-controlled double-blind study. Diabetes Care. 1998; 21(5): 822-7.
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[6] Larijani B, Afshari M, Bastan Hagh MH, Pajouhi M, Baradar Jalili R, Moadi M. Prevalence of lower limb amputation in patients with diabetic foot ulcer in Imam Khomeini and Shariati hospitals, 1979-2001. J Med COUNCIL Islam Repub Iran 2005; 23(1): 25-9.
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[7] Larijani B, Afshari M, Darvishzadeh F, Bastanhagh MH, Pajouhi M, Baradar Jaili R, et al. Lower limb amputation in patients with diabetic foot ulcer: A 22 year review. MJIRC 2006; 8 (3): 21-4.
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[8] Wagner FW. Supplement: algorithms of foot care. In: Levin ME, O Neal LW, editors. The diabetic foot. 3rd edition. New York: St Louis (MO), CV: Mosby; 1983.
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[9] Oyibo SO, Jude EB, Tarawneh I, Nguyen HC, Harkless LB, Boulton AJ. A comparison of two diabetic foot ulcer classification systems: the Wagner and the University of Texas wound classification systems. Diabetes Care. 2001; 24(1): 84-8.
9
[10] Wieman TJ, Smiell JM, Su Y. Efficacy and safety of a topical gel formulation of recombinant human platelet-derived growth factor-BB (becaplermin) in patients with chronic neuropathic diabetic ulcers. A phase III randomized placebo-controlled double-blind study. Diabetes Care. 1998; 21(5): 822-7.
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[11] David K McCulloch, Richard J de Asla. Management of diabetic foot lesions. UpToDate. 2010.
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[14] Kargar S, Javadzadeh Shahshahani H, Tabkhi N. The effect of platelet gel on treatment of diabetic foot ulcers. Research Quarterly of Blood 2009; 6(2): 283-91.
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[15] Ardeshir Larijani MB, Afshari M, Fadaei M, Bastanhagh MH, Jalili R, Pajouhi M. Study on the Effect of local epidermal growth factor on wound healing in diabetic foot. Iranian Journal of Endocrinology and Metabolism 2003; 5(2): 107-110.
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[16] Moudi H, Akbari A, Ghiasi F, Mahmoudzadeh Sagheb H, Heidari Z, Rashidi H. The Impact of transgression Vacuum-compression therapy (VCT) on healing the diabetic foot ulcers. Scientific Journal of Zanjan University of Medical Sciences 2006; 14(1): 15-22.
16
[17] Ataei Fashtami L, Esmaeili Javid A, Kaviani A, Ardeshir Larijani MB, Razavi L, Salami M, Fateh M, Fatemi SM, Mortazavi SMJ. The role of laser therapy in treatment of diabetic foot ulcers: a randomized, double-blind clinical trial: Medical Laser 2008; 5(1): 6-11.
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[18] Zahmatkesh M, Rashidi M. Report of a treatment case of diabetic foot ulcer by topical honey and olive oil. Medicinal Plants 2008; 8(2): 36-40.
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[19] Bahrami A, Ali Asgarzadeh A, Sarabchian MA, Mobseri M, Heshmat R, Ghoujazadeh M. Double blind clinical trial for evaluating the effect of oral Angi Pars drug on chronic diabetic foot ulcers. Journal of Endocrinology and Metabolism 2009; 11(2): 647-55.
19
[20] Kashef N, Shojaeifard A, Esmaeili Javid A, Mohajeri M, Rezaei R, Salami M, Ghodsi M, Fateh M. Study on the low power laser in treatment of chronic diabetic foot ulcers: microbiological quantitative assessment. Medical Laser 2009; 6(1): 31-35.
20
[21] Kazemikhou N, Khamseh ME, Hashem Dabbaghian F, Hajizadeh M, Akrami SM. The study on the effects of low-power laser in treatment of diabetic foot ulcers grades 2 and 3 (short report). Iranian Journal of Diabetes and Lipid 2008; 8(1): 195-202.
21
[22] Amini S, Rezaeihomami M, Anabestani Z, Shayganmehr Z, Ardeshir Larijani MB, Mohajeri Tehrani MR. The effect of low-frequency ultrasound on diabetic foot ulcers with osteomyelitis in a randomized clinical trial. Iranian Journal of Diabetes and Metabolism 2011; 10(1): 543-52.
22
[23] Khadem Haghighian H, Koushan Y, Asgarzadeh AA. Report of a treatment case of diabetic foot ulcer using propolis heated in olive oil, (brief report). Journal of Knowledge and Health 2011; 6(4): 35-38.
23
[24] Ardeshir Iarijani MB, Afshari M, Bastan MH, Pajouhi M, Baradar Jalili R, Maadi M. Study on the prevalence of lower limb amputation in patients with diabetic foot ulcer at Shariati and Imam Khomeini Hospital from 1969 to 2001. Scientific Journal of IRI Medical Council 2005; 23(2): 25-29.
24
[25] Keshavarzi A, Larijani B, Mohajeritehrani MR. Modern treatment of diabetic foot ulcer (reviewed article). Scientific Journal of IRI Medical Council 2011; 29(1): 376-90.
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[26] Alamiharandi B, Alamiharandi A, Siavashi B. A review of diabetic foot ulcers and its new therapeutic approaches. Journal of Iranian Surgery 2008; 16(2): 1-7.
26
[27] Ghanei L, Harati H, Hadaegh F, Azizi F. Study on the impact of lifestyle change on incidence of type II diabetes over a 3.5-year study: Tehran Lipid and Glucose Study. Research on Medicine 2009; 33(3): 21-29.
27
[28] Hajtalebi H, Khani Iurigh H, Hajtalebi HR. Treatment of Diabetic Foot Ulcer in a 58-year-old Turkman Patient based on Iranian Traditional Medicine. Trad Integr Med 2016; 1(4): 151 -59.
28
[29] Hajtalebi H, Khani Iurigh H, Hajtalebi HR. Treatment of 20 Patients with Diabetic Foot Ulcer Grade 2 and 3 on Iranian Effective Medicine on, A Comparative Study with Low level laser therapy. Journal of Lasers in Medicine 2016; 13 (2-3): 32-41.
29
ORIGINAL_ARTICLE
Treatment of Systemic Lupus Erythematosus in a 44-year-old Female Patient according to Iranian Traditional Medicine in Bojnurd
Background: Systemic Lupus Erythematosus is a kind of multi-system autoimmune disorder with unknown aetiology and it produces antibodies against various tissues. Case Presentation:The patient wasa 44-year-old woman with a history of Systemic Lupus Erythematosus for approximately five years, along with underlying diseases including peptic ulcers, asthma, hypertension and diabetes in the past 10 years. The patient was referred to a traditional medicine clinic for counselling in July 2012 with a bad complaint related to Systemic Lupus Erythematosus in addition to relevant medical treatment complications. The patient was put under health and nutrition control after arrival at the traditional medicine clinic. In this case, pharmaceutical measures were taken according to the temperament and the disease status, and medicinal plants and combination drugs were applied. Manual actions, including cupping therapy, massage, Hijama and leech therapy, were used on the patient according to a compiled program. The pain and the disease symptoms completely disappeared, and clinical tests began for investigating the patient’s laboratory status after about three months. The first experiment indicated that the lupus and diabetes items were normalized, so that there were no more effects of clinical and laboratory symptoms of the diseases after six months and the patient did not take any chemical drug. Finally, during four years of patient follow-up from 2012 to 2016, the patient did not have any symptoms of lupus, diabetes, hypertension, asthma, headache and digestive problems; and all the tests were repeated and all the results came out normal in 2016. Conclusion: Given the patient’s recovery process with an approach to her physical power, mental status, blood sugar control, and significant recovery of her Systemic Lupus Erythematosus and underlying diseases, it seems that the combination of modern and traditional medicine can pave the way for curing most of the common diseases, and thus it is essential to conduct widespread assessments of different diseases based on the teachings of Iranian Effective Medicine.
https://www.ajcrtam.ir/article_24882_3377f4123be09c55e5773bf55dea87cd.pdf
2017-03-01
11
20
10.22040/ajcrtam.2017.24882
Systemic Lupus Erythematosus
Traditional medicine
Modern Medicine
Iranian Effective Medicine
Leech Therapy
Hassan
Hajtalebi
hajtalebihasan@gmail.com
1
General Practitioner, Department of Health, Hajtaleb Medical Complex of Alternative and Complementary, Bojnurd, Iran
AUTHOR
Hassan
Khani Iurigh
dr.h.khani@gmail.com
2
General Practitioner, North Khorasan University of Medical Sciences, Bojnurd, Iran
LEAD_AUTHOR
Hamid Reza
Hajtalebi
hamidtelebi1373@gmail.com
3
Pharmacy Student, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
[1] Stockl A. Complex syndromes, ambivalent diagnosis, and existential uncertainty: the case of Systemic Lupus Erythematosus (SLE). Soc Sci Med. 2007; 65(7): 1549-59.
1
[2] Lau CS, Yin G, Mok MY. Ethnic and geographical differences in systemic lupus erythematosus: an overview. Lupus. 2006; 15(11): 715-9.
2
[3] Davatchi F, Jamshidi AR, Banihashemi AT, Gholami J, Forouzanfar MH, Akhlaghi M, et al. WHO-ILAR COPCORD Study (Stage 1, Urban Study) in Iran. J Rheumatol. 2008; 35(7): 1384-90.
3
[4] Joyce M. Black, Jane Hokanson Hawks. Medical-Surgical Nursing: Clinical Management for Positive Outcomes, 2-Volume Set. 8th edition, USA: Saunders; 2008.
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[5] Tan EM, Cohen AS, Fries JF, Masi AT, McShane DJ, Rothfield NF, et al. The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1982; 25(11): 1271-7.
5
[6] Churg J, Sobin LH. Renal disease: classification and atlas of glomerular diseases. Tokyo, New York: Igaku-Shoin; 1982.
6
[7] I Berczi, E Nagy, S M de Toledo, R J Matusik and H G Friesen. Pituitary hormones regulate c-myc and DNA synthesis in lymphoid tissue. J Immunol 1991; 146 (7): 2201-06.
7
[8] Mok CC, Lee KW, Ho CT, Lau CS, Wong RW. A prospective study of survival and prognostic indicators of systemic lupus erythematosus in a southern Chinese population. Rheumatology (Oxford). 2000; 39(4): 399-406.
8
[9] B Bresnihan. Outcome and survival in systemic lupus erythematosus. Ann Rheum Dis. 1989; 48(6): 443–45.
9
[10] Ballou SP, Khan MA, Kushner I. Clinical features of systemic lupus erythematosus: differences related to race and age of onset. Arthritis Rheum. 1982; 25(1): 55-60.
10
[11] Muscal E, Brey RL. Neurologic manifestations of systemic lupus erythematosus in children and adults. Neurol Clin. 2010; 28(1): 61-73.
11
[12] Benjamin J. Sadock, Virginia A. Sadock. Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry. 10th edition, USA: Lippincott Williams & Wilkins; 2007.
12
[13] Avicenna S. Translated by Abdolrahman Sharafkandi. The Canon of Medicine. 4TH edition. Tehran: Soroush Publications; 1989.
13
[14] Mazhari Azad F, Heidar A, Seyed A. Experience of living with Systemic Lupus Erythematosus: A phenomenological study. Medical Surgical Nursing Journal 2015; 4(1):1-9.
14
[15] MirHeidar H. Plant sciences. 6th edition. Tehran: Islamic Culture Publication Office; 2006.
15
[16] Emami A, Fasihi Sh, Mehregan I. Reference book on medicinal plants. Tehran: Institute of Medical History Studies, Islamic and Complementary Medicine at Iran University of Medical Sciences; 2010.
16
[17] Andreas M, Manfred R, Gustav D. Medical Leech Therapy. New York: Georg Thieme Verlag. Stuttgart; 2007.
17
ORIGINAL_ARTICLE
Venous Leg Ulcer Treatment in an 85-year-old Female Patient based on Iranian Traditional Medicine in Tehran in 2016
Background: Venous ulcers are a major problem for patients with chronic venous disease (CVD) such as varicose veins. Its treatment is very complex and requires great care, such that inappropriate responses to various medical and surgical treatment could change this condition. This report aims to provide clinical experiences of Iranian traditional medicine that has been the most effective treatment in the shortest period of time. Case Presentation: Patient is an 85-year-old female with a known history of lower limb varicose for more than twenty five years and hyperlipidaemia, ischemic heart disease (IHD), headache, and fatty liver. She presented complains from severely infected venous ulcer of the right leg, inflamed with damaged skin, which is associated with weakness and fatigue. Patient has been hospitalized and undergone surgery as a result of femoral fractures caused by osteoporosis in right leg in 2015. Venous leg ulcers were observed two weeks prior to the visit. Leg amputation has been suggested for the treatment of foot ulcer by the respective specialist advice, but modern medicine has not started due to lack of patient's satisfaction. Patient has referred to the Ahmadiyyeh Health Center for treatment guided by an acquaintance. Patient has had two ulcers on the right foot with a diameter of 15 cm× 7cm and 2×2cm. Due to clinical examination by traditional medicine doctors and based on Clinical-Etiology-Anatomy-Pathophysiology (CEAP) classification criteria for venous ulcer classification system, they were classified to be equivalent to basic CEAP: C6, S, Ep, a, Pn, respectively. Patient has been treated using health and nutritional measures of traditional medicine after visiting the clinic. Pharmaceutical measures for this case included medicinal herbs, and combinational drugs owing to the nature and condition of the illness. Manual therapies include massage therapy and leech therapy applied around the wound once in a day. After 60 days of treatment, patient's ulcer, physical and mental state had completely improved. Conclusion: Considering the recovery process of patient with the approach of physical force and mental state and a significant improvement in wound, it seems that traditional medicine can pave the way for the treatment of many common diseases while informed assessment of different diseases based on the teachings of traditional medicine seems necessary.
https://www.ajcrtam.ir/article_24883_3403e31ab05ffd0adc80e3cb98d36b1a.pdf
2017-03-01
21
28
10.22040/ajcrtam.2017.24883
Venous Ulcer
Drug Treatments
Iranian Traditional Medicine
Leech Therapy
Mehrdad
Karimi
mehrdadkarimi@yahoo.com
1
Assistant Professor of Traditional Medicine, Department of Iranian Traditional Medicine, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
Seyyed Mohammadali
Soroushzadeh
drsoroushzadeh@gmail.com
2
Ph.D. Candidate of Traditional Medicine, Department of Iranian Traditional Medicine, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
[1] Valencia IC, Falabella A, Kirsner RS, Eaglstein WH. Chronic venous insufficiency and venous leg ulceration. J Am Acad Dermatol. 2001; 44(3): 401-21.
1
[2] Bowman PH, Hogan DJ. Leg ulcers: a common problem with sometimes uncommon etiologies. Geriatrics. 1999; 54(3): 43-50.
2
[3] Phillips T, Stanton B, Provan A, Lew R. A study of the impact of leg ulcers on quality of life: financial, social, and psychologic implications. J Am Acad Dermatol. 1994; 31(1): 49-53.
3
[4] Abularrage CJ, Sidawy AN, Aidinian G, Singh N, Weiswasser JM, Arora S. Evaluation of the microcirculation in vascular disease. J Vasc Surg. 2005; 42(3): 574-81.
4
[5] Bergan JJ, Schmid-Schönbein GW, Smith PD, Nicolaides AN, Boisseau MR, Eklof B. Chronic venous disease. N Engl J Med. 2006 Aug 3; 355(5):488-98.
5
[6] Coleridge Smith P. The causes of skin damage and leg ulceration in chronic venous disease. Int J Low Extrem Wounds 2006; 5(4):160-68.
6
[7] Pascarella L, Schönbein GW, Bergan JJ. Microcirculation and venous ulcers: a review. Ann Vasc Surg. 2005; 19(6): 921-7.
7
[8] Reichenberg J, Davis M. Venous ulcers. Semin Cutan Med Surg. 2005; 24(4): 216-26.
8
[9] DeCotiis M, Konz EC. Minimizing complications of pain and dressing adherence in the treatment of venous leg ulcers. Ostomy Wound Manage 2008; 54(2):12-16.
9
[10] Sayre EK, Kelechi TJ, Neal D. Sudden increase in skin temperature predicts venous ulcers: a case study. J Vasc Nurs. 2007; 25(3): 46-50.
10
[11] Eklöf B1, Rutherford RB, Bergan JJ, Carpentier PH, Gloviczki P, Kistner RL, et al; American Venous Forum International Ad Hoc Committee for Revision of the CEAP Classification. Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg. 2004; 40(6): 1248-52.
11
[12] O'Meara S1, Al-Kurdi D, Ologun Y, Ovington LG, Martyn-St James M, Richardson R. Antibiotics and antiseptics for venous leg ulcers. Cochrane Database Syst Rev. 2014 Jan 10; (1):CD003557.
12
[13] Kalish J, Hamdan A. Management of diabetic foot problems. J Vasc surg 2010; 51(2):476-86.
13
[14] Oliveira BV, Barros Silva PG, Nojosa Jde S, Brizeno LA, Ferreira JM, Sousa FB, et al. TNF-alpha expression, evaluation of collagen, and TUNEL of Matricaria recutita L. extract and triamcinolone on oral ulcer in diabetic rats. J Appl Oral Sci. 2016; 24(3): 278-90.
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[15] Cemek M, Yilmaz E, Büyükokuroğlu ME. Protective effect of Matricaria chamomilla on ethanol-induced acute gastric mucosal injury in rats. Pharm Biol. 2010; 48(7): 757-63.
15
[16] Charousaei F, Dabirian A, Mojab F. Using chamomile solution or a 1% topical hydrocortisone ointment in the management of peristomal skin lesions in colostomy patients: results of a controlled clinical study. Ostomy Wound Manage 2011; 57(3):28-36.
16
[17] Duarte CM, Quirino MR, Patrocínio MC, Anbinder AL. Effects of Chamomilla recutita (L.) on oral wound healing in rats. Med Oral Patol Oral Cir Bucal. 2011 Sep 1; 16(6):e716-21.
17
[18] Al-Hashem FH. Gastroprotective effects of aqueous extract of Chamomilla recutita against ethanol-induced gastric ulcers. Saudi Med J. 2010; 31(11): 1211-6.
18
[19] Hage-Sleiman R1, Mroueh M, Daher CF. Pharmacological evaluation of aqueous extract of Althaea officinalis flower grown in Lebanon. Pharm Biol. 2011; 49(3): 327-33.
19
[20] Zaghlool SS, Shehata BA, Abo-Seif AA, Abd El-Latif HA. Protective effects of ginger and marshmallow extracts on indomethacin-induced peptic ulcer in rats. J Nat Sci Biol Med 2015; 6(2): 421-28.
20
[21] Yoshizawa M, Yokoyama K, Nakano Y, Nakamura H. Protective effects of barley and its hydrolysates on gastric stress ulcer in rats. Yakugaku Zasshi. 2004; 124(8): 571-5.
21
[22] Potrich FB, Allemand A, da Silva LM, Dos Santos AC, Baggio CH, Freitas CS, et al. Antiulcerogenic activity of hydroalcoholic extract of Achillea millefolium L.: involvement of the antioxidant system. J Ethnopharmacol. 2010 Jul 6; 130(1): 85-92.
22
[23] Abd-Alla HI, Shalaby NM, Hamed MA, El-Rigal NS, Al-Ghamdi SN, Bouajila J. Phytochemical composition, protective and therapeutic effect on gastric ulcer and amylase inhibitory activity of Achillea biebersteinii Afan. Arch Pharm Res 2016; 39(2):10-20.
23
[24] Nemeth E, Bernath J. Biological activities of yarrow species (Achillea spp.). Curr Pharm Des 2008; 14(29):3151-67.
24
[25] Bapat RD, Acharya BS, Juvekar S, Dahanukar SA. Leech therapy for complicated varicose veins. Indian J Med Res. 1998 Jun; 107: 281-4.
25
[26] Zaidi SM. Unani treatment and leech therapy saved the diabetic foot of a patient from amputation. Int Wound J 2016; 13(3):263-64.
26
[27] Gethin G, Cowman S, Kolbach DN. Debridement for venous leg ulcers. Cochrane Database Syst Rev. 2015 Sep 14; (9):CD008599.
27
[28] Holland LC, Norris JM. Medical grade honey in the management of chronic venous leg ulcers. Int J Surg 2015; 20(1):17-20.
28
[29] Jull AB, Cullum N, Dumville JC, Westby MJ, Deshpande S, Walker N. Honey as a topical treatment for wounds. Cochrane Database Syst Rev. 2015 Mar 6;(3):CD005083.
29
[30] Mayer A, Slezak V, Takac P, Olejnik J, Majtan J. Treatment of non-healing leg ulcers with honeydew honey. J Tissue Viability. 2014; 23(3): 94-7.
30
[31] Jull AB, Walker N, Deshpande S. Honey as a topical treatment for wounds. Cochrane Database Syst Rev. 2013 Feb 28; (2):CD005083.
31
ORIGINAL_ARTICLE
Improvement of Rosacea Symptoms in a 62-year-old Man with the Treatment of Iranian Traditional Medicine
Background: Rosacea is a chronic inflammatory skin disease that affects 0.5–10% of the population. Common symptoms are redness and itching in the nose bridge area, especially cheeks. The cause is not completely understood but genetics, increased growth of bacteria in the small intestine, and increased activity of Demodex mites are considered responsible. There is no certain cure for it; however, oral antibiotics, including tetracycline and doxycycline, and topical medications including metronidazole gel and azelaic acid cream are effective in improving symptoms. Due to the chronicity of the disease, regular use of these drugs is associated with many complications. The complications of synthetic drugs and the lack of favourable outcome of the treatment have led to increasing prevalence of the treatment approach with traditional medicine. Case Presentation:The patient was a 62-year-old man who complained of redness and pustules on the face. During the illness, he visited numerous doctors, who, after diagnosing rosacea, had prescribed various drugs, but the patient did not consume any of these drugs. After following the dietary recommendations and using herbal medicines, noticeable improvement was achieved after two months. Conclusion: Considering the significant improvement in the patient’s condition after appropriate diet and appropriate use of herbal medicines, it seems that traditional medicinal therapies have great results in the treatment of rosacea.
https://www.ajcrtam.ir/article_24884_57f44f39bb05f41b408426a66a3cdacc.pdf
2017-03-01
29
36
10.22040/ajcrtam.2017.24884
Rosacea
Herbal Medicine
Genetics
Mite Demodex
Iranian Traditional Medicine
Akramosadat
Atyabi
a-atyabi@razi.tums.ac.ir
1
Ph.D. Candidate of Traditional Medicine, Department of Iranian Traditional Medicine, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
Fatemeh
Eghbalian
dreghbalian@gmail.com
2
Ph.D. Candidate of Traditional Medicine, Department of Iranian Traditional Medicine, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
Mehrdad
Karimi
mehrdadkarimi@yahoo.com
3
Assistant Professor of Traditional Medicine, Department of Iranian Traditional Medicine, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
[1] Chang BPC, Kurian A, Barankin B. Rosacea: An Update on Medical Therapies, Skin Therapy Lett 2014; 19(3):1-4.
1
[2] Brittney C, Scheinfeld N. Rosacea: A Review, PT 2009; 34(1): 38-45.
2
[3] Zuuren EJ, Gupta AK, Gover MD, et al. Systematic review of rosacea treatments, J Am Acad Dermatol 2007; 56(1):107-15
3
[4] Goldgar C, Keahey D, Houchin J. Treatment Options for Acne Rosacea, Am Fam Physician 2009; 80(5):461-68.
4
[5] Scharschmidt TC, Yost JM, Truong SV, Steinhoff M, Wang KC, Berger TG. Neurogenic rosacea: a distinct clinical subtype requiring a modified approach to treatment. Arch Dermatol. 2011; 147(1):123-6
5
[6] Steinhoff M1, Buddenkotte J, Aubert J, Sulk M, Novak P, Schwab VD, et al. Clinical, cellular, and molecular aspects in the pathophysiology of rosacea. J Investig Dermatol Symp Proc. 2011; 15(1): 2-11.
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[7] Anne Lynn S Chang, Inbar Raber, Jin Xu, Rui Li, Robert Spitale, Julia Chen, et al. Assessment of the Genetic Basis of Rosacea by Genome-Wide Association Study. J Invest Dermatol. 2015; 135(6): 1548–1555.
7
[8] Feldman SR, Huang WW, Huynh Tu T. Current Drug Therapies for Rosacea: A Chronic Vascular and Inflammatory Skin Disease, Journal of Managed Care Pharmacy 2014; 20(6):623-29.
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[9] Z. Ðakovic, S. Vesic, J. Vukovic, S. Milenkovic, K. Jankovic-Terzic, S. Ðukic, et al. Ocular rosacea and treatment of symptomatic Helicobacter pylori infection: a case series, Acta Dermatoven APA 2007; 16(2):83-86.
9
[10] MutoY, Wang Z, Vanderberghe M, et al. Mast cells are key mediators of cathelicidin-initiated skin inflammation in rosacea, J Invest Dermatol 2014; 134(11): 2728-36.
10
[11] Yücel A, Yilmaz M .Investigation of the prevalance of Demodex folliculorum and Demodex brevis in rosacea patients, Turkiye Parazitol Derg 2013; 37(3):195-98.
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[13] Kim HM, Lee EH, Cho HH, Moon YH. Inhibitory effect of mast cell-mediated immediate-type allergic reactions in rats by spirulina. Biochem Pharmacol. 1998 Apr 1; 55(7):1071-6.
13
[14] Saeedi M, Morteza-Semnani K, Ghoreishi MR. The treatment of atopic dermatitis with licorice gel. J Dermatolog Treat. 2003; 14(3):153-7.
14
[15] Asgarpanah J, Haghighat E, Phytochemistry and pharmacologicproperties of Ziziphus spina christi (L) Willd, Afr. J. Pharm. Pharmacol. 2012; 6(31): 2332-39.
15
[16] Renée A. Street, Jasmeen Sidana, Gerhard Prinsloo. Cichorium intybus: Traditional Uses, Phytochemistry, Pharmacology, and Toxicology. Volume 2013, Article ID 579319, 13 pages.
16
[17] Dawid-Pa R. Medicinal plants used in treatment of inflammatory skin diseases, Postepy Dermatol Alergol 2013; 30(3): 170-77.
17
[18] Jessica Wu. Treatment of rosacea with herbal ingredients, JDD 2006; 5(1):29-32.
18
[19] Nazem Jahan Mohammad Azam. Eksor-e-Azam. Teharan: Iran University of Medical Sciences, Institute of Medical History, Islamic and Complementary Medicine; 2008.
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[20] Wilkin J, Dahl M, Detmar M, Drake L, Liang MH, Odom R, et al. Standard grading system for rosacea, report of the National Rosacea Society Expert Committee on the classification and staging of rosacea, J Am Acad Dermatol 2004; 50(6): 907-12.
20
[21] Khansari MM, Meftah alshafa. Tehran: Iran University of Medical Sciences Institute of Medical History, Islamic and Complementary Medicine; 2009.
21
ORIGINAL_ARTICLE
Treatment of Atopic Dermatitis (Jarab) in a 38-year-old Female Patient with Traditional Medicine at Tehran University of Medical Sciences in 2015
Abstract Background: Atopic dermatitis is a common skin disease associated with chronic inflammation in the skin and itches and most patients have a positive family history of dermatitis. The major treatment of dermatitis, based on allopathic medicine, includes symptomatic treatment by oral antihistamines and topical or oral corticosteroids, which, in long-term, will cause various side effects. Iranian Traditional Medicine (ITM) have cited the treatment of various skin diseases like jarab that resembles the characteristics of dermatitis. The basics of Iranian Medical School, which include reduction of symptoms, treatment of disease-causing agents have also been considered, which leads to a longer period of disease-free period for the patients. Case Presentation: A 38-year-old female patient presented with more than 15 years of chronic dermatitis of the hands and feet with itchy areas on the skin (seen as dark spots). Various chemical treatments received by the patient had no acceptable satisfaction for the patient and symptoms relapsed after cessation of treatment. At admission to traditional medicine clinic, first, the patient was visited by a dermatologist, then complete history was taken, and after checking the disease symptoms, she received ITM on Setteh-e-Zarurieah, especially nutrition and treating the root cause of the disease. After two months of drug therapy, popular lesions were significantly reduced in this period and only occurred temporarily after hair removal. Itching was improved by >80% and dermatology life quality index (DLQI) declined from 10 to 1. Dark spots remained but became a little bit lighter which was satisfactory considering the long duration of the disease and the various chemical treatments received. After one year of follow up, there was no incidence of new lesions even without medication. Conclusion: Iranian traditional medicine focuses on treating the root cause of the disease using therapies with low side effects and considering nutrition and lifestyle modification in patients that can help with chronic skin diseases in reducing the symptoms and long disease-free period. According to the World Health organization's approach to increase usage of traditional medicines in treatment of diseases, further research is necessary in this area.
https://www.ajcrtam.ir/article_24885_1b83e580a64b3804e6f6e17b28853d27.pdf
2017-03-01
37
42
10.22040/ajcrtam.2017.24885
Atopic Dermatitis
Scabies
Iranian Traditional Medicine
Fatemeh
Eghbalian
dreghbalian@gmail.com
1
Ph.D. Candidate of Traditional Medicine, Department of Iranian Traditional Medicine, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
Akramosadat
Atyabi
a-atyabi@razi.tums.ac.ir
2
Ph.D. Candidate of Traditional Medicine, Department of Iranian Traditional Medicine, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
Nafiseh
Esmaeili
esmaelin@tums.ac.ir
3
Professor of Dermatology, Department of Dermatology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
Mehrdad
Karimi
mehrdadkarimi@yahoo.com
4
Assistant Professor of Traditional Medicine, Department of Iranian Traditional Medicine, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
[1] Chishti MA, Mohi-Ud-Din E, Usmanghani K, Nawaz A, Nazar H, Ahmad I. Comparative clinical efficacy and safety of coded herbal medicine Dermovix in the management of patients with atopic dermatitis versus allopathic medicine. Pakistan journal of pharmaceutical sciences 2015; 28(5): 1655-63.
1
[2] Schmitt J, Schakel K, Schmitt N, Meurer M. Systemic treatment of severe atopic eczema: a systematic review. Acta dermato-venereologica 2007; 87(2): 100-11.
2
[3] Chen HY, Lin YH, Wu JC, Hu S, Yang SH, Chen JL, et al. Use of traditional Chinese medicine reduces exposure to corticosteroid among atopic dermatitis children: a 1-year follow-up cohort study. J Ethnopharmacol. 2015 Jan 15; 159:189-96.
3
[4] Xiaohong Quan, Shenrong Cheng, Hong Ma, Hengxuan Huang, Bin Wang, Xiuhua Chen. Combination of flying needle with Chinese Herbal Medicine in the treatment of Atopic dermatitis: A clinical trial. Pak. J. Pharm. Sci., 2014; 27(5 (Suppl)), 1687-1690.
4
[5] Li S, Kuchta K, Tamaru N, Lin Y, Iwasaki S, Wang R, et al. Efficacy of a novel herbal multicomponent traditional Chinese medicine therapy approach in patients with atopic dermatitis. Complementary Medicine Research 2013; 20:189-96.
5
[6] Nazem Jahan Mohammad Azam. Eksor-e-Azam. Teharan: Iran University of Medical Sciences, Institute of Medical History, Islamic and Complementary Medicine; 2008.
6
[7] Kim M, Yun Y, Kim K, Choi I. Three cases of atopic dermatitis in pregnant women successfully treated with Korean medicine. Complementary therapies in medicine 2013; 21(5):512-6.
7
[8] Hon KL, Leung TF, Ng PC, Lam MC, Kam WY, Wong KY, et al. Therapeutic effect and safety of a traditional Chinese medicine for atopic dermatitis in children: a randomised, double-blind, placebo-controlled study. Hong Kong medical journal Xianggang yi xue za zhi Hong Kong Academy of Medicine 2011; 17 (2):38-40.
8
[9] Aghaei S, Sodaifi M, Jafari P, Mazharinia N, Finlay AY. DLQI scores in vitiligo: reliability and validity of the Persian version. BMC dermatology 2004; 4(1):8-15.
9
[10] Nazem E. Tuba pharmacopeia. Tehran: Almoa; 2011.
10
[11] Yamashita H, Tanaka H, Inagaki N. Treatment of the chronic itch of atopic dermatitis using standard drugs and kampo medicines. Biological & pharmaceutical bulletin 2013; 36(8):1253-57.
11
[12] Avicenna. Translated by Abdolrahman Sharafkandi. The Canon of Medicine. 4th edition. Tehran: Soroush Publications; 1989.
12
[13] Arzani MA. Akbari medicine. Tehran: Institute for Medical History Studies, Islamic and Complementary Medicine; 2008.
13
[14] Davood A. Tazkere Olol-Alalbab Al-Jamea Ajaeb. Beirut: Alami Almatboat Institute; 2014.
14
[15] Majozi Ahwazi AA. Altebiyeh. Qom: Jalaluddin; 2008.
15
[16] Muhammad AS. Mofarrah Al-Gholub. Tehran: Almoa; 2012.
16
[17] Ali Khan W. Body Science. Luckhenow: Secretary Nolakshur; 1998.
17
[18] Jurjani IH, Alai Kh. Researcher/editor: Ali Akbar Velayati and Mahmoud Najm Abadi. Press Information; 1900.
18
[19] Gilani MK. Hefz AL-Sehaa Naseri. Tehran: Almoa; 2008.
19
[20] Najib al-Din S. Commentator: Kerman Nafis Ibn Avaz. Description of causes and signs. Qom: Jalaluddin; 2008.
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[21] Aghili AS, Seyyedi MH. Great Qorabadyn. Tehran: Institute for Medical History Studies, Islamic and Complementary Medicine; 1276.
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[22] Amin Gh. The most common traditional medicinal plants in Iran. Tehran: Tehran University of Medical Sciences, Research Services .Research Center for Medical Ethics and History; 2006.
22
[23] Amani O. Research Guideline for Evaluating the Safety and Efficacy of Herbal Medicines; Manila: World Health Organization, Regional Office for the Western Pacific; 1993.
23
ORIGINAL_ARTICLE
Treatment of Menstrual Disorder, Depression and Sexual Dysfunction in a 27-year-old Woman with Polycystic Ovary Syndrome based on Iranian Traditional Medicine
Background: Polycystic ovary syndrome and oligomenorrhea which is one of its complications are considered as the most common causes of menstrual disorders which increases the risk of depression and psychological effects complications. The prevalence of oligomenorrhea is predicted to be 12 to 15 percent. This syndrome occurs with symptoms such as obesity, impaired glucose metabolism, dysmenorrhea, oligomenorrhea and other symptoms. In addition, incidence of decreased libido, painful sexual intercourse and decreased libido are also observed in the patients concurrently which must be considered during the treatment. Case Presentation: The case is a 27 year old woman married 2 years ago without children, unprotected, housewife who has been referred to the clinic of traditional medicine in June 2016 with palpitation complaints, dizziness, extreme tiredness, poor sleep, fatigue, darkening of skin along with syncopal attacks. She was the candidate for standard treatment for depression with diagnosis of depression by a psychiatrist. Based on the history of the patient, she has experienced delayed period for up to three months, severe pain prior to and during menstruation, dyspareunia and fear of sexual intercourse, decreased libido and progressive lack of sexual satisfaction over the past two years. She suffered from epileptic attack every 7-10 days without falling resulting in organ and head damage. After taking history, medical tonic treatment of ovarian and treatment using sitz-bath and training for sexual intercourse were conducted simultaneously from the perceptive of modern and Iranian medicine and menstruation was regulated in the first three months and sexual intercourse gradually became possible in the next three months and patient experienced regular menstruation and complete sexual intercourse with sexual pleasure at the end of six months. Conclusion: Treatment of this patientby modification of her uterus and ovaries function, creation of menstrual regularity and possibility of sexual intercourse along with sexual pleasure based on sexual pleasure highlights the necessity of more attention to the connection between the different organs in the human body. A woman's uterus and femininity functions make her sick in the case of disorder, one of such is termed strangulation of uterus (Ekhtenagh in Persian) in Iranian medicine.
https://www.ajcrtam.ir/article_24886_7ce5d1b1aa864bb411d0c3ec7d378929.pdf
2017-03-01
43
50
10.22040/ajcrtam.2017.24886
Polycystic Ovary Syndrome
Oligomenorrhea
Strangulation of Uterus, Libido, Iranian Traditional Medicine
Elham
Akhtari
akhtari.e@iums.ac.ir
1
Assistant Professor, Research Institute for Islamic & Complementary Medicine, Department of Traditional Medicine, School of Traditional Medicine, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Roshanak
Mokaberinejad
rmokaberi@gmail.com
2
Assistant Professor, Department of Traditional Medicine, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Haleh
Tajadini
dr_haleh@yahoo.com
3
Assistant Professor, Department of Traditional Medicine, School of Traditional Medicine, Kerman University of Medical Sciences, Kerman, Iran
AUTHOR
[1] Raja-Khan N, Stener-Victorin E, Wu X, Legro RS. The physiological basis of complementary and alternative medicines for polycystic ovary syndrome. Am J Physiol Endocrinol Metab. 2011 Jul; 301(1): E1-E10.
1
[2] Sang Q, Li X, Wang H, Zhang S, Feng R, Xu Y, et al. Quantitative Methylation Level of the EPHX1 Promoter in Peripheral Blood DNA Is Associated with Polycystic Ovary Syndrome. PloS one 2014; 9(2): 88013-17.
2
[3] Shen W, Zhang Y, Li W, Cong J, Zhou Y, Ng EH. Effects of tanshinone on hyperandrogenism and the quality of life in women with polycystic ovary syndrome: protocol of a double-blind, placebo-controlled, randomised trial. BMJ open 2013; 3(10): 3646-49.
3
[4] Hollinrake E, Abreu A, Maifeld M, Van Voorhis BJ, Dokras A. Increased risk of depressive disorders in women with polycystic ovary syndrom. Fertil Steril. 2007; 87(6):1369-76.
4
[5] Guttmann-Bauman I. Approach to adolescent polycystic ovary syndrome (PCOS) in the pediatric endocrine community in the U.S.A. JPEM 2005; 18(5):499-506.
5
[6] Balen AH, Conway GS, Kaltsas G, Techatrasak K, Manning PJ, West C, et al. Polycystic ovary syndrome: the spectrum of the disorder in 1741 patients. Hum Reprod 1995; 10(8):2107-11.
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[7] Sirmans SM, Pate KA. Epidemiology, diagnosis, and management of polycystic ovary syndrome. Clin Epidemiol. 2013Dec 18; 6:1-13.
7
[8] Badawy A, Elnashar A. Treatment options for polycystic ovary syndrome. Int J Womens Health. 2011 Feb 8; 3: 25-35.
8
[9] Azziz R, WK, Reyna R, Key TJ, Knochenhauer ES, Yildiz BO, The prevalence and features of the polycystic ovary syndrome in an unselected population. J Clin Endocrinol Metab. 2004; 89(6):2745-9.
9
[10] Akhtari E, Bioos S. Sohrabvand F. Infertility in Iranian Traditional Medicine from Hakim Azam Khan point of view. IJOGI 2015; 18(148):18-23.
10
[11] Akhtari E. Comparison of Avicenna’s views with WHO recommendation in labor progress. IJOGI 2016; 19(34): 26-30.
11
[12] Buggs CRR, Polycystic ovary syndrome in adolescence. Endocrinol Metab Clin North Am 2005; 34(3):677-694.
12
[13] Lidegaard LE, Svendsen AL, Agger C, Hormonal contraception and risk of venous thromboembolism: national follow-up study. BMJ 2009; 339(1): 2890-98.
13
[14] Elham Akhtari, Firoozeh Raisi, Mansoor Keshavarz, Hamed Hosseini, Farnaz Sohrabvand, Soodabeh Bioos, et al. Tribulus terrestris for treatment of sexual dysfunction in women: randomized double-blind placebo-controlled study. DARU 2014; 22(40):11-19.
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[15] Van Hylckama Vlieg A, Helmerhorst FM, Vandenbroucke JP, Doggen CJ, Rosendaal FR. The venous thrombotic risk of oral contraceptives, effects of oestrogen dose and progestogen type: results of the MEGA case-control study. BMJ. 2009 Aug 13; 339:b2921.
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[16] Yana Vinogradova, Carol Coupland, Julia Hippisley-Cox. Use of combined oral contraceptives and risk of venous thromboembolism: nested case-control studies using the QResearch and CPRD databases. BMJ 2015;350:h2135: 1-15.
16
[17] Nazem E. Tooba herbal pharmacology. Tehran: Almoa; 2011.
17
[18] Salehi M, Setayesh M, Mokaberinejad R. Treatment of recurrent ovarian cysts and primary infertility by Iranian Traditional medicine: A case report. Journal of Evidence-Based Complementary & Alternative Medicine. December 8, 2016. DOI: https://doi.org/10.1177/2156587216681937
18
[19] Momoeda M, Sasaki H, Tagashira E, et al. Efficacy and safety of Vitex agnus-castus extract for treatment of premenstrual syndrome in Japanese patients: a prospective, open-label study. Advances in Therapy 2014; 31(3):362-73.
19
[20] Peet R, Watts M. Liberation ecologies: environment, development, social movements. New York: Routledge; 1996.
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[21] Van Die MD, Burger HG, Teede HJ, Bone KM. Vitex agnus-castus (Chaste-Tree/Berry) in the treatment of menopause-related complaints. The Journal of Alternative and Complementary Medicine 2009; 15(8):853-62.
21
[22] Malo C, Gil L, Cano R, et al. Fennel (Foeniculum vulgare) provides antioxidant protection for boar semen cryopreservation. Andrologia 2012; 44(1):710-715.
22
[23] Mohebbi-kian E, Mohammad-Alizadeh-Charandabi S, Bekhradi R. Efficacy of fennel and combined oral contraceptive on depot medroxyprogesterone acetate-induced amenorrhea: a randomized placebo-controlled trial. Contraception 2014; 90(4):440-446.
23
[24] MH A. Makhzan-al-Advia. Tehran: Tehran University of Medical Sciences; 2009.
24
[25] Jasicka-Misiak I, Wieczorek PP, Kafarski P. Crotonic acid as a bioactive factor in carrot seeds (Daucus carota L.). Phytochemistry 2005; 66(12):1485-91.
25
[26] Bishayee A, Sarkar A, Chatterjee M. Hepatoprotective activity of carrot (Daucus carota L.) against carbon tetrachloride intoxication in mouse liver. Journal of Ethnopharmacology1995; 47(2):69-74.
26
[27] Avicenna F. Qanun fi al Tib (The canon of medicine). Vol. 2. Beirut: Lebanon: Institute Alaalami Library; 2005.
27
[28] Dizaye K, Hamed B. Cardiovascular studies of White squill (Urginea Maritima) Extract. Zanco journal of medical science. ZJMS 2010; 14(1):37-42.
28
[29] Mammadov R, Makasçı-Afacan A, Uysal-Demir D, Görk Ç. Determination of antioxidant activities of different Urginea maritima (L.) Baker plant extracts. Iran. J. Chem. Chem. Eng. Research Note 2010; 29(3):99-108.
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[30] Sayyah M, Mandgary A, Kamalinejad M. Evaluation of the anticonvulsant activity of the seed acetone extract of Ferula gummosa Boiss, against seizures induced by pentylenetetrazole and electroconvulsive shock in mice. J Ethnopharmacol 2002; 82(2-3):105-109.
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[31] Sadraei H, Asghari GR, Hajhashemi V, et al. Spasmolytic activity of essential oil and various extracts of Ferula gummosa Boiss, on ileum contractions. Phytomedicine 2001; 8(5):370-376.
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[32] Ghanbari M, Zahedi Khorasani M, Vakili A. Acute and chronic effects of Ferula persica on blood pressure of hypertensive rats and its possible mechanism of action. Journal of Medicinal Plants 2012; 11(43):62-68.
32
ORIGINAL_ARTICLE
Effect of Mentha Longifolia on 10 Patients with Primary Dysmenorrhea
Background: Dysmenorrhea which means menstrual pain is the most common complaint in women and is one of the problems of health care. Iranian Traditional medicine (ITM) considers dysmenorrhea as Osre-Tams and Mentha Longifolia has been indicated as one of the plants that is effective for its treatment. The objective of this study is to evaluate the effect of Mentha Longifolia on patients with severe dysmenorrhea. Case Presentation: Ten female students with severe dysmenorrhea and cold and wet uterine temperament participated in the study. In this study, the pain intensity was evaluated in the first menstrual cycle without intervention. Thereafter, patients used Mentha Longifolia herbal tea for two consecutive cycles from two days before until the first three days of menstruation and pain intensity of both cycles was evaluated. Pain intensity of all patients was reduced at the end of the study. Pain intensity was reduced from severe to low in 9 patients and it reduced from severe to moderate in one patient. Moreover, there was no exclusion in this study and only one side effect was reported in the form of constipation and one case in the form of increasing bleeding. Conclusion: In this study, Mentha Longifolia reduced the severity of dysmenorrhea. One of the causes of Osre-Tams in ITM is the blood concentration of phlegm and black-bile. Based on ITM texts, Mentha Longifolia is an emenagouge and moshil of sauda. So, it increases menstrual blood flow and reduces menstrual pain. Results of this study confirm the principles of ITM and demonstrate that ITM can improve public health.
https://www.ajcrtam.ir/article_24887_d10bae6ddb4b43548edb49b4cc23b2da.pdf
2017-03-01
51
56
10.22040/ajcrtam.2017.24887
Dysmenorrhea
Osre-Tams
Mentha Longifolia
Mensturation
Iranian Traditional Medicine
Pantea
Shirooye
pshirooye@yahoo.com
1
Ph.D. of Traditional Medicine, Department of Traditional Medicine, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Shahrbanoo
Abdolhosseini
sh-abdolhosseini@razi.tums.ac.ir
2
Ph.D. Candidate of Traditional Medicine, Department of Traditional Medicine, School of Traditional Medicine, Kerman University of Medical Sciences, Kerman, Iran
LEAD_AUTHOR
[1] Berek JS, Novak E. Berek and Novak's Gynecology. Philadelphia: Lippincott Williams & Wilkins; 2012.
1
[2] Lefebvre G, Pinsonneault O, Antao V, Black A, Burnett M, Feldman K, et al. Primary dysmenorrhea consensus guideline. J Obstet Gynaecol Can. 2005 Dec; 27(12):1117-46.
2
[3] Shirooye P, Hashem-Dabaghian F, Hamzeloo-Moghadam M, Afrakhteh M, Bioos S, mokaberinejad R. A clinical comparative study of oral and topical ginger on severity and duration of primary dysmenorrhea. RJP 2017; 4(1): 23-32
3
[4] Panahandeh Z, Pakzad Z, Ashouri R. Survey the Prevalence, Knowledge and Practice of Guilan University students about dysmenorrhea. Journal of Guilan University of Medical Sciences 2008; 17(66):87-94.
4
[5] Dmitrovic R, Kunselman AR, Legro RS. Continuous compared with cyclic oral contraceptives for the treatment of primary dysmenorrhea: a randomized controlled trial. Obstet Gynecol. 2012 Jun; 119(6): 1143–50.
5
[6] Grandi G, Ferrari S, Xholli A, Cannoletta M, Palma F, Romani C, et al. Prevalence of menstrual pain in young women: what is dysmenorrhea? J Pain Res. 2012; 5: 169-74.
6
[7] Kor N, Jouybari L, Sanagoo A. The health believes and home remedies of the Turkmen people for dysmenorrhea. Jentashapir J Health Res. 2012; 2(4):157-64.
7
[8] Marjoribanks J, Proctor M, Farquhar C, Derks RS. Nonsteroidal anti-inflammatory drugs for dysmenorrhoea. Cochrane Database Syst Rev. 2010 Jan 20; (1): CD001751.
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[9] Henzl M. Dysmenorrhea: Achievements and challenge. Sexual Medicine Today 1985; 9(2):8-12.
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[10] Dawood MY. Primary dysmenorrhea: advances in pathogenesis and management. Obstet Gynecol. 2006 Aug; 108(2):428-41.
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[11] Zaidi SA, Khatoon K, Aslam K. Role of herbal medicine in ussuruttams (dysmenorrhoea). Journal Academic Indus Research 2012; 1(3):113-17.
11
[12] Rahnama P, Montazeri A, Huseini HF, Kianbakht S, Naseri M. Effect of Zingiber officinale R. rhizomes (ginger) on pain relief in primary dysmenorrhea: a placebo randomized trial. BMC Complement Altern Med. 2012 Jul 10; 12:92.
12
[13] Alam K. Clinical Study of Tashannuji Usre Tams (spasmodic dysmenorrhoea) and its Management with Tukhme Karafs. Bangalore: National Institute of Unani Medicine Bangalore; 2007.
13
[14] Zahravi A. Al-Tasrif leman Ajeza an Al-Taalif. Tehran: Research Institute for Islamic and Complementary Medicine; 2008.
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[15] Ahmad S. Khazaen Al-Molook. Tehran: Research Institute for Islamic and Complementary Medicine; 2005.
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[16] Ather A. A clinical study on the effect of kafoor cinnamomum camphora, linn in dysmenorrhoea. Bangalore: Department of Ilmul Advia National institute of unani medicine; 2007.
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[17] Alrashidi A. Behjat Al-Roasa fi Amraz Al-Nesa. Tehran: Jalal al-Din; 2003.
17
[18] Behmanesh E, Nabi Meybodi R, Mokaberinejad R, Tansaz M, Mozaffarpour SA, Shirooye P. Menstrual pain explanation from Iranian Traditional Medicine point of view vs. contemporary medicine: review article. IJOGI 2016; 19(36):22-31.
18
[19] Shirooye P, Afrakhteh M, Bioos S, Mokaberinejad R. Uterine pain explanation from Iranian Traditional Medicine point of view vs. pelvic pain from contemporary medicine. IJOGI 2016; 19(3):9-25.
19
[20] Behmanesh E, Tansaz M, Shirooye P, Mokaberinejad RT, Nabi Meybodi R. Textbook of uterine pain. Tehran: Ministry of health, treatment and medical education; 2016.
20
[21] Ibn Nafis A. Al-Shamel fi Al-Sanaat Al-Tebbiat. Tehran: Research Institute for Islamic and Complementary Medicine; 2008.
21
[22] Chashti M. Exir-e Aazam. Tehran: Research Institute for Islamic and Complementary Medicine; 2007.
22
[23] Aghili Khorasani M. Makhzan al-Advie. Tehran: Research Institute for Islamic and Complementary Medicine; 2008.
23
[24] Moemen Tonekaboni M. Tohfat ol-Moemenin. Tehran: Shahid Beheshti University of Medical Sciences; 2007.
24
[25] Arzani M. Tibb akbari. Qom: Jalal al- Din; 2008.
25
[26] Aghili Khorasani M. Qarabadin-e Kabir. Tehran: Research Institute for Islamic and Complementary Medicine; 1999. In press.
26
[27] Naseri M, Babaeian M, Ghaffari F, Kamalinejad M, Feizi A, Mazaheri M, et al. Bloating Avicenna’s Perspective and Modern Medicine. Journal of evidence-based complementary & alternative medicine 2016; 21(2): 154-159.
27
[28] Mokaberinejad R, Zafarghandi N, Bioos S, Hashem Dabaghian F, Naseri M, Kamalinejad M, Amin G, Ghobadi A, Tansaz M, Akhbari A, Hamiditabar M. Mentha longifolia syrup in secondary amenorrhea: a double-blind, placebo-controlled, randomized trials. Daru. 2012 Dec 21;20(1):97
28
[29] Sohrabvand F, Nazem E, Tansaz M, Keshavarz M, Hashem Dabaghian F, Nikbakht Nasrabady A, Ghooshehghir SA, Bioos S, Mokaberineja R. Investigation of the Personal and Uterine Humor in infertile women referred to Vali-E-As Hospital of Tehran, Iran in 2012. IJOGI 2014; 17(94):10-19.
29
[30] Mokaberinejad R, Akhtari E, Tansaz M, Bioos S, Kamalinejad M, Zafarghandi N, Ghobadi A, Sohrabvand F, Akhbari A. Effect of Mentha longifolia on FSH Serum Level in Premature Ovarian Failure. Open Journal of Obstetrics and Gynecology 2014; 4(1):356-60.
30
[31] Reed MD, Van Nostran W. Assessing pain intensity with the visual analog scale: A plea for uniformity. Journal of Clinical Pharmacology 2014; 54(3):241-44.
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[32] Mokhtari M, Shariati M, Khodaparast L. Analgesic effects of water -alcohol extract of Mentha Longifolia in rats. Journal of Shahrekord university of medical sciences 2009; 10(4):7-12.
32
[33] Aghili Khorasani M. Moalejat-e Aqili. Tehran: Research Institute for Islamic and Complementary Medicine; 2008.
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[34] Ibn Sina H. Al-Qanon fi Al-Tibb. Beirut: Alaalami Library; 2005.
34
[35] Aqili Khorasani M. Kholasat Al-Hekmat. Tehran: Research Institute for Islamic and Complementary Medicine; 2006.
35
ORIGINAL_ARTICLE
Evaluation of Treatment with Squill Vinegar in 10 Patients with Head Pediculosis
Background: Head lice infestation is a major global health challenge which greatly affects school-aged children. This infestation has different rate in different regions of Iran from 0.9% to 30%. In spite of the diversity of Pediculosis treatments, it still has a high prevalence in the country and it becomes regularly epidemic. In Iranian traditional medicine, "Squill vinegar" is one of the most effective medicines for the treatment of head lice. The objective of this report is the provision of an effective treatment for patients that are resistant to the treatment of head lice according to the perspective of traditional medicine in Iran. Case Presentation: Ten 12-14 year old female students with treatment-resistant head lice (based on National Lice Care Guideline (2015) used Squill vinegar locally for one week after using permethrin shampoo twice. Examinations were done on 2nd, 7th and 14th days. Two patients were excluded owing to lack of follow-up. Infestation was not observed in 4 patients in 7th and 14th days examinations. In two cases, infestation was significantly reduced (75%) in 7th and 14th days. In all cases, the itchiness was gone. Conclusion: Public interest, proper acceptance on the part of the patient, presence of scientific evidence, easier access and fewer side effects have made medicinal herbs to be the center of attention for many therapists. World Health Organization has also considered the research on medicinal plants with a long history of consumption to be allowed on humans with acceptance of specific directives and criteria. Accordingly, indigenous experiences including long-term use of the plants and "historical-cultural medicine" contexts can be considered as the starting point for such studies. This report stresses the effectiveness of Squill vinegar in the treatment of head Pediculosis resistant to treatment and recommends its implementation in school health units.
https://www.ajcrtam.ir/article_24888_dc9a83768de75a87f6bde63e08f25a1a.pdf
2017-03-01
57
64
10.22040/ajcrtam.2017.24888
Lice
Nits
Pediculosis
Squill
Squill Vinegar
Iranian Traditional Medicine
Shahrbanoo
Abdolhosseini
sh-abdolhosseini@razi.tums.ac.ir
1
Ph.D. Candidate of Traditional Medicine, Department of Traditional Medicine, School of Traditional Medicine, Kerman University of Medical Sciences, Kerman, Iran
AUTHOR
Roshanak
Mokaberinejad
rmokaberi@gmail.com
2
Assistant Professor, Department of Traditional Medicine, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Vahid
Alian Nezhadi
doctoralyannejadi@gmail.com
3
Ph.D. Candidate of Traditional Medicine, Department of Traditional Medicine, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Mahbubeh
Bozorgi
m-bozorgi@razi.tums.ac.ir
4
Assistant Professor of Traditional Pharmacy, Department of Iranian Traditional Pharmacy, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
Esmaeel
Nazem
nazem@t27.ir
5
Researcher, Department of Iranian Traditional Medicine, Faculty of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
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