Humma e Saudaviya (Black bilious fever)

Humma e Saudaviya

Introduction

lThe attack (bari) comes every 4^th day therefore it is also called Humma e Rib.

lThis results due to ufoonath in Sauda..

lThere are two types

•Rubbe Dayera

•Rubbe Lazima

Humma e Rubbe Dayera

lDuration – 72 hours

lAttack – every 4^th day

lUsually found in moist & damp areas.

lThis is found abundantly in Bulghami mizaj people.

Aetiology

lIt is due to putrefaction of Sauda.

lExcludes which are produced from bad madda.

            i.e.-      after oxidization of other akhlats

                        End product of other akhlats

lScientifically it is caused by a particular type of organism which multiplies every 72   

   hours.

lAccording to Avicenna and other physicians this fever is present in terminal stages of  

   other fevers.

lIn most of the cases this fever is present along with the diseases of Liver.

Alamat

lAttack comes every 4^th day

lFever starts with chills and rigors

lItching sensation

lPain in bones and muscles (takasur)

lFeeling of heaviness

lFatigue

lDiminished vision

lPerspiration - Safravi > Sauda > Bulghami

lFever subsides with the perspiration

lDecreased thirst

lIf the diseased madda is in the blood and not evacuated then it will lead to inflammation

  of the spleen causes pain and splenomegaly

l Long standing inflammation of spleen leads to Ascites

lNabz –          Sagheer

                        Bati

                        Zayeef

                        Mutafavit

lWhen fever results due to oxidation of other khilth

•Bulghami akhlath

            Fever duration – prolonged

            Perspiration – decreased

            Urine – viscous

            Nabs – soft

•Damavi akhlath

            Alamat of damavi fever

            Urine – red

            Face – flushed

            Nabz – azeem

•Safravi akhlath

            Chills & rigors – present

            Thirst –            increased

            Perspiration – increased

            Urine –            yellowish in early stage

                                    Black in later stage

            Nabz – sari 

           

           

Humma e Rubbe Lazima

lThis type is very severe

lThis fever is continuous fever

lActually it is  a combination of two Dayera fever

Alamat

lfever starts without chills & rigors

lfever does not decrease with perspiration

lbefore finishing one attack of humma other attack occurs – causative factor reaches the

   body and multiplied in the body within 3 days & causes fever for 3 days

Ilaj

Usoole ilaj

lTreatment should be done according to the type of the fever and the khilth involved

lMunzij e sauda

lMulayyin drugs or mild hukna

lIf the disease is severe give mushilath

lDo not give the food during the attack

lEasily digestible food can be given after the Sauda  became nuzj

lBarid food (curds) should be avoided

lPrecaution should be taken as liver & spleen are involved 

Ilaj proper

Mushil e aam

lHaleela                      6m

lAftimoon                  6m

lAfsanteen                 6m

lUsar e ghafis             3m

lAmla khusk              3m

lTukhm e karafs         3m

lAnisoon                    3m

lBadiyan                    3m

Boil in water. Give two times a day

           

Tabreed

·   Ark e kasni                           7T

Or

·   Ark e gauzaban                    4T

Is mixed with sharbath e unnab ane sprinkle with tukhm e reehan    5m

Compound drugs

Hub e hilteet

Hab e shifa

Habb e shifa

Tukhm e datura                       3T

Revand chini                           2T

Sount                                       1T

Gond e babool                                    10m

Powder first three drugs finely. Add luab e gond e babool and make chana size tablets. One tablet with warm water two times a day

By:

Dr. M.S.M. Shiffa

BUMS, MD