Humma e Diq
It is a
ghair e thabayee hararath of the body which involves organs and destroys body
fluids.
Diq means
wasting of muscles. It is characterized by low grade fever and Patient becomes
thin and weak with the progression of disease. Organism infects lungs,
intestine, joints, bone, meninges, etc.
Predisposing
factors
- Hereditary
- Tb history of a family member
- Young age or elderly
- Over crowd,
- Poor hygiene
- Less ventilation
- Weak patients
- Hummiyat
- Humma-e-yaumiya
- Humma-e-warmiya
- Humma-e-muharrika
- Ghib-e-khalis and ghair khalis
- Shatrul ghib
- Awram
- Warm-e-gurda
- Warm-e-jigar
- Warm-e-masana
- Warm-e-ama
- Warm-e-reham
- Hararat
- Hararat-e-gurda
- Hararat-e-meda
- Hararat-e-jigar
- Hararat-e-riyah
- Suddha
- Gam, fikr, gussa, danj
- Soo-e-mizaj yabis, mosum garma, khariji harat
- Insomnia
- Ishal muzmin
Spread
- Droplet infection
- Oral route- by ingestion of infected milk
Stages
- Stage 1 – Darja e diq
o
Organ contain fluid
o
Fluid gets heated but no disturbance in function
o
Easy to treat but difficult to diagnose
- Stage 2 – Darja e zabul
o
Fluid gets heated
o
There is partial destruction of cells
o
Functions are slightly disturbed
o
Treatment is deficient
- Stage 3 – darja e mufatit
o
Fluid is completely destroyed
o
Treatment is impossible
Alamath
(Clinical features)
- Fever – -continuous / intermittent
·
-initial stage fever present in the evening
without chills and rigors
·
-later fever sustained with slight rise of
temperature in the evening
- Fever can occur two times evening and night
- Evening fever lasts for 4-5 hours then it decreases with sweating and second attack occurs after 1-2 hours and lasts until early morning 2 o clock then fever decreases with profuse sweating
- General weakness specially felt in the evening
- Feels good in the morning
- Nabz – zaeef (weak) and mutawasit (irregular)
- Temperature increases after meals
- Cheeks becomes bluish
- Patient become thin and weak in stage 2
- In stage 3 urine become oily and patient is dehydrated and weak
- Clubbing of finger, loss of hair, severe wasting with bony prominence
Treatment
(ilaj)
- Maintenance of sith e zarooriya
- Give daf-e hummiyat
- Mufarrihat
- Habisat
- Mubarridat
- Eliminate the real cause
- Give nutritious food
- Dawa e diq 4 ratti with goat’s milk in morning and at night
- For weakness of the body –
o
-goats milk
o
-ab e kaddu with or without sheerajath
o
-ab e tarbooz
o
-sarthan soup
o
give 7 tola of any one for first 3 days,
increase 1 tola per day for next 14 days (21 tola in 14th day), Then reduce 1
tola per day up to 7 tola.
o
-Murakabat e folad after food
Dawa e Diq
contains Bilawa, Fil file siya, Tabasheer, Sat e gilo, and Dane ilachi kurd. Each
1 tola, make fine powder and use with goats milk
- For fever
o
Kurs e tabasheer
o
Kurs e kafoor
o
Sarthan is roasted and soup is made
o
Tabasheer
o
Zahar mohra
o
Gile armoni
- Diet
o
Milk
o
Egg
o
Butter
o
Yakni
o
Shorba
o
Ash e jaw
o
Fresh fruits
o
Fish
Diq e
Mevi – intestinal tb
- Tb affect intestine.
- Organism circulated in the mesenteric veins and lymph nodes become hard and results wounds
- Patient becomes weak day by day
Asbab
(Causes)
- Drinking cow’s milk without boiling
o Children
are affected more (diq e atfaal)
- Swallowing sputum (tb)
Alamath
(Clinical features)
- Sometimes patient is asymptomatic
- Takes long time for digestion
- Stomach ache
- Dyspepsia
- Anorexia
- Flatulence
- Fever in the evening and at night
- Diarrhea
- Slight pain around the umbilicus and appendix
- Abdominal distention
- Dryness of the body
- Skin wrinkles
- Angular stomatitis
- Qaroora- greenish or whitish and bad smell
Ilaj (Treatment)
·
Elva, Tukhm e kithmi, Aslus soos, Sapistan, Unnab,
Beekh e anjubaar, Nusha, Gul e Surkh, Samag e arabi, Katheera, Gile armoni, Barg
e gauzaban, Tabasheer, Bisbasa, Khaskhas, Magz e tukm e kaddu, Magz e tukm e
khyarain, Rubbussoos. Powder all and make pills with luab e isap goal and take
twice a day.
- Astringents are contra indicated
- Use luabath such as Sapistan, Isabgol, Behidana, Katheera, Akakiya
- Diet same as pulmonary Tb
By:
Dr. M.S.M.
Shiffa
BUMS, MD
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