Unani Medicine for Haemorrhoids - Delhi NCR
Haemorrhoids, commonly known as piles, are one of the most common anorectal conditions affecting adults worldwide. In Delhi NCR, where sedentary lifestyles, processed food habits, and high-stress routines dominate daily life, the prevalence of haemorrhoids has risen significantly. Many people suffer in silence, embarrassed to discuss their symptoms or seek help. Unani medicine, with its centuries-old tradition of treating anorectal disorders, offers a holistic approach that addresses the root cause rather than just managing symptoms.
Haemorrhoids are enlarged and distended veins in the anal canal and lower rectum that become swollen and inflamed. In Unani medicine, this condition is known as Bawāsīr, and classical texts describe it as vascular tumours of the mucous membrane in the lower rectum.
The condition is classified based on location and severity:
Internal Haemorrhoids: Located inside the rectum, these are usually painless but may bleed during bowel movements. They are graded from first to fourth degree based on prolapse severity.
External Haemorrhoids: Located under the skin around the anus, these can be painful, especially if a blood clot forms (thrombosed haemorrhoid).
Grading of Internal Haemorrhoids:
* First Degree: Bleeding without prolapse
* Second Degree: Prolapse during defecation that reduces spontaneously
* Third Degree: Prolapse requiring manual reduction
* Fourth Degree: Permanently prolapsed and cannot be reduced
According to Unani classical literature, haemorrhoids arise from the accumulation of Dam Sawdāwi (melancholic sanguine) in the anal vessels, resulting in engorgement and subsequent ulceration. The pathological changes in humours (akhlāt) play a central role in the development of this condition.
The rise in haemorrhoid cases across Delhi NCR is not coincidental. Several interconnected factors contribute to this trend.
Dietary Habits: Modern diets rich in refined oils, low in fibre, and high in processed foods are a major contributor. Unani physicians attribute haemorrhoids primarily to sawdāwī mādda (black bile matter), often stemming from consumption of hot drugs and spicy foods. A diet lacking adequate fruits and vegetables leads to constipation, which is a significant risk factor.
Sedentary Lifestyle: Long hours of sitting-whether at desks, in traffic, or on couches-increases pressure on the rectal veins, promoting venous congestion and haemorrhoid formation.
Constipation and Straining: Chronic constipation is one of the most important risk factors. Straining during bowel movements increases abdominal pressure and promotes the formation of haemorrhoidal tissue.
Pregnancy and Childbirth: Women are particularly susceptible during pregnancy and the postpartum period. Research shows that haemorrhoidal disease prevalence increases from 11% in the first trimester to 23% in the third trimester, and further to 36.2% at one month after delivery. A neonatal birth weight of 3380 grams or more and a second labour period exceeding 38 minutes are significant risk factors.
Medical Conditions: Diabetes with poor glycaemic control and dyslipidaemia are significantly associated with increased haemorrhoid prevalence. A study found haemorrhoids in 47.3% of diabetic patients compared to 17.3% of non-diabetic patients.
Unani medicine places significant emphasis on prevention through dietary and lifestyle regulation. The following measures align with both traditional wisdom and modern medical understanding.
Dietary Modifications (Islāh-i Ghizā): Unani practitioners recommend easily digestible foods (Aghziya Latīfā) and those that are quickly digested (Zūd Hazm Aghziya). Ibn Sīnā specifically recommended moong ki daal, moong ki khichri, khurfa, kaddu, and mutton soup with minimal spices for haemorrhoid patients. Foods that produce black bile (Aghziya Muvallid-i Sawdā) and excessive spices should be avoided.
Increase Fibre and Fluids: A diet rich in fruits, vegetables, and whole grains helps prevent constipation. Daily consumption of fruits and vegetables has been shown to be protective against haemorrhoidal disease. Adequate water intake softens stool and reduces straining.
Regular Physical Activity: Moderate exercise improves circulation and bowel motility. Sedentary behaviour should be avoided, and regular movement throughout the day is beneficial.
Avoid Straining: Never rush or strain during bowel movements. Establishing a regular bathroom routine and responding promptly to the urge to defecate helps prevent constipation.
Manage Underlying Conditions: If you have diabetes, maintaining good glycaemic control and lipid profile can reduce your risk of haemorrhoids.
Avoid Harmful Substances: Unani literature advises avoiding substances that aggravate the condition. Alcohol and smoking can worsen venous congestion and should be limited.
Haemorrhoids affect both men and women, but there are important differences in how they manifest and should be approached.
Men in Delhi NCR most commonly seek Unani treatment for:
* Bleeding piles during defecation
* Painful external haemorrhoids, especially thrombosed ones
* Chronic constipation leading to recurrent episodes
* Occupational risk factors from prolonged sitting
Studies show that haemorrhoidal disease is more common in men in some populations, with a male-to-female ratio of approximately 1.7:1 in clinical settings. In men, the detection rate increases with age, with the highest percentage in the 50-59 age group.
Unani treatment for men focuses on correcting the underlying humoural imbalance, particularly Sawdā (black bile) accumulation, and strengthening the anal tissues.
Women experience haemorrhoids differently due to hormonal and physiological factors:
Pregnancy and Postpartum: One in three pregnant women experience proctological disorders during pregnancy or after delivery. The prevalence of haemorrhoidal disease increases significantly during pregnancy, particularly in the third trimester and immediate postpartum period. This is attributed to:
* Increased blood volume (25-40% increase)
* Pressure from the growing uterus on pelvic veins
* Hormonal changes affecting venous tone
* Straining during labour and delivery
* Constipation, which is common during pregnancy
Menstrual and Hormonal Factors: The haemorrhoidal tissue is rich in oestrogen receptors, and hormonal fluctuations can affect venous tone and tissue integrity.
Unani treatment for women during pregnancy and postpartum requires special consideration. The principle is to prioritise conservative treatment and avoid surgical intervention unless absolutely necessary. Gentle laxatives, sitz baths, and topical applications are preferred.
Despite differences in manifestation, the core Unani approach to haemorrhoids remains consistent: identify the underlying humoural imbalance, eliminate morbid matter, correct digestion, and restore constitutional balance. This holistic framework applies equally to men and women, with specific formulations and lifestyle recommendations tailored to each patient's condition and circumstances.
Unani medicine understands haemorrhoids as a manifestation of internal humoural imbalance, particularly involving Sawdā (black bile). According to classical texts, the condition is caused by accumulation of Dam Sawdāwi (melancholic sanguine) in the anal vessels, resulting in engorgement and ulceration. Kabiruddin states that thick, melancholic blood (ghaliz sawdāwi) due to excessive earthy particles accumulates in the terminal part of the anal blood vessels, forming polyp-like growths.
The fundamental causes include:
* Ghizā-i Sawdāwi (black bile-producing diet)
* Du'f-i Mi'da (weak digestion) leading to accumulation of morbid matter
* Qabz (constipation) causing straining and venous congestion
* Su'-i Mizāj (morbid temperament) of the anal region
Unani treatment for haemorrhoids follows a structured approach:
1. Islāh-i Ghizā (Dietary Regulation): Correcting dietary habits to prevent formation of morbid humours
2. Talyīn (Laxation): Softening stool to prevent straining and reduce pressure on haemorrhoidal tissue
3. Tanqiya-i Dam Fāsid o Khilt Sawdāwi: Evacuation of impure sanguine and black bile from the body
4. Taskīn-i Dard (Analgesia): Relieving pain and discomfort
5. Habs-i Dam (Haemostasis): Controlling bleeding in cases of excessive haemorrhage
6. Indimāl (Healing): Promoting tissue repair and healing
Unani pharmacopoeia contains extensive formulations for haemorrhoids, supported by both classical use and emerging clinical research.
Habb-e-Bawaseer Damiya: A clinical study of this Unani pharmacopoeial formulation in Bawāsīr Dāmiya (bleeding piles) demonstrated significant improvement in symptoms. After two weeks of treatment, patients showed reduction in rectal bleeding (48.37%), mucoid discharge (54.95%), rectal pain (54.58%), and pruritus ani (50.75%). The formulation contains ingredients like Muquil, Rasaut, Kahruba, Damm-ul-Akhwain, Tabasheer, and Gile Armani with haemostatic, astringent, and anti-inflammatory properties.
Habb-e-Rasuat vs Habb-e-Muqil: A randomised clinical trial comparing these two formulations in internal haemorrhoids of Grade I and II showed both provide significant improvement. Habb-e-Muqil demonstrated superior results in reducing rectal bleeding, while Habb-e-Rasuat was more effective in alleviating prolapse of pile mass. Both treatments were equally effective in reducing the number of haemorrhoidal columns, anal inflammation, and sphincter spasm, with no adverse effects observed.
Majoon Khabsul Hadeed: This classical formulation introduced by Ismail Jurjani in Zakhira Khwarzam Shahi is used for bleeding haemorrhoids and other gastrointestinal bleeding conditions. Its constituents impart haemopoietic, anti-ulcerative, styptic, astringent, and laxative effects.
Habb-e-Anjeer: A clinical validation study is currently evaluating this Unani pharmacopoeial formulation in Bawaseer (haemorrhoids). The study assesses efficacy based on Haemorrhoidal Disease Symptom Score including pain, itching, bleeding, soiling, and prolapse.
Unani medicine integrates regimental therapies as essential components of haemorrhoid treatment:
* Fasd-i Sāfin (Bloodletting through saphenous vein): Used to eliminate morbid blood and reduce venous congestion
* Hijāma (Cupping) on hip: Applied to divert morbid humours and improve local circulation
Unani medicine places significant emphasis on dietotherapy ('Ilāj bi'l-Ghidhā') for both prevention and management of haemorrhoids:
Recommended Foods:
* Aghziya Latīfā (Light, easily digestible foods)
* Zūd Hazm Aghziya (Quickly digestible foods)
* Moong dal, khichri, khurfa, kaddu
* Mutton soup with minimal spices
* Fruits and vegetables rich in fibre
Foods to Avoid:
* Aghziya Ghaliza (Heavy, difficult-to-digest foods)
* Aghziya Muvallid-i Sawdā (Black bile-producing foods)
* Excessive spices and hot drugs
* Refined oils and processed foods
Unani texts describe several topical remedies for haemorrhoids:
* Paste of egg yolk, barley flour, and Roghan-i Gul
* Paste of egg yolk and Roghan-i Gul
* Application of old olive oil
* Marham-i Murdār Sang and Marham-i Asfidāj (local application)
Sitz baths with decoctions of specific herbs are recommended:
* Khatmi (Althaea officinalis), Khubbāzi (Malva sylvestris), and Banafsha (Viola odorata)
* Masūr (Lens esculenta), Post-i Anār (Punica granatum rind), Māzū (Quercus infectoria), and Zar-i Ward (Rosa damascena)
At Unani Herbal (unaniherbal.org), haemorrhoid treatment is approached with the depth and personalisation that Unani medicine demands.
Comprehensive Mizaj Assessment: Treatment begins with a detailed evaluation of your unique constitutional type and the specific nature of your haemorrhoid condition. In Unani medicine, the same condition can arise from different humoural imbalances, requiring different treatment approaches. This is not a generic protocol-it's a personalised plan built around your body's needs.
Evidence-Informed Formulations: Unani Herbal draws on pharmacopoeial preparations that have both classical validation and emerging clinical evidence. Formulations like Habb-e-Bawaseer Damiya, Habb-e-Muqil, Habb-e-Rasuat, and Majoon Khabsul Hadeed are used with proper guidance and monitoring.
Condition-Specific Care: Whether you're dealing with bleeding piles, painful external haemorrhoids, or chronic recurrent episodes, Unani Herbal offers targeted treatment plans based on the specific pathophysiology described in classical texts and validated by modern research.
Gender-Sensitive Approach: Unani Herbal recognises that men and women may require different approaches, particularly during pregnancy and postpartum. Treatment plans are tailored to individual circumstances, with special consideration for women's hormonal and physiological factors.
Dietary and Lifestyle Guidance: Treatment is not limited to medication. Unani Herbal provides personalised guidance on diet (Islāh-i Ghizā), daily routines, and bowel habits-all essential for preventing recurrence and restoring anorectal health.
Regimental Therapy Integration: Where appropriate, regimental therapies like Hijāma (cupping) and Fasd (bloodletting) are incorporated to enhance treatment outcomes, consistent with classical Unani practice.
Privacy and Sensitivity: Haemorrhoids can be embarrassing to discuss. Unani Herbal provides a confidential, respectful environment where these matters can be addressed openly.
Accessible in Delhi NCR: Located in the heart of Delhi NCR, Unani Herbal makes authentic Unani anorectal care convenient for patients across the region.
Q: How long does Unani treatment for haemorrhoids take to show results?
This varies depending on the condition's severity, duration, and individual factors. Clinical studies show significant improvement in symptoms like bleeding, pain, and discharge within two weeks of treatment. However, complete resolution and prevention of recurrence may require several weeks to months of consistent treatment and dietary modification.
Q: Is Unani treatment safe for haemorrhoids?
Yes, when prescribed by a qualified Unani practitioner. Clinical studies have shown that Unani formulations like Habb-e-Bawaseer Damiya are well-tolerated with no significant adverse effects observed. The drugs were found safe in haematological and biochemical parameters. However, self-medication is never advisable-always consult a registered practitioner.
Q: Can Unani medicine help with bleeding piles?
Yes. Clinical research specifically supports the efficacy of Unani formulations in Bawāsīr Dāmiya (bleeding piles). A study of Habb-e-Bawaseer Damiya showed 48.37% reduction in rectal bleeding after two weeks of treatment. The haemostatic effects of ingredients like Muquil, Rasaut, and Damm-ul-Akhwain contribute to this benefit.
Q: Can I take Unani medicine during pregnancy for haemorrhoids?
Pregnancy-related haemorrhoids require special consideration. The principle is to prioritise conservative treatment and avoid surgical intervention unless absolutely necessary. Some Unani formulations may not be suitable during pregnancy. If you are pregnant or breastfeeding, consult a qualified Unani practitioner who can recommend safe options like sitz baths, dietary modifications, and gentle topical applications.
Q: Does Unani medicine work for chronic haemorrhoids that haven't responded to other treatments?
Unani medicine approaches haemorrhoids from a different perspective-focusing on correcting the underlying humoural imbalance, improving digestion, and eliminating morbid matter rather than just treating local symptoms. Clinical studies show significant improvement in patients with first and second-degree haemorrhoids. For more advanced cases, Unani treatment can help manage symptoms and may reduce the need for surgical intervention.
Q: What makes Unani treatment different from conventional haemorrhoid treatments?
Unani medicine takes a holistic, constitutional approach. Rather than focusing solely on the haemorrhoidal tissue, it addresses the entire body's balance-digestion, humoural equilibrium, dietary habits, and lifestyle factors. This comprehensive approach aims to restore anorectal health by restoring overall health, potentially reducing recurrence of chronic conditions.
Q: Are there any dietary restrictions with Unani treatment for haemorrhoids?
Yes. Unani medicine places significant emphasis on dietary regulation. Foods that produce black bile (Aghziya Muvallid-i Sawdā), heavy indigestible foods (Aghziya Ghaliza), and excessive spices should be avoided. Instead, easily digestible foods like moong dal, khichri, khurfa, and kaddu are recommended. Your practitioner will provide personalised dietary guidance based on your specific condition.
Haemorrhoids are a common but manageable condition. In Delhi NCR, where lifestyle and dietary factors increasingly contribute to anorectal problems, Unani medicine offers a time-tested, holistic approach that addresses root causes rather than just symptoms.
For those seeking a natural, personalised path to haemorrhoid relief, Unani Herbal (unaniherbal.org) provides authentic Unani care tailored to individual needs. The journey may require patience and dietary discipline, but with the right guidance and a balanced approach, many people find the lasting relief they've been seeking.
Dr. Aslam Javed Speaking About Unani Medicine for Haemorrhoids - Delhi NCR
The HOO-IMM PLUS (A, B, C, D, E) is an absolutely new, novel, pioneering and revolutionary concept from Unani Herbal to medical science. It is a very safe, efficacious Indian medicine for the relief of AIDS according to the degree & stage of affliction.
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