The need to determine the degree of quality of combination herbal drugs before prescribing

Document Type : Review

Authors

1 Department of Persian Medicine, Faculty of Medicine, Qom University of Medical Science, Qom, Iran.

2 Department of Persian Medicine, Faculty of Medicine, Qom University of Medical Science, Qom, Iran

10.22091/ethc.2024.10117.1010

Abstract

Objective: In Persian medicine, to select medicines based on their quality in terms of warmth, coldness, dryness, and moisture, the criterion of quality is used. Unlike single drugs, the quality of combination drugs is not mentioned in the books. In order to comply with the rules of treatment and reduce the side effects, it is necessary to determine the degree of quality of the drug. This study is the first step in calculating and evaluating the degree of quality of the three most widely used compound maturative drugs (Monzej) in Persian medical clinics.
Methods: The maturative drugs commonly used are derived from the Tooba Pharmacopoeia. To select the compound Monzej, consultation with the Tooba Pharmacopoeia was conducted, and their quality degree (combinative Mizaj) was determined based on the guidelines presented in the pharmacopoeia. Subsequently, each combinative Mizaj was explained accordingly.
Results: for "Nozj" of each of the causative agents of the disease, changes in the consistency should be made by the Monzej. These changes are dependent on the quality of the Monzej, hence, the Monzej of each humor must have a certain quality. In this study, the yellow bile Monzej was at the first of the second degree of coolness and at the first of the first degree of moisture. The black bile Monzej was at the end of the first degree of warmness and at the first of the first degree of dryness, whereas the phlegm Monzej was at the end of the second degree of warmness and at the end of the first degree of dryness.
Conclusion: By assessing the degree of quality in combination drugs, it becomes feasible to select the suitable medication based on various factors including age, gender, geographical location, climate, as well as individual strengths and weaknesses. This approach safeguards patients with severe illnesses and fragile constitutions against drug-related side effects.

Keywords

Main Subjects


Aghili, S. M. H. (2005). Gharabadin Kabir. Tehran: Iran University of medical science publication (Vol.1 p. 245). (in Persian)
Aghili, S. M. H. (2005). Kholasat al-Hekmat. Qom: Esmaeilian (p19, 434, 1125, 335, 1085, 372, 1072-1082). (in Persian)
Aghili, S. M. H. (2005). Makhzan al-Adviah. Edited by Ahmad, K., Ajib, A., Molavi, G. H., Molavi, G. A., Calcutta (23, 12,193,659). (in Persian)
Akhaveini (1991). Hedayat al-Motaalemin fi al-Tibb. Mashhad: Mashhad University Publication (p. 201). (in Persian)
Alikhan, M. S. (1905). Makhazen al-talim. Dehli: Faughi )Vol.1 p. 63(. (in Persian)
Arzani, M. A. (2000). Mizan al-Teb. Qom: Sama) p. 21(. (in Persian)
Avicenna (Ibn Sina) (2005). The Canon of Medicine (Al-Qanon fi al-Tibb). Beirut: Dar Al Ehya Al Toras Al Arabi (Vol.1 p.243, 58, 291). (in Arabic)
Cheshti, M. A. (2007). Exir-e Azam (Azam’s Elixir). Tehran: Iran University of Medical Science, Institute for Islamic and Complementary Medicine (Vol.1 p.15). (in Persian)
Ghayeni, M. S. (1765). Gharabadin Salehi. Iran University of Medical Scienc (p. 328). (in Persian)
Heravi, M. Y. (2008). Bahro al-Javaher. Qom: Jalaleddin (p. 357(. (in Arabic)
 Jaladat, A., Attarzadeh, F., & Sadeghpour, O. (2011). Maturation an Important Step in Treatment Protocols of Iranian Medicine. Jiitm, 2(3), 215-220.
Kemani, M. K. (1993). Daghaegh al-alaj. Kerman: Saadat (Vol 2 p. 43). (in Arabic)
Majusi, A. I. A. (2008). The Perfect Art of Medicine (Kamel-alSanaat Al-Tibbiah). Qom: Natural Medicine Rehabilitation Institute. (Vol.1 p.16). (in Arabic)
Momen Tonekaboni, S. M. (2001). Tohfe Momenin. Qom: Noore Vahy (Vol.1 p.57). (in Persian)
Nazem, E. (2016). Daroonameh Tooba. Talayesabze Tooba (p. 45, 46). (in Persian)
Shamsoddin, A. )2008). Khazaen al-Moluk. Tehran: Tehran University of Medical Science. )Vol.1 p. 167(. (in Persian)