Wet Cupping Research Articles

EVALUATION OF EFFICACY OF HIJAMAH BIL SHURT (WET CUPPING) IN MANAGEMENT OF PSORIASIS

Psoriasis is a chronic disorder with impact on quality of life and its high rate of relapse is noted every now and then. The disease of psoriasis has been prevalent in mankind since time immorial and the disease runs a chronic course. Da-us-sadaf (psoriasis) is an Arabic word da meaning disease and as sadaf meaning molluscum shell. Psoriasis is marked by shell like silvery white scales or flakes which keep on shedding from the horny layer of skin. Many eitioathological conditions predispose to psoriasis which includes genetic, environmental and immunological factors. According to Unani system of medicine, preponderance of melancholic humours present in human body is believed to be the cause. The prevalence of psoriasis in India varies from 0.44 to 2.8%. Hijamah (cupping) is one of the oldest method of treatment of Unani system of medicine in with cups are used to produce suction and bloodletting is done from the affected area. During our study cups were applied at interscapular area between the vertebral T1 –T3. The study was carried out to evaluate the efficacy of the hijamah bil shurt along with internal use of unani medicine under the principles of holistic approach for the management of disease. The patients of both sexes where included in the study, with average age of 10.5 years and were not getting good relieve from previous medication they used for same. All these patients were subjected to wet cupping at the designated areas and internal use of unani medicine. The patients were subjected to wet cupping after every week in the first month and after every 15 days for two months. After the treatment with hijamah bil shurt and unani medicine the patients got 100% relief from the symptoms of the disease. The study showed that Hijamah bil shurt is very effective in the management of psoriasis along with oral Unani medication.

Wet Cupping’s Effect on Nitric Oxide Levels in Hypertensive Patients

BACKGROUND: Wet cupping is a non-pharmacological therapy that has been shown to assist hypertensive patients with blood pressure reduction. However, the underlying mechanisms by which wet-cupping lowers blood pressure are currently unknown. More scientific investigation is necessary to explain the mechanism by which wet cupping lowers blood pressure, particularly the role of nitric oxide (NO). AIM: The study aimed to show the effect of wet cupping on NO levels in hypertensive patients. METHODS: A pre-experimental study using a single group pre-test and post-test design to monitor changes in blood NO levels and blood pressure in 45 hypertensive patients in Medan after 4 weeks of wet cupping therapy. The patients’ blood NO levels, as well as their systolic and diastolic blood pressures (SBP and DBP), were measured before and after 4 weeks of wet cupping. RESULTS: After 4 weeks of wet cupping, blood NO levels significantly increased (0.00704 mol/mL, p=0.039), while SBP and DBP levels significantly decreased (12.644 mmHg and 7.111 mmHg, respectively, p<0.001). However, there was no correlation between increased blood NO levels and reductions in SBP and DBP (p=0.468 and p=0.299, respectively). CONCLUSION: This study found that after 4 weeks of cupping therapy, the decrease in SBP and DBP was not accompanied by an increase in blood NO levels.

Terapi Bekam Basah Dalam Menurunkan Nyeri Leher Dan Bahu Pada Pekerja Kantor

Wet cupping is a traditional complementary method recommended to reduce the symptoms of many diseases and is used in pain treatment The purpose of the study: knowing the effects of wet cupping therapy on the neck and upper shoulder pain PeneliHiin Method: 61 qualified office worker participants with nonspecific neck and upper shoulder pain complaints for 3 years Last month. The Numerical Rating Scale (NRS) is used to assess pain scores. Pain scores were measured before and after wet cupping therapy. Hasll research: The average score of pain letter in the case group of 7.02 (SD 1/4 1fi) and 3JO (SD 1/4 22) after cupping therapy. Decrease in pain before and after scores is statistically significant (p < 0.05). Discussion: It can be stated that wet cupping therapy has a potential therapeutic effect on non-specific neck and upper shoulder pain. Experimental research with respondents who have full-scale controlled pain complaints needs to be done to prove the effectiveness of this intervention.

Prematür Overyan Yetmezlikli Ratlarda Yaş Kupa Terapisinin Anksiyete ve Tiyol/Disülfit Homeostazı Üzerine Etkileri: Deneysel Bir Çalışma

Objective: The effect of wet cupping therapy on anxiety and thiol/disulfide homeostasis was evaluated in rats with premature ovarian failure (POF) induced by cyclophosphamide (CYC). Material and Methods: Twenty four Wistar Albino female rats were divided into control (n=6), POF (n=6), wet cupping (n=6), POF+wet cupping (n=6) groups. CYC at a dose of 200 mg/kg was injected intraperitoneally to POF and POF+wet cupping groups. One week later, wet cupping therapy was applied to wet cupping and POF+wet cupping groups for 5 minutes. The next day, Open Field Test and Elevated Plus Maze Test were applied to all experimental groups to evaluate anxiety. After sacrification, to assess pattern formation, endometrial thickness and ovarian reserve were measured with hematoxylin-eosin staining. Thiol/disulfide homeostasis and erythrocyte oxidized-reduced glutathione levels were measured in serum to measure oxidative stress. Results: Although there was no statistical significance, it was observed that anxiety decreased in POF+wet cupping compared to POF group. There was no change in thiol-disulfide values in POF+wet cupping compared to POF group (p>0.05). Conclusion: Wet cupping therapy did not reduce anxiety in the experimental POF model and did not shift the balance to positive in thiol/disulfide homeostasis in favor of thiols. However, the obtained graphics, numerical data and high standard deviation suggest that meaningful data could be obtained with more subjects.

Influence of cupping treatment on high-intensity anaerobic performance

The use of cupping therapy prior to sports events has increased in popularity, with limited evidence to support its efficacy. The purpose of this study was to evaluate the efficacy of dry and wet cupping therapy on subsequent Wingate anaerobic test (WAnT) performance. Twelve trained men participated in this repeated-measures randomized crossover study (age 24.9 ± 4.8 years; body mass index 27.6 ± 14.3 kg.m-2). Participants were familiarized with the ergometer and the Wingate anaerobic test on three separate occasions. They then randomly performed three experimental Wingate tests separated by 48-72 h after either dry cupping (DRY), wet cupping (WET), or no treatment (CON). Repeated measures ANOVA and Pearson’s correlation coefficient were used to analyze data and determine the relationships between WAnT and peak lactate and heart rate (HR). Peak power (PP), mean power (MP), and fatigue index (FI) were similar in all treatments (p=.47-.72). Heart rate (HR) and lactate increased similarly at all time points in all treatments (p<.001 for all comparisons). Post-WAnT peak HR was moderately, negatively correlated with PP in all treatments and MP in CON only (p<.05 for all correlations). No other significant correlations were detected. The present findings demonstrate no beneficial effects of wet and dry cupping therapy, and hence do not support its use prior to high-intensity anaerobic sports events.

Hijama (Wet cupping) an ancient traditional healing: A review

Hijama is an Arabic word that means to suck, it is an ancient traditional healing method that is practiced since antiquity and in today’s scenario, and there is growing evidence of its potential benefits in the management of lifestyle and pain-related disorders. Its use has been documented in early Egyptian and Chinese medical practices. Diverse human civilizations have contributed too much to the development of Hijama (wet cupping). Hijama is one of the important regimens (procedures) of Ilaj Bit Tadbeer (Regimental therapy) to prevent and treat the diseases by diverting (Imala-e-mawad) and evacuating (Istefragh-e-mawad) the disease-causing substances (morbid matter) from the site of application of cups on the body. Ilaj Bit Tadbeer is one of the important modes of treatment of Unani medicine. Unani Medicine is based on the four humoral theory of Akhlate Arba (four-body humor) viz Balgham, Safra, Dam & Sauda (Phlegm, bile, blood & black bile). The imbalance in the quality and quantity of these humor leads an individual prone to diseases whereas restoration of this balance maintains the health of a person. Restoration of the equilibrium and balance of natural body humor is done through evacuation and diversion of morbid matter from the site of the disease. Hijama (wet Cupping) is an Unani mode of treatment which is carried out by application of cup-shaped glass vessels on the skin, from which air has been exhausted by heat or special suction apparatus, to divert and evacuate the morbid humor, from the diseased part of the body, to return a displaced organ to its natural position or to encourage the blood flow to the site of Hijama. In Islamic Prophetic medicine an emphasis was given to go for Hijama for the prevention and management of lifestyle and pain-related disorders. In this paper, a detailed review of Hijama will be discussed.

A randomized controlled clinical study to evaluate the efficacy of Hijamah (wet cupping) in Irq-un-Nasa (Sciatica)

A randomized controlled clinical study to evaluate the efficacy of Hijamah (wet cupping) in Irq-un-Nasa (Sciatica)

Hemogram parameters in fibromyalgia and effects of wet cupping therapy on hemogram parameters

Objective: Wet cupping therapy (WCT) is one of the complementary and traditional therapies that are still must be scientifically interpreted. This study aimed to assess hemogram parameters that are subclinical inflammatory markers in patients with fibromyalgia syndrome (FMS) and observe how they were affected with WCT. Methods: The present study consisted of two groups; patient group included participants who were diagnosed with FMS and who received WCT and control group included healthy participants who received WCT within the concept of preventive medicine. Results: Neutrophil-to-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) values were higher in the patient group (P = 0.029 and P = 0.003, respectively). Considering that the participants had FMS, the optimal cutoff value for PLR was ≥1.62, sensitivity was 70%, specificity was 56%, positive predictive value was 61.7%, and negative predictive value was 65.3%. Receiver operating characteristic (ROC) curve revealed a significant sensitivity and specificity (ROC area = 0.664), (confidence interval [CI]: 0.530–0.781) (P < 0.023). The optimal cutoff value for PLR was ≥146, sensitivity was 60%, specificity was 83%, positive predictive value was 78%, and negative predictive value was 67%. ROC curve revealed a statistically significant sensitivity and specificity (ROC area = 0.726), (CI: 0.59–0.83) (P < 0.001). The optimal cutoff value for platelet was ≥284,000, sensitivity was 83%, specificity was 40%, positive predictive value was 58%, and negative predictive value was 70%. ROC curve revealed a significant sensitivity and specificity (ROC area = 0.65), (CI: 0.51–0.76) (P = 0.036). Conclusion: NLR, PLR, and thrombocyte count parameters can be useful in the process of diagnosing FMS. In addition, NLR, PLR, and MPV decreased in patients who received WCT.

Raktamokshana (wet cupping therapy) in the management of calcified supraspinatus tendinitis presenting as frozen shoulder

Calcified tendinitis is one of the most common causes of shoulder pain and is characterized by the evidence of presence of calcific deposition in the rotator cuff. It is seen commonly affecting the supraspinatus tendon; however, it can be present in asymptomatic individuals also. The calcification requires surgical removal after that the tendon reconstitute again itself some times it disappear spontaneously also. In this case report, a 54-year-old male patient presented with painful restricted movements of the right shoulder joint. X-ray right shoulder demonstrated 1.5-cm sized calcific deposition in the supraspinatus tendon and was treated with two sittings of wet cupping therapy (WCT). The patient was assessed by Visual Analog Scale score and active range of movement. This case report shows that the cases of calcified supraspinatus tendinitis may be successfully managed with Raktamokshana (WCT).

PKM Implementation of Complementary “Cupping” Nursing in Controlling Hypertension During Covid-19 Pandemic

The number of sufferers infected with Covid-19 is increasing in Indonesia. Kompas states that there were 3,874 people infected with Covid-19 as of September 27, 2020. There are 275,213 people infected with Covid-19 to date. This case increase gives special attention to various government and scientific disciplines. Kompas 18 May 2020 stated that based on reports that around 35 % of Covid-19 patients are people with hypertension, diabetes mellitus, and other cardiovascular diseases. This community service staff will implement complementary nursing "wet cupping" in controlling hypertension during the Covid-19 pandemic. This service used the application of complementary nursing with wet cupping by pre-experimental method, namely one group pretest and posttest design. The people chosen were 16 participants who had hypertension problems. The community service participants will be measured their blood pressure before and after being given wet cupping. The final measurement was carried out after six hours of wet cupping. The instruments needed in this service are a set of cupping tools, a blood pressure meter, and an observation sheet. The evaluation results carried out on participants who had been given wet cupping were a decrease in blood pressure. After a statistical test was carried out, there was a significant effect of complementary "wet cupping" treatment on blood pressure with p-value at systolic = 0.004 and p-value at diastolic =0.036. The p-value for systolic and diastolic blood pressure was smaller than the alpha value of 0.05. Wet cupping is a prophetic treatment method with benefits and does not cause bad side effects. So that this cupping can be a recommendation for people with hypertension to control blood pressure levels by undergoing cupping regularly and can increase good immunity for people with hypertension.

Public knowledge and perceptions toward cupping therapy (hijamah)

Introduction: Complementary and Alternative Medicine (CAM) is a well-known and widely used component of the healthcare system. Wet cupping therapy is one of the therapies that many people employ (hijamah). Wet cupping therapy (hijamah) is becoming increasingly popular and widely employed in today's society. The public's understanding and perception of cupping therapy, on the other hand, is unknown. This study describes public knowledge and perceptions of cupping therapy (hijamah) in Kalirandu.Method: In this study, using a cross-sectional approach. The sample was 62 people with purposive sampling stress, which is a sampling technique with specific considerations. This study used a questionnaire of knowledge and perceptions of the people.Results: The results of this study indicate that the level of public knowledge regarding cupping (hijamah) is low as many as 41 people (66.1%), and the level of knowledge is moderate as many as 21 people (33.9%). An overview of the medium category of community perceptions of cupping (hijamah) is 49 people (79.0%), for the good perception of 12 people (19.4%), and the last for a bad perception of 1 person (1.6 %).Conclusions: This study indicates that the knowledge and perception of the public about cupping therapy need to improve.

The Effect of Wet Cupping on Baroreceptor Sensitivity in Hypertensive Patients in Sidenreng Rappang Regency, South Sulawesi

Wet cupping therapy removes toxins thereby increasing blood flow and stimulating baroreceptors sensitivity which provides a stimulus to the autonomic nerves. This stimulus reduces the sympathetic nerves’ work and inhibits the vasomotor center, leading to vasodilation, therefore decreasing blood pressure and pulse frequency. This research aims to determine the effect of wet cupping therapy on baroreceptors sensitivity with blood pressure and pulse frequency indicators. It was conducted in Sidenreng Rappang Regency, South Sulawesi, eastern Indonesia from February to May 2021. Randomized Controlled Trial (RCT) method was used including two groups of 31 respondents each. The intervention group used wet cupping therapy to regulate anti-hypertensive drugs and the control group used anti-hypertensive drugs with blood pressure and pulse frequency measurements until 6 weeks after the therapy. Wet cupping affects baroreceptor sensitivity by reducing the indicators. The result showed a significant difference in blood pressure measurement (systolic; diastolic) before and after the 2-week follow-up period (P = 0.000; P = 0.001), and between 2 and 4 weeks (P = 0.000; P = 0.000), but between 4 and 6 weeks there was no significant difference in the intervention group (P = 0.248; P = 0.583). There was a significant difference in pulse frequency at 2 and 4 weeks after the intervention (P = 0.016). In conclusion, wet cupping therapy effectively increases baroreceptor sensitivity by reducing blood pressure and pulse frequency indicators in hypertensive patients up to 4 weeks limit after the therapy, without any serious side effects experienced by respondents.

Therapeutic effects of cupping therapy in frozen shoulder: a review article

ABSTRACT Frozen shoulder is a chronic aseptic inflammation caused by injury and degeneration of shoulder capsule and periarthritic soft tissue (including ligaments, muscles, tendons, synovial sacs, etc.). Cupping is gaining popularity in physical medicine due to its ease of use, lack of side effects, and pain relief. This study looked at the efficacy of cupping therapy for treating shoulder pain. However, because very little literature on the efficacy of cupping therapy in the frozen shoulder is available, further research is needed in this field. Keywords: Cupping therapy, frozen shoulder, adhesive capsulitis, wet cupping therapy, dry cupping.

The Effect of Cupping Therapy on Pain Degree in Athralgia

Joint inflammation characterized by swelling of the joints, redness, heat, pain and movement disorders. Arthralgia causes the elderly to have difficulty in carrying out activities that are burdening the joints of the body. Wet cupping therapy is a complementary therapy that has a working principle of vacuum, injury and blood-sucking in certain areas so it can cure the disease. This study was to identify the effect of cupping therapy on pain intensity in elderly patients with arthralgia in Malang. It was a quasy experiment research with pretest-posttest with control group approach. The sample in this study was 30 elderly then divided into two groups, i.e. 15 elderly in the wet cupping therapy group and 15 elderly in the warm compress group. It used purposive sampling. The average pain intensity before moist cupping therapy was 7.47, and after wet cupping therapy 5.53. While the moderate pain intensity before warm compress was 7.00 and after warm compress 5.73. Wilcoxon test results moist cupping therapy obtained P-value 0.001 means there are significant differences before and after the wet cupping therapy. While Wilcoxon test results, warm compress got P-value 0.001 means there are substantial differences before and after the warm compress. Mann Whitney test result obtained P-value 0.383 means there is no significant difference of effect between the treatment group and the control group. There is an effect of cupping therapy and warm compress on pain intensity. Elderly can use wet cupping therapy as an alternative treatment to decrease joint pain intensity arthralgia.

احادیث متعارضہ کے اختلاف کو تطبیق کے ذریعے دور کرنے کا امام طحاوی کا اسلوب: Al-Ṭaḥāwī’s Approach to Resolve Contradiction in Ḥadīths through Compatibility

Contradictory Ḥadith is a term that is used in Ḥadith sciences when two or more Ḥadiths seem to be opposite to one another. Abu Ja’far al-Ṭaḥāwi (d321/933) has tried to resolve the contradiction of Ḥadiths through nullification, preference and compatibility in his book Sharaḥ M’āni al-Athār. The question arises that how he resolved the contradiction of the Ḥadiths through compatibility. In this article, his method of conformity has been discussed with examples from his said book. He resolved the contradiction of Ḥadiths reported about right of pre-emption for neighbor by saying that these prophetic traditions explain one another. He also identified the meanings of Ḥadiths reported about fasting after mid of Sha’bān and resolved the difference with conformity. He also discussed the matter of breaking fast due to wet cupping (Ḥijama) and resolved the contradiction of the Ḥadiths.

Pengaruh Terapi Bekam Basah terhadap Perubahan Tekanan Darah pada Pasien Hipertensi

Non-Communicable Diseases (PTM) is one of the world's health problems that is still a concern in the world of health because it is one of the causes of death. Hypertension is a condition where systolic blood pressure is 140 mmHg or higher and diastolic blood pressure is 90 mmHg or higher. The cause of hypertension is due to abnormal water and salt retention, sensitivity to angiostensin, obesity, hypercholesteroemia, disturbed emotions / stress and smoking. One of the non-pharmacological therapies that can be used for the management of hypertension is to use wet cupping therapy. The purpose of this study was to analyze the effect of wet cupping on the blood pressure of hypertensive patients.Blood pressure as the dependent variable and wet cupping as an independent variable. This study uses a Pre Experimental Design study with "Two Group Pre Test and Post Test Design". The sample consisted of 20 people with hypertension with 10 respondents in the intervention group and 10 respondents in the control group in the Al-Thaf Nursing home in Jambi City on March to July 2021 with the Purposive Sampling technique. He statistical test carried out is to use paired t-test. From the results obtained p value systolic blood pressure = 0,000 and p value diastolic blood pressure = 0,000.The conclusion of this study is that there is an effect of wet cupping therapy on blood pressure stabilization in hypertensive patients in the city of Jambi

The supply of cellular energy by changing in diet and life-style a possible treatment for uterine myoma and cyst: A case report

Uterine myoma and cervical cyst are common benign tumors. If the size is too large or the symptoms are severe or get worse, the patient will receive surgery or hormone therapy. A 68 years old woman presented to a hospital in Iran with abnormal uterine bleeding (AUB). After performing sonography and suitable imaging, the patient was diagnosed with cervical cyst and uterine myoma. The patient was a candidate for a hysterectomy. The patient was not willing to do surgery. We tried a traditional medicine approach for this case. We recommended the lifestyle change by following the health triangle instruction that is based on six essential principles. These principles are as following: eating and drinking according to temperament, proper sleeping and awaking, correct motion and motionless, retention and vomiting, mental disorders. She received traditional medicine treatment including dietary and lifestyle change, using vaginal honey and olive oil, Frasion sodden, Aftimoni honey vinegar, Docein, horsehair sodden and phlebotomy, wet cupping and dry cupping on specific regions. The treatment course was 4 months long. The complete cure of cervical cyst and reduction in the size of myoma and bleeding was resulted. And the patient had no problem.

Complementary and Alternative Medicine and Health Literacy in Fibromyalgia

OBJECTIVE: Many patients with fibromyalgia benefit from complementary and alternative therapies (CAM) in addition totraditional therapy. Health literacy (HL) refers to the ability to seek, understand and apply health information. The aim of thisstudy is to investigate the relationship between CAM use and HL in female patients with fibromyalgia.MATERIALS AND METHODS: An open-ended questionnaire, which also evaluates CAM preferences, was applied to 160 patientswith FMS, and their data were evaluated in a cross-sectional analytical design. Visual analogue scale (VAS) for pain, fibromyalgiaimpact questionnaire (FIQ) and HL Questionnaire (HLS-EU-Q47) were applied. The patients were divided into two groups (usingCAM (Group 1); not using CAM (Group 2)).RESULTS: According to the results of the questionnaire, the HL score was 30.94 ± 8.40 (problematic-limited level). There was nosignificant difference between the two groups in terms of demographic, clinical parameters, HL and sub-indices (p&amp;gt; 0.05). Theresults of the evaluations made according to the most commonly used CAM methods showed that there is no difference betweenthose who use the relevant CAM method and those who do not, according to the HL general score and subscale scores. The mostpreferred CAM methods were prayer (37.9%), wet cupping (21.8%), herbal therapy (16.30%), dry cupping (12.9%) and thermal bath(11.40%), respectively.CONCLUSION: The results of our study showed that the use of CAM is common among women with FMS, and spiritual methodsare the leading methods. In addition, disease severity and health literacy levels were similar in CAM users and non-users.

Wet Cupping Therapy to The Arterial Baroreflex Sensitivity on Hypertensive Elderly

Wet cupping therapy can remove toxins and prevent atherosclerosis. This process will stimulate the sensitivity of the arterial baroreflex which will stimulate a decrease in blood pressure. This is to determine the impact of cupping therapy on the sensitivity of arterial baroreflex with blood pressure indicators in the elderly suffering from hypertension. Quasi-experimental research using pre and post-test and group control design approaches. The sampling technique was simple random sampling, consisting of 21 respondents which was carried out from January to April 2020. The statistics used the General Linear Model Repeated Measures (GLM-RM) test. There was a significant difference between the sensitivity of arterial baroreflex on blood pressure measurement indicators before and after 2 weeks of follow-up period at systolic BP p-value = 0.000 (24.29 ± 8.11 mmHg) and diastolic BP p-value = 0.001 (5.24 ± 6.02); between 2 weeks and 4 weeks at systolic BP p-value = 0.000 (10.95 ± 6.25 mmHg) and diastolic BP p-value = 0.000 (9.05 ± 6.25 mmHg); Between 4 weeks and 6 weeks there was no significant difference in the sensitivity of arterial baroreflex on the measurement indicator systolic BP p-value = 0.267 (-1.43 ± 5.73) and BP diastole p-value = 0.771 (-0.48 ± 7.40). Wet cupping therapy effectively increases the sensitivity of arterial baroreflex with an indicator of decreasing blood pressure in the elderly suffering from hypertension to a limit of 4 weeks after therapy and measurement after 6 weeks of having increased blood pressure.

Effect of Ḥijāma (wet cupping), Dalk (massage) and Bukhūr (medicated steam) in amelioration of Waja al-Zahr (non-specific low back pain)- an open prospective clinical trial.

Low back pain is the most widespread musculoskeletal ailment and a common cause of disability worldwide. Conventional medicine typically treats low back pain with a combination of physical therapy; activity modification and rest; pain-relieving and anti-inflammatory medications which are associated with huge socioeconomic implications and adverse drug reactions. In contrast Ḥijāma, Dalk and Bukhūr are ancient medical techniques recommended in the management of musculoskeletal disorders with little or no adverse effects. To evaluate the safety and effectiveness of Ḥijāma bi'l Shart (wet cupping), followed by Dalk (Massage) with Roghan Dafli and Bukhūr (medicated steam) with Tukhm Soya (Anethum graveolens Linn) in patients of Waja al-Zahr (Non-specific Low back pain). Patients of either gender in the age group of 18-50 years with low back pain persisting for four weeks or more as chief complaint were recruited in the trial. The study was GCP compliant. The duration of the protocol therapy carried out was 14days. Ninty two patients of NSLBP were screened, of which 34 who fulfilled the inclusion criteria and were willing to participate in the study were recruited. Three participants were lost to follow-ups due to personal reasons and 31 patients completed the trial during the study period. Overall therapeutic response observed in this study was 97% while 3% of the patients did not respond to intervention. The study findings imply that there is a credible evidence to ensure that the regimens intervened are safe and effective in ameliorating the symptoms of Waja al-Zahr.