By:
Dr. M.S.M. Shiffa
BUMS (Hons)
Introduction
The attack (bari) comes every 4th day
therefore it is also called Humma e Rib
This results due to ufoonath in Sauda.
There are two types
4. Ribbe Dayera
5. Ribbe Lazima
Humma e Ribbe Dayera
Duration – 72 hours
Attack – every 4th day
Usually found in moist & damp areas
This is found abundantly in Bulghami
mizaj people
Aetiology
It is due to putrefaction of Sauda
Excludes which are produced from bad
madda
i.e.- after oxidization of other akhlats
end product of other akhlats
Scientifically it is caused by a particular type
of organism which multiplies every 72 hours
According to Avicenna and other physicians
this fever is present in terminal stages of
other fevers
In most of the cases this fever is present
along with the diseases of Liver
Alamat
Attack comes every 4th day
Fever starts with chills and rigors
Itching sensation
Pain in bones and muscles (takasur)
Feeling of heaviness
Fatigue
Diminished vision
Perspiration - Safravi > Sauda > Bulghami
Fever subsides with the perspiration
Decreased thirst
If the diseased madda is in the blood and not
evacuated then it will lead to inflammation of the
spleen causes pain and splenomegaly
Long standing inflammation of spleen leads to
Ascites
Nabz – Sagheer
Bati
Zayeef
Mutafavit
8. Safravi akhlath
Chills & rigors – present
Thirst – increased
Perspiration – increased
Urine – yellowish in early stage
black in later stage
Nabz – sari
Humma e Ribbe Lazima
This type is very severe
This fever is continuous fever
Actually it is a combination of two Dayera fever
Alamat
fever starts without chills & rigors
fever does not decrease with perspiration
before 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
Treatment should be done according to the
type of the fever and the khilth involved
Munzij e sauda
Mulayyin drugs or mild hukna
If the disease is severe give mushilath
Do not give the food during the attack
Easily digestible food can be given after the
Sauda became nuzj
Barid food (curds) should be avoided
Precaution should be taken as liver & spleen
are involved
Ilaj proper
Munzij e sauda
barge sahathra 3m
charayta e talq 3m
tukhm e kasoos 3m
Anjeer e zard 2D
maveez munakka 2D
Boil in water and add gulkand Use 2 times daily
Mushil e sauda
aftimoon 3m
ustakudoos 3m
bisfayij 3m
gharikoon 3m
Haleela 6m
Aftimoon 6m
Afsanteen 6m
Usar e ghafis 3m
Amla khusk 3m
Tukhm e karafs 3m
Anisoon 3m
Badiyan 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 and
sprinkle with tukhm e reehan 5m
Compound drugs
hub e hilteet
hub 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
Thank you