Vol. 5, Issue 5, Part D (2019)

Poly cystic ovarian disease (PCOD) is a common multifaceted disorder found among females of the reproductive age presenting major clinical condition of oligo menorrhea, hirsutism and infertility. Socioeconomic studies from India have observed PCOD as a Lifestyle disorder, highly prevalent among adolescent girls. PCOD is currently known to be genetically complex endocrine disorder of uncertain etiology with complicated pathophysiology.

Unani concept: Marz-ikyaas-khusia tu reham is the Unani term called for PCOD, is in fact an Arabic translation of PCOD. This disease has been described by Unani physician under the headings of amenorrhea, phlegmatic disease and liver disorder.

Unani concept of PCOD is mainly based on the dominance of khilte Balgham (Phlegm). It has been mentioned in classical books that Sue mizaj barid means abnormal cold temperament of the liver may leads to abnormal production of balgham (Phlegm). One of the abnormal forms of phlegm is balgham mai which is thinner and Accumulate in the sacs to form cyst. other predominant symptoms of PCOD are oligo menorrhea, amenorrhea and obesity has been attributed to rise of phlegm, hence claimed that PCOD arises due to predominance of phlegm in the body which leads to cyst formation in the ovaries, obesity and amenorrhea.. The Unani physician consider that early 20 years of life are the period of childhood which is predominated by phlegm. Hence phlegmatic disorder are likely to occur at adolescent stage. This probably may explain the role of phlegm a contributing factor for the onset of this disease during this age group: In unani system of medicine the disease has not been described under the term PCOD, as disease has been categorised recently, a century before. The description of the disease has been described by unani physician under the headings of ehtebaas e tams or UQR.

Ibne sena and majusi stated the causes of ehtebaas e tams are khilte balgham, and sue mizaj barid of reham and samane mufarrit (Obesity). Again khilte balgham is one of the cause of obesity. Due to obesity narrowing of lumen of blood vessels develop s and reduces blood circulation and sue mizaj barid causes increased in the viscosity of humours

Study objectives: The aim of the study to explore the prevalence of pcod based on unani system of medicine among adolescent girls, along with the comparitive analysis of etiopathogenesis of this disease

Observation: We noticed that there is a strong association between the predominance of khilte balgham in the body and poly cystic ovarian disease (Pcod). Among 525 adolescents girls 55 girls were obese and having irregular menstrual cycles. Along with that, they have been suffering with frequent episodes of cold n cough. Since their childhood

Result: The prevalence of pcod probably in this study is 10.4% based on the predominance of khilte balgham (Phlegm) with irregular cycle s.

Conclusion: Girls who were having menstrual irregularity and signs n symptoms of sue mizaj barid (Cold temperament) probably would have cysts in their ovaries. They are advised further for investigation.