본문 바로가기
KERD
논문KCI 등재

The Role of Bloodletting and Cupping in Severe Acute Urticaria and Angioedema as Skin Emergencies in Persian Medicine

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류한의학

초록

Objectives: Some dermatological diseases can be life-threatening. Urticaria and angioedema are common reasons for patients to seek treatment at an emergency department. Severe, generalized urticaria and angioedema can endanger patients’ lives by involving the airways and causing anaphylactic shock. The humor-based Persian Medicine (PM) concepts of Shara and Mashara, referring to two kinds of skin lesions, have similarities to urticaria and angioedema, respectively. This article aims to provide scientific evidence regarding the application of PM as an early intervention strategy in the emergency management of urticaria and angioedema. Methods: This was a narrative review of PM studies identified by searching medical databases using search terms related to these diseases, as well as risk-associated keywords such as “fatal”, “death”, “life-threatening”, “emergency”, “cupping”, and “bloodletting”. Data were then compared, interpreted, and analyzed. Results: PM scholars consider the human body as a unified whole and believe in an inner power (Nature) which stems from the body. When the presence of excessive hot substances cause an imbalance of bodily humors, Nature directs their heated vapors sharply toward the skin, thus causing Shara and Mashara. If there is a high risk of inflammation spreading to vital organs under severe conditions, urgent manual interventions are crucial. Conclusion: In serious conditions of urticaria and angioedema, Fasd or bloodletting and Hijama can be effective in speeding up the control of lesions and reducing morbidity and mortality. Consequently, the development of integrated Persian and conventional medicines may provide new therapeutic pathways for skin emergencies.

Abstract

Objectives: Some dermatological diseases can be life-threatening. Urticaria and angioedema are common reasons for patients to seek treatment at an emergency department. Severe, generalized urticaria and angioedema can endanger patients’ lives by involving the airways and causing anaphylactic shock. The humor-based Persian Medicine (PM) concepts of Shara and Mashara, referring to two kinds of skin lesions, have similarities to urticaria and angioedema, respectively. This article aims to provide scientific evidence regarding the application of PM as an early intervention strategy in the emergency management of urticaria and angioedema. Methods: This was a narrative review of PM studies identified by searching medical databases using search terms related to these diseases, as well as risk-associated keywords such as “fatal”, “death”, “life-threatening”, “emergency”, “cupping”, and “bloodletting”. Data were then compared, interpreted, and analyzed. Results: PM scholars consider the human body as a unified whole and believe in an inner power (Nature) which stems from the body. When the presence of excessive hot substances cause an imbalance of bodily humors, Nature directs their heated vapors sharply toward the skin, thus causing Shara and Mashara. If there is a high risk of inflammation spreading to vital organs under severe conditions, urgent manual interventions are crucial. Conclusion: In serious conditions of urticaria and angioedema, Fasd or bloodletting and Hijama can be effective in speeding up the control of lesions and reducing morbidity and mortality. Consequently, the development of integrated Persian and conventional medicines may provide new therapeutic pathways for skin emergencies.

참고문헌 (62)

  1. Bancalari-Díaz D, "Dermatologic emergencies in a tertiary hospital : a descriptive study", Actas Dermosifiliogr, 107(8), pp.666~673 (2016)
  2. Grillo E, "Dermatologic emergencies : descriptive analysis of 861 patients in a tertiary care teaching hospital", Actas Dermosifiliogr, 104(4), pp.316~324 (2013)
  3. Thind A, "Disease control priorities: essential surgery" (2015), World Bank
  4. Simón Díaz MP, "Dermatologic emergencies", Rev Medica Hosp Gen Mex, 79(1), pp.33~39 (2016)
  5. McQueen A, "Derm emergencies : detecting early signs of trouble", J Fam Pract, 61(2), pp.71~78 (2012)
  6. Freiman A, "Dermatologic emergencies", CMAJ, 173(11), pp.1317~1319 (2005)
  7. Usatine RP, "Dermatologic emergencies", Am Fam Physician, 82(7), pp.773~780 (2010)
  8. Gannon T, "Dermatologic emergencies. When early recognition can be lifesaving", Postgrad Med, 96(1), pp.67~70 (1994)
  9. Losappio L, "Acute urticaria presenting in the emergency room of a general hospital", Eur J Intern Med, 25(2), pp.147~150 (2014)
  10. Belbézier A, "Idiopathic angioedema : current challenges", J Asthma Allergy, 13, pp.137~144 (2020)
  11. Bhandari D, "Developing an integrated emergency medical services in a low-income country like Nepal : a concept paper", Int J Emerg Med, 13(1), pp.7~ (2020)
  12. Qi Z, "The WHO traditional medicine strategy 2014-2023 : a perspective", Science, 346(6216), pp.S5~S6 (2014)
  13. Sina I, "The canon of medicine" (2005), Dar Ehya Alterase Al Arabi
  14. The summary of experience, "Razi B", Iran University of Medical Sciences, Research Institute for Islamic and Complementary Medicine, ~ (2003)
  15. Jorjani E, "The treasure of Kharazm shah" (2012), Ehya Teb Tabiee Institute
  16. Pasalar M, "Persian medicine as a holistic therapeutic approach", Curr Drug Discov Technol, 18(2), pp.159~ (2021)
  17. Jamshidi AH, "Recommended natural products in Alzheimer’s disease based on traditional Persian medicine", J Med Plants, 19(75), pp.17~29 (2020)
  18. Kordafshari G, "The role of nature (tabiat) in Persian medicine", Trad Integr Med, 2(4), pp.177~181 (2017)
  19. Kenari H, "Treatment of a traumatic injury of hand with Persian medicine", Arch Clin Biomed Res, 2(2), pp.59~67 (2018)
  20. Fadaei F, "An overview on some of the skin manifestations and diseases in Persian medicine point of view and its comparison with conventional medicine", Dermatol Cosmet, 8(4), pp.218~229 (2018)
  21. Ghafarzadeh J, "Shera (Urticaria) and Mashera (Angioedema) in traditional Iranian medicine", J Islam Iran Tradit Med, 8(2), pp.193~200 (2017)
  22. Kermani N, "The book of causes and symptoms" (2014), Almaee
  23. Khan M, "The great panacea" (2014), Almaee
  24. Rhazes M, "Liber continents" (2001), Dar Ehya al-Tarath al-Arabi
  25. Arzani M, "Akbari’s medicine", Choogan (2015)
  26. Majusi Ahvazi A, "The complete art of medicine" (2008), Jalaleddin
  27. Jorjani E, "Medical pursuits" (2005), Tehran University Press
  28. Nazem E, "Nature in Iranian medicine" (2010), Abej
  29. Shirbeigi L, "The effect of life style on healthy skin from the viewpoint of Traditional Persian Medicine (TPM) comparing to modern medicine", J Islam Iran Tradit Med, 7(2), pp.165~171 (2016)
  30. Kaplan A, "Middleton’s allergy: principles and practice", pp.1063~1082 (2009), Mosby
  31. Eghbalian F, "Comparison of the efficacy and tolerability of an oral dosage form made from Fumaria vaillantii versus cetirizinein management of chronic urticaria: a single-blind, randomized, clinical trial", Biomed Res Ther, 5(6), pp.2389~2401 (2018)
  32. Simonart T, "Particularities of urticaria seen in the emergency department", Eur J Emerg Med, 1(2), pp.80~82 (1994)
  33. Hon KL, "Chronic urticaria : an overview of treatment and recent patents", Recent Pat Inflamm Allergy Drug Discov, 13(1), pp.27~37 (2019)
  34. Doong JC, "Chronic idiopathic urticaria : systemic complaints and their relationship with disease and immune measures", J Allergy Clin Immunol Pract, 5(5), pp.1314~1318 (2017)
  35. Jachiet M, "The clinical spectrum and therapeutic management of hypocomplementemic urticarial vasculitis : data from a French nationwide study of fifty-seven patients", Arthritis Rheumatol, 67(2), pp.527~534 (2015)
  36. Marzano A, "Urticarial vasculitis and urticarial autoinflammatory syndromes", G Ital Dermatol Venereol, 150(1), pp.41~50 (2015)
  37. Zuberbier T, "The EAACI", GA2LEN, WAO guideline for the definition, classification, diagnosis and management of urticaria, pp.Allergy, 2018[DOI]
  38. Hallaji Z, "Management of urticaria : Iranian Society of Dermatology clinical practice guideline", Iran J Dermatol, 18(3), pp.81~96 (2015)
  39. Spickett G, "Does this patient with urticaria", angioedema have anaphylaxis?, 2011, pp.11(4), 390~396
  40. Meng Y, "Traditional Chinese medicine in emergency treatment mechanism and application", Open Access Emerg Med, 12, pp.111~119 (2020)
  41. He J, "The potential contributions of traditional Chinese medicine to emergency medicine", World J Emerg Med, 4(2), pp.92~97 (2013)
  42. Arzani M, "Qanunshah description" (2012), Almaee
  43. Yao Q, "Bloodletting therapy for treating patients with chronic urticaria : a systematic review and meta-analysis protocol", Medicine (Baltimore), 98(7), pp.e14541~ (2019)
  44. Aghili Khorasani M, "Summary of wisdom" (2006), Esmailian
  45. Joushan A, "The role of manual therapy", practices (dry cupping, wet cupping, leech therapy, venesection, or phlebotomy) in lung diseases, 2020, pp.7(1), 4444~4454
  46. Eghbalian F, "The role of phlebotomy (Fasd) and cupping in the treatment of epilepsy from perspective of Persian medicine", Iran J Public Health, 48(7), pp.1392~1394 (2019)
  47. Soliman Y, "Cupping in dermatology : a critical review and update", Acta Dermatovenerol Alp Pannonica Adriat, 27(2), pp.103~107 (2018)
  48. Akhawayni R, "The students’ handbook of medicine" (1992), University of Mash
  49. Aghili Khorasani M, "Treatments of aghili" (2008), Research Institute for Islamic and Complimentary Medicine
  50. Simons FE, "World Allergy Organization anaphylaxis guidelines : summary", J Allergy Clin Immunol, 127(3), pp.587~593.e1-22 (2011)
  51. Simons FE, "Anaphylaxis pathogenesis and treatment", Allergy, 66(Suppl 95), pp.31~34 (2011)
  52. Abedini R, "Evaluation of patients visiting the dermatology emergency unit of a university dermatology hospital in Tehran, Iran", Acta Med Iran, 55(11), pp.705~711 (2017)
  53. Shakiba R, "Effect of Cedar (Ziziphus spina-christi ) topical solution in mild to moderate acne vulgaris:a randomized clinical study", J Dermatolog Treat, 32(2), pp.197~202 (2021)
  54. Ghaffari S, "Cinnamomum tamala as an adjuvant therapy in the treatment of major depressive disorder: a doubleblind, randomized, placebo-controlled clinical trial with placebo control", Adv Integr Med, 7(3), pp.141~147 (2020)
  55. Vaziri S, "Evaluation of anti-aphthous activity of decoction of Nicotiana tabacum leaves as a mouthwash : a placebo-controlled clinical study", J Tradit Chin Med, 36(2), pp.160~164 (2016)
  56. Mokaberinejad R, "Effect of Mentha longifolia on FSH serum level in premature ovarian failure", Open J Obstet Gynecol, 4(7), pp.356~360 (2014)
  57. Khalilzadeh S, "The role of Enseraf-E-Tabiat (Nature Distraction)in disease treatment", Trad Integr Med, 4(3), pp.100~101 (2019)
  58. Akramo Sadat A, "Persian medicine nonpharmacological therapies for headache : phlebotomy and wet cupping", J Tradit Chin Med, 38(3), pp.457~464 (2018)
  59. Kordafshari G, "The role of phlebotomy (Fasd) and wet cupping (Hijamat) to manage dizziness and vertigo from the viewpoint of Persian medicine", J Evid Based Complementary Altern Med, 22(3), pp.369~373 (2017)
  60. Sharquie KE, "Cupping (Hijama) in skin diseases with positive Koebner’s phenomenon: what is new?", J Clin Exp Investig, 10(3), pp.em00726~ (2019)
  61. Xiao XJ, "Cupping therapy for patients with chronic urticaria: a systematic review and meta-analysis", J Integr Med, 18(4), pp.303~312 (2020)
  62. Ma B, "Efficacy of bloodletting therapy in patients with chronic idiopathic urticaria: a randomized control trial", Evid Based Complement Alternat Med, 2020, pp.6598708~ (2020)

관련 논문AI추천

이 간행물의 다른 논문 (8건)