Vol. 7, Issue - 3, Part A (2023)

Background and Introduction: Waja uz zahr (Alam fi safiluz zahr, Waja ul Khasirah) or Low back pain (LBP), also known as lumbago, is a common condition affecting the muscles, nerves, and bones of the back, located between the lower edge of the ribcage and the lower fold of the buttocks. Pain can range from a faint aching to a strong stabbing sensation. Low back pain can be classified as acute (lasting less than 6 weeks), sub-chronic (6 to 12 weeks), or chronic (lasting more than 12 weeks). Depending on the underlying cause, the condition can be characterized as mechanical, non-mechanical, or referred pain. Though lumbago is not a specific disease in modern medicine rather, it is a symptom that might develop as a result of pathology caused by a range of conditions. Discomfort in the lumbosacral area is a common symptom of low back pain. It affects between 60-85 percent of the population, putting a significant strain on society. But in UNANI MEDICINE many physicians and scholars considered it as disease and at the same time symptom for many diseases. In the Unani school of medicine have specified numerous medications and regimens for the treatment of Waja'uz zahr (LOWBACK PAIN) in their classical books. So, with this in mind, the Hijama -Bil- Shurt regimen was chosen. The purpose of this study was to determine the effectiveness of Hijama- bil- shurt in the treatment of Waja’uz zahr (LUMBAGO).

Materials and Methods: From September 2020 to July 2022, the study was done as an open labeled single Arm clinical trial with a total of 20 individuals suffering from low back pain. Patients were administered for Hijama -bil- shurt (wet cupping), In total, four (4) sittings were completed in 28 days. Base line day (0 Day) and before the treatment and after the treatment (21^st day) the patients were examined using the Visual Analog Scale (VAS) and the Oswestry Disability Index (ODI). Outcomes were compared and statistically examined.

Results: After intervention, highly significant (p<0.001) reduction was observed in

VAS scale (8.2±1.794 to 1.65±1.34) as well as ODI score (25.0±6.223 to 6.0±1.7199).

Interpretation and Conclusion: This study reveals that Hijama bil shurt found significant in the treatment of Lumbago, Hijama- bil- shurt (Wet Cupping) appears to be effective in reducing pain and increasing function and quality of life in patients with Waja-uẓ- zahr. (Lumbago).