Clinical evaluation of Mizaj (Temperament) of the patient of Dysfunctional Uterine Bleeding

Background: Unani System of Medicine classifies humans personalities into four different mizaj (Temperaments) based on the dominance of body fluids. In healing drugs and diseases are also classified according to the four humours. The four humours correspond to four bodily fluids i.e. blood, phlegm, yellow bile and black bile. According domination of four kind of akhlat the human species can be broadly classified into four types of personalities. 1. Damawi (sanguine or plethoric type) 2. Safrawi (chloretic or bilious type) 3. Balgami (phlegmatic or pituitic type) 4. Saudawi (Melancholic type). Domination of certain khilt which express the mizaj (temperament) of a person. Objectives: The aim of the study to evaluation of mizaj (temperament) of the patient of dysfunctional uterine bleeding. With an objective to evaluate the temperament of dysfunctional uterine bleeding patients. Methods: Standard controlled randomized single blind study was carried out at department of Amraz-e-Niswan wa Qabalat, Karol Bagh, New Delhi by registering 80 clinically diagnosed cases of DUB were enrolled in both test group (40 patients) and control group (40 patients) after getting their consent to participate in the study. This study was based on a questionnaire and examination of 80 diagnosed cases of DUB, as per standard temperament chart recommended in Unani literature, which is based on ajnas-e-ashra it is ten in numbers. Result: The etiological factors as described by Unani Physicians were according to four humour and derangement of temperament and also due to uterine debility and weakness. The present study which was conducted on 80 patients showed that the highest incidence about 60% in test group and 42.5 % in control group among the Balghami mizaj women vide table no. 1. Conclusion: Dysfunctional Uterine Bleeding was found to be more prevalent among women with balghami mizaj (phlegmatic temperament) and hence is likely a balghami marz (phlegmatic disorder) or in other words su-e-mizaj balghami (phlegmatic distemperament).