Management of Gouty arthritis with hyperuricemia by herbal Unani formulation: A case report

Gout is a term representing a heterogeneous group of genetic and acquired diseases manifested by hyperuricemia with a characteristic acute inflammatory arthritis induced by the crystals of monosodium urate monohydrate. In Unani classical literature, Gouty arthritis has been described under the name of Niqris. According to Ibn Hubal (1122-1233 A.D), the word Niqris is obtained from the term ‘Anqoroos’ which indicates ‘the joint of great toe’. Since this disease classically affects the first metatarsophalangeal joint, hence it has been given this name ‘Niqris’. The prevalence of gout is 1-4% of the general population. The individuals affected with gout are at increased risk of Hypertension, Diabetes Mellitus, Metabolic Syndrome, Renal stones, Kidney and Cardiovascular disorders. Unani System of Medicine has an impressive role in the management of gouty arthritis through different drugs which have hypouricemic, anti-inflammatory, analgesic, purgative and diuretic properties. The present paper deals with a case report in which a 24 years old male patient having serum uric acid concentration of 7.8 mg/dL with severe pain, redness and swelling of left great toe and left knee was treated with formulation of different herbal drugs with the aim to evaluate the efficacy of these drugs and avoid complications. Patient has shown excellent and admirable results after the treatment. Keywords: Unani, Gout, Hyperuricemia, Niqris, Uric acid.