Interstitial Cystitis/Bladder Pain Syndrome in Persian Medicine view
Abstract
Bladder pain syndrome or interstitial cystitis is a disagreeable feeling of pain, pressure and discomfort in the urinary bladder, along with lower urinary tract symptoms that may last more than six weeks with no infection or any other identifiable cause. Its etiology is still unknown. A significant percentage of women with chronic pelvic pain suffer from interstitial cystitis. However, there are some ambiguities in its diagnostic and therapeutic process. In this article, we survey the viewpoints of Persian Medicine scholars about bladder disorders that can fit with interstitial cystitis. Thus, we designed a qualitative content analysis study and investigated signs, symptoms, diagnosis and treatment of interstitial cystitis in conventional medicine articles. Then, diseases of the bladder and the bladder gas was surveyed in the Canon of Medicine by Avicenna (980-1037 AD) and the other literatures of Persian Medicine, in particular. Pain, lower urinary tract symptoms, beneficial reaction to dietary modifications and warming bladder up also the lack of infection and other urinary disorders are observable matches between bladder pain syndrome in contemporary medicine and bladder gas in Persian Medicine. Upon Persian Medicine scholars' viewpoints entrapped gas can cause pain by stretching of bladder tissues. In this opinion, “gas” may be one of the causes of pain and dysfunction in organs. We found reports of gas in some tissues in contemporary medicine, too. If we accept that bladder gas can be one of the manifestations or causes of interstitial cystitis, bladder gas treatment methods that are used in Persian Medicine, can be simple, low-cost preventive and therapeutic methods for its management.
William R, Shahid Aziz A, Kamran A, Shikohe M, Prokar D, Muhammad Sh. Painful bladder syndrome/interstitial cystitis: etiology, evaluation and management. Arch Ital Urol Androl 2014;86:126-131.
Ming-Huei L, Huei-Ching W, Jen-Yung L, Tan-Hsu T, Po-Chou Ch, Yung-Fu Ch. Development and evaluation of an E-health system to care for patients with bladder pain syndrome/interstitial cystitis. International Journal of Urology 2014;21:62–68.
Lee P, Daniel W, Khalid S K, Tirlapur, Seema A T. Bladder pain syndrome: validation of simple tests for diagnosis in women with chronic pelvic pain: BRaVADO study protocol. Reprod Health, 2013;10:61.
Alan J. W, Louis R. K, Alan W. P, Craig A. P Campbell-Walsh urology. 16th ed. Elsevier. 2016; pp 334–370.
Tabarrai M, Niktabe Z, Masoudi N, Eftekhaar T. Avicenna`s Point about Bladder Gas as a Cause of Interstitial cystitis. Iranian J Publ Health. In Press.
Ibn Sina AA. Al-Qanun fi Tibb. [The Canon of Medicine]. 1st ed .Al-Alami Library. Beirut 2005; Vol. 3. pp 340-372, Vol. 1, 158-9, 269.
Tabarrai M, Eftekhar T, Nazem E. Etiology of the Vaginal, Cervical, and Uterine Laceration on Avicenna Viewpoints. Iran J Public Health, 2013;42:927-928.
Mohammad Azam N. Exireh Azam. Iran University of Medical Sciences & Health Services Research Institute for Islamic and Complementary Medicine (RICM). Tehran 2008; Vol. 3. p 494.
Abbasian A, Minaee B, Nikbakht Nasrabadi A, Rostamian A, Shirzad M. Gas as a Cause of Spinal Pains: A Possible New Syndrome. Iranian J Publ Health 2013;42:110-112.
Latifi SAH, Minaee M, Nazem E, Yosofpour M, Amini-Behbahani F, Goran SH. Explained and compared in the differential diagnosis of acute flank pain. Journal of Islamic and Iranian Traditional Medicine, 2013;4:307-314.
Arafat QW, Davies AM. Sacral insufficiency fracture with intraosseous gas. Eur J Radiol 1994;18:232-234.
Staebler A, Steiner W, Kohz P, Bartl R, Berger H, Reiser M. Time-dependent changes of insufficiency fractures of the sacrum: intraosseous vacuum phenomenon as an early sign. Eur Radiol, 1996;6:655-657.
Norman A. S. Prostaglandin E (Pg E) therapy for interstitial cystitis. Med Hypotheses, 2005; 65:196.
Nahoko K, Asao T, Koichiro H, Tomoyuki K. Modulation of afferent nerve activity by prostaglandin E2 upon urinary bladder distension in rats. Exp Physiol 2016;101:577–587.
James A. R, Dorren A. D, KerryJ. Af F. Prostanoid receptors mediating contraction in rat, macaque and human bladder smooth muscle invitro. Eur J Pharmacol 2015;15:769,274–279.
Razi MZ. Algoolanj. makshorat jamehe halab al-torath al-elmi al-Arabi, Halab 1982. Vol. 1, p 216.
Garashi A. (Ibn Nafis). Almojez Fi-alteb. Gahere 2008; p 70.
Gray KJ, Engelmann UH, Johnson EH, Fishman IJ. Evaluation of misoprostol cytoprotection of the bladder with cyclophosphamide (Cytoxan) therapy. J Urol 1986;136:497-500.
Rebecca A, Barbara M O. Uses of Misoprostol in Obstetrics and Gynecology. Rev Obstet Gynecol 2009;2:159–168.
Guyton A, Hall JE. Textbook of Medical Physiology. 13th ed. Saunders Genres. 2015; pp 905-1050.
Chiang D, Ben-Meir D, Pout K, Dewan PA. Management of post-operative bladder spasm. J Paediatr Child Health, 2005;41:56–58.
Vijayabala J, Mitrakrishnan N, Arunie M, Arunie M, Abdul N, Anura W, Godwin C. Reflex anuria following acute cardiac event. BMC Nephrology 2013;14:106.
Qaraaty M, Tabarrai M, Aliasl M J, Ghorbanifar Z, Latifi M. The Role of the Iranian Traditional Medicine in the Development of Impoverished Areas in Iran. Adv Environ Biol 2014;8:1564-1568.
Shirbeigi L, Niktabe Z, Masoudi N, Malihe Tabrrai M, Nejatbakhsh F. Effect of Thermotherapy on Mixed Urinary Incontinence Based on Persian Medicine: A Case Report. Trad Integr Med 2017;2:129-132.
Arzani M. Tebbe Akbari. Jalal-aldin. Tehran 2008; Vol. 2, p 858.
Aghilikhorassani M. Kholasat-alhekmat. Islamic and Complementary Medicine Iran University of Medical Sciences. Qom 2006; Vol. 1, pp 64, 500. vol. 2, p1248.
Files | ||
Issue | Vol 3, No 1, 2018 | |
Section | Review Article(s) | |
Keywords | ||
Interstitial Cystitis Bladder Pain Syndrome Bladder Gas (Riehe masaneh) Persian Medicine |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |