كهير(شرا) و آنژيوادم (ماشرا) از منظر طب سنتي ايران

Shera (Urticaria) and Mashera ( Angioedema) in Traditional Iranian Medicine

ﺳﺎﺑﻘﻪ ﻭ ﻫﺪﻑ: ﻛﻬﻴﺮ)Urticaria( ﻭ ﺁﻧﮋﻳﻮﺍﺩﻡ )Angioedema( ﺩﻭ ﺑﻴﻤﺎﺭﻱ ﺷﺎﻳﻌﻨﺪ ﻛﻪ ﺑﺴﻴﺎﺭﻱ ﺍﺯ ﺍﻓﺮﺍﺩ ﺩﺭ ﻃﻮﻝ ﺯﻧﺪﮔﻲ ﺑﻪ ﺁﻧﻬﺎ ﻣﺒﺘﻼ ﻣﻲ ﺷﻮﻧﺪ ﻭ ﺑﺎ ﻋﻮﺩ ﺑـﺎﻻﻳﻲ ﻫﻤـﺮﺍﻩ ﻫﺴﺘﻨﺪ. ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺍﻫﻤﻴﺖ ﺗﺠﺎﺭﺏ ﻃﺐ ﺳﻨﺘﻲ ﻭ ﺑﻤﻨﻈﻮﺭ ﺍﺭﺍﺋﻪ ﭘﻴﺸﻨﻬﺎﺩﺍﺕ ﻃﺐ ﺳﻨﺘﻲ ﺑﺮﺍﻱ ﺩﺭﻣﺎﻥ ﻭ ﭘﻴﺸﮕﻴﺮﻱ ﺍﺯ ﻋﻮﺩ ﺑﻴﻤـﺎﺭﻱ، ﺍﻳـﻦ ﺗﺤﻘﻴـﻖ ﺍﻧﺠـﺎﻡ ﮔﺮﻓـﺖ . ﻛﻬﻴـﺮ ﻭ ﺁﻧﮋﻳﻮﺍﺩﻡ ﺍﺯ ﻣﻨﻈﺮ ﻃﺐ ﺳﻨﺘﻲ ﻭ ﻃﺐ ﺟﺪﻳﺪ ﻭ ﺩﺭﻣﺎﻥ ﻫﺎﻱ ﺁﻧﻬﺎ ﻣﻮﺭﺩ ﺑﺮﺭﺳﻲ ﻗﺮﺍﺭﮔﻴﺮﻧﺪ. ﻣﻮﺍﺩ ﻭ ﺭﻭﺵ ﻫﺎ: ﺗﺤﻘﻴﻖ ﺑﻪ ﺭﻭﺵ ﺟﺴﺘﺠﻮ ﺩﺭ ﻣﻨﺎﺑﻊ ﻛﺘﺎﺑﺨﺎﻧﻪ ﺍﻱ ﻭ ﺍﻟﻜﺘﺮﻭﻧﻴﻚ ﺍﺯ ﺟﻤﻠﻪ ﺩﻳﺘﺎﺑﺎﻧﻚ ﻫﺎﻱ Web of Scienceﻭ Google Scholar ﺑﺎ ﻛﻠﻴﺪ ﻭﺍژﻩ ﻫﺎﻱ ﻛﻬﻴﺮ ﻭ ﺁﻧﮋﻳﻮﺍﺩﻡ ﻭ Angioedema ،Urticaria ﻭ .... ﺑﺎ ﺑﺮﺭﺳﻲ ﻣﻘﺎﻻﺕ ﻣﺮﺗﺒﻂ ﺩﺭ ﺍﻳﻦ ﭘﺎﻳﮕﺎﻫﻬﺎ ﺻﻮﺭﺕ ﮔﺮﻓﺖ. ﺑﻴﺶ ﺍﺯ50 ﻣﻘﺎﻟﻪ ﺩﺭ ﻃﺐ ﺟﺪﻳﺪ ﻭ ﺑﻴﺶ ﺍﺯ 10 ﻣﻨﺒﻊ ﻃـﺐ ﺳـﻨﺘﻲ ﺩﺭ ﺧﺼﻮﺹ ﺗﻌﺮﻳﻒ، ﻋﻼﺋﻢ ﻭ ﺩﺭﻣﺎﻥ ﻓﻴﺶ ﺑﺮﺩﺍﺭﻱ ﻭ ﺗﺠﺰﻳﻪ ﻭ ﺗﺤﻠﻴﻞ ﻭ ﮔﺰﺍﺭﺵ ﺷﺪ. ﻧﺘﻴﺠﻪ ﮔﻴﺮﻱ: ﺩﺭ ﻣﻨﺎﺑﻊ ﻃﺐ ﺳﻨﺘﻲ ﺗﻌﺮﻳﻒ ﻛﻬﻴﺮ ﺑﺎ ﺷﺮﺍ ﻭ ﺁﻧﮋﻳﻮﺍﺩﻡ ﺑﺎ ﻣﺎﺷﺮﺍ ﻣﻄﺎﺑﻘﺖ ﺑﻴﺸﺘﺮﻱ ﺩﺍﺭﺩ ﻭ 40 ﻧﻮﻉ ﻣﻔﺮﺩﻩ ﺑﻪ ﺻﻮﺭﺕ ﺗﻚ ﺩﺍﺭﻭﺋﻲ ﻭ 12 ﺩﺍﺭﻭﻱ ﺗﺮﻛﻴﺒﻲ ﺟﻬـﺖ ﺩﺭﻣﺎﻥ ﺍﻳﻦ ﺩﻭ ﺑﻴﻤﺎﺭﻱ ﺩﺭ ﻃﺐ ﺳﻨﺘﻲ ﭘﻴﺸﻨﻬﺎﺩ ﺷﺪﻩ ﺍﺳﺖ. ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻭﺟﻮﺩ ﺩﺍﺭﻭﻫﺎﻱ ﻣﺨﺘﻠﻒ ﺩﺭ ﺩﺭﻣﺎﻥ ﻛﻬﻴﺮ ﻭ ﺁﻧﮋﻳﻮﺍﺩﻡ ﺩﺭ ﻣﻨﺎﺑﻊ ﻃﺐ ﺳﻨﺘﻲ ﭘﻴﺸـﻨﻬﺎﺩ ﻣـﻲ ﺷـﻮﺩ ﺍﺛـﺮ ﺑﺨﺸﻲ ﺁﻧﻬﺎ ﺑﺎ ﻛﺎﺭ ﺁﺯﻣﺎﺋﻲ ﻫﺎﻱ ﺑﺎﻟﻴﻨﻲ ﻣﻮﺭﺩ ﺑﺮﺭﺳﻲ ﻗﺮﺍﺭ ﮔﻴﺮﺩ

Background and Purpose: Urticaria and Angioedema are two common diseases that most people have during their lives and they have a high risk of relapse. In this research, we have tried to discuss Urticaria and Angioedema from the perspective of Traditional Iranian Medicine and modern medicine and report recommended treatments in Persian medicine texts. Because of importance of Traditional Iranian Medicine ,s sagestions for these diseases, this research has been done. Methods and Materials: The research has been done by reading related articles and reliable databanks such as Web of science, Google scholar and ….. with key words of Urticaria, Angioedema. Over than 50 articles in modern medicine and 10 text books in Traditional Iranian Medicine have been investigated in the definitions, symptoms and treatments. Results: The definition of Urticaria and Angioedema in Modern Medicine is more consistent with Shera and Mashera disorders in Traditional Iranian Medicine. 40 medicinal plants for monotherapy and 12 combination drug products for the treatment of these two diseases in Traditional Iranian Medicine are suggested.. Conclusion: As in Traditional Iranian Medicine, a lots of single and compound herbal drugs have been suggested to treat Urticaria and Angioedema, their effects can be tested by the clinical trial