This cross sectional study was carried out in the department of gastroenterology, BIRDEM, Dhaka from

No abstract

Acromegaly is an endocrine disorder characterized by the excess of growth hormone leading to bony and soft-tissue enlargement. Eye involvement due to extraocular muscle enlargement has been described rarely in these patients. Epiphora has been described only once earlier in a patient with acromegaly. Here, we describe two females with acromegaly who presented with the complaints of watering from the eye and proptosis.

Ḥijāma means Cupping; which refers to Wet Cupping in Arab and Muslim civilizations. Ḥijāma therapy was passed on to the Muslim Arabs and Persians from the early Greeks and Romans, through the Alexandrians and Byzantines. The Prophet Mohammed (S.A.W) endorsed the application of Ḥijāma. It is an essential and admired therapeutic modality of Unani system of Medicine. In the West; cupping remained a significant component of medicine and therapy, in conventional, alternative, and folk-based medicine, until the early 20 th century. The surgeon Charles Kennedy wrote, in 1826: "The art of cupping has been so well-known and the benefits arising from it so long experienced, that it is quite unnecessary to bring forward testimonials in favour of what has received not only the approbation of modern times, but also the sanction of remotest antiquity." After falling out of favour with medicine in the present era, cupping therapy is enjoying revival in fame, endorsed by acupuncturists and other holistic healthcare practitioners. New and thrilling variations on this antique technique, like cupping, massage, are also being developed. Ḥijāma is a regimenal approach for the management of various ailments suggested by renowned Unani physicians. As an adjuvant therapy Ḥijāma offers considerable improvement in pain and has an obvious effect in improving the quality of life. It has immunomodulator outcome that could be used as monitoring means for disease activity and prognosis. It has been found that Ḥijāma is a good palliative and anti inflammatory regimen in contrast to other conventional therapies. Ḥijāma is an imperative non pharmacological regimenal mode of treatment.

Dengue fever (Humma Danaj) is a global health problem which is the most rapidly spreading mosquito borne viral disease. In the last 50 years, incidence is increasing with geographical expansion to new countries and in the present decade, from urban to rural areas. It is an estimated that 50 million dengue infections occur annually and approximately 2.5 billion people live in dengue endemic countries. There is no specific treatment for dengue fever (Humma Danaj) in any system of medicine, besides, the dengue vaccine has a long way to go, but we can treat the symptoms of dengue fever and apply the measures to enhance the platelets count. For this purpose several measures are used to treat the symptoms of dengue fever and enhance the platelets count, in both modern and Unani system of medicine. Thus, in this article it has been discussed all the measures in Unani and modern perspective.