JOURNAL BROWSE
Search
Advanced SearchSearch Tips
Traditional Unani perspective of perceived insufficient milk (Qillatul Laban) and Galactogogues: A literary research with recent studies
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
  • Journal title : TANG [HUMANITAS MEDICINE]
  • Volume 4, Issue 3,  2014, pp.19.1-19.6
  • Publisher : Association of Humanitas Medicine
  • DOI : 10.5667/tang.2014.0003
 Title & Authors
Traditional Unani perspective of perceived insufficient milk (Qillatul Laban) and Galactogogues: A literary research with recent studies
Sultana, Arshiya; Rahman, Khaleeq Ur;
  PDF(new window)
 Abstract
The most important reason mentioned for the early discontinuation of breast feeding and introduction of supplementary bottles is Perceived Insufficient Milk (PIM), which is relatively common in women. This is of public health concern because the use of breast milk substitutes increases the risk of morbidity and mortality among infants in developing countries and shortens birth intervals. Thus, a literary search in classical text for aetiopathogenesis, symptoms and treatment of PIM were appraised to implement in contemporary era. The classical Unani texts viz., Al Qanon fit Tib (Canon of Medicine), Al Hawi (Continens Liber), Zakheera Kharzam Shahi, Tarjuma Kamilus Sana, Tibbe Akbar, Akseer Azam, and Kitabul Kulliyat were reviewed. Further certain galactogogue herbs which are in use since antiquity such as fenugreek, cotton seeds, cumin, asparagus, black cumin etc were explored in different search engines on website for proven galactogogue activity. The causes of PIM are abnormal temperament of body or breast, anaemia, anxiety, depression, malnutrition etc. The principle treatment is treating the cause viz., the temperament is corrected by diet and drugs in abnormal temperament, elimination of humour is required in dominance of humour etc. The aforementioned drugs are proven scientifically for their galactogogue activity. The classical texts are having valuable information regarding PIM, which can be implemented in present era. Aforementioned Unani drugs are proven scientifically for with their galactogogue effect, however, clinical trials are scarce. Therefore, further randomized controlled clinical trials are recommended.
 Keywords
breast feeding;herbs;humour;Galactogogues;perceived milk insufficiency;Unani drugs;
 Language
English
 Cited by
 References
1.
Amir LH. Breastfeeding-Managing 'supply' Difficulties. Australian Family Physician 2006;35:686-689.

2.
Arzani MA. Mizane Tib. (New Delhi, India: Idarae Kitabus Shifa), 2002.

3.
Bernstein D, Shelove SP. Pediatrics. (Pennsylvania, USA; Williams and Wilkins), 1996.

4.
Boodoo AA, Ramjee R, Hulman B, Dolberg F, Rowe JB. Effect of supplements of balanced concentrates and cottonseed cake on milk production in mauritian villages. Livestock Research for Rural Development. 1990;2:7-14. Available at: http://www.lrrd.org/lrrd2/1/boodoo.htm (accessed on 02th March 2014).

5.
Dawn CS. Textbook of Obstetrics and Neonatology. 16th ed. (Kolkata, India: Dawn Books) pp. 285-259, 2004.

6.
Desai P, Malhotra N, Shah D. Principles and Practice of Obstetrics and Gynecology for Postgraduates. 3rd ed. (New Delhi, India: Jaypee Brothers), 2008.

7.
Desai P, Malhotra N, Shah D. Principles and Practice of Obstetrics and Gynecology for Postgraduates. (New Delhi, India: Jaypee Brothers), 2008.

8.
Gabay MP. Galactagogues: Medications that Induce Lactation. J Hum Lact. 2002;18:274-279. crossref(new window)

9.
Gaitonde BB, Jetmalani MH. Antioxytocic action of saponin isolated from Asparagus racemosus Willd. (Shatavari) on uterine muscle. Arch Int Pharmacodyn Ther. 1969;179:121-129.

10.
Gaya H, Hulman B, Preston TR. The Value for milk production of different feed supplements: Effect of cereal protein concentrate, poultry litter and oil seed meal. Tropical Animal Production. 1982;7:134-137. Available at: http://www.utafoundation.org/UTAINFO1/TAP/TAP72/72-134.pdf (accessed on 07th October 2014)

11.
Giugliani ERJ. Common Problems during Lactation and Their management. Journal de Pediatria. 2004;80:147-154. crossref(new window)

12.
Goyal RK, Singh J, Harbans L. Asparagus racemosus an update, Review. Indian J Med Sci. 2003;57:408-414.

13.
Grunner O C. A Treatise of the Canon of Medicine of Avicenna. (London, England: Luzac & Co), 1930.

14.
Gupta M, Shaw B. A Double-Blind Randomized Clinical Trial for Evaluation of Galactagogue Activity of Asparagus racemosus Willd. Iran J Pharm Res. 2011;10:167-172.

15.
Gupte S. The Short Textbook of Pediatrics. (New Delhi, India: Jaypee Brothers), 2004.

16.
Huggins K. Fenugreek: One Remedy for Low Milk Production. Rental Roundup. 1998;15:16-17.

17.
Joshi JDS. Chemistry of ayurvedic crude drugs: Part VIII: Shatavari: 2. Structure elucidation of bioactive shatavarin I and other glycosides. Indian J Chem. 1998;27:12-16.

18.
Jurjani AH Tarjumae Zakheera Khawarzam Shahi (Urdu Trans: Khan HH). (New Delhi, India: Idarae Kitabus Shifa), 2010.

19.
Kabiruddin M. Al Akseer. Vol. 2. (New Delhi, India: Aijaz Publication), 2003.

20.
Kaikini AS, Pargaonkar DR, Dindorkar CV. Studies on oestrus and oestrous cycle in nondescript (Native) Cows Proc. 1st Asian Congress on Fertility, and Sterility, Bombay. pp. 19-24, 1977.

21.
Kent JC, Prime D K, Garbin CP. Principles for Maintaining or Increasing Breast Milk Production JOGNN 2012;41:114-121. Available at: http://jognn.awhonn.org (accessed on 23th December 2013).

22.
Khan A. Akseere Azam. (New Delhi, India: Idarae Kitabus Shifa), 2011.

23.
Khan A. Haziq. (Karachi, Pakistan: Madina Publishing Company), 1983.

24.
Khare CP. Indian Herbal Remedies: Rational Western Therapy, Ayurvedic, and Other Traditional Usage, Botany. (New York, USA: Springer), 2004.

25.
Kumar S, Mehla RK, Dang AK. Use of Shatavari (Asparagus racemosus) as a galactopoietic and therapeutic herb - A review Agric Rev. 2008;29:132-138.

26.
Livingstone V. Neonatal insufficient breast milk syndrome. Obstetrics and Gynecology. Medicine North America March 1997. Available at: http://breastfeedingclinic.com/pdf/Neonatal%20insufficient%20breast%20milk%20syndrome.pdf (accessed on 13th December 2011).

27.
Majoosi AA. Kamilus Sana. (Urdu Trans: Kantoori GH.) (New Delhi, India: Central Council of Research in Unani Medicine), 2010.

28.
Manjula S, Sultana A, Rahman K. Clinical efficacy of Gossypium herbaceum L. seeds in perceived insufficient milk (PIM) supply: A randomized single-blind placebo-controlled study. Orient Pharm Exp Med. 2014;14:77-85. crossref(new window)

29.
Mathur NB, Dhingra D. Perceived Breast Milk Insufficiency in Mothers of Neonates Hospitalized in Neonatal Intensive Care Unit. Indian J Pediatr. 2009;76:1003-1006. crossref(new window)

30.
Mennella JA, Pepino MY. Breastfeeding and Prolactin Levels in Lactating Women with a Family History of Alcoholism. Pediatrics. 2010;125;e1162. crossref(new window)

31.
Montgomery A, Wight N. Use of Galactagogues in Initiating or Augmenting Maternal Milk Supply. The Academy of Breastfeeding Medicine Protocol Committee. 2004. Available at: http://jgh.ca/uploads/breastfeeding/abmgalactogogues.pdf (accessed on 3th December 2011).

32.
Narayanan I. Rational approach to lactational failure. Indian J Pediatr. 1985;52:167-170. crossref(new window)

33.
Neifert M R. Prevention of breast feeding tragedies. Pediatr Clin North Am. 2001;48:273-297. crossref(new window)

34.
Pandey SK, Sahay A, Pandey RS, Tripathi YB. Effect of Asparagus racemosus rhizome (Shatavari) on mammary gland and genital organs of pregnant rat. Phytother Res. 2005;19:721-724. crossref(new window)

35.
Parr RM. Trace Elements in Human Milk. IAEA BULLETIN 1983;25:7-15. Available at: http://www.iaea.org/Publications/Magazines/Bulletin/Bull252/25205880715.pdf (accessed on 3rd December 2011).

36.
Patel AB, Kanitkar UK. Asparagus racemosus Willd. from Bordi as a galactogogue in buffaloes. Indian Vet J. 1969;46:718-721.

37.
Razi ABZ Kitab al Hawi fi al-tibb. Vol. 7. (New Delhi, India: Central Council of Research in Unani Medicine), 2001.

38.
Sabnis PS, Gaitondi BB, Jetmalani M. Effect of alcoholic extract of Asparagus racemosus on mammary glands of rats. Indian J Exptl Biol. 1968;6:55-57.

39.
Said M. Hamdard Pharmacopoeia of Eastern Medicine. (Delhi, India: Sri Satguru Publications), 1997.

40.
Segaoera-Millan S, Dewey KG, Perez-Escamilla RJ. Factors Associated with Perceived Insufficient Milk in a Low-Income urban Population in Mexico. Nutrition. 1994;124:202-212.

41.
Shah M. The General Principles of Avicenna's Canon of Medicine. (New Delhi, India: Idarae Kitabus Shifa), 2007.

42.
Sikka P, Saxena NK, Gupta R, Sethi RK, Lall D. Studied on Milk Allantoin and Uric Acid in Relation to Feeding Regimens and Production Performance in Buffaloes. Asian-Aust J Anim Sci. 2001;14:1634-1637. Available at: http://www.ajas.info/upload/pdf/14-245.pdf (accessed on 2th March 2012). crossref(new window)

43.
Sina I. Al Qanoon fit Tib. (Trans: Kantoori GH.) Vol.1 (New Delhi, India: Idarae Kitabus Shifa), 2010.

44.
Thompson JF, Heal LJ, Robert CL, Ellwood DA. Women's breastfeeding experiences following a significant primary postpartum haemorrhage: A multicentre cohort study. Int Breastfeed J. 2010;5:5. crossref(new window)

45.
Turkyilmaz C, Onal E, Hirfanoglu IM, Turan O, Koc E, Ergenekon E, Atalay Y. The effect of galactagogue herbal tea on breast milk production and short-term catch-up of birth weight in the first week of life. J Altern Complement Med. 2011;17:139-142. crossref(new window)

46.
Valdez SR, Penissi A B, Deis RP, Jahn GA. Hormonal Profile and Reproductive Performance in Lactation Deficient (OFA hr/hr) and Normal (Sprague-Dawley) Female Rats. Reproduction. 2007;133:827-840. crossref(new window)

47.
Vihan VS, Panwar HS. A note on galactogogue activity of Asparagus racemosus in lactating goats. Indian J Animal Health. 1988;27:177-178.

48.
Zhou HY, Li L, Li D, Li X, Meng HJ, Gao XM, Jiang HJ, Cao LR, Zhu YL. Clincial observation on the treatment of post-cesarean hypogalactia by Auricular points sticking pressing. Clin J Integr Med. 2009;15:117-120. crossref(new window)

49.
Zuppa AA, Sindico P, Orchi C, Carducci C, Cardiello V, Romagnoli C. Safety and Efficacy of Galactagogues: Substances that Induce, Maintain and Increase Breast Milk Production. J Pharm Pharmaceut Sci. 2010;13:162-174.