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A Literary Review on Ménière’s Disease and its Management in Unani Medicine


Authors : Mohammad Shafeeque; K. M. Nasreen Khan; Mohd Asif Hussain Usmani

Volume/Issue : Volume 11 - 2026, Issue 3 - March


Google Scholar : https://tinyurl.com/393m96mm

Scribd : https://tinyurl.com/24mzhhb9

DOI : https://doi.org/10.38124/ijisrt/26mar691

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Abstract : Background: Meniere’s disease (MD) is a chronic, idiopathic disorder of the inner ear characterized by recurrent episodes of vertigo lasting longer than 20 minutes, fluctuating low-frequency hearing loss, aural fullness, and/or tinnitus. These vertigo attacks often occur suddenly and may be severely disabling. With time, some patients may develop progressive hearing impairment and persistent imbalance. The condition is believed to result from either excessive production of endolymph, impaired absorption of endolymph, or a combination of both. The concept of hypothyroidism as a specific disease entity is not explicitly described in classical Unani medical texts. In Unani medicine, although Meniere’s disease is not described as a separate entity, its major symptoms—such as vertigo, tinnitus, sensorineural hearing loss, and aural fullness—can be correlated with clinical conditions explained under Su-e-Mizaj Barid Maddi, which refers to a disturbance caused by a cold and material temperament. This condition is believed to arise due to the excessive accumulation of fluid, comparable to the increased production of endolymph in the inner ear. Based on this concept, efforts have been made to understand the disease from the Unani perspective and to explore its management through Unani therapeutic principles.  Objective: This paper aims to provide a brief overview of Meniere’s disease, highlighting its understanding from the perspective of Unani medicine and discussing the approaches used in its management.  Conclusion: Irregular lifestyle patterns, unhealthy dietary habits, and physical inactivity may contribute to the development of Meniere’s disease. Early intervention is important to prevent further complications, and Unani medicine may play a beneficial role in its management. The treatment approach in Unani medicine involves the use of Musakkin (sedatives), Mufatteh Urooq (vasodilators), and Mudir-e-Baul (diuretics), along with measures aimed at eliminating Khilt-e-Ghair Tabai (abnormal humours). In addition, Ilaj-bil-Tadabeer (regimental therapy) is recommended as part of the therapeutic protocol, which may help achieve promising outcomes in the management of Meniere’s disease.

Keywords : Meniere’s Disease, Vertigo, Tinnitus, (Taneen), Deafness.

References :

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  2. Gurkov R, Pyyko I, Zou J, Kentala E. What is Meniere’s disease? A contemporary re-evaluation of endolymphatic hydrops. J Neurol. 2016; 263(Suppl 1):S71–81.
  3. Yokota Y, Kitahara T, Sakagami M, Ito T, Kimura T, Okayasu T, et al. Surgical results and psychological status in patients with intractable Meniere’s disease. Auris Nasus Larynx. 2016;43(3):287–91.
  4. Sandhya Rani. D, Madhusudan BG, "Ayurvedic Approach to Meniere's Disease-A Review" International Ayurvedic Medical Journal, 2019; 7(1):95-99.
  5. Assimakopoulos D, Patrikakos G, "Treatment of Ménière's disease by intratympanic gentamicin application" J Laryngol Otol, 2003; 117(1):10-6. https://doi.org/10.1258/002221503321046586
  6. Merchant SN, Adams JC, Nadol JB, "Pathophysiology of Meniere's syndrome are symptoms caused by endolymphatic hydrops" Otol Neurotol, 2005; 26(1):74-81. https://doi.org/10.1097/00129492-200501000-00013
  7. Alexander, T. H. and J. P. Harris, "Current epidemiology of Meniere's syndrome" Otolaryngol Clin North Am, 2010; 43(5):965-970. https://doi.org/10.1016/j.otc.2010.05.001
  8. Dhigra PL, Dhigra Shruti. Diseases of Ear, Nose & Throat. 7th ed. Chap 15: Elsevier; 2004.P.111-116.
  9. Mohammad Maqbool. Textbook of ENT. 12th ed. New Delhi: Jaypee brothers medical publishers pvt ltd; 2013.P.
  10. Tuli BS, Tuli IP, Singh A, Tuli AK. Textbook of ENT. 12th ed. New Delhi: Jaypee brothers medical publishers pvt ltd; 2005.P.106 108.
  11. Jahangir U, Khan AA, Kapoor P, Jalees F, Urooj S. Evaluation of a classical unani pharmacopeial formulation safoof-e-muhazzil in hyperlipidemia: A randomized, standard controlled clinical study. Journal of Pharmacy & Bioallied Sciences. 2014; 6(3):167. doi: 10.4103/0975 7406.130975.
  12. Mohan Bansal (2018). Edition : 3/e. Book. Essentials of Ear, Nose & Throat.Diseases of Ear, Nose and Throat.
  13. Mohammad Maqbool, Suhail Maqbool · Edition: 12th · Publisher: Jaypee Brothers Medical Publishers (P) Ltd · Pages: 75.
  14. Liu Y, Jia H, Shi J, Zheng H, Li Y, Yang J, et al. Endolymphatic hydrops detected by 3-dimensional fluid attenuated inversion intratympanic injection recovery of MRI gadolinium following in the asymptomatic contralateral ears of patients with unilateral Ménière’s disease. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research. 2015; 21: 701. doi: 10.12659/MSM.892383.
  15. Dr. M Arif. Textbook of ENT with Regimental Therapy. 1st Ed. UP Computers, Atwara, Bhopal. 2018. P.169-179.

Background: Meniere’s disease (MD) is a chronic, idiopathic disorder of the inner ear characterized by recurrent episodes of vertigo lasting longer than 20 minutes, fluctuating low-frequency hearing loss, aural fullness, and/or tinnitus. These vertigo attacks often occur suddenly and may be severely disabling. With time, some patients may develop progressive hearing impairment and persistent imbalance. The condition is believed to result from either excessive production of endolymph, impaired absorption of endolymph, or a combination of both. The concept of hypothyroidism as a specific disease entity is not explicitly described in classical Unani medical texts. In Unani medicine, although Meniere’s disease is not described as a separate entity, its major symptoms—such as vertigo, tinnitus, sensorineural hearing loss, and aural fullness—can be correlated with clinical conditions explained under Su-e-Mizaj Barid Maddi, which refers to a disturbance caused by a cold and material temperament. This condition is believed to arise due to the excessive accumulation of fluid, comparable to the increased production of endolymph in the inner ear. Based on this concept, efforts have been made to understand the disease from the Unani perspective and to explore its management through Unani therapeutic principles.  Objective: This paper aims to provide a brief overview of Meniere’s disease, highlighting its understanding from the perspective of Unani medicine and discussing the approaches used in its management.  Conclusion: Irregular lifestyle patterns, unhealthy dietary habits, and physical inactivity may contribute to the development of Meniere’s disease. Early intervention is important to prevent further complications, and Unani medicine may play a beneficial role in its management. The treatment approach in Unani medicine involves the use of Musakkin (sedatives), Mufatteh Urooq (vasodilators), and Mudir-e-Baul (diuretics), along with measures aimed at eliminating Khilt-e-Ghair Tabai (abnormal humours). In addition, Ilaj-bil-Tadabeer (regimental therapy) is recommended as part of the therapeutic protocol, which may help achieve promising outcomes in the management of Meniere’s disease.

Keywords : Meniere’s Disease, Vertigo, Tinnitus, (Taneen), Deafness.

Paper Submission Last Date
31 - March - 2026

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