A Review on Role of Itrifal-e-Ustukhuddus in Management of Cervical Spondylosis


Authors : Dr. Zubair Alam; Dr. Ahsan Farouqi; Dr. N. Narsimha; Dr. Lateef Siddiqui; Dr. Urmila Panchal

Volume/Issue : Volume 10 - 2025, Issue 8 - August


Google Scholar : https://tinyurl.com/yveenvdr

Scribd : https://tinyurl.com/2sebxeen

DOI : https://doi.org/10.38124/ijisrt/25aug689

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Abstract : Cervical spondylosis is a progressive degenerative disorder of the cervical spine, frequently associated with aging and lifestyle factors. It commonly presents with neck discomfort, stiffness, and sometimes nerve-related symptoms such as pain radiating to the arms, numbness, or weakness. Conventional management focuses on symptom control through pharmacotherapy, physiotherapy, and, in advanced stages, surgery. However, these interventions may have limitations, especially for long-term management. In Unani medicine, cervical spondylosis corresponds to Wajaʿ al-Raqaba and is understood to arise from a predominance of cold and dry temperament affecting the cervical region, resulting in obstruction of nerve and vascular pathways. Among the classical herbal formulations, Itrifal-e-Ustukhuddus has been widely used for disorders of the nervous system, chronic headaches, and musculoskeletal ailments. It contains ingredients with proven anti- inflammatory, neuroprotective, and analgesic properties. This review compiles current understanding from both modern and Unani perspectives, explores the pharmacological basis of Itrifal-e-Ustukhuddus, and discusses its therapeutic potential in managing cervical spondylosis.

Keywords : Cervical Spondylosis, Wajaʿ al-Raqaba, Itrifal-e-Ustukhuddus, Unani Formulations, Lavandula Stoechas.

References :

  1. Ibn Sina, Abu Ali al-Husayn. Al-Qanun fi’l-Tibb (The Canon of Medicine). Vol. 2, Parts 3/4 & 5. Delhi: Idara Kitab al-Shifa, Darya Ganj; pp. 374–381.
  2. Arzani, Hakeem Mohammed Akber. Tib-e-Akbar. Delhi: Idara Kitab al-Shifa, Darya Ganj; pp. 619–626.
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  4. Majusi, Ali bin Abbas. Kamil al-Sana‘a al-Tibbiyya. Vol. 1, Part 2. Delhi: Central Council for Research in Unani Medicine; pp. 452.
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  7. Al-Razi, Abu Bakr Mohammed bin Zakariya. Kitab al-Hawi. Vol. 13. New Delhi: Central Council for Research in Unani Medicine; pp. 75.
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  9. Snell, Richard S. Clinical Anatomy by Regions. Philadelphia: Lippincott Williams & Wilkins; pp. 852–859.
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  11. National Formulary of Unani Medicine (NFUM), Part-I — Itrifāl-e-Ustukhuddus (code NFUM-I, 5.20) p. 96.
  12. CCRUM – Monograph of 50 Compound Formulations —  “ITRIFAL USTUKHUDDUS (NFUM-I, 5.20)”, p. 69
  13. Hippocratic Journal of Unani Medicine (CCRUM) — “Page 69”
  14. NFUM, Part-V (2008) —(Majūn/Itrifāl/Jawāriš etc.); p. 61).  NFUM Part-I p. 96.
  15. Qarabādeen-e-Majeedī (Idāra-e-Kitāb-us-Shifā, New Delhi) — p. 240 in the 1986 reprint.

Cervical spondylosis is a progressive degenerative disorder of the cervical spine, frequently associated with aging and lifestyle factors. It commonly presents with neck discomfort, stiffness, and sometimes nerve-related symptoms such as pain radiating to the arms, numbness, or weakness. Conventional management focuses on symptom control through pharmacotherapy, physiotherapy, and, in advanced stages, surgery. However, these interventions may have limitations, especially for long-term management. In Unani medicine, cervical spondylosis corresponds to Wajaʿ al-Raqaba and is understood to arise from a predominance of cold and dry temperament affecting the cervical region, resulting in obstruction of nerve and vascular pathways. Among the classical herbal formulations, Itrifal-e-Ustukhuddus has been widely used for disorders of the nervous system, chronic headaches, and musculoskeletal ailments. It contains ingredients with proven anti- inflammatory, neuroprotective, and analgesic properties. This review compiles current understanding from both modern and Unani perspectives, explores the pharmacological basis of Itrifal-e-Ustukhuddus, and discusses its therapeutic potential in managing cervical spondylosis.

Keywords : Cervical Spondylosis, Wajaʿ al-Raqaba, Itrifal-e-Ustukhuddus, Unani Formulations, Lavandula Stoechas.

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