Understanding Depression, Its Impact, and Management Strategies in the Light of Unani Medicine

Altern Ther Health Med. 2025 Sep 24:AT11659. Online ahead of print.

ABSTRACT

BACKGROUND: Depression is a prevalent mental health disorder affecting millions globally, leading to significant personal and societal burdens. Characterized by persistent sadness, hopelessness, and various cognitive and physical symptoms, it remains a major clinical challenge. Current treatment methods primarily rely on antidepressants and psychotherapy; however, many patients experience limited relief or adverse side effects, necessitating alternative approaches. Unani medicine offers a holistic strategy, focusing on humoral balance through natural remedies, dietary adjustments, and lifestyle modifications.

OBJECTIVES: This review aims to examine depression from both modern and traditional perspectives.

METHODOLOGY: A comprehensive review was conducted by analyzing classical Unani manuscripts and contemporary scientific databases. Foundational texts such as Al-Qanoon Fit Tib, Kamil-us-Sana’a, Zakhira Khwarzam Shahi, Al Aqseer, and Moulijat Buqratiya were assessed for insights. Modern databases, including PubMed, Scopus, and Google Scholar, were systematically searched with terms like “Malikhuliya”, “Unani medicine”, “depression”, “black bile”, and “mental disorders”. Articles addressing both theoretical frameworks and clinical perspectives on depression were included in the study.

RESULTS AND DISCUSSION: Comparing modern and traditional treatments provides key insights into depression management. Conventional pharmacotherapy, including Selective Serotonin Reuptake inhibitors (SSRIs) and Serotonin-Norepinephrine Reuptake inhibitors (SNRIs), effectively alleviates symptoms but has drawbacks such as delayed efficacy, side effects, and relapse risks. Studies suggest that integrating Unani principles with modern therapies may enhance treatment outcomes by improving adherence, reducing side effects, and promoting holistic well-being.

CONCLUSION: Unani medicine provides complementary strategies that emphasize overall well-being. Integrating both systems may enhance treatment effectiveness, ensuring a balanced and personalized approach. Clinical trials assessing Unani herbal formulations alongside conventional medications could optimize depression management, paving the way for improved mental health care globally.

KEYWORDS: depression, psychotherapy, melancholy, Unani Medicine, Malikhuliya.

PMID:40985957