An Observational Analytical Study Evaluating the Relationship Between Mizaj and Primary Dysmenorrhoea (Usre Tams Ibtidaee) in Young Females

Introduction: In Unani system of Medicine, Mizaj (Temperament) is regarded as a fundamental principle that explains the diversity in physiological responses and susceptibility to diseases among individuals. Unani literature emphasize that a person's temperament plays a significant role in determining the onset, manifestation, and intensity of diseases. Primary dysmenorrhoea is one of the most common gynaecological complaints in young females, and its severity may differ according to different temperament of an individual. Objective: The present study aims to evaluate the severity of primary dysmenorrhoea with different Temperaments (Mizaj) and to determine the association between Mizaj and the intensity of menstrual pain. Methodology: An Observational Analytical Cross-Sectional Study was conducted in Ayurvedic and Unani Tibbia College and Hospital, involving 51 young female participants diagnosed with Primary Dysmenorrhoea. According to CCRUM Mizaj Assessment proforma, participants were classified into four categories of Temperaments: Damwi, Balghami, Safrawi and Saudawi. The intensity of menstrual pain was measured using the Visual Analogue Scale (VAS). To determine differences in pain intensity among the different Mizaj groups, statistical analysis was performed using one-way ANOVA. Results: The statistical analysis showed a significant variation in Mean VAS scores across the different Mizaj groups (p = 0.00325). The highest Mean VAS Score was observed in Safrawi Temperament, followed by Saudawi and Balghami Temperaments, while individuals with Damwi Temperament had the lowest Mean VAS Score. Conclusion: The findings suggest that the severity of Primary Dysmenorrhoea differs significantly according to different Temperament (Mizaj). This indicates that Mizaj may influence the perception and intensity of menstrual pain. Therefore, these observations highlight the importance of Temperament assessment in developing different therapeutic strategy for every individual