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Exploring the Four Humors in Tibb: Understanding the Balance for Optimal Health


In the traditional system of Tibb (also known as Unani medicine), the concept of humors plays a significant role. Tibb is an ancient Greek-Arabic system of medicine that is based on the teachings of Greek physician Hippocrates and further developed by Islamic scholars.


According to Tibb, the human body is influenced by four primary humors, known as "Akhlat" in Arabic or "Arkan al-Mizaj" in Unani medicine. These humors are believed to be responsible for maintaining health when they are in balance, and imbalances can lead to disease. The four humors are:


Dam (Blood): 

Blood is considered the primary humor of the body. It is associated with the liver and carries vital nutrients and oxygen throughout the body. It is believed to be hot and moist in nature.


Balgham (Phlegm): 

Phlegm is associated with the lungs and is responsible for lubricating and protecting the respiratory system. It is characterized as cold and moist.


Safra (Yellow Bile): 

Yellow bile is associated with the liver and is involved in digestion and metabolism. It is described as hot and dry in nature.

Exploring the Four Humors in Tibb: Understanding the Balance for Optimal Health
yellow bile associated with spleen


Sauda (Black Bile): 

Black bile is associated with the spleen and is believed to be involved in regulating emotions and mood. It is considered cold and dry.

Exploring the Four Humors in Tibb: Understanding the Balance for Optimal Health
Black bile associated with the liver.



According to Tibb, maintaining a balance among these four humors is essential for good health. Imbalances can occur due to various factors such as diet, lifestyle, emotions, and environmental influences. Treatment in Tibb aims to restore the balance of humors through dietary modifications, herbal remedies, lifestyle changes, and other therapeutic approaches. It's important to note that while Tibb has a long history and cultural significance, modern medical practices and scientific evidence have evolved beyond the concept of humors.



Evolution of Tibb's Four Humors System ancient to modern.

Over time, the understanding and application of the four humors in Tibb have undergone modifications and advancements. While the traditional concept of humors still holds value in certain contexts, modern interpretations have incorporated scientific knowledge and medical advancements.


Advancements in medical research and understanding have led to a more nuanced understanding of human physiology and pathology. The concept of humors has been integrated with contemporary medical knowledge, such as the understanding of organ functions, biochemistry, and genetics.


Modern Tibb practitioners recognize the importance of a holistic approach to health, considering not only the balance of humors but also other factors like lifestyle, diet, emotional well-being, and environmental influences. Treatment strategies now often include evidence-based interventions, alongside traditional herbal remedies and dietary modifications.


Furthermore, advancements in diagnostic techniques, such as laboratory tests and imaging technologies, allow for a more accurate assessment of imbalances and targeted interventions. This integration of modern diagnostics and therapies has enriched the practice of Tibb, offering a comprehensive approach to healthcare.


It is essential to note that while Tibb has evolved and embraced scientific advancements, it still retains its traditional roots and philosophical foundations. The modifications and advancements in the four humors system of Tibb reflect the integration of ancient wisdom with contemporary medical knowledge, aiming to provide a holistic and personalized approach to healthcare.

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