Author(s): Shabnam Ansari, Fatima Rafique and Ziaur Rahman

Abstract: Polycystic Ovary Syndrome (PCOS) is a prevalent endocrine disorder characterized by menstrual irregularities, ovarian cyst formation, obesity, and metabolic disturbances. The Unani system of medicine attributes the pathogenesis of PCOS to an imbalance in balgham (Phlegm) due to the derangement of Mizaj (Temperament), particularly Su-e-Mizaj Barid Balghami (Derangement of cold temperament). The excessive accumulation of balgham mayi leads to cyst formation and various manifestations such as ehtebase tams (Amenorrhea), qillate tams (Oligomenorrhea), uqr (Infertility), samanmufrit (Obesity), hirsutism and hoarseness of voice. This manuscript explores the Unani understanding of PCOS, highlighting its humoral pathology, diagnostic principles, and therapeutic approaches. Understanding the disease from a Unani perspective can provide insights into traditional management strategies, emphasizing temperament correction and lifestyle modification.

DOI: 10.22271/flora.2025.v13.i2a.976