Role of Isabgol (Psyllium Husk) in the Management of Qabs (Constipation): A Systemic Review

Abstract

Constipation (Qabs) is a common gastrointestinal disorder characterized by infrequent and difficult bowel movements. In Unani system of medicine, Isabgol (Psyllium husk) obtained from the plant Plantago ovata seeds, is widely used for its Mulayyin (laxative) properties in managing Qabs. This systemic review aims to evaluate the role of Isabgol in the treatment of Qabs by examining contemporary scientific literature and traditional medicinal texts. A comprehensive search was conducted across various databases, including PubMed, Scopus, and Google Scholar, to identify relevant studies investigating the efficacy, safety, and mechanism of action of Isabgol in treating constipation. Search terms such as ‘Isabgol’, ‘Psyllium husk’ ‘Plantago ovata’ were combined with ‘Qabs’, ‘Constipation’, and ‘Bowel regularity’ to retrieve articles published from 2014 to 2024. A total of 34 articles were filtered and reveiwed. In the Unani system of medicine, Isabgol is used extensively for its various therapeutic actions such as a laxative, purgative, carminative, lubricant, diuretic, anti-inflammatory, anti-microbial, and analgesic agent. The findings indicate that, Isabgol effectively improves bowel regularity, stool consistency, and overall digestive health. It primarily works through its high fiber content, which increases stool bulk and promotes peristalsis. Additionally, Isabgol exhibits prebiotic properties, enhancing gut microbiota balance. This review also addresses potential side effects and contraindications, emphasizing the importance of proper dosage and administration. In conclusion, Isabgol is a valuable therapeutic agent for managing Qabs, providing a natural, safe, and effective alternative to conventional laxatives. Further clinical trials and pharmacological studies are recommended to substantiate these findings and explore additional benefits.