Lesson no. 32 Preparations for sick: -

Introduction

Preparations for sick consist of special herbs used according to the diseases cooked with a light meal & given to a sick person to eat, by this our food becomes our medicine & we will be free from side effects of the medicines, but you should know what to use in which disease.

Nabi ﷺ’s guidance about preparations for sick: -

Preparation for sick person: -

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1. Once Hazrat Saad Bin Abi Waqqas رضي الله عنه fell ill in Makkah, Nabi ﷺ visited him & asked to call a doctor, Al Haris Bin Kuladah was called, he came & examined Hazrat Saad رضي الله عنه & said he is not serious & advised to take dates (khajur), barley (jaw) & boiled fenu greek seeds in water (methi) & prepare broth (soup like gravy) than put honey on it & give to Hazrat Saad رضي الله عنه at early morning, luke-warm. & Hazrat Saad رضي الله عنه got well; Nabi ﷺ liked the preparation advised by Al Haris Bin Kuladah.
[Al-Tibb Al-Nabawi Harful Haa, vol. 1; page. 230]
Img 2. Hazrat Saad Bin Abi Waqqas رضي الله عنه says that he fell ill, he had chest pain, Rasoolullah ﷺ visited him & kept His Respected Palm on Hazrat Saad رضي الله عنه‘s chest, Hazrat Saad رضي الله عنه felt the soothing effect in his whole chest & Rasoolullah ﷺ prayed for him, & said that Sa'ad is suffering from cardiac problem. & Rasoolullah ﷺ advised to take Hazrat Saad رضي الله عنه to Haris Bin Kuladah (a hakim) & Rasoolullah ﷺ said the physician should give 7 Ajwah (عجوة) (dates) of Madinah (المدينه) crushed, & with its seed grinded & put it in your mouth.
[Abu Dawud: 3875; Book. 29; English Book. 28; Hadees. 3866]

List to maintain heart health: -

Eat More Eat Less
Healthy fats: raw nuts, olive oil, fish oils, flax seeds, or avocados Trans fats from partially hydrogenated or deep-fried foods; saturated fats from fried food, fast food & snack foods
Nutrients: colorful fruits & vegetables - fresh or frozen, prepared without butter Packaged foods, especially those high in sodium & sugar
Fiber: cereals, breads & pasta made from whole grains or legumes White or egg breads, sugary cereals, refined pastas or rice
Omega 3 & protein: fish & shellfish, poultry Processed meat such as bacon, sausage & salami & fried chicken
Calcium & protein: Eggs, skim or whole milk, cheeses or unsweetened yogurt Yogurt with added sugar, processed cheese

Good Sources of Fiber: -

Good Sources of Fiber
Food Serving size Fiber grams
CEREALS
Fiber One 1/2 cup 14
All-Bran 1/2 cup 10
Bran Flakes 1 cup 7
Shredded Wheat 1 cup 6
Oatmeal (cooked) 1 cup 4
VEGETABLES
Spinach (cooked) 1 cup 4
Spinach (cooked) 1/2 cup 3
Carrots 1 medium 2
Brussels sprouts 1/2 cup 2
Green beans 1/2 cup 2
BAKED GOODS
Whole-wheat bread 1 slice 3
Bran muffin 1 2
Rye bread 1 slice 2
Rice cakes 2 1
LEGUMES (cooked)
Lentils 1/2 cup 8
Kidney beans 1/2 cup 6
Lima beans 1/2 cup 5
Baked beans (canned) 1/2 cup 5
Green peas 1/2 cup 4
GRAINS (Cooked)
Barley 1 cup 9
Wheat bran, dry 1/4 cup 6
Spaghetti, whole wheat 1 cup 4
Brown rice 1 cup 4
Bulger 1/2 cup 4
FRUIT
Pear (with skin) 1 medium 6
Apple (with skin) 1 medium 4
Strawberries (fresh) 1 cup 4
Banana 1 medium 3
Orange 1 medium 3
DRIED FRUIT
Prunes 6 12
Apricots 5 halves 2
Raisins 1/4 cup 2
Dates 3 2
Plums 3 2
NUTS & SEEDS
Peanuts, dry roasted 1/4 cups 3
Walnuts 1/4 cups 2
Popcorn* 1 cup 1
Peanuts* 10 1
Filberts, raw 10 1
Choose no-salt or low-salt version of these foods

Diabetes Mellitus: Insulin is secreted by the pancreas; in a diabetic patient it is inadequate to utilize the glucose in the blood. The glucose cannot be converted to energy & this leads to excessive blood sugar levels. This is dangerous as it can lead to serious complications. The first prescription a diabetologist gives is a food prescription. If it is strictly adhered to, in the early stages, there's no need to pop a pill.
Diabetes patients must: -
1. Eat measured quantities of cereal foods.
2. Eat at smaller intervals.
3. Eat less carbohydrate & fatty foods.
4. Avoid pure sugar forms like crystallised sugar, sweets & confectionery.
5. Eat plenty of high-fibre foods like vegetables & sprouted legumes.
6. Eat moderate amounts of citrus fruits & other low sweet fruits like papaya, guava, melon, pear & apple.
Hypertension (High blood pressure): Hypertension merely means high blood pressure. The diet below is for the primary hypertension patients, whose high blood pressure is caused by unknown or hereditary causes. (Secondary hypertension patients must follow the diet as per their actual disease.) As a general rule, all hypertension patients must keep their blood pressure under control with proper medicines & follow right diet.
A hypertensive individual must: -
1. Reduce salt in the usual foods
2. Avoid high sodium foods like pickles, pappads, chips ,fried items & processed foods containing Mono Sodium Glutamate
3. Never reach out for the salt sprinkler
4. Never put on excessive weight
5. Eat plenty of fruits & vegetables
6. Exercise mildly but regularly
Ulcer: This is tummy trouble. The inner walls of the stomach (as in gastric ulcer) or the duodenum (as in duodenal ulcer) are broken resulting in inflammation. This painful condition requires careful monitoring of the food ingested. Intake of the wrong food can cause serious aggravation of the problem.
Ulcer patients must: -
1. Eat high protein food as protein helps in faster healing of the ulcer.
2. Eat food in small quantities & at small intervals. A heavy stomach can be very uncomfortable.
3. Eat food that is soft in texture & taste. Plenty of milk, eggs, soft boiled cereals, porridges, mashed potatoes can be taken with little sugar or salt.
4. Avoid green chillies, red chillies & pepper. Keep all types of spices & condiments at bay until complete cure.
Kidney Diseases: -They can be classified into 3 types.
1. Acute Renal Failure: In this condition, the kidneys are unable to excrete the protein (breakdown products). Hence the diet has to be low in protein, of high biological value with adequate calories to prevent energy utilization from tissue proteins. The fluid & electrolytes like sodium & potassium must be taken in measured amounts, according to the guidance of the dietician.
2. Chronic Renal Failure: This condition too requires diet to be advised to individual needs. The intake has to be periodically adjusted depending on the biochemical test readings.
A patient must follow these rules regarding diet: -
1. Take adequate quantities of energy foods.
2. Do not take excessive quantities of water, sodium & potassium that are excreted through kidneys.
3. Monitor the ability of the kidneys to excrete the nitrogenous wastes & salts. Take a low protein diet depending on that.
4. A dose of multivitamin is helpful.
3. Nephrotic Syndrome: The principal features of this condition are loss of albumin in urine, decrease in plasma albumin & marked oedema.
A patient must: -
1. Compensate the urinary loss of albumin through a high protein diet.
2. Counteract the oedema through restricted sodium intake.
Heart Diseases: In disorders of the heart & circulatory system, prepare the diet with the following rules in mind: -
1. Reduce the energy value of the diet, if the patient is overweight.
2. Restrict the sodium intake if oedema is present.
3. When serum lipids are raised, reduce intake of saturated fats & cholesterol
High blood cholesterol is usually associated with increased incidence of coronary diseases. Cholesterol is found only in fats obtained from animal sources such as egg yolks, milk, cheese, cream, butter, shell fish, brain, kidneys etc.
To control dietary cholesterol: -
1. Limit egg yolk intake. However, you can eat egg white.
2. Substitute skimmed milk for whole milk.
3. Substitute vegetable fats for animal fats.
Obesity: Are you obese? Sneak a peek at the height-weight table. If you are 110 - 120 percent of the ideal body weight or more, then oops, you are obese! & you have problems piling at your doorstep. You are liable to develop diabetes, cardiovascular disorders, gall stones, varicose veins, abdominal hernia, flat feet, osteoarthritis of the spine, hips & knees (Phew! Isn't it enough?)
Thousands of books have been written on the subject of slimming. But let's take basics one: -
1. Do not change your diet in a dramatic way. Conform to the basic food you are used to.
2. Reduce the energy value of the diet.
3. Eat sufficient quantities of protein, vitamins & minerals.
4. Eat more of bulky, non starchy foods.
5. Do not eat much of sugar, jam, sweets, chocolates, cakes, soft drinks, ice creams, fried foods, canned food, dried fruits & alcohol.
6. Help yourself to low calorie foods - non thickened soups, skimmed milk, china grass jelly, roasted pappads etc.
7. Exercise regularly. It must go hand in hand with dieting. There is no substitute for it.
Anaemia (low haemoglobin): If you have anaemia. Millions in the world suffer from it. Anaemia is caused when the normal synthesis of red blood corpuscles are disturbed, the common reasons are deficiency of either iron, Vitamin B12, folic acid or ascorbic acid (Vitamin C) all or any two or anyone of them.
Add on the following foods to overcome the deficiency: -
1. Iron can be derived from green & leafy vegetables (spinach / paalak), lentils, dates, figs, raisins, whole wheat, jaggery, egg yolk & red meat.
2. Vitamin B12 is found in muscle meat, fish, cheese, eggs & milk.
3. Folic acid is found largely in green leafy vegetables.
4. Ascorbic also known as Vitamin C is principally found in fresh fruits & vegetables. All citrus fruits are a rich source, but our locally found Amla (Nellikkai) is said to be the the best source of vitamin C.
Img Liver Disorders: - Liver is the largest organ with complex functions like protein metabolism, carbohydrate storage & detoxification of some poisons, alcohol metabolism & production of bile. Liver injury is caused by infective agents like acute infective hepatitis or toxic substances like carbon tetrachloride, chloroform & certain drugs. The condition is marked by increased concentration of bile pigment - bilirubin - in blood. This is observed as yellow pigmentation (jaundice). Vomiting, nausea & loss of appetite are significant features of this condition.
Diet: - You can take carbohydrates in the form of fruit juices apart from intravenous glucose, if fluids are tolerated. Food can be later altered to suit your taste. Avoid heavy, spicy food, milk products, oily, fats, stored food, canned food, packed food stuffs, however protein rich food like gram, soy beans, glucose (because it helps & to improve the liver functions) can be eaten.
Hepatic Cirrhosis: - This is the chronic condition resulting from various forms of liver damage, especially in association with alcoholism.
Diet: -
1. Eat a balanced diet adequate in all nutrients.
2. Take sufficient quantity of protein.
3. Appetite is fickle. Monitor diet on daily basis, to maintain a high-protein, high-energy intake.
4. Cirrhosis may be associated with accumulation of fluid in peritoneal cavity. In such an event, restrict the salt intake.
Porto-Systemic Encephalopathy: - Some patients develop signs of impaired functions of the nervous system. It is found that nitrogen-containing material in the intestine plays an important part in precipitating the condition. Hence high energy & a reduced protein diet are recommended.
Cholecystitis: - This is the inflammation of gall bladder, mostly associated with gallstones & accompanied by obesity. It is more common among women than men.
Acute Cholecystitis: If you are suffering from acute cholecystitis, remember to: -
1. Drink plenty of water, glucose & fruit drinks.
2. Take a low fat diet. (The presence of fat in the duodenum stimulates gall bladder contraction. A low fat diet is appropriate to keep contraction of gall bladder to the minimum, during the period of acute inflammation).
Chronic Cholecystitis: - In this case, if surgery is not advised, a suitable long-term regimen is required. For chronic cholecystitis, we must have a normal fat intake. This helps to counteract stones of the gall bladder, promotes drainage of the biliary system & helps to prevent formation of gallstones. Fats of milk, butter & eggs are usually well tolerated. Avoid vegetables & fruits causing flatulence (the accumulation of gas in the alimentary canal).