An Ethnomedical Perspective of Arabic Traditional Cauterization; Al-Kaiy

  • Tamer Aboushanab National Center for Complementary and Alternative Medicine
  • Saud AlSanad National Center of Complementary and Alternative Medicine, Ministry of Health, Riyadh, Saudi Arabia, Post Code: 11662, P. Box 88300. And, College of Medicine, Al Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, 13317-4233, Saudi Arabia


Cauterization (al-kaiy in Arabic) includes using a heated metal instrument (nail or metal rod) for skin application. This article describes the Arabic traditional cauterization from an ethnomedical view. The aims of this article are to document Arabic traditional cauterization practice, to address the beliefs and pattern of use about cauterization in various Arabic countries, and to identify adverse events and raise the safety concerns about this practice. The definition, history, historical indications, related knowledge, beliefs, the available information about the pattern of use in various Arabic countries and safety concerns are discussed. A new classification of identified complications related to cauterization is developed and described.  Encouraging the reporting of complications due to cauterization and other traditional therapies by healthcare professionals, further field research and documentation of the knowledge related to the practice and raising the healthcare community and the public awareness towards the safety concerns and the complications related to cauterization are advised.

Keywords: Cauterization, Adverse events, Ethnomedicine, al-kaiy, traditional


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  • Gureje O, Nortje G, Makanjuola V, Oladeji BD, Seedat S, Jenkins R. The role of global traditional and complementary systems of medicine in the treatment of mental health disorders. The Lancet Psychiatry. 2015 Feb 1;2(2):168-77.

  • Pieroni A, Price LL, Vandebroek I. Welcome to Journal of Ethnobiology and Ethnomedicine. Journal of Ethnobiology and Ethnomedicine. 2005;1:1. doi:10.1186/1746-4269-1-1.

  • Inhorn MC. Healing and medicine: popular healing practices in Middle Eastern cultures. Encyclopedia of Religion. New York, NY: Macmillan. 2005:3834-7.

  • Mohd Nayab, History of Amal-i-Kaiyy (Cauterization) and its indications according to the shapes of instruments: A review. International Journal of Medical and Health Research. 2017;3(3): 60-61.

  • Deuraseh N. Health and medicine in the Islamic tradition based on the book of medicine (Kitab Al-Tibb) of Sahih Al-Bukhari. JISHIM. 2006;5:2-14.

  • Sultana A., Shabnam A. Medical and scientific basis of cauterization (KAI). International Journal Of Current Research. 2016; 8, (05), 31943-31944.

  • Abou-Elhamd KA. Kaiy as traditional therapy for pain: is it helpful or a myth?. The Journal of Laryngology & Otology. 2009 May;123(5):566-8.

  • Farid MK, El-Mansoury A. Kaiy (traditional cauterization) in Benghazi, Libya: complications versus effectiveness. Pan African Medical Journal. 2015;22(1).

  • Ghazanfar SA. Wasm: a traditional method of healing by cauterisation. Journal of ethnopharmacology. 1995 Jul 28;47(3):125-8.

  • Khan LA, Khan SA. Clinical approach to patient treatment by traditional cauterization. Saudi medical journal. 2000;21(12):1195

  • Moloney GE. Local healers of Qasim region. In: Sebaie ZA, ed. Community Health in Saudi Arabia: A Profile of Two Villages in Qasim Region. Saudi Med J Monograph (No. I) 1982; 87-98.

  • Sherwell S. Further Observations on the Technique of an Efficient Procedure for the Removal and Cure of Superficial Malignant Growths. Archives of dermatology. 2010;146(10).

  • Abdullah MA. Traditional practices and other socio-cultural factors affecting the health of children in Saudi Arabia. Annals of tropical paediatrics. 1993 Jan 1;13(3):227-32.

  • Al-Habeeb TA. A pilot study of faith healers’views on evil eye, jinn possession, and magic in the kingdom of saudi arabia. Journal of family & community medicine. 2003 Sep;10(3):31.

  • Deuraseh N. Health and medicine in the Islamic tradition based on the book of medicine (Kitab Al-Tibb) of Sahih Al-Bukhari. JISHIM. 2006;5:2-14.

  • Sholkamy HM. Children's health and well-being: an ethnography of an upper Egyptian village (Doctoral dissertation, The London School of Economics and Political Science (LSE)).P 304-305.

  • Satti Abdelrahim, Mohamed-Omer SF, Hajabubker MA. Pattern and determinants of use of traditional treatments in children attending Gaafar Ibnauf Children’s Hospital, Sudan. Sudanese journal of paediatrics. 2016;16(2):45.

  • Awad Kamil M. Mothers’ misconception and traditional practises towards infant teething’symptoms in Khartoum. IOSR Journal of Pharmacy. 2012;2(3):448-51.

  • Saeed BO. Traditional medicine in the Sudan. Biochemistry and Molecular Biology Education. 1984 Jan 1;12(1):37-9.

  • Shafik A. Medicine in ancient Egypt. Journal of Investigative Surgery. 1998 Jan 1;11(5):291-3.

  • Seedhom AE, Kamel EG, Awadalla HI. Attitudes and patterns of use of alternative medicine in a rural area, El-Minia, Egypt. European Journal of Integrative Medicine. 2011 Jun 1;3(2):e71-5.

  • Abu-Qamar ME, Wilson A. Qualitative content analysis of complementary topical therapies used to manage diabetic foot in Jordan. African Journal of Traditional, Complementary and Alternative Medicines. 2012;9(3):440-8.

  • Sayed M, Abosinaina B, Rahim SI. Traditional healing of psychiatric patients in Saudi Arabia. Curr Psychiatr. 1999;6(1):11-23.

  • Al-Zahim AA, Al-Malki NY, Al-Abdulkarim FM, Al-Sofayan SA, Abunab HA, Abdo AA. Use of alternative medicine by Saudi liver disease patients attending a tertiary care center: prevalence and attitudes. Saudi journal of gastroenterology: official journal of the Saudi Gastroenterology Association. 2013 Mar;19(2):75.

  • Watts HG. Cutaneous cauterization (al-kowie)-a study in a pediatric outpatient-clinic in central Saudi-Arabia. Annals of Saudi Medicine. 1989 Sep 1;9(5):475-8.

  • Al-Binali AM, Al-Huneif MA, Al-Haider SM, Mostafa O. Perception of Cauterization Healing Effect among Infants Parents at the Southwestern Area of Saudi Arabia. Global Journal of Medical Research. 2014 Nov 22.

  • Al Moamary MS. Unconventional therapy use among asthma patients in a tertiary care center in Riyadh, Saudi Arabia. Annals of thoracic medicine. 2008 Apr;3(2):48.

  • Al Saadoon MA, Al Jafari MS, Al Dhouyani BD, Rizvi S. Factors associated with pediatrician attitudes over the use of complementary and traditional medicine on children in Muscat, Oman. International journal of health policy and management. 2015 Feb;4(2):65.

  • Al-Lawati T, Mehdi I, Al Bahrani B, Al-Harsi K, Al Rahbi S, Varvaras D. Does Alternative and Traditional WASAM (Local cauterization) Therapy Facilitate an Early and More Extensive Loco-regional Metastasis of Breast Cancer?. Gulf J Oncolog. 2016 Sep;1(22):37-42.

  • Al-Kaabi JM, Scrimgeour EM, Louon A, Al-Riyami BM. Tetanus: A clinical review. Neurosciences. 2001;6(4):220-3.

  • Raza S, Mahmood K, Hakeem A, Polsky S, Haemel A, Rai S, Baig MA. Adverse clinical sequelae after skin branding: a case series. Journal of medical case reports. 2009 Dec;3(1):25.

How to Cite
Aboushanab, T., & AlSanad, S. (2018). An Ethnomedical Perspective of Arabic Traditional Cauterization; Al-Kaiy. Advanced Journal of Social Science, 4(1), 18-23.
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