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Paralytic ileus is a prevalent medical condition following surgery, exerting a significant financial impact on the healthcare system. Despite its considerable implications, there has been limited progress in advancing both diagnostic and curative approaches to address ileus. This study seeks to introduce alternative diagnostic methodologies rooted in Persian medicine (PM) for paralytic ileus. Our investigation involved a thorough review of literature, including The Canon of Medicine, and an exploration of various PM texts for relevant references. The findings were systematically compared with contemporary medical documentation. According to Persian medicine, paralytic ileus is classified as a type of 'Gholanj' disease. Persian medicine physicians extensively documented this disease, presenting detailed insights. While some aspects of PM viewpoints and the etiology of intestinal obstruction were humoral-theory-based, a majority of his definitions align with current medical concepts. Additionally, Persian medicine physicians proposed numerous therapeutic approaches for managing ileus, such as the Hoghne method, rectal suppositories, topical application of medicines, sitz baths, and the use of laxatives. Gaining a deeper understanding of the pathophysiology and exploring alternative treatment options outlined in Persian medicine can prove valuable for future studies aimed at enhancing the management of paralytic ileus.