Effectiveness of Jalaukavacharan (Leech Therapy) in Siraj Granthi (Varicose Veins) - A Case Report
Abstract
Varicose veins are becoming a common illness and some people are affected in their lives due to poorly functioning of valves of lower limb, decreased elasticity of the vein wall, over pooling of blood within the veins. Prolonged standing work, obesity, genetic predisposition etc. are the independent predicator and required proper evaluation for opting treatment. In contemporary medicine compression stocking, venous stripping sclerotherapy, endovenous laser ablation etc. are the modalities recommended. Based on symptomatology, Siraj Granthi can be co-related with Varicose veins. Raktamokshan (~bloodletting) procedures like Siravyadhan and Jalaukavacharan with vata-rakta shamak medicines helps a lot in pacifying the symptoms. Here a diagnosed case of 42-year male patient with varicose vein having the complaint of pain, heaviness, tortuosity in bilateral legs with non-healing ulcer near medial malleolus of right lower limb classified as CEAP class 6 have been chosen for the study. Treatment advocated to him including, Jalaukavacharan weekly once along with oral administration of Sahacharadi Taila, 2 capsules twice daily with luke warm water after food for one month and wound dressing was done with Jatyadi Taila once daily. After the completion of treatment, one month of follow up was carried out. Clinically patient got significant relief in the sign and symptoms with complete healing of the ulcer and no recurrence of the conditions observed. Thus, due to high recurrence rates and agony for surgery, people prefer noninvasive treatment options. Therefore, combined approach of Jalaukavacharan (~leech therapy) with oral medication of Sahacharadi Taila found helpful in cases of Siraj Granthi (varicose veins).

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