Management of multiple Varicose ulcers with leech application- A Case Report Effect of leech application in Venous ulcer Monica Shrestha PhD (Scholar), Dept. of Shalya tantra, IPGT &RA, Gujarat Ayurveda University, Jamnagar Tukaram Dudhamal Associate Professor, Dept. of Shalya Tantra, IPGT&RA, Gujarat Ayurved University, Jamnagar Keywords: Ayurveda, Jalauka, Leech, Siragranthi, Ulcer, Varicose veins Abstract Varicose ulcer occurs due to abnormal venous circulation or venous insufficiency. More than 1 million cases are reported per year in India. They are most common among the chronic non healing ulcers approximately 70% - 90%. A 30 years old male patient came to outpatient department with ulcers on the right leg from last 4 months. On examination it was diagnosed as a case of Varicose ulcer and diagnosis was confirmed by Venous Doppler which showed incompetence at sapheno-femoral junction. Main valve and all segmental valves of great saphenous vein appeared incompetent. According to Ayurveda this condition can be co related to Siragranthi. So leech application was prescribed. The ulcers healed completely after 8 sittings for a period of 2 months, once per week. Inflammation and discoloration also decreased remarkably. So, this case study depicted that such case of varicose ulcer can be treated successfully by leech application. PDF Published 2019-01-06 Issue Vol 2 No 4 (2018): October -December 2018 Section Case Reports