EFFECT OF JALAUKAVACHARAN (BLOOD-LETTING BY LEECHES) IN ACUTE APPENDICITIS: A CASE STUDY
Journal Title: International Journal of Ayurveda & Alternative Medicine - Year 2016, Vol 4, Issue 2
Abstract
Conservative management of acute appendicitis using Ayurvedic treatment is a challenging task. A patient with vomiting, severe abdominal pain and mild fever came to the outpatient department along with sonological findings suggestive of acute appendicitis. Patient had rebound tenderness at Mc Burney point along with tachycardia. Considering differential diagnoses mentioned in classical Ayurvedic literature it was diagnosed as a case of Amaavastha of Antarvidradhi. As classical treatment of Antarvidradhi suggests raktamokshana (blood –letting by leeches) it was decided to do Jalaukavacharan (blood –letting by leeches) along with Shankhavati (500 mg bid) and Avipattikar Choorna (5 gm HS). After Jalaukavacharan (blood –letting by leeches) significant reliefwas seen in agony of pain, fever and tachycardia. After subsequent settings of Jalaukavacharan (blood – letting by leeches) it was found that patient was not only free from symptoms but also significant remission was seen in size, inflammation and diameter of internal lumen of appendix. Hence conservative management of acute appendicitis is possible using classical Ayurvedic treatment. However efficacy of such treatment must be further explored to find precise indications and contraindications for such treatment.
Authors and Affiliations
Sarvesh Chikte, Piyush Gandhi, Shailesh Deshpande, Jayant Phadke, Yogini Kulkarni
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