Hirudotherapy: A Parasurgical Approach for Pain Management in Varicose Veins

Abstract

Objective: The objective of this study was to assess the effectiveness of Hirudotherapy (Jalaukavacharana) in the pain management of Varicose veins. Introduction: The aetiology of venous diseases is still poorly understood. Varicose veins; a problem associated with complaint of aching or cramping pain in the legs along with tiredness, restlessness, burning, throbbing, tingling or heaviness in the legs. Likewise long term varicose veins may cause significant complications like superficial thrombophlebitis, varicose eczema, venous ulcer, lipodermatosclerosis and a risk factor for DVT. Jalau kavacharana is one of the marvels of Parasurgical procedures explained by Sushruta. Study: A case series of 10 patients with varicose veins and pain as a main complaint were studied. Five settings of Jalaukavacharana, with every three day interval were given. Before and after Jalukavacharana symptoms were observed. Numeric rating scale was use to analyse the pain score. Management and Outcome: With all aseptic precautions and as per standards mentioned in Ayurveda texts, leech(s) were applied according to the extension of affected part. After 5 settings, it was observed that after Jalaukavacharana, the pain and associated symptoms subsided significantly. Discussion: Leech saliva contains anticoagulant and several other bioactive substances which corrects venous hypertension, reduces vascular congestion; reduce hyperpigmentation, limb girth and oedema. This therapy is believed to work through its ability to restore normal blood flow, prevents pooling of blood in legs by ensuring smooth blood flow from the legs towards the chest. This overall results in reduction of pain and also helps to prevent the complications of varicose veins.

Authors and Affiliations

S. Y. Raut, Akanksha Akulwar

Keywords

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  • EP ID EP365468
  • DOI -
  • Views 52
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How To Cite

S. Y. Raut, Akanksha Akulwar (2018). Hirudotherapy: A Parasurgical Approach for Pain Management in Varicose Veins. International Journal of Ayurveda and Pharmaceutical Chemistry, 0(0), 1-10. https://europub.co.uk/articles/-A-365468