Jalaukavacharan (Leech Therapy) in Varicose Vein and Varicose ulcer - A Case study

Varicose ulcer also called as venous stasis ulcer . It is slow healing chronic recurrent ulcer of Lower extremities. varicose vein are dilated, tortuous and elongated veins of limbs often appearing blue and dark purple. Incompetency of valve is most likely cause . Prolonged standing , obesity and pregnancy are risk factor . In Ayurveda, Varicose veins are compared with Siraj granthi. Raktamokshan is treatment modality for its treatment. . Raktamokshan (~bloodletting) procedures like Siravyad and Jalouka-avcharan with Vata-raktashamak medicines gives symptomatic relief. In this case study, a 50 yr old male pt. of varicose veins over B/L Lower limb with Venous ulcer with Lipodermatosclerosis was treated sucessfully. He came to Shalyatantra OPD of our hospital with ulcer over B/L ankle joint with pain swelling and blackish discoloration over B/L ankle joints. He was taking allopathic painkiller ( Tb zerodol sp ) daily from last 3months . Our line of treatment for him was Tb. Veinflux 1 tab twice a day with Mahamajistadi kadha 10ml twice a day along with oral medications leech application of 7 settings on alternate day .cleaning and dressing of ulcers between alternate days. After 7settings his ulcers healed completely and he got symptomatic relief .After 1st 3 settings he didn’t took any allopathic analgesic medicine.