Abstract
ABSTRACT
 Method of removing blood from the body using jalauka (leech) is considered as the most easy and convenient method. Blood vitiated by vata, pitta and kapha should be removed from the body, by using sringa, jalauka and alabu respectively. Jalauka is ideal to remove blood vititated by pitta. The medicinal leech, Hirudo medicinalis, is one of the few examples of the use of invertebrates in the treatment of human disease. Leech therapy also known as Hirudotherapy (mentioned as Jalaukavacharan in Ayurveda) played an important role because it was used for medicinal "blood-letting" and "purification".
 “The destruction / break / rupture / discontinuity of body tissue / part of body, is called Vrana.” The healing of wound or an ulcer is the natural response of the body. Naturally wound will heal in one week if no doshic invasion or infection takes place. The vrana more than a week called dushta vrana which fail to heal for a long period and result into chronic wound (dheergha kalanubandhi dushta vrana), such vrana needs shodhana (Abhyantara) and ropana (Bahya) chikitsa. Virechana and Jatyadi ghruta application as well as jalaukavacharan (leech therapy) are the best line of management for vata-pitta pradushtaja dushta vrana.
Highlights
Method of removing blood from the body using jalauka is considered as the most easy and convenient method
The vrana more than a week called dushta vrana which fail to heal for a long period and result into chronic wound, such vrana needs shodhana (Abhyantara) and ropana (Bahya) chikitsa
Shalya Tantra is one of the important branches of Ayurveda in which surgical and para surgical techniques have been described for management of various surgical diseases
Summary
Paschat karma (After procedure): 1. After it falls off, its body should be sprinkled with rice flour, its mouth bathed with oil added with salt, held (lifted up) at its tail end by the thumb and fingers of the left hand. Its body kneaded slowly in the downward direction with the thumb and fingers of the right hand and make it vomit all the blood it has consumed, till signs of compete vomiting appear. 2. Signs of compete vomiting is that it moves fastly to and fro in search of food when put into the vessel of water. Signs of compete vomiting is that it moves fastly to and fro in search of food when put into the vessel of water Those which is not vomited com- pletely, develops an incurable disease known as Indramada. 3. Those which is not vomited com- pletely, develops an incurable disease known as Indramada. 5. The minor wounds can be cleaned and washed. INDICATIONS Eczema, Psoriasis, Osteoarthritis, Rheumatoid arthritis, Cellulitis, Sciatica, Varicose veins, Diabetic wound, Boils and abscesses, Alopecia, Herpes zoster etc
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