Abstract
ROLE OF JALAUKA AVACHARANA IN THE MANAGEMENT OF VRANA SHOPHA: A CASE REPORT
Rabiya Shaikh* and Mukund S. Dhule
ABSTRACT
Vrana Shopha is defined as elevation caused by Doshas, localised and situated between skin and muscles which may be even or uneven, other than that of inflammatory swelling seen in cyst, abscess etc. type of disorders.Vrana Shopha is also the premonitory stage of Vrana (wound). If left untreated, leads to the manifestation of Vrana (wound). Aachaarya Sushruta has given immense importance to the concept of Vrana (wound) and for that he has explained Sixty procedures i.e. Shasti Upakrama for its management. Out of these Apatarpana (fasting or low diet) to Virechana (purgation) were mentioned for Vrana Shopha and rest for Vrana (wound). Rakta mokshana (Bloodletting) is one amongst them, it is the ancient and important parasurgical procedure described in Ayurveda. Of them, Jalaukavacharana or leech therapy has gained greater attention globally, because of its medicinal values. The medicinal leech (Jalauka) is known as “Hirudo Medicinalis.” Jalauka Avacharana (Leech Application) is defined as a gentle method for the removal of Pitta Dosha vitiated blood. The present paper is the case presentation of a 20 yrs. old male patient who came to Shalya Tantra OPD at Parul Ayurved Hospital Limda, Vadodara, with the complaint of Dakshin Pada Pradeshe Shopha (swelling on left leg), Kandu (itching), Suchi Vada Vedana (pricking pain) since one day. The treatment planned was of Jalaukavacharaa (Leech Application) with regular dressing and concomitant medicine for seven days. Complete healing was obtained within 7 days. This single case manifests that Vrana Shopha can be treated well with Jalaukaavcharana (Leech Application). Follow up was continued and within six month we didn't found recurrence.
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