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Abstract

JALAUKAVACHARAN FOR VARICOSE VEINS- A CASE STUDY ON MANAGEMENT AND EFFICACY

Vd. Umesh K. More*, Rajendra Sonekar and Rajendra Amilkanthawar

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Abstract

 Varicose veins are a common medical condition that affects millions of people worldwide. These enlarged, twisted veins, usually found in the legs, can cause discomfort, pain, and aesthetic concerns.  Varicose veins occur when the one-way valves in your veins, which help blood flow against gravity back to the heart, become weak or damaged.  This can lead to blood pooling in the veins, causing them to bulge and become visible through the skin. Several factors can contribute to the development of varicose veins, including genetics, age, obesity, pregnancy, and prolonged periods of standing or sitting.  While there are various conventional treatments available for varicose veins, some alternative therapies, such as leech therapy, have gained attention for their potential benefits in managing this condition.  Acharya Sushruta had described various types of granthi and its various treatment modalities among them jalaukaavacharana is one of them.  Varicose veins can be correlated with Siragranthi described in Ayurveda.  Vataprakopaka nidanas (Causative factors which aggravate Vata) such as heavy or excessive exercise, physical exertion, and straining can cause Siragranthi by obstructing the veins of debilitated person (Due to aggravated vata), which in turn causes Sankocha (Compression), Sampeedana (Squeezing) and Vishoshana (Drying up) and produces Granthi (Protruded nodule-like structure).  Sushruta had given special chapter related to jalauka in which he had described the types, nomenclature, specific qualities of each type of jalauka, their method to apply and detach and how to do vamana of jalauka.  Acharya charak also described jalauka as best amongst all anushashtras. Jalauka posseses sheet guna in nature and on the basis of sign.

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