Abstract

APPLICATION OF JALAUKAVACHARANA IN THROMBOSED EXTERNAL HAEMORRHOID: A SINGLE CASE REPORT

Dr. Amol Kedar*, Dr. Dinesh Rathi, Dr. Chandrakant Dhanokar, Dr. Vilas Koli

Abstract

Introduction: Arsha (haemorrhoids) is described in Ayurveda as one of the Ashtamahagada[1] and is considered a Rakta and Mamsa Pradoshaja Vyadhi.[2] Thrombosed external haemorrhoid is an acutely painful condition resulting from clot formation in external veins. Jalaukavacharana (medicinal leech therapy), a form of Mridu Raktamokshana, is indicated in painful and inflamed conditions where Rakta Dushti predominates. Objective: To evaluate the efficacy of Jalaukavacharana in a case of thrombosed external haemorrhoid. Case Description: A 39-year-old male presented with severe anal pain, burning, and a tender bluish mass around the anus. After routine investigations were found normal, Jalaukavacharana was performed on alternate days for three sittings. The leech was applied directly over the thrombosed haemorrhoid under aseptic conditions. Pain, swelling, and constipation severity were recorded before and after treatment. Results: The patient experienced immediate reduction in pain and discomfort after the first sitting, with marked relief in swelling and constipation following subsequent sessions. Complete resolution of the thrombosed mass and symptoms occurred by the tenth day. No adverse events such as excessive bleeding or infection were observed. Discussion: The therapeutic effects of Jalaukavacharana can be attributed to leech saliva constituents— anticoagulants, thrombolytics, and anti-inflammatory agents which help relieve venous congestion, dissolve the thrombus, and restore circulation. From an Ayurvedic perspective, the therapy effectively eliminates vitiated Rakta, thereby alleviating Shoola, Shotha, and Daha. Conclusion: Jalaukavacharana provided safe, effective, and rapid relief in a case of thrombosed external haemorrhoid, suggesting its potential as a minimally invasive alternative to surgical excision. Controlled clinical studies are warranted to validate these findings and standardize its therapeutic application.

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