Abstract

EFFECT OF JALAUKAVACHARANA IN THE MANAGEMENT OF PERIANAL HEMATOMA: A CASE STUDY

Dr. Sujata P. Chavhan*, Dr. Rajendra H. Amilkanthwar, Dr. Gani Shaikh and Dr. Rameshwar Bhojane

Abstract

A perianal hematoma is a localized accumulation of blood outside blood vessels beneath the skin surrounding the anal area. These hematomas can develop rapidly and are often associated with significant pain. The primary symptom is discomfort and swelling around the anus, which can vary in intensity from mild to severe, depending on the size of the swelling. Treatment may involve Jalaukavacharana, a parasurgical procedure rooted in Ayurveda. Jalaukavacharana, or bloodletting via leeches, is utilized for various inflammatory conditions, particularly when there is a vitiation of Pitta Dosha that becomes trapped in the blood. The therapeutic effect is largely attributed to the bioactive compounds found in leech saliva, which are introduced into the patient’s tissues during the blood-sucking process. These constituents exhibit anti-inflammatory, analgesic, thrombolytic, vasodilatory, anticoagulant, and properties that enhance blood circulation. The aim of this study is to assess the efficacy of Jalaukavacharana (Leech Therapy) in treating perianal hematoma. A 55-year-old female patient presented with pain and swelling in the perianal region and was diagnosed with a perianal hematoma in the Shalya OPD of GAC Nanded. The selected treatment was Jalaukavacharana, administered over three sessions on alternate days, which proved to be highly effective for the condition.

Keywords: Jalaukavacharana, Leech Therapy, Perianal Hematoma, Parasurgical Procedure.