Unified Review of Leech Therapy: Administration and Implications in Various Clinical Areas in the world of diseases in Shalyatantra

Authors

  • Sheetal G. Asutkar

Keywords:

Leech Therapy, Hirudo Therapy, Salivary gland secretions, Reconstruction Surgery, Arthritis

Abstract

The treatment of disease conditions with the application of medicinal leeches is termed as Leech Therapy. It has been termed as Jaloukavacharana in ancient Ayurvedic texts. Acharya Sushruta, the father of Surgery has stated the uses of leeches in Anushastras, which means the instruments or tools which can be used as Para surgical tools Jaloukavacharana has been an established therapy of Raktamokshana by Anushastras. Leech therapy (Hirudotherapy) is one of the oldest practices in medicine; it is known from the time of extreme antiquity and is still alive . Leeches were used for treatment in Egypt as early as 1500 BC. Salivary glands of a medical leech contain more than 100 bioactive substances and the salivary gland secretion has anti-edematous, bacteriostatic, and analgesic effects; it possesses resolving activity, eliminates microcirculation disorders, restores the damaged vascular permeability of tissues and organs, eliminates hypoxia (oxygen starvation), reduces blood pressure, increases immune system activity, detoxifies the organism by antioxidant pathways, relieves it from the threatening complications, such as infarct and strokes, and improves the bioenergetic status of the organism. By the virtue of salivary gland secretions which are proteinatious enzymes, it acts on various diseases like Arthritis, Chronic non healing wound, Venous diseases, Reconstruction surgeries, and many more. It has been said by Sushrutaacharya that Leech Therapy is a sole treatment in many surgical diseases.

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References

1. Whitaker IS, Rao J, Izadi D, Butler PE. Historical Article: Hirudo medicinalis: ancient origins of, and trends in the use of medicinal leeches throughout history. Br J Oral Maxillofac Surg2004; 42:133- 137..
2. Asutkar Sheetal G. ,Varshney Subhashchandra;: Concept of Research on change in Inflammatory Markers in patients of Aamwata (wsr, Rheumatoid Arthritis) treated with Leech Therapy, Ayurline; IJRIM | Website: www.ayurline.in | Jan -March 2017 | International Journal of Research in Indian Medicine Vol. 01 | Issue : 011-13 International 2017-E-ISSN: 2456-4435A
3. Bernard Aschner. Theories and Philosophies of Medicine. Institude of History of Medicine and Medical Research, New Delhi, 1973; 242-253.
4. Weinfeld AB, Yuksel E, Boutros S, Gura DH, Akyurek M, Friedman JD. Clinical and scientific considerations in leech therapy for the management of Hirudotherapy 177 DOI:10.5455/aces.20120402072447 www.acesjournal.org acute venous congestion: an updated review. Ann Plast Surg 2000;45:207-212.
5. Asutkar Sheetal G;Varshney Subhashchandra- Conceptual overview on Inflammatory markers in patients of Vranashopha(Cellulitis) and its management with Leech Therapy-International Journal of Innovative Pharmaceutical Sciences and Research-IJIPSR;Vol-4;Issue-1;Pg no,15-28;2016;ISSN no-2347-2154
6. Godfrey K. Uses of leeches and leech saliva in clinical practice. Nurs Times 1997;93:62-63.
7. Cole D. Clinical hirudology: Revival of an ancient art. N Z Med J 1985;98:28-29.
8. Sushruta Samhita; K.R.Shrikantha Murthy, 2014, Chaukhamba Orientalia Publishers, sutra sthana Chapter 17, verse 18.
9. Vagbhata; Sarvanga Sunder Vyakhya, Arun Datta, Chaukamba Prakashana ,Cikitsa Sthana Chapter 19, verse 36.
10. Sushruta Samhita; K.R.Shrikantha Murthy, 2014, Chaukhamba Orientalia Publishers, Sharir Sthana, Chapter 8, verse 24.
11. Management of Diabetic foot ulcer with Leech Therapy- A minimal invasive procedure. Dwiwedi Amarprekash et al.
12. Hematophagy – Wikipedia- last – edited in july 2015 cited on 5/05/2019
13. www.Leechmeknow.com - citedon 9/01/114.Fields WS. The history of leeching and hirudin.Haemostasis 1991;21 Suppl 1:3-10. 10. Fort CW.
14. A Systematic Overview of the Medicinal Importance of Sanguivorous Leeches: Alternative Medicine Review Volume 16, Number 1; pg no 59-65 ; - S.M. Abbas Zaidi, MD; S.S. Jameel, MD; F. Zaman, MD; Shazia Jilani, MD; A. Sultana, MD; Shariq A. Khan, MD
15. Rigbi M, Jackson CM, Latallo ZS. A specific inhibitor of factor Xa in the saliva of the medicinal leechHirudo medicinalis. 14th International Congress of Biochemistry; Abstracts FR 037, p. 53, July 10-15, 1998; Prague.
16. Rigbi M, Levy H, Eldor A, Iraqi F, Teitelbaum M, Orevi M, et al. The saliva of the medicinal leech Hirudo medicinalis--II. Inhibition of platelet aggregation and of leukocyte activity and examination of reputed anaesthetic effects. Comp Biochem Physiol C 1987;88:95-98.
17. Glyova O. Modern Hirudotherapy — A Review.(Biotherapeutics, Education and Research Foundation). The (BeTER) LeTTER 2005;2:1-3.
18. 18.Adams SL. The medicinal leech. A page from the annelids of internal medicine. Ann Intern Med 1988;109:399-405.
19. 19.Michalsen A, Roth M, Dobos G. Medicinal Leech Therapy. Thieme, Stuttgart, Germany, 2007
20. Zaidi SM, Jameel SS, Zaman F, Jilani S, Sultana A,Khan SA. A systematic overview of the medicinal importance of sanguivorous leeches. Altern Med Rev 2011;16:59-65. .
21. Mumcuoglu KY, Pidhorz C, Cohen R, Ofek A, Lipton HA: The use of the medicinal leech, Hirudo medicinalis, in the reconstructive plastic surgery. The Internet Journal of Plastic Surgery 2007;4(2).
22. Chepeha DB, Nussenbaum B, Bradford CR, Teknos TN. Leech therapy for patients with surgically unsalvageable venous obstruction after revascularized free tissue transfer. Arch Otolaryngol Head Neck Surg 2002;128:960-965.
23. Whitaker IS, Izadi D, Oliver DW, Monteath G, Butler PE. Hirudo Medicinalis and the plastic surgeon.Br J Plast Surg 2004;57:348-353.
24. Reverter D, Fernández-Catalán C, Baumgartner R, Pfänder R, Huber R, Bode W, et al. Structure of a novel leech carboxypeptidase inhibitor determined free in solution and in complex with human carboxypeptidase A2. Nat Struct Biol 2000;7:322-328.
25. Adams SL. The medicinal leech. A page from the annelids of internal medicine. Ann Intern Med 1988;109:399-405.
26. Wells MD, Manktelow RT, Boyd JB, Bowen V. The medical leech: an old treatment revisited. Microsurgery 1993;14:183-186.
27. Sviridova L. Leech therapy in recent times. 8th International Conference on Biotherapy, Abstractno:23, November 11-14, 2010, Los Angeles, CA. [Abstract and Handouts, Available via http:// www.bterfoundation.org/icb/abstract-book_icb2010.pdf (Accessed 15 May 2012)].
28. Henderson HP, Matti B, Laing AG, Morelli S, Sully L. Avulsion of the scalp treated by microvascular repair: the use of leeches for post-operative decongestion. Br J Plast Surg 1983;36:235-239.
29. Mutimer KL, Banis JC, Upton J. Microsurgical reattachment of totally amputated ears. Plast Reconstr Surg 1987;79:535-541.41. Rigbi M, Jackson CM, Latallo ZS. A specific inhibitor of factor Xa in the saliva of the medicinal leech Hirudo medicinalis. 14th International Congress of Biochemistry; Abstracts FR 037, p. 53, July 10-15, 1998; Prague.
30. Asutkar Sheetal G,Varshney Subhashchandra;The Cumulative anti-inflammatory effect of bloodletting by Leech (Jallaukavacharana) in patients of Arthritis (Aamvata) wsr inflammatory markers-A Research Realm”;AYURLINE- International Journal of research in Indian Medicine-Vol-2,issue- 7,pg no 1-17;IJRIM- 2018 2456-4435 1.
31. Paliwal Amit A.,Asutkar Sheetal G.;Vranashopha (Inflammation) and Various treatment Modalities in Ayurved-published by Lamberts Academic publishing;1-112 published by Lamberts Academic publishing(International),2016 ,ISBN NO-978-3-659-83528
32. Kraemer BA, Korber KE, Aquino TI, Engleman A. Use of leeches in plastic and reconstructive surgery: a review. J Reconstr Microsurg 1988;4:381-386.
33. Riede F, Koenen W, Goerdt S, Ehmke H, Faulhaber J. Medicinal leeches for the treatment of venous congestion and hematoma after plastic reconstructive surgery. J Dtsch Dermatol Ges 2010;8:881- 888.
34. Gileva OS. Modern hirudotherapy: Experimental Hirudotherapy 179 DOI:10.5455/aces. 20120402072447 www.acesjournal.org background and clinical efficacy. 8th International Conference on Biotherapy, Abstract no:22, November 11-14, 2010, Los Angeles, CA. [Abstract and Handouts, Available via http://www.bterfoundation.org/icb/abstract-book_icb-2010.pdf (Accessed 15 May 2012)]
35. Niqar Z, Alam MA. Effect of taleeq (leech therapy) in dawali (varicose veins). Anc Sci Life 2011;30:84- 91.
36. Pospelova ML, Barnaulov OD. Hirudotherapy in the treatment of bilateral internal carotid artery occlusion: Case report. Curr Top Neurol Psychiatr Relat Discip 2010;18:51-53.
37. Porshinsky BS, Saha S, Grossman MD, Beery Ii PR, Stawicki SP. Clinical uses of the medicinal leech: a practical review. J Postgrad Med 2011;57:65-71.
38. Whitaker IS, Elmiyeh B, Wright DJ. Hirudo medicinalis: the need for prophylactic antibiotics. Plast Reconstr Surg 2003;112:1185-1186.
39. Chepeha DB, Nussenbaum B, Bradford CR, Teknos TN. Leech therapy for patients with surgically unsalvageable venous obstruction after revascularized free tissue transfer. Arch Otolaryngol Head Neck Surg 2002;128:960-965.
40. Abdelgabar AM, Bhowmick BK. The return of the leech. Int J Clin Pract 2003;57:103-105.
41. Asutkar Sheetal G.;Pain management and Wound bed preparation of a chronic non healing wound over heel by leech therapy-A Case Study “;AYURLINE- International Journal of research in Indian Medicine,Vol-2 ;Issue-4;pg no-1-9;IJRIM-2018;ISSN No- 2456-4435
42. Delayed leech-borne infection with Aeromonas hydrophilia in escharotic flap wound. J Plast Reconstr Aesthet Surg 2006;59:94-95.

Published

2019-01-20

How to Cite

Asutkar, S. G. (2019). Unified Review of Leech Therapy: Administration and Implications in Various Clinical Areas in the world of diseases in Shalyatantra. Ayurline: International Journal of Research in Indian Medicine, 3(01). Retrieved from https://www.ayurline.in/index.php/ayurline/article/view/207