Published Paper Details:

Jalaukavacharana, commonly known as leech therapy, is an important parasurgical procedure described in Ayurveda under Raktamokshana. Classical texts, especially the Sushruta Samhita, emphasize its role as a gentle and effective method for eliminating vitiated blood, particularly in inflammatory and vascular disorders. In recent years, leech therapy has gained renewed attention due to its successful application in modern medical fields such as plastic and reconstructive surgery, wound management, and integrative healthcare practices. The therapeutic action of Jalaukavacharana is attributed to bioactive substances present in leech saliva, which exhibit anticoagulant, anti-inflammatory, analgesic, and vasodilatory effects, thereby improving microcirculation and promoting tissue healing. Current trends indicate an increasing acceptance of leech therapy as an adjunct treatment for chronic non-healing ulcers, venous congestion, inflammatory joint disorders, and selected dermatological conditions. Despite these advancements, challenges such as lack of standardized protocols, safety concerns, and limited large-scale clinical trials remain. The future scope of leech therapy lies in the development of standardized clinical guidelines, exploration of salivary bioactive molecules for drug development, expansion into newer therapeutic areas, and strengthening of integrative healthcare models. With systematic research and scientific validation, Jalaukavacharana holds significant potential as a safe, cost-effective, and evidence-based therapeutic modality bridging traditional Ayurvedic wisdom with contemporary medical practice.