Efficacy of Jaloukavacharana (Leech Therapy) and Kasisadi Taila in the management of Venous Leg Ulcer - A Single Case Report

Abstract

Venous leg ulcers are common chronic wounds resulting from impaired venous return in the lower limbs. They often reduce quality of life due to pain, discharge, restricted mobility, and the risk of infection. Although conventional treatments such as medical therapy, wound dressing, and surgery are available, the recurrence rate remains high. Ayurveda offers promising alternatives, particularly Jaloukavacharana (leech therapy), which facilitates wound healing through the pharmacologically active constituents in leech saliva, including anticoagulants, vasodilators, and antimicrobial agents. Kasisadi Taila, an Ayurvedic medicated oil, is also traditionally used for its wound-cleansing and healing properties, although clinical documentation is limited. This case report presents a 48-year-old non-diabetic male with a chronic, non-healing ulcer on the right lower leg associated with varicose veins. The patient underwent Jaloukavacharana once weekly, followed by dressing with Kasisadi Taila. Internal medications included Pippali Churna (three gram twice daily before food with warm water) to enhance digestion and circulation, and Haritaki Churna (five gram at bedtime with warm water) to support bowel regularity. The ulcer showed progressive improvement, with complete healing observed after eleven weeks. This case suggests that the integrated use of Jaloukavacharana, Kasisadi Taila, and supportive Ayurvedic oral medications can be an effective and safe alternative in managing venous leg ulcers. The combination not only promoted wound healing but also prevented complications without any adverse effects. Further clinical studies are recommended to validate these findings on a larger scale.