AYURVEDIC MANAGEMENT OF JALUKA VISHA - A CASE REPORT

Abstract

Background: Leech, or jalooka, is very commonly used in Ayurvedic treatments, especially for bloodletting purposes. There are two types of leeches: medicinal and poisonous. The secretion of medicinal leeches contains many bioactive molecules with analgesic, anti-inflammatory, and anticoagulant properties. But in posisonous leech bites, complications are seen due to their secretions. Symptoms vary from local infection to bacteremia. Infection depends on species, area of application, condition of the patient, etc. If proper treatment is not given, there is a chance of cumulative toxicity, which further leads to other complications. Materials and methods: Here we report a case of vishaja jaluka damsa having intense itching and blackish discoloration over bilateral foots associated with peeling of skin and oozing of blood on scratching with severe discomfort during night time since last 2 years. In the purview of the Agada Tantra, it can be considered jangama visha, and treatment was planned accordingly. Special yoga mentioned for vishaja jalooka damsa in Malayalam text books, such as prayoga samuchaya, visha Vaidya jyotsnika, and kriyakaumudi, is also used in management. Dooshivisha chikitsa and rasayana chikitsa were also done. Results: The patient got complete relief from itching, scaling, and bleeding from scratches. Conclusion: Management of poisonous bites using the principles of Agada tantra is effective. Keraleeya Visha Chikitsa books contain many effective yogas for poisoning cases.

Key words: Visha jalooka, Leech bite, Agada tantra, Prayoga samuchaya, Visha Vaidya jyotsnika, Kriya kaumudi