Shubhangi P Thombare and Ramesh D Sonwane

Varicosities are defined as veins that become dilated, elongated, and tortuous, frequently involving superficial, perforating, and deep venous systems. In Ayurvedic texts, this condition is correlated with Sirajgranthi. Conventional management in modern medicine-such as ligation and vein stripping-is costly, carries procedural risks including vascular or neural injury, and is associated with high recurrence rates. In contrast, classical Ayurvedic science, particularly the teachings of Acharya Sushruta, recommend various modalities including Jalaukavacharana (leech therapy), a specialized method of bloodletting. Medicinal leeches (Jalauka) facilitate expulsion of vitiated blood, with the anticoagulant and anti-inflammatory compounds in their saliva (e.g., hirudin) contributing significantly to therapeutic effects. This paper presents a case study of a 58-year-old male with right lower limb varicosities who achieved notable symptomatic relief through Jalaukavacharana.

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