A Conceptual Study of Wound Bed Preparation by Leech Therapy (Jallaukavacharana) In Patients of DushtaVrana w. s. r. Chronic Non-Healing Wound


  • Sheetal G. Asutkar
  • Balika Bhatbhage


Wound bed preparation, Shodhana, Sandhana Karma, Jalaukavacharana, Shashti Upakramas, Leech Therapy


Of all the surgical entities , the treatment of Vrana is the hallmark of Ayurveda Shalya Chikitsa. Acharya Sushruta has explained varieties of Vrana, of them Dushta Vrana secures supreme importance.Vrana which has foul smell, flowing putrefied pus along with blood, with cavity, since long time and has bad odor,  is Dushta Vrana.  Moreover wound which  heals very slowly in spite of best efforts by chikitsa chatuspada can be considered as Dushta Vrana and needs extra therapeutic efforts for management.  Acharya Sushruta has explained Shashti Upakramas and have also mentioned Shodhana by Raktamokshana (Bloodletting) in Dushta Vrana (contaminated wound).

           According to modern medical science chronic wounds are those which do not follow the normal healing process and show no signs of healing in 4 weeks and remain in prolonged inflammatory stage.

          Wound bed preparation is the management of a wound in order to accelerate endogenous healing or to facilitate the effectiveness of other therapeutic measures.                                                        

          Jalaukavacharana has a comprehensive therapeutic influence in reducing inflammation, pain, Srava (exudates) and vitiated Doshas and stimulates granulation tissue in the wound bed.

           Chronic non healing wound is a debilitating illness especially in adult population irrespective of cause. In modern science  availability andaffordability of these treatment options is questionable. 

             With all such basic concepts in mind a study has been planned for clinical research in which cnhu patients will be treated by jallaukavacharan in two groups so as to compare effect of leech therapy with control group treated by TIME principle of wound management.


Download data is not yet available.


1)Sushruta Samhita, chikitsasthana 2/ sloka 9. Hindi commentary by Dr. Anantram Sharma, Chaukhamba Surbharati Prakashan,Varansi. 2013;Vol-2, Page no.176
2) IllustatedSusrutaSamhita (Text, English Translation,Notes,Appendeces and Index) VOL.1- Sutra Sthana , VranaprashnaAdhyaya 22/7 Edited by Prof.K.R.Srikant Murthy ChaukhambhaOrientaliaVaranassi Reprint Edition 2012 , pg.no.166
3) Sushruta Samhita of Sushruta Chikitsa sthana 1/8 with Ayurveda Tatva Sandipika hindi commentary by Kaviraja Ambika Dutta Shastri, Chaukhambha Sanskrit Sansthan Varanasi, Part 1-2,9th edition 1995.
4) IllustatedSusrutaSamhita (Text, English Translation,Notes,Appendeces and Index) VOL.1I- Chikitsa Sthana , Dvivraniya Chikitsa Adhyaya 01/27-29, Edited by Prof.K.R.Srikant Murthy ChaukhambhaOrientaliaVaranassi Reprint Edition 2012 , pg.no.11
5) SRB`s Manual Of Surgery – Sriram Bhat M., (JAYPEE ) The Health Science Publisher, fifth Edition 2016, chapter no. 1 -Wounds and Wounds Healing, Page no.-4
6) Becky Adkins, RN, MSN, CWS Nurse practitioner. Science of wound bed preparation. April 20,2004.
7) Gottrup F. A specialized wound-healing centerconcept: importance of a multidisciplinary department structure and surgical treatment facilities in the treatment of chronic wounds,AmJ Surg. 2004;187(5): p38–43
8) Tarpe Rajiv Kashirsm, Bapardekar Datt Sawlaram.Effect of Jalaukavacharana(Leech therapy) In Dushta vrana (Non healing varicose ulcer): A case report.IAMJ2017;5(2):602
9)Raju Kumar Sharma, Nisha Sharma, Ved Prakash, Nishant Kaushik.Management of dushta vrana by jatyadi grita followed by Jalaukavacharana.IAMJ 2017;5(3):783-93.
10) Becky Adkins, RN, MSN, CWS Nurse practitioner. Science of wound bed preparation. April 20,2004.
11) A.S. Halim .Wound bed preparation from a clinical perspective.IJPS 2012; V 45(2): 193-202
12) Vivek Bhatt, Ajay Kumar Gupta,Vishal Varma, Ajay Kumar, Tapish Maheshwari. Effect of Jalaukavacharana in the management of dushta vrana w.s.r. non healing ulcer.IJTRA 2016;4(5):39-43.
13) Yogesh R. Badwe .Clinical evaluation of Vrana Ropana (Wound Healing) effect of ‘Panchavalkala Tail’ in Sudha vrana- A pilot study.AJMS 2015;3(13)
14) Global Perspective on Diabetiv Foot Ulcerations-Dr.Thanhdinh;Dec 2011,Chapter-5,(wound measurement),pg,no,74.
15)Safeguarding public health,Public Assessment report.UKPAR Bowmed Ltd, Co-Amoxiclav solution for injection or infusion.MHRA www.mhra.gov.uk
16) Sharangdhar Samhita , Madhyam khanda – adhyaya 7/ 82-83 , Acharya P. Radhakrishna Parashar, Shri Baidyanath Ayurved Bhavan ,Nagpur.Aug 2012 , page no. 297.
17) Asutkar Sheetal G. A Conceptual overview in inflammatory markers in patients of Cellulitis (Vranashopha) and its management with Leech therapy IJIPSR2016; 4(1):213-218
18) Maharshisushrutha, sushruthasamhita, sutrastanajalaukavacharan chapter 13/11&12thsloka,dalhana commentry,6th edition, edited by jadavjitrikamjiacharya,varanasi, chaukhambha orientalia,1997,P.56,57
19) Dr. M. K. Shamkuwar, Panchakarma Sangraha, chapter no. 8 , Page no. 368
20) Sushruta Samhita , Sutrasthana , ( Shonitvarnaniya )Adhyaya 14th/ sloka 25th . Dr. Anantram Sharma, Chaukhamba Surbharati Prakashan 2013,Varansi. Vol-1, Page no.107
21) Ashtanghridaya , Sutrasthana, (Shastravidhi) Adhyaya 26th/sloka-55th, Hindi commentary by Dr Brhmananda Tripathi, Chaukhamba Surbharati Pratishthan, Delhi.2013, Page no. 293
22) Sartha Sushruta Samhita, Sutrasthana 13(Jalaukavacharniya adhyaya) / slok18th - 22nd, (Marathi Translation) Vaidyaraj Datto Ballal Borkar, Rajesh Ramesh Raghuvanshi publication ,Pune. Page no.48, 49
23) Asutkar Sheetal G. Cummulative anti-inflammatory effect of bloodletting by Leech (Jallaukavacharana) in patients of Arthritis (Aamvata)wsr inflammatory markers-A Research Realm IJRIM(Ayurline)Vol-2,no5th (2018) ,August 2018,ISSN2456-4435
24) Asutkar Sheetal G, Pain management and wound bed preparation in chronic non healing wound over heel by leech Therapy-a Case Study, IJRIM(Ayurline)Vol-2,no4th (2018),June 2018 ISSN2456-4435



How to Cite

Asutkar, S. G., & Bhatbhage, B. (2018). A Conceptual Study of Wound Bed Preparation by Leech Therapy (Jallaukavacharana) In Patients of DushtaVrana w. s. r. Chronic Non-Healing Wound. Ayurline: International Journal of Research in Indian Medicine, 2(06). Retrieved from https://ayurline.in/index.php/ayurline/article/view/158