Effect of Jaloukavacharana as a Para-Surgical Intervention in Vicharchika: A Clinical Case Report

Vicharchika is a commonly encountered inflammatory skin disorder described under Kustha roga, presenting with intense itching, oozing, thickened skin and discoloration. The involvement of Kapha, Pitta and vitiated Rakta make it a condition that responds well to Raktamokshana. Jaloukacharana (leech therapy) is a gentle form of para-surgical bloodletting especially indicated in sensitive and chronic skin lesions. To assess the effect of Jaloukacharana in a clinically diagnosed case of Vicharchika. A 67-year-old female patient reported with chronic pruritic, oozing and hyper-pigmented lesions over the bilateral feet and lower legs region for the past one year. Classical symptoms led to the diagnosis of Vicharchika. Jaloukacharana was performed once every 15 days for a total of five sittings using sterile medicinal leeches. Standard aseptic measures were followed, and the patient was advised Pathya Ahara with mild internal medications when required. Remarkable improvement was observed after the treatment course, with reduction in itching and oozing during the early sessions, followed by gradual decrease in induration, dryness and pigmentation. The patient did not report any complications during or after therapy. Jaloukacharana demonstrated significant symptomatic treatment course, with reduction in itching and oozing during the early sessions, followed by gradual decrease in induration, dryness and pigmentation. The patient did not report any complications during or after therapy. Jaloukacharana demonstrated significant symptomatic