The Efficacy of Jalukacharana in Raktamokshana: A Shalyatantra Perspective an Analysis of Sushrutha's Surgical Wisdom in Blood Purification - A Review

In the classical Ayurvedic surgical compendium, Sushrutha Samhita, Rakta (blood) is recognized as a fundamental vital force, the vitiation of which leads to various inflammatory and metabolic disorders. Raktamokshana (bloodletting) is the specialized therapeutic intervention for such conditions. Among its diverse modalities, Jalukacharana (Leech Therapy) is distinguished as the most refined, non-invasive, and "Sukumara" (gentle) method, specifically indicated for Pitta-dominant blood disorders. This article explores the systemic role of Jalukacharana within the framework of Shalyatantra (Ayurvedic Surgery). It aims to analyze the classification of leeches, the procedural precision of application (Poorva, Pradhana, and Paschat Karma), and the physiological impact of leech saliva on disease pathology.