Effect of Jalaukavacharan in the Management of Vaam Pada Dushta Vrana With Sira Kautilya: A Case Report

Dushta Vrana is a chronic, non-healing wound condition associated with local inflammation, altered tissue healing and functional difficulty. In Ayurveda, Jalaukavacharana (leech therapy) is an established Raktamokshana procedure indicated in selected Pitta - Rakta dominant inflammatory conditions. This case report documents the successful management of A 48-year-old male teacher presented with Vaam Pada Dushta Vrana associated with Kandu, Vaam Pada Sira Kautilya and Sakashta Chankraman since six months. The patient was clinically and vitally stable and was a known case of hypertension since eight years, for which he was taking Tablet Telma 40 mg orally once daily. The patient was treated with Jalaukavacharana using three medicinal leeches on the left leg during each sitting, along with the internal medicines prescribed in the reference treatment protocol. Five sittings were performed on 07/05/2025, 14/05/2025, 30/05/2025, 14/06/2025 and 30/06/2025. The case documents the clinical use of Jalaukavacharana in a patient with chronic Dushta Vrana and associated venous tortuosity.