CLINICAL STUDY ON EFFECTIVENESS OF JALAUKAVACHARANA(LEECH THERAPY) IN THE MANAGEMENT OFVATARAKTA(BUERGER’S DISEASE)
- Conditions
- VATARAKTA (BUERGER’S DISEASE)
- Registration Number
- CTRI/2018/02/011872
- Lead Sponsor
- Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital
- Brief Summary
In Vatarakta Vata and Rakta obstruct movements of each other because of Avarana, so Raktamoshana(blood letting) is indicated to clear the channels and free movements of Vata and Rakta.
Jalaukavacharana(leech therapy) one among Raktamokshana treatment is taken as treatment modality because Jalaukavacharana relives symptoms like different types of pain, burning sensation.it is also said that Jalaukavacharana is indicated in conditions where Rakta is clotted and deep seated.
**Aims and Objectives of the study**
To evaluate the efficacy of Jalaukavacharana in the management of Vatarakta (Buerger’s disease)
**Methedology**
Current study is open labeled, single arm, prospective clinical study with minimum 30 patients with pre and post test design.
patient will be screened with the screening form which will be prepared with all aspects of history, sign and symptoms of Vatarakta(buerger’s disease), laboratory investigations to rule out major illness. After screening the patients of Vatarakta(buerger’s disease), will be recruited into the study.
Jalaukavacharana will be done once in 2 days for 3sittings.(1st ,4th and 6th day)
Total duration of treatment 7days.
**JAKAUKAVACHARANA:**.(leech therapy)
· **Purva Karma(pre op procedure)**
· **For patient**The patient is made either to sit or lie down, the area selected for application of Jalauka made rough by rubbing with either mud or fine powder of cow dung without causing pain.
· **For Jalauka(leech)**the body of Jalauka should be smeared with solution of paste of Sarsapa and Haridra and kept in a water pot for a period of one Muhurta(28 minutes), the after knowing that they are free from fatigue it should be picked up and made to catch the place of the disease.
· **Pradhana Karma**(operative procedure)
Jalauka is to be applied on the site. Jalauka will bite on the skin and suck the blood itself. Its face appears like the hoof of a horse and it raises its neck by this we can understand that it has started sucking blood. As soon as Jalauka starts sucking, wet white gauze will be covered on it
· **Paschat Karma****(post op procedure)**
After sucking Shuddha Rakta(pure blood) patient gets itching and pain at the site, then it is removed by sprinkling Haridra churna(turmeric powder ) at its mouth region and dressing will be done
**Follow up**
After completion of 3 sitting of Jalaukavacharana patients will be reviewed again.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Open to Recruitment
- Sex
- Male
- Target Recruitment
- 30
- 1.Smoking index (SI) > 300 [No. of cigarettes smoked per day x No. Of years of smoking] 2.Pack years index (PYI) >40 [ No. of years of smoking x No of packets of cigarettes per day] 3.Shiyanoya’s criteria for T.A.O Tobacco use, only in males Disease starts before 45 years.
- Distal extremities involved first without embolic or atherosclerotic features.
- Absence of diabetes mellitus or hyperlipidaemia.
- With or without thrombophlebitis.
- Patient who are ready to participate and sig n the informed consent form.
- Cases of diabetes mellitus with peripheral neuropathies, cardiac diseases, bleeding disorders, thrombocytopenia, any other severe systemic diseases.
- Chronic ulcers due to varicose veins.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method subjective parameters After completion of eaach 3 sittings of Jalaukavacharana i.e .1st ,4th and 6th day patients will be reviewed again. Pain After completion of eaach 3 sittings of Jalaukavacharana i.e .1st ,4th and 6th day patients will be reviewed again. Burning sensation After completion of eaach 3 sittings of Jalaukavacharana i.e .1st ,4th and 6th day patients will be reviewed again. Sleep After completion of eaach 3 sittings of Jalaukavacharana i.e .1st ,4th and 6th day patients will be reviewed again. Walking ability After completion of eaach 3 sittings of Jalaukavacharana i.e .1st ,4th and 6th day patients will be reviewed again. Ulceration After completion of eaach 3 sittings of Jalaukavacharana i.e .1st ,4th and 6th day patients will be reviewed again.
- Secondary Outcome Measures
Name Time Method Pallor (Buerger’s test) Boyd’s classification for intermittent
Trial Locations
- Locations (1)
Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital
🇮🇳Hassan, KARNATAKA, India
Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital🇮🇳Hassan, KARNATAKA, IndiaDr BHOOMI SONIPrincipal investigator9008637659bhoomi629@gmail.com