Thursday 3 December 2015

Leech Application

Raktamokshan  ( Therapeutic Blood Letting )  –

Part 3 on 3 Dec 15, Thursday

Leech Application

      Leech (Herudo medicinalis) is a blood- sucker.

      Leech lives in water hence named Jalauka, but can survive out of water if proper moisture is provided.

      It has following body parts

      Mouth – contains suckers with the help of which it sucks the blood
      Body – it is shiny with transverse line on the body surface
      Base – it is a circular part which sticks to the surface for the support

      Length of the leech is variable (from 1 and half cm to 45 cm) but 6 -10 cm length is the best for Raktamokshna.

      Skin is shiny and moist due to secretion secreted by the skin.

      This moistness is necessary for the respiration. Respiration of leech takes place through the skin.

      Difference between male and female
      Female leech – narrow mouth, broad body, skin soft shiny
      Male leech – half circular shape, broad mouth, narrow body

      Types of leech

      Leech is of two types
1.  Poisonous (Savisha)
2.  Non-poisonous (Nirvisha)

      Always use non-poisonous leach for bloodletting. If poisonous leech is applied on the body, it will cause oedema, itching, fever, vomiting, body ache, fainting etc.
      Now days, leaches are available in the market for raktamokshana.
The cost is about 40-60 Rs per leech

      Storage of leech

      Leeches are stored in glass jar filled with water or fish ponds or aquarium.
       Water should be changed after every 2-3 days for proper oxygen supply.
      Water should not be chlorinated, this can be harmful to leeches.
      They can live without any food material for 4-6 months.

      Benefits of leech application

      Painless method of Raktamokshna
      Very easy to apply, cheap and short
      Pre-surgery processes like anesthesia are not necessary prior to leech application
      Do not result in any harmful effects.
      It shows result instantly. So it is counted as a emergency treatment also.

      Leech application

      Clean the body surface at which leach should be applied.
      But do not use an aromatic substance for cleaning like soap, dettol, spirit etc. because of this smell leech will not suck blood from that surface.

      Apply honey at that surface or do the Prachhana karma (Scraping) so as some drops of blood collect at that surface.
      Leech quickly sticks to that surface and start sucking.
      Keep the leach always moist by placing cotton mesh pierced in water. Water should be poured on the cotton mesh at regular intervals.

      After sucking (as much as it can), the leech itself leaves the body surface
      It sucks impure blood first.

      While sucking of blood leech discharges certain chemicals through saliva.
      Hirudin : anticoagulant, prohibits blood clotting
      Prasaran :which destructs minute bacilli
      Himatin : disolves the clots in the blood
      Sandnyahar

      While sucking impure blood, there will be no feeling like pain.
      But when it begins to suck the pure blood, it will cause pain, itching etc. in that case, one should make efforts to remove the leech from the body surface.

      For that turmeric powder is applied at the mouth of leech, or any aromatic substance like spirit, dettol can be used.

      After removal of leech, turmeric powder is applied at the mouth of leech. It causes the leech to vomit the sucked blood. All the impure blood should be removed; otherwise the leech will not survive for longer time.

      The wound of the body surface at which the leech was applied, contains anticoagulant hirudin. It causes bloodletting for longer time. Hence do not apply bandage.

      Firstly clean the wound by cotton swab repeatedly. This causes decrease in hirudin level.

      Afterwards turmeric powder should be applied on the wound. It causes clotting. Then apply pressure bandage on the wound.

      Kindly note ,even before Leech application BT ,CT ,PT test must be done to rule out Blood Dyscrasias

      Some modern Doctors recommend Inj TT ,to the patient ,before applying Leeches

      Prof.Dr.R.R.Deshpande --- 9226810630
      Dr.Sachin Sarpotdar -------- 9822795363
      Dr,Mayura Shinde ---------- 7276866831

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