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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