Efficacy of leech therapy in the management of osteoarthritis (Sandhivata)
- PMID: 22408305
- PMCID: PMC3296343
- DOI: 10.4103/0974-8520.92589
Efficacy of leech therapy in the management of osteoarthritis (Sandhivata)
Abstract
Osteoarthritis (degenerative joint disease) is the most common joint disorder. It mostly affects cartilage. The top layer of cartilage breaks down and wears away. Osteoarthritis is of two types, primary (idiopathic) and secondary. In idiopathic osteoarthritis, the most common form of the disease, no predisposing factor is apparent. Secondary OA is pathologically indistinguishable from idiopathic OA but is attributable to an underlying cause. In Ayurveda the disease Sandhivata resembles with osteoarthritis which is described under Vatavyadhi. The NSAIDs are the main drugs of choice in modern medicine which have lots of side effects and therefore are not safe for long-term therapy. Raktamokshan, i.e., blood letting is one of the ancient and important parasurgical procedures described in Ayurveda for treatment of various diseases. Of them, Jalaukavacharana or leech therapy has gained greater attention globally, because of its medicinal values. The saliva of leech contains numerous biologically active substances, which have antiinflammatory as well as anesthetic properties. Keeping this view in mind we have started leech therapy in the patients of osteoarthritis and found encouraging results.
Keywords: Jalaukavacharana; leech therapy; osteoarthritis; sandhivata.
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References
-
- Altman R, Asch E, Bloch D, Bole D, Borenstein K, Brandt K, et al. Development of criteria for the classification and reporting of osteoarthritis.Classification of osteoarthritis of the knee. Arthritis Rheum. 1986;29:1039–49. - PubMed
-
- Lichtenstein DR, Syngal S, Wolfe MM. Nonsteroidal antiinflammatory drugs and the gastrointestinal tract.The double-edged sword. Arthritis Rheum. 1995;38:5–18. - PubMed
-
- Shastri AD. Sushruta samhita- Ayurveda Tattva Sandipika Commentary, Sutra Sthana. Varanasi: Chaukhambha Samskrit Samsthan; 2003. pp. 43–6.
-
- Wolfe MM, Lichtenstein DR, Singh G. Gastrointestinal toxicity of nonsteroidal antiinflammatory drugs. N Engl J Med. 1999;340:1888–99. - PubMed
-
- Sawyer RT. Leech Biology and Behaviour. Oxford: Oxford University Press; 1986.