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Next topic for discussion: Raktamokshna / Jaloka # Ayurveda
Croatia Branko
Markovic: Raktamokshana is the priorities of
treatments of skin diseases. Blood-letting is administered by Venesection –
Sira Vyadha, at the joint of the hair-line and temporal region, which is useful
in the treatment of Unmada (insanity), Vishama Jvara (irregular fever) and
Apasmara. Anybody practising raktamokshan on head?
Vd. Vipul Patil: For Raktamokashan One should think Pooravkaram,
Pradhankaram & Paschatkarama.
Pooravkaram : Should advice to consume
ghrut according to disease condition. Here in ghrutpan no need snehsidhhi
lakshana Or any abhayang or swedana. Just 3 days acchasnehpan along with milk
or food is advisable
Pradhankarama: On the day of
raktamokashana Should take proper history Of pt Mainly regarding food Should
not do on empty stomach It's advisable to do rakatmokashan after intake of
Little food or any sweet So avoid Any murcha like condition
Paschatkarma: After doing rakatmokan There
is aganimandhay due rakatsatrav
according to shusruta So as per sansarjan karma One have to slowly increase Diet
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Ayulink: Recently I saw a doctor performing about
Blood letting therapy in (Germany) Europe. Where she practice Leach therapy for
ligamental tear near knee joint. Most surprising points I observed there:
* After raktamokshana, she did not
tried to stop bleeding from the bites of Jalouka (Leach)
* Patient was also mentally ready to
go home with bleeding scars..
* Both (patient and doctor) were
knowing that bleeding may be continued for next 24 hours (in most cases
bleeding does continue for overnight)
* After the use of Jalouka (Leach) in
India, we are trained to make Vaman of jalouka.....otherwise we believe that
the jalouka will die......but this German lady doctor doesnt make any such
thing. According to her, the same jalouka will be ready for use after 4-5
months.
* Very next day, patient called the
doctor and informed that she is feeling much relieved in pain and swelling on
knee joint
Dr. Mahavir Patil: how to recognise "savish" and
" nirvish" leach.. in practical way
Dr. Sushant Patil: U can do Jalokavacharan for Dushta Vran ie
Chronic wound also. Acne, Scar, Itching.
Dr Piyushbhai
Prajapati: Interesting.
By the way,my one patient has same
problem like pain with inflammation.. I did Jalukavacharan on both knees.. I
got that blood from one knee joint was stopped after sprinkling Haridra.. But
from the another knee joint, blood was coming out.. I tried a lot,but it could
not be stopped bleeding . After that day,next day,she complained that she had
relief in pain in joint from which blood was stopped.. But from the joint,where
blood was not stopped got more pain . I cant understand that time any logic..
Why from the one blood was stopped and why not from the next joint? Any thought
on it.
Dr. Mahavir Patil: may be leeching in artery ??
Dr Piyushbhai Prajapati: No. I
checked sir.
Dr. V B.
Maheshwari: It's a very good information sir.
But I have a doubt may b quality of jaluka is different. Here when I do jaluka
karma, if u don't do vaman of jaluka it will die after 1 day.
Dr Piyushbhai
Prajapati: Yes,but i remembered that jaluka was
pulled out little by mistake by patient when moving her leg from that joint
where blood was not stopped.. May be because of this??
Dr. Mahavir Patil: may be
Dr Piyushbhai
Prajapati: Even i experienced that if you
remove jaluka from its place of sucking forcefully by Haridra,then it is little
tough to make it vomit.. It takes more efforts to be vomitted .
Dr. Pranita Shah: Try doing jaloka in patients of aamvata
without prior pachan and chances prevail that the pain will increase. 90%
parients are relieved with blood letting immediately but 10% unsuccessful still
exits. Reasons being: No pachan (blood letting in saam avastha), Durdinn, Bad
quality of jaloka (shows reactions), Uneccessary excessive bleeding, Very less
bleeding than required.
In my observation, the jaloka help in
improving the microcirculation in the affected area, thereby helping to
eliminate the congestion of prostaglandins and other toxins.If bleeding doesnt
stop, apply khadir (acacia catechu) churna or purified alum (su. Sphatika) with
tight bandaging. Parnfuti juice is also too good to stop bleeding. Sushrut
samhita suggests shatdhaut ghrut (i havent tried). Haridra is more preferably
as antiseptic, not much useful as stambhak in excess bleeds.
I have tried jaloka in Arthritis (rheumatoid,
gout, cervical, lumbar), Non healing ulcers, Fungal infection, Colloidal goiter,
Skin diseases, Pedal fasciitis, Localised Stiffness.
Dr. Mahavir Patil: can anybody post pics of both type?
Dr. Pranita Shah: Frozen shoulder, Chronic pain due to
Ligament tears
Croatia Branko
Markovic: Anyone doing raktamokshan on head
for migraine or other head related diseases?
Dr Piyushbhai
Prajapati: Yes.. did for scalp psoriasis
Shahil H Bhavsar: In some types of kushtha siravedha is done.
Ex. scalp psoriasis And for luekoderma and ringworm jalauka can be used. Posionous
leech have varied lines on back are very hairy
Non poisonous leech -round shape -having
light blue line on back -thin body -hard/rough back -slight yellowish belly.
Ayulink: The German lady doctor also shown me photos
of leach application on tongue of the patient. I don't remember why she make
it. Any idea? I was really surprised and
shocked to see photo of leach, sucking blood from tongue.
Dr Anzil Eramangalath: Tongue Cancer? In mouth cancer issues, our Shalakya Sir used to do inside mouth.
Vd. Hardik bhatt: We are doing pracchan karm on head for hair
regrowth , baldness .
Vd. Pritam Bharat Veer: I experienced RAKTMOKSHAN IN hypertension.
Brachial blood withdrawn or let go. Jalouka can be applied in the cases of Skin
disease. Dosh vrudhhi or dosh sanchay at any place , jalouka is useful. After
jalaokavacharan , observe the blood they sucked. It gives an idea about which
type of dosh pradhanya. e.g. Vaataj dushti - krushna varn of blood.
Dr. V B.
Maheshwari: I did jaluka karma over head for
indralupta.
Dr. Arvind
Shahane: Vaidhya Ramdas ahwad Sir in
Copergaun Maharashtra had done tongue leach for burning in tongue and got
excellent result
Croatia Branko
Markovic: With jaloka or needle? I had seen
some doing with needle on the head but I am not sure what was the exact
position where they prick the needle. Anybody knows?
Dr. Kalpesh Vani: Jaluakas are my favourite in practice. Where
all treatments are failed they always stood by me.
I have used jalauka in following
conditions
1)Indralupta
2)Migraine
3)Vitiligo
4)Manyashool
5)Prushtashool
6)Katishool
7)Janusandhi shool
8)Vatarakta
9)Non healing wound
10)Parshni shool
11)Varicose veins
12)Nasal polyps
13)Arsha
I have photographs of most of the
above treatments done by me.
Dr Piyushbhai
Prajapati: I have applied Direct jaluka..after
doing his hair removal .
Dr. Kalpesh Vani: It may be for recurrent Mukhapak. It this
point Viddha karma also gives very good results
Croatia Branko
Markovic: Could you please explain a bit more
how you choose location where to put the jaloka? And after how long can therapy
be repeated?
Dr. Kalpesh Vani: 1)Point selection---Mostly most painful
point. 2) Generally I repeat after 3 days or 7 days
Croatia Branko
Markovic: What about if the point is on the
vein?
Dr. Kalpesh Vani: Then just adjucent to the vein Generally I
take prick by 26 1/2 no. Needle and then apply jalauka at desired site
Croatia Branko
Markovic: Aha so also in case of varicose
veins you will go just close to affected vein? Ok so first you prick just to
start the blood and then you apply jaloka? Or first you let the blood by needle
and then apply jaloka?
Dr. Kalpesh Vani: Once I got side effects in only one patient.
I applied jalauka to knee joint in the morning and evening knee was completely
swollen. Then I had to apply Dashang lep and then it came down in 3 days. But
same jalaukas were applied to her face but then there was no issue at all. This
happened twice to same patient
And I prick affected veins with 26 1/2
no. needle and let some blood come out .it decreases the pressure and pain
comes down significantly.I prick to have drops of blood only
Dr. Dayanand
Bothre: One of my senior friend used
jalaukacharan in mute and deaf patient on tongue and ear respectively after one
setting that first time in her life
sound comes from her mouth. Location was same two jalauka below tongue and
three jalauka on ear.
Even he had also tried jalaukacharan
on rt hand paralysed. He used 10jalauka on rt hand starting from shoulder to
fingers. And got good results she could move fingers just next to jalaukacharan
Dr. V B.
Maheshwari: We are sharing our jaluka clinical
experience, that is good. By this only we came to know that we can apply jaluka
in so many different cases, but what are the mode of action in these cases and
how to judge a patient whether she/he is suitable for jalukaavcharna?
Dr. Lukman Memon: I applied jaluka in alopecia in Akhand Anand ayurved college. Really after
one sitting hair growth .. Skin diseases Some part of body and organ like toe .
Fingure ankle joint . Cupping therapy not suitable. Leech therapy
amazing results ..
Dr. Nayan Gajera: I have a question regarding jaulauka- Can we
cultivate jaluka in our home or farm??Any information for that kindly share
Ayulink: I am not sure the word cultivate can be used
or not...but many doctors keep jalouka in their clinics, just like fishes. You
can keep jalouka in a big size transparent glass bottle, with a lid on top with
holes to pass air and oxygen to jalouka.
Dr Mahjabeen: Applied on diabetic foot
Dr Piyushbhai
Prajapati: In Nasik,there is doctor who started
cultivation of Jaluka. He even taught
how to do it .
Dr. Nayan Gajera: I mean if we can farming jaluka for clinical
purpose, how can I farming jaluka in my farm or home? Any idea about that
Dr. Nayan Gajera: Number or contact details plz if possible
Vd.Rahul Doke: Leeches are called jalouka in Ayurveda, As
they are re produced in water. They stay, eat and get nutrition from water.
Leeches used in the procedure of raktamokshan are found in small ponds were the
water does not flow.
According to modern science leeches
are classified in to hirudinea group. They have a special chemical called
hirudin in their saliva which prevents blood coagulation.
There are 2 types of leeches:
1. Hirudo medicinalis : Non poisonous
type of leeches used in medicinal treatment.
2. Hirudo detrimental : Poisonous type
of leeches which after bite give rise to poisonous reactions.
Dr. Samir Suneri: Leeches raktamokshan is very useful procedure. I m using in pimples,
swelling, hairfall, Dandruff, Joint pain
Dr.Nitin Mundhe: Also greatly useful in disease like psoriasis
I will send images from other post
Dr Ravinder
Bhardwaj: I m using in psoriasis and DNS
Dr Avadhut Mohite: It can also be used to relieve swelling and
pain associated to thrombosed piles by local application till the pile mass
deflates. Care should be taken to close the anal orifice with bandage/pichu.
Brazil Anália
Meirelles: Psoriasis?
Dr. Vikas Sharma: Rakta mokshan (blood cupping)hijma done at
that site where we see long lasting swelling along with necrosis of injury
area.by doing hijma heeling procedure boost up. But one thing must under stand
here that if essential nutrient wasting in blood for healing then this
procedure deteriorate that injury site.this phenomena compare with vata dosha
vridhi.
Dr. Jinal Thakkar: where can we apply jalauka in case of nasal
polyps? I have also used jalauka in cases of acne
Vd Limesh Khatri: One of My senior was proceeded Jalukavcharan
in PCOS and Endometriosis condition
Ayulink: more details please. At which location?
Vd Limesh Khatri: Lt & Rt Iliac & Lumber regions of
Abd
Vd Tushar Trivedi: During my study in Govt. Akhandanand
ayu. College, Ahmedabad,
Dr. Atul Bhavsar conducted
Jalaukavacharana in Coronary artery blockage... But I don't know the outcome..
Vd Ashish Kumar: Jalaukavacharn kitni baar karna chahiye? 1
se dusri baar me kitna antar rakhna chahiye?
Ayulink: We are sharing our jaluka clinical
experience, that is good. By this only we came to know that we can apply jaluka
in so many different cases, but what are the mode of action in these cases and
how to judge a patient whether she/he is suitable for jalukaavcharna?
Dr Mahjabeen: Research on leech’s saliva unveiled the
presence of a variety of bioactive peptides and proteins involving antithrombin (hirudin,
bufurdin), antiplatelet (calin, saratin), factor Xa inhibitor (lefaxin), antibacterial
(theromacin, theromyzin) and other
Dr Mahjabeen: Leech theoropy: evacuation of morbid matters
from the affected area. It also improves circulation to the area and provides
better nutrition to the area. Another one is diversion of morbid humors from
one site to the other. When hirudin comes in contact with blood, it forms a
tight complex with thrombin, inhibiting thrombin conversion of fibrinogen to
fibrin as well as inhibits platelet aggregation and thereby prevents blood
coagulation.
Leeches may also secrete
vaso-dilative, histamine-like substance, which increases the inflow of blood
after a leech bite and reduces the local swelling. Medicinal leeches also
secrete hirustatin (hirudo antistatin), which selectively inhibit tissue
kellikrein that are largely responsible for maintenance of normal blood
pressure. The presence local anaesthetic in leech’s saliva is still
controversial
-------------------------------.
Compiled by - Dr. Dhruti Kagrana
Compiled by - Dr. Dhruti Kagrana
