Varicose Vein Management Using Jalaukavacharana

Abstract

Varicose veins (Siragranthi) are a common vascular disorder of the lower limbs characterized by dilated,
tortuous, and engorged superficial veins due to venous valve incompetence. In Ayurveda, this condition is
described under Sira Vyadhi or Siragranthi, caused by vitiation of Vata, Kapha, and Rakta doshas. Among the
therapeutic approaches, Raktamoksana (bloodletting) is a principal purification therapy, and Jalaukavacharana
(leech application) is a safe and effective form of localized bloodletting. The present article discusses the
Ayurvedic rationale, therapeutic mechanism, procedure, and supporting clinical evidence for Jalaukavacharana
in managing varicose veins.