Efficacy of Irsal-i-Alaq (Hirudotheraphy) in the Management of Venous Ulcer: A Case Report
Abstract
Background: The most frequent and recurring type of leg ulcers seen in general practise is a venous ulcer (stasis ulcer). Its neglect has a considerable negative influence on quality of life, might result in gangrene, and may necessitate amputating the affected limb. The most serious and incapacitating complication of chronic venous insufficiency is venous ulcer. The conventional system of medicine offers limited clinical evidence for its effectiveness and usually needs amputation. Hence, it can be managed well by one of the Unani regimens, i.e., Irsal-e-Alaq (Hirudotherapy). Objective: The purpose of this case report is to provide insight into the effects of Irsal-e-Alaq (Hirudotherapy) in venous ulcer. Intervention: A 53-year-old male who has complaints of ulcer in left lower leg near lateral malleolus with swelling, pain, discharge and darkening of skin of left lower limb. Four leeches were applied once every 15 days for 45 days. Ulcer was assessed on 0th day, 15th day, 30th day and 45th day on the basis of area of the wound in a square centimetre, appearance of healthy granulation tissues, epithelization in percentage and depth of wound in centimetres, pain (VAS scoring), discharge, smell and number of wounds. Results: on the first day wound size was 4 cm long, 3 cm wide, 2 cm deep and the floor filled with dark granulation tissue with 0 % epithelization, discharge, pain and smell. On the 45th day ulcer was completely healed with 100% epithelization. Conclusion: Irsal-e-Alaq has been proven beneficial in treating venous ulcers and enhancing patients' quality of life. To determine the effectiveness of Irsal-e-Alaq in the management of venous ulcer, rigorous, controlled, randomised, blinded, and long-term follow-up studies on high sample sizes are required.
Keywords: Hirudotherapy, Unani Medicine, Leech Therapy, Varicose Ulcers
Keywords:
Hirudotherapy, Unani Medicine, Leech Therapy, Varicose UlcersDOI
https://doi.org/10.22270/jddt.v13i6.5859References
Shenoy RK. Manipal Manual of Surgery. New Delhi, India: CBS Publishers & Distributors; 2010.
O'Meara S, Al-Kurdi D, Ologun Y, Ovington LG, Martyn-St James M, Richardson R. Antibiotics and antiseptics for venous leg ulcers. Cochrane Database Syst Rev. 2014 Jan 10; (1):CD003557. https://doi.org/10.1002/14651858.CD003557
Pascarella L, Schönbein GW, Bergan JJ. Microcirculation and venous ulcers: a review. Ann Vasc Surg. 2005 Nov; 19(6):921-7. https://doi.org/10.1007/s10016-005-7661-3
de Araujo T, Valencia I, Federman DG, Kirsner RS. Managing the patient with venous ulcers. Ann Intern Med. 2003 Feb 18; 138(4):326-34. https://doi.org/10.7326/0003-4819-138-4-200302180-00012
Abbade LP, Lastória S. Venous ulcer: epidemiology, physiopathology, diagnosis and treatment. Int J Dermatol. 2005 Jun; 44(6):449-56. https://doi.org/10.1111/j.1365-4632.2004.02456.x
Das SA. A Concise Textbook of Surgery. 3rd edition. Calcutta:13, Old Mayor's Court. 2001:209-211.
Smith PC. The causes of skin damage and leg ulceration in chronic venous disease. Int J Low Extrem Wounds. 2006 Sep; 5(3):160-8. https://doi.org/10.1177/1534734606292429
Margolis DJ, Bilker W, Santanna J, Baumgarten M. Venous leg ulcer: incidence and prevalence in the elderly. J Am Acad Dermatol. 2002 Mar; 46(3):381-6. https://doi.org/10.1067/mjd.2002.121739
Bergan JJ, Schmid-Schönbein GW, Smith PD, Nicolaides AN, Boisseau MR, Eklof B. Chronic venous disease. N Engl J Med. 2006 Aug 3; 355(5):488-98. https://doi.org/10.1056/NEJMra055289
Kabiruddin AM, kulliyat -e-Nafisi. New Delhi: Idara kitabus-shifa; p 176.
Arzani HA, Mizan-ul-tib. (Kabirrudin HM translation). New Delhi: Idara kitab-us-shifa 2002; p 268
Majoosi HA, Kamil-us-sana (kantoori GH translation). New Delhi: Idara kitab-us-shifa: 2010; p 438
Razi A.M.B.Z, kitab-al-Mansoori.1st ed. New Delhi: CCRUM; 1991: p 262
Arzani AH, Tibbe Akbar (Urdu translation by Mohammad Hussain). Deoband: Faisal publication YNM: p 772-773
Tanzeel Ahmed, Mohd Anwar, Clinical Importance of Leech Therapy, Indian Journal of Traditional Knowledge, 2009; 8: 443-445.
K. Jha, A. Garg, R. Narang, S. Das, Hirudotherapy in Medicine and Dentistry, Journal of Clinical and Diagnostic Research, 2015; 9: ZE05-ZE07. https://doi.org/10.7860/JCDR/2015/16670.6918
M. Saqlain, F.Ali, A. Parveen, A. Riaz, Benefits of Leech Therapy in Unani System of Medicine: A Review, World Journal of Pharmacy and Pharmaceutical Sciences, 2016; 5: 559-569. DOI: https://doi.org/10.20959/wjpps20164-6364
Abdualkader AM, Ghawi AM, Alaama M, Awang M, Merzouk A. Leech therapeutic applications. Indian J Pharm Sci. 2013; 75(2):127-137.
Zaidi SM, Jameel SS, Zaman F, Jilani S, Sultana A, Khan SA. A systematic overview of the medicinal importance of sanguivorous leeches. Altern med rev, 2011 Mar 1; 16(1): 59-65.
Kumar S, Dobos GJ, Rampp T. Clinical Significance of Leech Therapy in Indian Medicine. J Evid Based Complementary Altern Med. 2013 Apr; 18(2):152-158. https://doi.org/10.1177/2156587212466675
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