WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Dr. Pradnya R. Kapse and Dr. Rinka Ramraj Verma

ABSTRACT

Perianal hematoma is a localized collection of blood in the tissue surrounding the anus under the skin.It is usually caused by a ruptured or bleeding veins around the anal verge.[1] Perianal hematoma can have symptoms like mild to severe pain depending on the size and is extremely painful in acute stage, however, majority of anal haematomas remains painless with mild discomfort because of the swelling which eventually disappears with conservative management.[3] Once it diagnosed the standard line of treatment is Excision of the clot under local anaesthesia. As per Ayurveda perspective the condition can be correlated with Raktaja granthi but direct describtion of perianal hematoma is not mentioned in Ayurvedic text. Jalaukavacharana i.e Leech therapy is one of the ancient para-surgical procedure described in Shushrut Sutra Sthan 13 Chapter.[2] and other major Ayurvedic text. It is used in the treatment of variety of inflammatory condition. Medical leech therapy or hirudotherapy is a kind of complementary and integrated method. A 51-year old male patient having chief complaints of pain and swelling at anal verge, was clinically diagnosed as case of perianal hematoma. This patient was treated with specific regimen such as Jalaukavacharana (Leech application) locally, along with Gandharva haritaki vatti 2HS internally. The patient had history of Angioplasty done in 2012 and was taking tab Ecosprin 150mg 1OD the patient was advised to discontinue the tablet one day prior to Jaluakavacharan and start one day after the therapy. The Patient was given 4 setting of Jalaukavcharan and the therapeutic evalution was done based the symptoms of his swelling and pain. Remarkable improvements in terms of pain and swelling was observed gradually after each setting and the pain was negligible after 2nd setting and swelling was markedly reduce after 4th setting. Hence this observational case study revealed significant effect of Jalaukavacharan in management of Perianal hematoma.