EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

EFFECT OF IRSAL-E- ALAQ (LEECHING) ON VENOUS ULCER- A CASE REPORT

Akmal M*, Zulkifle M, Ansari AH, Shaini Z

ABSTRACT

Introduction: Venous ulcer these days becoming a common problem in the population having habit of sitting and standing for long time period. The event starts with valvular defect in perforating vein and pressure shunting from deep to superficial vein. This inevitably lead pooling and stasis in superficial vein, this further make sluggish blood flow and microcirculation impedance and both in combination cause cellular death and sloughing of the tissue and it is called venous ulcer. Because of presence of higher pro-inflammatory mediator and healing interfering physical forces; stasis, sluggish flow, congestion, impeded microcirculation, venous ulcer refuse to heal unless circulation improved. Irsal-e- alaq (Leeching) found very effective in curing the venous ulcer. Material & Methods: In this study for the purpose of leeching, patients of venous ulcers were selected from surgical OPD of NIUM. Then patients were taken to regimenal therapy unit and two leeches, one on either side of ulcer, were applied for consecutive six weeks at weekly interval. Results: Oedema and oozing disappear within one week. At the end of second week ulcers of both patients were devoid of moisture, oedema and hyperaemia and granulation tissues were growing and at the end of third week depth of ulcer was significantly reduced and they were almost at the level of surrounding skin, still lacking epithelisation. At the end of sixth week ulcer was completely dry and almost healed, only the crater and crusting was evident, there was no oozing, spread, pain, and oedema. Ulcer was completely healed. Conclusion: Unani physician recommended Istefragh i.e. removal of wastes from the site of chronic ulcer for quick healing. This purpose can be fulfilled by Leeching or Irsale alaq which is found very effective in case of venous ulcer. More studies should be conducted with large sample size to explore the method further so that people can get benefit of the leeching with fewer expanses and no surgical interventions.

Keywords: leeching, irsal-e- alaq, venous ulcer, healing of ulcer.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )