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EFFECTIVITY OF LEECH THERAPY IN VARICOSE VEINS
Md. Anwer Alam, Zarnigar and Md. Tanwir Alam*
Background & Objectives: Varicose vein (Dawali) is a disease in which veins of legs and feet become dilated, tortuous, and greenish in colour due to excess accumulation of blood which is derived from saudavi madda, balgham ghaleez. The aetiology of varicose veins is still incompletely under stood, despite the fact that it is a very common disease affecting all ages from teenagers to elderly people. Prevalence of varicose veins increases with age. The complication of varicose veins like venous eczema, venous pigmentation, lipodermatosclerosis, superficial thrombophlebitis, venous ulceration etc impair health related quality of life significantly. The objective of the study is to evaluate the efficacy of Taleeq for secondary prevention of Dawali and to provide safe & cost-effective alternative treatment. Methods: Randomized controlled clinical open trial was conducted in regimenal unit of National Institute of Unani Medicine (NIUM). 50 patients were divided into 2 groups, 30 in test group & 20 in control group. Test group was treated with Taleeq on alternate day & control group was treated with grade 2 compression stockings & limb elevation for 2 months. Response was measured by assessment of pain / leg discomfort, limb girth, pigmentation colour & area. Ulcer healing was assessed by ulcer depth, pain in ulcer. PUSH Score, Periulcer surface, exudate amount & type on every 15th day. Hb% was assessed on every 15th day to check anaemia. Effect on anatomy of vein was assessed by colour flow Doppler USG in terms of valvular competency. Result: Test group showed significant reduction in pain, limb girth, pigmentation, number of perforators and out of 4 cases of ulcers 3 were completely healed in test group. Control group showed significant reduction in pain & limb girth, but there was no improvement on pigmentation in control group. There was improvement in ulcer parameters but ulcer was not completely healed. Both groups do not show significant improvement on SFJ & SPJ incompetency. Conclusion: Test group has major effects in improvement of all parameters. Study stresses that leech therapy should be administered in combination with compression stockings & other effective treatment modalities like weight normalization for obese patients, physical therapy, dietary modification etc for optimal results.[Full Text Article] [Download Certificate]