A case study on the effectiveness of Attai vedal (leech therapy) for the treatment of Karappan (eczema)
Keywords:Leech therapy, Siddha medicine, Eczema, EASI Score, Karappan
There are more than 3000 known common skin diseases. Eczema, generally referred to as karappan, is a prevailing dermatological condition often seen in clinical settings. It is not an immediately life-threatening disease; it is a chronic disease that has a physiological and social impact on a patient’s life. The skin lesion is manifested externally and visible to all. So, the patient feels detested and has depression. The disease may affect any age, but it is common in school-going age and 1-3 percent of adults. It is characterized by itching followed by redness, erythema, and papules. The papules may turn to vesicles. The condition known as karappan in the Siddha system of medicine is considered equivalent due to the presence of analogous signs and symptoms. Management of eczema involves emollients, steroids, and topical application therapy given in other systems. It will give temporary remedies even after use, relapse, recurrence and other complications are common. Hence, there is a need for alternative drugs and therapy that has a good efficacy in this debilitating disorder, which is possible through the Siddha system of medicine. Leech therapy (attai vidal) our siddhars have given importance to bloodletting therapy and concede leech is the most unique and effective method of bloodletting even in an infected wound, skin disease, and abscesses. The present case was carried out in the OPD of the department of Sirappu Maruthuvam, Government Siddha Medical College, Chennai, Tamil Nadu in India. The course of treatment has shown significant improvement in terms of alleviating all of the symptoms and improving the patient's easy score.
Shanmugavelu, M. noi nadal noi muthal nadal part 1, first edition, published by –Indian Medicine and Homeopathy Department, Chennai 106.
Yavanarani, S., Selvakumar, R., Sathiyabama, M. Preclinical toxicological screening of Siddha medicine Ganthi Mezhugu by acute toxicity studies in Wistar albino rats. Biomedicine. 2023 Mar 28;43(01):348-352.
Uthamarayan, K.S. Thotitagrarama araichium siddha maeuthuva varalarum, 4th edition published by –Indian Medicine and Homeopathy Department, Chennai 106.
Ring J. Eczema–in the focus between dermatology and allergology. Allergo Journal International. 2015; 24:129-142.
Küster, W., Petersen, M., Christophers, E., Goos, M., Sterry, W. A family study of atopic dermatitis: Clinical and genetic characteristics of 188 patients and 2,151 family members. Archives of Dermatological Research. 1990 Jan; 282:98-102.
Johannisson, A., Pontén, A., Svensson, Å. Prevalence, incidence and predictive factors for hand eczema in young adults–a follow-up study. BMC Dermatology. 2013; 13:1-1.
Nedorost, S. T. Generalized dermatitis in clinical practice. Springer Science & Business Media. 2012; pp. 1–3, 9, 13–14. ISBN 9781447128977.
Muthaliyar, K.N.K., Uthamarayan, K.N. Siddha Vaithiya Thirattu, Published by Indian Medicine and Homeopathy Department, Chennai, 600104.
Kuppusamy, K. N., Uthamaraayan.K.S. Siddha Vaithiya Thirattu. Published by Indian System of Medicine and Homeopathy, 2009.
Pratap Shankar, K.M., Rao, S.D., Gopalakrishnaiah, V. A clinical trial for evaluation of leech application in the management of Vicarcika (Eczema), Ancient Science of Life, Wolters Kluwer -Medknow Publications, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4293751/#_ ffn_sectitle.
Thiyagarajan, R. Gunapadam, Thathu-jeeva vaguppu, second edition, published by Indian Medicine and Homeopathy Department, Chennai 106.
Nadkarni, A.K. Indian Materia Medica, 3rd Edition, Reprint 1995.
Uthamarayan, K.S. Siddhar Aruvai Maruthuvam, 4th edition published by –Indian Medicine and Homeopathy Department, Chennai 106.
Thiyagarajan, R. Siddha Maruthuvam -Sirappu,first edition, published by Indian Medicine and Homeopathy Department, Chennai 106.
Snider, G.L., Stone, P.J., Lucey, E.C., Breuer, R., Calore, J.D., Seshadri, T., et al., Eglin-c, a Polypeptide Derived from the Medicinal Leech, Prevents Human Neutrophil Elastase-Induced Emphysema and Bronchial Secretory Cell Metaplasia in the Hamster. American Review of Respiratory Disease. 1985; 132(6): 1155-1161.
Ahmed, T., Anwar, M. Clinical importance of leech therapy. Indian Journal of Traditional Knowledge.2009;8(3):443-445.
How to Cite
Copyright (c) 2023 Biomedicine
This work is licensed under a Creative Commons Attribution 4.0 International License.