Dr. Satyaprakash Pal       Dr. Amit Shedge
PG Scholar (Shalya Tantra Samanya), M.S. (Shalya Tantra Samanya)
LRP Ayurvedic Medical College  
And Hospital,  



Prevalence of mental stress is very high due to hectic lifestyle, so the development of autoimmune disease is very common. Alopecia is one of these. Other cause of alopecia includes illness, hereditary factors, and some medications. In ayurveda hair falls addressed by various names like khalitya / indralupta.

This disease comes under shiro-rog. It is caused by pitta dosha. In common language it is known as baldness. In medical science is termed as alopecia of its medicinal values. Jalaukavacharan or leech therapy has gained greater attention globally, because, the saliva of leech contains numerous biologically active substances, which have anti-inflammatory/ scarring as well as anesthetic properties.

Keywords: Jalaukavacharan, Leech therapy, Indralupta, Alopecia.


In Ayurveda alopecia can be correlated with indralupta. Various Acharya’s have considered this disease under sira-kapala rogas. Root of cause is intake of vata and pitta aggravating diet, due to that hair fall is called as khalitya, after that vitiated rakta associated with kapha dosha blocks orifices of hair follicles, restrictive growth of new hair is called as indralupta.

The medical term for hair loss is Alopecia. Hair loss can be illness, hereditary factors, or some medications and physical or mental stress. Symptoms of alopecia is scaling or itching or hair loss is temporary by other symptoms of itching or scaling. Alopecia is affecting self –image and emotions. It can occur at any age, but mostly affects teenagers and young adults. Six of 10 people who are affected develop their first bald patch before they are 20 years old. Some people with alopecia aerated go on to develop a more severe form of hair loss, such as:


  • Alopecia totalis (no scalp hair) 
  • Alopecia universalis (no hair on the scalp and body)


In Ayurveda Raktamokshana is technical term employed to denote a Para surgical procedure to expel out the vitiated blood from selected area of the body, by specific methods. In Sushruta Samhita, the oldest available manual on surgery has devoted an entire chapter for the description of jalaukas, and the chapter on jalaukavacharaniya for the purpose of bloodletting. Jalaukava charan is claimed to be the supreme therapy because of its safety and high efficacy in the disorders involving the vitiation of blood .It is safely indicated even for the king, rich, old, fearful, weak, women, and people of tender nature.







A 32 year male patient came in O.P.D. of L.R.P. ayurvedic medical college, Islampur complaining with bald spot on scalp .History reveals 5 month back but hair regrowth taken allopathic treatment. But this time the baldness lasts for more than 2 month taken more time to regrow the hair .So he came to hospital for treatment.


  • Patients diagnosed of indralupta as per lakshan of ayurvedic classical text.
  • Irrespective sex, occupation, religion were included.


  • Bleeding disorder.
  • Diabetes Mellitus.
  • HIV and HBsAg.
  • Anemia.
  • Pregnancy.
  • Allergic patients.


  • HB%.
  • Bleeding Time.
  • Clotting Time.
  • Fasting Blood Sugar



MATERIALS: Diagnosed patients of Indralupta, Jalauka, Haridra, Water, Salt, Cotton and Bandage.


METHODS: Jalauka were applied bald spot two times in week.

METHODS OF JALAUKA APPLICATION: Procedure of Jalaukavacharan divided in to:

1) Purvakarma:

  1. Snehana and Swedana of the patients.
  2. Pouring the leech in haridra and water for purification.
  3. The patient’s skin is cleaned thoroughly with soap water or turmeric. The patients bald spot is cleaned with turmeric or soap water.

2) Pradhana Karma:

  1. First try to attach the leech at the bald site if not attached then application of honey at bald spot or by making an incision or a needle prick at the desired site so that of blood is produced and the leech attaches to the wound / incision quickly.
  2. Steer the leeches head to the area to be treated. The head of the leech can be recognized by is searching forward movements, while the tail end is used as a sucker for attachments. The leeches must be applied in adequate numbers to area of maximum infection / congestion.
  3. If leech starts sucking blood then cover the leech with wet cotton.
  4. The leech has finished sucking the blood, usually within 30 minutes; remove it (if it does not come off by itself) by applying salt or turmeric powder on its head.
  5. Once, the leech is used after that one week it will used.
  6. Check the bald spot for bleeding and clotting time of the patients.

3) Paschat Karma:

  1. Induction of emesis to the leech by dusting of haridra churna (turmeric powder) on its mouth.
  2. Sometimes pressing the leech from caudal to front end is required for proper emesis so press the detached leech between fingers to force out the sucked impure blood.
  3. Thus put back in fresh water container.leech should be freed in fresh water, where it swims swiftly and then settles down.
  4. The patient’s area where the leeches have been put should be examined for local infections.
  5. The minor wounds can be cleaned and washed with honey, and bandaged.
  6. One leech should be reserved for one particular patient.







Ayurveda is for treatment of various diseases. Of them, Jalaukavacharan or leech therapy has gained greater attention globally, because of its medicinal values. The saliva of leech contain numerous biologically active substances, hirudin one of these biological substance which work as anticoagulant action. It relives blockage at the root of hair and provide nutrition to hair. This process removes the toxins that are absorbed into the bloodstream through the gastrointestinal tract and developing the immune system. It prevalent hair fall and help to regrowth.


In summary, traditional leech therapy seems to be an effective symptomatic treatment for indralupta. The active compound in leech saliva also contains hirudin, calin, and destabilize-like substances which increase microcirculation by decreasing the blood viscosity. Carboxypeptidase, An inhibitor increases the inflow of blood at the bite site. Histamine-like substances are also present in leech saliva which acts as a vasodilator. By this way these substances that are present in leech saliva increase the microcirculation

We can conclude that leech therapy is beneficial in indralupta.



  • Sushruta Samhita, with the Commentaries, Nibandha Sangraha of Dalhana acharya and Nyaya Chandrika Panjika of Gayadas Acharya on Nidana Sthana. Edited From The Beginning To The 9th Adhyaya Of Chikitasasthanay, Yadavji Trikamji Acharya Varanasi: Chaukhamba Orientalia.
  • Charaka Chikitsa – Prasadani Bhashateekasamhita Vol-2. By K. Sri Keishnadas, Published by: Bombay Prakashan, Page no.789, 793. Cha. Chi 28/63 and 28/92.
  • Astanga Sangraha – of Vagbhata by, Prof.K.R.S Murthy Vol – 2 Edition: Reprint Edition: 1999, Published by: Chaukhamba Orientalia, Varanasi A.S.Ni 15/11
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