JALAUKAVACHARAN AND DIETARY INTERVENTION IN TWAKA VIKAR (VICHARCHIKA): A CASE STUDY

Currently observed that the sedentary lifestyle and stressed work schedule has increased the number of skin disorders (Twaka Vikara). It has been established fact that the common cause of various skin disorders (Twaka Vikara) is altered Ahara and Vihara (Dietary and Lifestyle changes), specially Viruddhaahar (in-compatible diet). Ancient Ayurveda Scholars described in detail Raktamokshana (the procedure of remov-ing the vitiated blood) for the management of the diseases caused by Rakta and Pitta. The Jalaukavacha-ran (Leech therapy) is one of the effective Raktamokshan (bloodletting) management of vitiated Rakta and Pitta caused skin disorders. In Jalaukavacharan the anti-coagulant property of hirudin, contained in leech saliva, lead to wider therapeutic application in prevention and treatment of various Twaka vikara. Twaka Vikara (Vicharchika) is one of the mostly observed skin disease, which is mainly developed on account of misconduct in all aspect including kayik, vachik, manasik variety of misconducts along with dietary and lifestyle irregularities. Dietary intervention and lifestyle modification play an important role to cure the diseases. In Present case study Patient showing symptoms of Vicharchika (Twaka Vikara) having improper dietary habits and stressed work schedule, after the Dietary Regimen and lifestyle modification along with Jalaukavacharan at local area showed improvement in skin texture. The details of the causative factors, clinical findings, improvements observed after implementation of preventive and curative management plans are presented here.