"JALAUKAVACHARANA IN THE MANAGEMENT OF SIRAJA GRANTHI: A CASE REPORT WITH SPECIAL REFERENCE TO VARICOCELE"

Varicocele is a venous disorder characterized by dilatation and tortuosity of the pampiniform plexus, with higher prevalence seen in adolescents and young adults. It is observed in nearly 15–20% of healthy fertile men and about 40% of those with infertility. The condition is clinically important as it can compromise male fertility through impaired sperm function and DNA integrity. Modern therapeutic options include laparoscopic ligation and radiological embolization of the testicular veins. However, these interventions are invasive reserved for severe cases and often carry risks such as recurrence. From the Ayurvedic perspective although varicocele is not described as a distinct entity it shares similarities with Siraja Granthi as mentioned in the Brihatrayees. The classical management advised is Siravyadha (venesection). Considering the involvement of fine vessels such as the pampiniform plexus. In the present case a 32-year-old male presented with complaints of dull aching pain and a vague dragging sensation in the scrotum and groin, which are classical symptoms associated with varicocele. The patient was managed with Jalaukacharana (leech therapy), administered in four consecutive weekly sittings under aseptic precautions. Remarkably, by the end of the treatment course, he reported complete relief from pain, dragging sensation, and associated discomfort, with noticeable improvement in overall quality of life. The outcome of this case underscores the potential of Jalaukacharana as a safe, non-invasive, and holistic therapeutic modality for varicocele, offering an alternative to conventional surgical or interventional approaches.