1. What data in particular will be shared?
   Response - All of the individual participant data collected during the trial, after de-identification.
   


2. What additional supporting information will be shared?
   Response -  Study Protocol
   Response -  Statistical Analysis Plan
   Response - Informed Consent Form
   Response - Clinical Study Report
   
   
3. Who will be able to view these files?
   Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.
   


4. For what types of analyses will this data be available?
   Response - To achieve aims in the approved proposal.
   


5. By what mechanism will data be made available?
   Response - Proposals should be directed to [muralinaravi6@gmail.com].
   


6. For how long will this data be available start date provided 01-06-2024 and end date provided 01-06-2026?
   Response - Immediately following publication. No end date.
   


7. Any URL or additional information regarding plan/policy for sharing IPD? 
   Additional Information - NIL

  Jalukavacharana, a prominent therapeutic practice in Ayurveda, has demonstrated its effectiveness in addressing a wide spectrum of diseases. This traditional method involves the application of medicinal leeches (Jalauka) to patient’s skin, with the leeches subsequently reused after a week. However, recent observations in Ayurveda institutions have raised concerns about untoward incidents such as cellulitis at the Jalauka bite site and increased mortality of the leeches. One critical aspect of maintaining the vitality of Jalauka after Jalukavacharana is the process of Vamana, wherein unhealthy blood is offered to the leech. Ensuring the proper execution of Vamana becomes pivotal in preventing a reduction in the quality of subsequent Jalukavacharana treatments. While contemporary practitioners often employ Haridra Choorna for Vamana, classical Ayurvedic texts such as Sushruta Samhita, Asthanga Hridaya, and Astanga Sangraha prescribe a mixture of Murchita Tila Taila and Saindhava Lavana for this purpose. Astanga Hridaya, in its commentary, elucidates a test to ascertain the adequacy of Vamana. It describes that the Jalauka sinks in fresh water and remain inactive if Vamana has been conducted improperly. Additionally, the commentary explains a diagnostic test to identify Indramada, a disease condition in leeches resulting from inadequate Vamana.

Procedure:Pre-operative phase: Good leeches are collected from marshy areas and activated by soaking them in turmeric water. The patient undergoes proper oleation and sudation.Main procedure: Leeches attach themselves to the targeted area, sucking impure blood. Their saliva contains unique enzymes, including hirudin, which acts as a potent anticoagulant.Post-operative care: Leeches are made to vomit the blood they’ve consumed. The bitten area is cleaned and bandaged with turmeric and honey.Leech care: Proper vomiting of blood ensures the leech’s recovery and strength. Leeches are stored separately after treatment.

Specialty of Leeches: Leeches can suck blood through anterior orifices. They are classified into two types: Savisha (poisonous) and Nirvisha (non-poisonous).Leeches thrive in cold, damp environments and are particularly useful for pittaja (related to excess Pitta dosha) conditions.

Benefits for Varicose Veins:Leech therapy improves blood circulation and prevents clot formation. Hirudin, found in leech saliva, acts as a powerful anticoagulant, making it beneficial for managing varicose veins.