• Dr Varsha Chaudhar
• Dr Harish Daga
• Dr Omprakash Dav
• Dr Hari Shankar Paliwal

The senior population is rapidly increasing over the globe. People in their older years are more susceptible to a variety of illnesses. The most frequent condition in Sandhivata is osteoarthritis, which causes muscle tension in the afflicted joint.Sandhivata is described in all Samhitas by Acharyas under Vatavyadhi chapter. It is described as maharoga by Acharya Vagbhata. Sandhivata is vata dominating disease which creates degenerative and inflammatory changes in joints. Knee joint suffers most as it is most frequently involved joint in daily routine and it bears maximum load of body weight. It is well known fact that, there is no specific line of treatment and no complete cure for Sandhivata in other medical branches. NSAIDs are the most often prescribed drugs in contemporary medicine, although they have several negative effects and are not suitable for long-term usage. Ayurveda, the ancient Indian system of medicine, has recommended a number of innovative remedies to battle withering and maturity level disorders. Bloodletting, or Raktamokshan, is an old and significant parasurgical method described by ancient Ayurvedic literature for the treatment of many ailments. One of these, Jalaukavacharana or Leech treatment, has earned international recognition due to its medicinal benefits. Leech saliva includes a variety of physiologically active chemicals with pro government and anesthetic characteristics. Saliva contains responcibility (Hirudin, bufradin), antiplatelet (calin, saratin), factor Xa inhibitory (lefaxin), antibacterial (theromacin, theromyzin), and other bioactive peptides and proteins. Glucosamine, ADP, and adrenaline all cause prostaglandin synthesis, which is inhibited by saliva.

Aging, Jalaukavacharana, Knee Joint, Leech Therapy, Sandhivata.

"An Appraisal of Jalokaavacharan in Osteoarthritis W.S.R. Knee Joint Pain", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.5, Issue 9, page no.31-36, September-2018, Available :http://www.jetir.org/papers/JETIRFL06004.pdf

"An Appraisal of Jalokaavacharan in Osteoarthritis W.S.R. Knee Joint Pain", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.5, Issue 9, page no. pp31-36, September-2018, Available at : http://www.jetir.org/papers/JETIRFL06004.pdf