American Society of Hirudotherapy

Spanish-French leech trade and its consequences: From the increase in medical demand to resource depletion and technical innovation

Historical review published in Med Hist (2024)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Research reportClinical TrialsCopena D, Gomez-Martin M · Medical history, 2024

Abstract

This article studies the impact caused by the success and dissemination of Broussais' theories on the use of leeches as a medical supply on Spanish-French trade relations, as well as its consequences for the Spanish market between 1821 and the 1860s. Analysing the documents produced by the different public administrations, together with newspaper and archival sources in both Spain and France and the literature and legislation of that period, allows us to understand the evolution of this trade and the heavy impact it had on the autochthonous population of this animal resource. The article reveals how, at the beginning of the 1820s, leeches became an important medical supply and how the demand for them increased significantly. This gave rise to a trade relation between Spain and France that led to the overexploitation of the resource, the issuing of regulations on the matter, and the search for technological solutions to increase the production of leeches.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal Article
Indexed MeSH termsAnimalsHumansHirudo medicinalisLeechesFranceSpain

Summary

Historical analysis of 1821-1860s Spanish-French leech trade arising from Broussais' theories showing overexploitation, regulatory legislation and technological innovation in hirudiniculture.

Why This Matters for Hirudotherapy

This article examines the 19th-century trade relations between Spain and France driven by soaring medical demand for leeches, influenced by the medical theories of Broussais. The text details how this intense demand from the 1820s through the 1860s led to the overexploitation and heavy impact on autochthonous leech populations in Spain, prompting new regulations and technical innovations. This research is highly relevant to the American Society of Hirudotherapy because it directly provides vital historical context on the commercial and ecological consequences of widespread leech utilization in historical medical practice. The scope is limited to historical and economic analysis rather than modern clinical outcomes.

Citation

Spanish-French leech trade and its consequences: From the increase in medical demand to resource depletion and technical innovation.

Copena D, Gomez-Martin M · Medical history, 2024

Added to ASH library: May 27, 2026 · Site last updated: June 18, 2026

This website provides educational information and does not constitute medical advice, diagnosis, or treatment recommendations. Medicinal leech therapy carries clinically meaningful risks and should be performed only by qualified clinicians under institutionally approved protocols. FDA 510(k) clearance for medicinal leeches is limited to specific indications; investigational and off-label discussions are labeled accordingly. For patient-specific guidance, consult a qualified healthcare provider.