American Society of Hirudotherapy

A systematic overview of the medicinal importance of sanguivorous leeches

Review published in Alternative medicine review (2011)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Narrative reviewDrug DevelopmentZaidi SM et al. · Alternative medicine review, 2011

Abstract

Leeches are a class of segmented invertebrates, known for their blood-feeding habits and used in phlebotomy to treat various ailments since antiquity. In Europe, medicinal leeches have recently been rediscovered and are used by maxillofacial and other microsurgeons to aid salvage of compromised venous engorged tissue and amputations, such as digits, ears, and nasal tips. Because of their important salivary components, blood-sucking (sanguivorous) leeches, such as Hirudo medicinalis and related species, have engendered great interest from pharmaceutical companies searching for anticoagulants to prevent blood clotting during microsurgeries. Scientific research reveals that the beneficial effects of leeching, in addition to decongestion, include injection of a cocktail of several medicinally useful bioactive molecules present in their saliva. Owing to its therapeutic potential, the research is continuing as many new salivary compounds are being isolated and synthesized.

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

Publication typeJournal ArticleReview
Indexed MeSH termsAnimalsBlood CoagulationBloodlettingEdemaEuropeHematomaHirudo medicinalisHumansLeechingPostoperative ComplicationsSalivary Proteins and PeptidesThrombosisWound Healing

Summary

This overview describes the revival of medicinal leeches, notably Hirudo medicinalis, for salvaging venously engorged tissue and amputated parts, and the anticoagulant and bioactive salivary molecules that drive pharmaceutical interest.

Why This Matters for Hirudotherapy

This review summarizes the historical and modern medicinal importance of sanguivorous leeches, focusing on Hirudo medicinalis and related species. It describes how European maxillofacial and microsurgeons use medicinal leeches to salvage compromised venous-engorged tissue and amputations (digits, ears, nasal tips), and highlights that leech saliva contains a cocktail of bioactive molecules with anticoagulant and decongestive properties of pharmaceutical interest. The article offers a concise overview of hirudotherapy and leech-secretome pharmacology. As a narrative review, it provides no new primary data, meta-analysis, or systematic grading of evidence.

Citation

Reference (Vancouver style)

Zaidi SM, Jameel SS, Zaman F, Jilani S, Sultana A, Khan SA. A systematic overview of the medicinal importance of sanguivorous leeches. Altern Med Rev. 2011;16(1):59-65. PMID: 21438647

Bibliographic details (authors, volume, pages, DOI) are taken from the PubMed record.

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.