Sociedad Americana de Hirudoterapia

Unani treatment and leech therapy saved the diabetic foot of a patient from amputation

Case report published in Int Wound J (2014)

Última actualización: June 18, 2026Revisado por: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Case reportEnsayos clínicosZaidi SMA · International wound journal, 2014

Abstract

Every 30 seconds, a lower limb amputation is carried out due to diabetes throughout the world. The mortality rate due to diabetic foot gangrene is just next to that of cancer. As tissue death cannot be reversed, surgical removal of the affected tissue (debridement) or amputation of the limb is the only treatment option left when gangrene has advanced. The present case study illustrates an option to treat poorly healing diabetic wounds with Unani medicine (blood purifier and deobstruent) besides hirudotherapy. The study was performed on a 60-year-old woman suffering from diabetic foot (on the left) grade 5 and facing the prospect of imminent amputation. The patient was having severe pain (80 mm on a 100 mm visual analogue scale) in the gangrenous foot and foul-smelling with necrosed areas. Wound dressing was done with unripe papaya as it has a very good role in clearing necrotising area and hirudotherapy was also used in poorly healing wounds. The pain score decreased to 0-10 mm on a 100 mm visual analogue scale within 20 days and no further pain relieving medication was required. Over a time interval of nearly 3·5 months, necrotic areas disappeared and the wound was completely healed.

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

Publication typeCase ReportsJournal Article
Indexed MeSH termsAmputation, SurgicalDebridementDiabetic FootFemaleHumansLeechingLimb SalvageMedicine, UnaniMiddle AgedWound Healing

Resumen

60-year-old woman with grade-5 diabetic foot gangrene facing imminent amputation was treated with Unani medicine and hirudotherapy. Pain decreased from 80 to ≤10 mm VAS within 20 days; complete wound healing achieved at ~3.5 months.

Por qué esto importa para la hirudoterapia

This case report describes a 60-year-old woman with a grade 5 diabetic foot facing imminent amputation who was treated with Unani medicine (blood purifier and deobstruent), wound dressing with unripe papaya, and hirudotherapy for poorly healing wounds. Over approximately 3.5 months, pain decreased dramatically and the wound completely healed. The article is relevant to ASH's domain as a direct application of leech therapy for limb salvage in diabetic foot disease. However, it is a single case report involving multiple simultaneous interventions, making it impossible to attribute outcomes specifically to hirudotherapy, and it lacks any control or comparative data.

Citación

Unani treatment and leech therapy saved the diabetic foot of a patient from amputation.

Zaidi SMA · International wound journal, 2014

Contexto clínico relacionado

Añadido a la biblioteca ASH: May 26, 2026 · Última actualización del sitio: June 18, 2026

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