Hirudotherapy from Past to Present
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1 Necmettin Erbakan University Meram Faculty of Medicine, Department of Medical History and Ethics, Konya, Turkey
* Corresponding Author
EUR J BASIC MED SCI, Volume 3, Issue 3, pp. 61-65.
https://doi.org/10.21601/ejbms/9204
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ABSTRACT
Hirudotherapy which means the use of leech therapy dates as far back as 2500 years ago when they were used for bloodletting in ancient Egypt. During the Roman Era, Galen (130- 201 AD) used leeches because he believed that blood letting would rid the unbalance of the four humours (blood, phlegmon, black and yellow bile) in the human body. Leech treatments were very popular during the Middle Ages as applied by Ibn Sina (Avicenna). In his book ”Al-Qanun Fi Al-Tibb (the Canon of Medicine)”, Avicenna (980-1037 AD) gave detailed knowledge about leech therapy and instructions on leeching. Hirudotherapy was commonly practiced in the 1800’s by French physicians treating a variety of diseases. The medicinal leech has been used by plastic surgeons in recent years. They use leeches to relieve venous congestion, especially in transplant surgery. The leech produces a number of substances especially hirudin, calin, hylarunidase, histamine like vasodilators during biting. These substances are responsible for inhibiting blood coagulation, analgesic effect, dilating effect on muscles and regulation on immune system. The aim of this study was to explore the history and therapeutic applications of leech therapy from ancient times to present.
REFERENCES
- Papavramidou N, Christopoulou-Aletra H. Medicinal use of leeches in the texts of ancient Greek, Roman and early Byzantine writers. Intern Med J 2009; 39 (9): 624-7.
- Wells MD, Ralp T, Manktelow RT, Boyd JE. Bowen V. The medical leech: an old treatment revisited, Microsurgery 1993; 14: 183–6.
- Sawyer RT. Johann Frederick Diffenbach: Successful use of leeches in plastic surgery in the 1820s. British J Plast Surg 2000; 53: 245-7.
- Cole D. Clinical hirudology: Revival of an ancient art. N Z Med J 1985; 98: 28-9.
- Carter, K. Codell Leechcraft in the Nineteenth Century. Journal of the Royal Society of Medicine 2001; 94: 38-42.
- Pliny the Elder. Natural History, Vol 8, translated by H. Rackham, Harvard University Press, London, W. Heineman. 1938: 547.
- Galen ‘On the natural faculties’ translated by A.J. Brock, The Loeb Classical Library. Harvard University Pres, Cambridge. Massachusetts and William Heinemann, London, 1952.
- Daremberg Ch. Oeuvres d’Oribase, Vol. 2. Paris Imprimeries Imperiale; 1884: 69-73.
- Chalain TM. Exploring the use of the medicinal leech: a clinical risk-benefit analysis. J Reconstr Microsurgery 1996;12(3):165-72.
- Adams F. The Seven Books of Paulus Aegineta, Vol I. London: Sydenham Society 1844: 302-421.
- Ibn-i Sina, El-Kanun Fi’t-Tıbb, Vol. 1, Translated by Esin Kahya. Atatürk Language and Culture Center, Ankara, 2009: 413-4.
- Mory RN, Mindell D, Bloom DA. The leech and the physician: biology, etymology and medical practice with Hirudina medicinalis. World J Surg 2000; 24: 878-83.
- Kaadan A N. The surgery of Al-Zahrawi, dar al- Qualam- Al Arabi, Aleppo, Syria, 1999: 318-44.
- Munshi Y, I Ara, H Rafique and Z. Ahmad. Leeching in the history-a review. Pak. J. Biol. Sci 2008; 11: 1650-3.
- Castiglioni A History of Medicine. Translated by Krumbhaar, E.B. 2nd ed. Knopf, New York 1947: 672-98.
- Rolleston JD. Francois-Joseph-Victor Broussais 1772 to 1832: his life and doctrines. Proc R Soc Med 1959; 22: 405.
- Adams S L. The medicinal leech. A page from Annelids of internal medicine. Ann Int Med 1988; 109:399-405.
- Erdemir AD. Folklorik Tıpda Sülük Kullanımı ve Evrensel Gelişimi. İstanbul Üniversitesi Tıp Fakültesi Mecmuası 1979; 42:523-29.
- Sabuncuoglu S. Cerrayetü’l Haniyye. Translated by I. Uzel Atatürk Kültür, Dil Tarih ve Yüksek Kurumu, Türk Tarih Kurumu Yayınları, Ankara 1992: 91-104.
- Acıduman A. Sanizade Mehmet Ataullah Efendi ve Mi’yaru’l Etibba adlı eserinde çocuk hastalıkları. Çocuk Sağlığı ve Hastalıkları Dergisi 2009; 52: 42-52.
- Whitaker I S, Rao J,Izadi D,Butler P E. Historical Article: Hirudo medicinalis: ancient origins of the use of medicinal leeches throughout history. British Journal of Oral and Maxillofacial Surgery 2004; 42:133-7.
- Haycraft JB. On the action of secretion obtained from the medicinal leech on coagulation of blood. Proc R Soc London 1884; 36: 478.
- Upshaw J, Oleary JP. The medical leech: past and present. Am Surgeon 2000; 66: 313-4.
- Batchelor A G C, Davison P, Sully L. The salvage of congested skin flaps by the application of leeches. Br J Plast Surg 1984; 34: 358-60.
- Faust EC, Russel PF, Jurg RC. Craig and Faust’s Clinical Parasitology, 8 th ed. Philadelphia: Lea & Febiger 1970: 563–70.
- Anurag S, Ridhima S. A brief review on applications of leech therapy. Archives of Applied Science Research 2010; 2 :271-4.
- Pantuck AJ, Lobis MR, Ciocca R, Weiss RE. Penile replantation using the leech Hirudo medicinalis. Urology 1996; 48: 953-6.
- Weinfeld AB, Yuksel E, Boutros S, at al. Clinical and scientific considerations in leech therapy for the management of acute venous congestion: An updated review. Ann Plast Surg 2000; 45: 207-12.
- Conforti ML, Connor NP, Heisey DM, at all. Evaluation of performance characteristics of the medicinal leech (Hirudo medicinalis) for the treatment of venous congestion. Plast Reconstr Surg 2002; 109(1): 228-35.
- White S.S. History of dental and oral science in America. Published in American Academy of Dental Sciences. Philadelphia 1876: 75.
- Hyson JM. Leech therapy: a history. J Hist Dent. 2005; 53(1): 25-7.
- Frodel Jr, Barth P, Wagner J. Salvage of Partial facial soft tissue avulsions with medicinal leeches. Otolaryngol Head Neck Surg 2004; 131: 934-9.
- Trovato MJ, Agarwal JP. Successful replantation of the ear as a venous flap. Ann Plast Surg 2008; 61: 164-8.
- Itrat M, Zarnigar, Haque N. Historical aspects of leech therapy: a critical review. Int J Health Sci Res 2013; 3(7): 78-83.