American Society of Hirudotherapy

Wound healing potential of bark paste of Pongamia pinnata along with hirudotherapy: A case report

Case report published in Journal of Ayurveda and integrative medicine (2021)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Case reportClinical TrialsBalasooriya D, Karunarathna C, Uluwaduge I · Journal of Ayurveda and integrative medicine, 2021

Abstract

Chronic wound is one of a leading cause of amputation worldwide. Successful management of chronic wound has become a challenge to all existing medical systems across the world. Sri Lankan Traditional and Ayurvedic medicine reveals many promising herbal and alternative remedies for chronic wounds. We hereby report a successfully managed case of an 80-year-old female patient suffering from a chronic wound for two years, when presenting has advised for amputation of the leg. The treatment protocol included the application of hirudotherapy along with the bark paste of Pongamia pinnata followed by Flueggea leucopyrus with recommended other external and internal remedies. At the end of the treatment protocol, pain, exudates, odor, burning sensation, and itching were reduced completely while swelling and wound size was reduced remarkably and showed a significant healing in the wounded area.

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

Publication typeCase ReportsJournal Article

Summary

Chronic wound is one of a leading cause of amputation worldwide. Successful management of chronic wound has become a challenge to all existing medical systems across the world.

Why This Matters for Hirudotherapy

This case report describes an 80-year-old woman with a two-year chronic leg wound, advised for amputation, who was treated with hirudotherapy combined with Pongamia pinnata bark paste and other Ayurvedic remedies; the authors report that pain, exudate, odor, burning, and itching resolved and that swelling and wound size were markedly reduced with significant healing. It is of interest to ASH because chronic non-healing wounds are a setting where leeching's local decongestant and microcirculatory effects are biologically plausible, and where amputation-avoiding alternatives are clinically valued. The decisive caveat is that this is a single uncontrolled case using a multi-component regimen, so the contribution of hirudotherapy specifically cannot be isolated and no general efficacy can be inferred.

Citation

Wound healing potential of bark paste of Pongamia pinnata along with hirudotherapy: A case report.

Balasooriya D, Karunarathna C, Uluwaduge I · Journal of Ayurveda and integrative medicine, 2021

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

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