IJRAP International Journal of Research in Ayurveda and Pharmacy 2277-4343 Moksha Publishing House DOI: 10.7897/2277-4343.1006133 EFFECT OF LEECH THERAPY ALONG WITH ADJUVANT AYURVEDA DRUGS IN THE MANAGEMENT OF JANUSANDHI GATA VATA WITH SPECIAL REFERENCE TO KNEE -OSTEO ARTHRITIS: A CASE REPORT Dwivedi Amarprakash * Pathrikar Anaya 11 -0001 100 103 Knee osteo arthritis is the commonest form of articular disorder and leading cause of chronic disability in elder population. This condition can be co related with Janusandhigata Vata. In Allopath, NSAID, Analgesic and Steroids are advocated but, have limited prognosis due to untoward effects after prolong use which__ampersandsignnbsp; leaves a scope__ampersandsignnbsp; for Ayurved to holistically cure this condition. This is a single case study, a male patient aged 65-year, diagnosed with Knee osteo arthritis, treated with a Leech Therapy (locally-2 sittings at interval of 15 days) adjuvant to Ashwagandha Ghanvati, Yograj Guggulu and Gandharv Haritaki __ampersandsignndash;powder (internally). Therapeutic evaluation of treatment was done based on prognosis. The parameters observed werepain, tenderness, swelling, restricted movements, crepitation and stiffness in knee joint. The observation showed complete relief in pain, swelling, tenderness and restricted joint movement, whereas, mild relief in symptoms such as crepitation and stiffness in joints after one month therapy. The data showed that__ampersandsignnbsp;Leech Therapy (locally) adjuvant to palliative Ayurveda drugs (internally) has provided significant relief in symptoms of Janusandhigata-Vata. Considering the side effects of modern medicines, this specific regimen can prove effective in the management of Janusandhi gat-Vata with special reference to Knee osteo arthritis. Sanadhigatavata Osteoarthritis Leech therapy Yograj Guggulu Ashwagandha