The knee is one of the largest and most complex joints in the body. The two cruciate ligaments in the knee, anterior and posterior, are often referred to as the ‘crucial’ ligaments, because of their importance in providing knee stability. Anterior cruciate ligament (ACL) injury is one of the most seen injury in sports and has a devastating influence on patients' activity levels and quality of life. Complete ACL rupture can induce other pathological knee conditions including knee instability, damage to menisci and the chondral surface, and osteoarthritis. Here a case report of a 28-year-old male who while playing football had a trauma to the right knee with a pop sound and acute pain at the time of incidence. He presented to the hospital with a knee which was swollen and tender. On MRI he was diagnosed with complete tear of ACL and grade II tear of lateral collateral ligament. A one-month Ayurveda treatment protocol was developed and followed for the patient. The patient was able to return to his daily activities without instability and also got relief from pain with noticeable improvement in the movement of knee joint. Keywords: anterior cruciate ligament tear, knee joint, janu sandhi, bhagna

Most shoulder pain is related to muscle or tendon strain. Chronic pain is often triggered by prior injuries, especially if original injury was severe or was not allowed to heal completely. Shoulder injury can cause weakness, tenderness and loss of full joint mobility. More common and less traumatic causes include lifting, reaching and pulling move- ments that strain the muscles and tendons or sprain ligaments surrounding the shoulder joint. Injury may or may not be realized during the activity. Various conditions like shoulder joint impingement, frozen shoulder, and rotator cuff tendinitis have resembling symptoms under the umbrella of disease Avabahuka described in Ayurveda. Leech application was carried out in first stage where there is reduced vascular supply. Here a case report of a female aged 31years old, who had an acute on chronic rotator cuff strain from strenuous activity underwent three sittings of Jaloukavacarana. Keywords: Rotator cuff tendon injury, Avabahuka, Jaloukavacarana.

Haemorrhoids are dilated veins within the anal canal in the subepithelial region formed by radicles of superior, middle and inferior rectal veins. It is a common ano-rectal disease. Thrombosed hemorrhoid is a painful swelling in the anal tissues caused by a clot in one or more small veins in the anal canal. According to modern science, there are many operative and non-operative procedures for the management of haemorrhoids. Most of the operative pro- cedures are not patient friendly, cause high economic burden and associated with complications like pain, bleeding and recurrence. Acharya Vagbhata defines Arsas (haemorrhoids) as an abnormal growth which obstructs the anal canal and troubles continuously like an enemy. Shalyatantra deals with Sastra karma (surgical procedures), Anusas- tra karma (parasurgical procedures) and conservative management in the different types of diseases. Jaluka is con- sidered as best among Anusastra. Acharya Vagbhata indicates Jalukavacharana in haemorrhoids when they are hard and swollen. The present article deals with Jalukavacharana in two patients having thrombosed haemorrhoids attended in outpatient department of VPSV Ayurveda College Kottakkal. Application of Jaluka (leech) provided improvement in features like pain, edema, tenderness and discoloration of mass. Keywords: Thrombosed haemorrhoids, Arsha, Raktamokshana, Jalukavacharana.