This book deals with detailed description regarding a parasurgical procedure Leech Therapy (Jalaukavacharana) Agnikarma in Ayurvedic and modern perspective. The Raktamokshana, Rakta, their historical aspect, method of Jalaukavacharana (Leech therapy), about Leeches, clinical significance of Leech therapy, their indication & contraindication, status of research, Leech farming, various references, index etc mentioned in this book. The authors tried to give a vivid pictures for the doctors, clinician, undergraduate scholars, postgraduate scholars and researchers. Simple language with specific description is the unique features of this book. The primary aim of this book is to make the thought of Leech therapy more straightforward and understandable to the learner and clinician by presenting it on practical background.