Acne is a persistent skin challenge for many, arising from clogged pores, excess sebum, bacterial overgrowth, and inflammation. Traditional treatments—creams, antibiotics, hormonal therapies—can be effective but sometimes cause dryness, resistance, or unwanted side effects. An alternative gaining renewed scientific interest is hirudotherapy, or medicinal leech therapy. Leeches secrete a potent mix of bioactive molecules—hirudin (an anticoagulant), eglins (anti-inflammatory), destabilases (antibacterial), and hyaluronidase (enhances tissue permeability)—which together improve microcirculation, reduce swelling, and help clear acne-causing bacteria. When performed safely, leech therapy can target stubborn breakouts and help maintain clear skin over the long term.

General Precautions (Applicable to All Skin Types)
- Source only medical-grade, laboratory-reared leeches from certified suppliers to ensure purity and safety.
- Perform a 24-hour patch test: place one leech on the inner forearm for five minutes, then observe for excessive redness or swelling.
- Do not apply leeches to active eczema or psoriasis patches, open wounds (aside from targeted acne lesions), or delicate areas such as eyelids and lips.
- Keep antiseptic solution (e.g., povidone-iodine) and sterile gauze on hand to manage any unexpected bleeding or irritation.
- After each session, dispose of used leeches according to biohazard protocols—never attempt to reuse them.
Remedy for Normal Skin
Procedure
- Cleanse the face with a gentle, pH-balanced cleanser and pat dry with a sterile towel.
- Identify prominent whiteheads or small pustules on the cheeks and forehead.
- Using sterile forceps, place one leech gently on each selected lesion.
- Allow the leech to feed for 10–12 minutes—do not exceed 12 minutes.
- Once the leech detaches naturally, remove it by applying a drop of saline at the mouth end.
- Disinfect each site with a thin layer of 1% tea tree oil gel, then apply a light, non-comedogenic moisturizer.
How Frequent to Apply
One session per week, for four consecutive weeks.
Initial Results
By the second session, patients typically notice reduced redness, decreased lesion size, and fewer new breakouts.
Remedy for Combination Skin
Procedure
- Perform a dual cleanse: use a gel cleanser on oily T-zones and a cream cleanser on drier cheeks.
- Map treatment zones, focusing on persistent blemishes in the forehead, nose, and chin.
- Place one leech per targeted pustule for 12–15 minutes, ensuring each detaches naturally.
- For oily areas, follow with a five-minute chamomile tea compress; for dry areas, apply a honey–aloe vera gel mask for ten minutes.
- Finish with a lightweight, water-based hydrating serum over the entire face.
How Frequent to Apply
One session every ten days, totaling three sessions over one month.
Initial Results
After three treatments, patients report balanced oil production in the T-zone, calmer cheeks, and visibly fewer clogged pores.
Remedy for Oily Skin
Procedure
- Pre-treatment: apply a thin mask of Multani mitti (Fuller’s earth) mixed with rose water for ten minutes to absorb excess oil. Rinse thoroughly.
- Cleanse with cool water and pat dry.
- Place one leech on each active pustule or nodule for 10–12 minutes.
- Immediately after removal, apply a fresh Multani mitti mask for an additional ten minutes to draw out residual oil.
- Rinse and spritz with an alcohol-free witch hazel toner.
How Frequent to Apply
Every 10–14 days, for a total of three sessions.
Initial Results
By the second session, sebum production is noticeably reduced, pores appear tighter, and new pustules are fewer.
Remedy for Dry Skin
Procedure
- Pre-hydrate treatment sites with a thin layer of glycerin-based serum.
- Cleanse with a creamy, oil-based cleanser; rinse with lukewarm water.
- Place one leech on each blemish for no more than 8–10 minutes to prevent excessive fluid loss.
- After leech detachment, apply a honey–shea butter mask for 15 minutes to soothe and restore moisture.
- Rinse gently and seal in hydration with a rich emollient cream.
How Frequent to Apply
Once every two weeks, for three total treatments.
Initial Results
Breakouts calm quickly, and skin feels noticeably plumper, softer, and more radiant by the second session.
Remedy for Sensitive Skin
Procedure
- Cleanse with an ultra-mild, fragrance-free cleanser; pat dry.
- Select only one or two persistent lesions to treat per session.
- Apply a single leech to each lesion for a maximum of 8 minutes.
- Upon removal, press a chilled cucumber–aloe vera compress over treated areas for ten minutes.
- Finish with a ceramide-rich, fragrance-free moisturizer to repair the skin barrier.
How Frequent to Apply
One session every three weeks, up to two sessions total.
Initial Results
Patients observe significant reductions in redness, itchiness, and lesion size after the first application.
Weekly Diet Plan to Enhance Fairness, Reduce Acne, and Maintain Good Health
Eating nutrient-rich foods supports skin detoxification, reduces inflammation, and promotes a clear, radiant complexion. Follow this day-wise plan alongside your leech-therapy regimen.
Monday
- Breakfast: Oatmeal topped with walnuts and fresh berries
- Mid-Morning Snack: Green tea and pumpkin seeds
- Lunch: Brown rice, spinach dal, and cucumber–mint raita
- Afternoon Snack: Apple slices with almond butter
- Dinner: Grilled salmon or paneer, steamed broccoli, and quinoa
Tuesday
- Breakfast: Greek yogurt with chia seeds and mango cubes
- Mid-Morning Snack: Coconut water and soaked almonds
- Lunch: Whole wheat chapati, mixed vegetable curry, and beetroot salad
- Afternoon Snack: Carrot sticks with hummus
- Dinner: Lentil-carrot soup with multigrain toast
Wednesday
- Breakfast: Spinach-banana-flaxseed smoothie
- Mid-Morning Snack: Handful of blueberries
- Lunch: Quinoa salad with chickpeas, tomatoes, and avocado
- Afternoon Snack: Cucumber slices with lemon and black salt
- Dinner: Baked chicken breast or tofu with sweet potato mash and asparagus
Thursday
- Breakfast: Poha with peas, peanuts, and coriander
- Mid-Morning Snack: Herbal tea and a small banana
- Lunch: Moong dal khichdi with sautéed zucchini
- Afternoon Snack: Orange slices
- Dinner: Stir-fried mixed vegetables with tofu or shrimp over brown rice
Friday
- Breakfast: Papaya cubes with sunflower seeds
- Mid-Morning Snack: Green tea and walnuts
- Lunch: Rajma with brown rice and onion-tomato salad
- Afternoon Snack: Greek yogurt with honey
- Dinner: Vegetable stew with whole grain garlic bread
Saturday
- Breakfast: Sprouted moong salad with lemon dressing
- Mid-Morning Snack: Dates and herbal tea
- Lunch: Grilled fish or paneer tikka with mixed greens
- Afternoon Snack: Mixed nuts
- Dinner: Tomato-carrot soup and boiled eggs or chickpea patties
Sunday
- Breakfast: Avocado toast with a poached egg and herbal tea
- Mid-Morning Snack: Watermelon cubes
- Lunch: Black chana curry with millet roti and cucumber slices
- Afternoon Snack: Carrot–cucumber juice
- Dinner: Vegetable dalia with steamed veggies
By integrating these customized leech-therapy protocols with a balanced, skin-nourishing diet, you can combat acne at its root, reduce inflammation, and enjoy clear, fair, and healthy skin for life. Always consult a qualified practitioner before beginning hirudotherapy and monitor your skin’s response throughout the process.