THE MEDICINAL LEECH, (_Hirudo medicinalis_.)

The medicinal utility of the Leech seems, even in very remote times, to

have been acknowledged by mankind, and accordingly we find it noticed

in the writings of many ancient physicians. It was not simply applied

to the cases in which it is at present employed, but was recommended

to be used in many singular ways: a paste made of the ashes of a burnt

leech was said to have the property of removing the hair from any

part of the body. It was also employed to suck the blood from a wound

occasioned by a mad dog, or any other rabid animal.

At present the employment of this useful creature is confined to the

operation of drawing blood from inflamed parts of the surface of the

body, for which use it is eminently adapted.

There are as many as twelve or fifteen species of these creatures,

but only two have been employed in medicine, namely, the _Hirudo

medicinalis_, which may be known by having six yellowish lines, or

striæ, on its back, while the under part is of a grayish hue spotted

with black, but, as we shall presently see, these markings are not

uniformly found; and the _Hirudo troctina_, of a brownish colour,

the upper part of the body marked with black spots, each of which is

surrounded with a golden-coloured ring, the sides of a dingy yellow,

and the under part of a yellowish green with black spots.

The first of these species, the medicinal leech, is common throughout

the whole of Europe, but is much more abundant in the Southern parts;

it is generally about three inches in length. Formerly it was very

abundant in Great Britain, but the improvements in agriculture,

and the consequent drainage of the land, together with the great

use made of it in medicine, have of late years rendered it of less

frequent occurrence. On this account great quantities of leeches are

imported; these chiefly come from Bourdeaux and Lisbon. On a moderate

calculation, it appears that, in England, on an average, out of every

hundred leeches employed, ninety-nine may be considered of foreign

production; these differ from the English leech in being somewhat

larger, and having the under part of a uniform colour, without spots.

Some idea may be formed of the number of leeches used in medicine by

the statement, that in the hospitals of Paris alone, 300,000 were

employed in one year. The prevailing colour of the medicinal leech

appears to vary according to the nature of the soil on which it is

found. In Winter the leech retires to waters of considerable depth, and

seeks shelter in the mud at the bottom; but in the Summer it appears

to delight in shallow pools, basking, as it were, in the warmth of the

sun: but if the water it frequents is in danger of being dried up by

the Summer-heat, the leech buries itself in the mud at a considerable

depth. Just before a thunder-storm, leeches appear much agitated,

and rise frequently to the surface of the water; this, therefore, is

considered by the _leech-gatherers_ as a favourable time for collecting

them.

The property by which a leech anticipates thunder, has induced some

persons to employ it as a species of barometer; for this purpose a

leech is enclosed in a glass vessel half-filled with water, and the

following is supposed to be the result. When the weather is about to be

serene and pleasant, the leech will remain at the bottom of the vessel

without the least movement; secondly, if it is about to rain, the

animal will rise to the surface, and there remain until the approach of

fine weather; thirdly, before boisterous weather, it will appear in a

state of great agitation; fourthly, on the approach of thunder, it will

remain out of water for several days, appearing agitated and restless,

and so on.

This natural barometer _appears_ to answer tolerably well, if there is

sufficient belief in its virtues on the part of the possessor, and if

one leech only is employed; but when several of these creatures are

enclosed in the same vessel, they do not appear to obey the same laws,

and, consequently, their movements do not correspond with sufficient

accuracy to render their indications of the weather of much use.

The medicinal leech appears during its whole life to exist on the blood

or other juices of the creatures on whose body it fixes itself; this is

not the case with the horse-leech, which lives entirely on the _larvæ_

of aquatic insects, worms, &c., so that the common idea of the danger

of the bite of the horse-leech is without foundation.

The horse-leech is exceedingly voracious, not only swallowing worms,

tadpoles, &c., but even preying upon its own species. Sixty-five

horse-leeches were placed in a glass vessel, and in five days the

number was reduced to fifty-two, and not a vestige of those that were

missing was to be discovered.

The usual slowness of action of the digestive powers in all animals of

cold blood, was curiously illustrated in the case of a horse-leech,

which, after swallowing two small leeches of a different species,

disgorged one of the two at the end of three days, in a living state,

and apparently not much injured from its sojourn in so unusual a

lodging; but it enjoyed its liberty only for a few hours, its more

powerful companion swallowing it a second time at the end of that

period.

A number of this species of leech, inhabiting the water that supplied a

trough in which a tench had been placed, fixed themselves to different

parts of the body of the fish, and so effectually was the poor tench

annoyed, that it was soon deprived of life. “The leeches then tore it

(previously breaking the line of connexion between the various parts of

the body, by inflicting a vast number of bites or wounds,) into such

pieces as they could readily receive into the stomach, and so diligent

were they, that in a few days nothing remained of the fish but the mere

skeleton.”

From these habits it would appear, that the name of Hirudo

_sanguisuga_, (the blood-sucking leech,) has been improperly applied to

the horse-leech; on this account a recent author has suggested the name

of Hirudo _vorax_, (the voracious leech,) as being more suitable to its

nature.

Leeches are supposed to be very long-lived; two were preserved in

confinement for eight years before they died, and the well-ascertained

slowness of their growth seems to place their length of life beyond a

doubt.

On the head of the medicinal leech ten points are arranged in the form

of a horse-shoe, thus—

[Illustration]

These are considered, by some authors, to be organs of sight, or

eyes, while, on the other hand, it is stated by others, that they are

merely tubercles. Lamarck was of this opinion, and, consequently, in

describing their character, says they are without eyes.

The teeth, or rather piercers, with which the leech is furnished, are

three in number, of a hard gristly substance, and so placed, with

regard to each other, as to meet in the centre at equal angles; these

piercers are thrust into the skin when the animal attaches itself; not

by one plunging effort, but by constantly scratching or sawing upon the

surface (assisted at the same time by the sucking action of the lips);

in this manner they gradually become buried in the skin, and there

remain as long as the creature retains its hold; this movement of the

piercers occasions the gnawing pain felt for the first two or three

minutes after the leech has commenced operation.

Leeches are at times so scarce and valuable, that great care has been

taken in preserving them in a healthy state and fit for use. The

principal art in managing them consists in placing them in vessels

sufficiently large, keeping the water clear, and in removing those

which are unhealthy as soon as they are discovered.

Leeches, when applied to the skin, frequently show little inclination

to bite, and many plans have been resorted to, to induce them to

commence operations, such as bathing the part with milk, &c.; but

these methods may be considered useless, and the best plan appears

to be, to wash the part clean, and this is the more necessary when

any embrocation has been previously applied; but the surest way is to

puncture the place slightly, so as to cause the blood to appear. If the

little surgeon, before it is fully gorged, appears lazy and unwilling

to proceed, it can be usually roused by being sprinkled with a little

cold water.

After a leech has fallen off, it is usual to sprinkle salt on it to

induce it to disgorge the blood it has swallowed; but as the salt

frequently blisters its body, it has been recommended by Dr. Johnson of

Edinburgh, from whose work on the Leech, we have obtained most of the

preceding information, to apply a small portion of vinegar to the head

of the leech instead of salt.

The necessity for obliging the leech to dislodge the blood it has

swallowed, arises from the fact that it would remain in the body of

the animal for some months before it could be all digested; but the

most singular thing is, that, during the whole of this time, the blood

remains in nearly as fluid a state as when it was newly swallowed[5].

The stomach of this creature is very curiously formed, being composed

of a number of chambers, each chamber having a separate connexion with

the intestinal canal, in such a manner that, at the will of the animal,

the contents of each chamber can be emptied singly into that canal,

through a distinct opening.

[Illustration: Fig. 1. Fig. 2.]

It was long a matter of dispute as to whether leeches were produced

from eggs or born alive, but it is now ascertained that the ova are

developed in a singular case, having some resemblance to the cocoon

of a silkworm. The following engraving represents this case, of its

natural size: fig. 1, shows the perfect case or cocoon, and fig. 2, the

same opened, with the young leeches contained within it; it is said

that, at times, there are as many as thirteen or fourteen in one case.

This cocoon is formed by the parent animal, and by it deposited in the

mud or clay, which composes the bed of the pool it inhabits.

The fact of the young leech being produced from these cocoons, although

only latterly ascertained by naturalists, was long since well-known to

the dealers in leeches on the French coast, who avail themselves of

this knowledge of their habits, to multiply them for the purpose of

sale.

“It was by these means the leech-dealers of Bretagne, and particularly

in Finisterre, replenished the ponds in which they preserved those

leeches which were intended for the Paris market.

“About the month of April or May, according to the nature of the

season, they send out labourers, provided with spades and baskets, to

the little muddy marshes, where they are known to exist in abundance.

These workmen then set about removing those portions of mud that are

known to contain cocoons, which are afterwards deposited in sheets of

water previously prepared for their reception; here the young leeches

quit the cocoons, and are allowed to remain for six months, when they

are removed to larger ponds.” While they remain in these ponds, the

cattle and other animals are driven to the water, for the purpose of

allowing the young to feed upon them, as it is supposed that they grow

much more rapidly after having partaken of blood.

There is a small species of leech in the island of Ceylon, which is

more dreaded, and, from its great numbers, produces more evil, than

even the venomous reptiles which are found in the island, including the

terrible hooded snake itself.

The largest of these leeches are seldom more than half an inch in

length, and the smallest are minute indeed. This leech is a very active

animal; it moves with great rapidity, and is even said occasionally

to spring. It is supposed to have an acute sense of smelling, for no

sooner does a person stop where leeches abound, that they appear to

crowd eagerly to the spot from all quarters. In rainy weather, it is

shocking to see the legs of men on a long march thickly beset with

these creatures, gorged with blood, and the blood itself trickling down

in streams. It might be supposed there be little difficulty in keeping

them off; but they crowd to the attack, and fasten on more quickly

than they can be removed. Their bites are much more troublesome than

would be imagined, being very apt to fester and become sores, and, in

persons of a bad habit of body, to degenerate into extensive ulcers,

and ultimately cause the loss of a limb, if not that of life itself.

Many plans have, of course, been resorted to, to avoid this pest, such

as anointing the legs with tobacco-water, grease, &c., but all to very

little purpose, the only successful mode appearing to be, the enclosing

the lower part of the legs in boots and pantaloons, fitting very

closely to the limb, a very unpleasant dress in so sultry a climate.

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