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Leech is the book version of physician. Also, leech is a carnivorous or bloodsucking aquatic worm. Chillingworth seem to "suck" the power out of Reverend Dimmesdale. That's the main connection and the double-meaning.

References :<http://thesaurus.com/browse/leech>

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Q: What double meaning does the word leech have in scarlet letter?
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