Become A Member

  1. Home
  2. 2024 (SEP-OCT)
  3. A CONCEPTUAL STUDY OF ANCIENT SURGERY IN AYURVEDA
Article Image
Dr. Shubham Kumari1, Dr. Kiran Omprakash Tiwari2

A CONCEPTUAL STUDY OF ANCIENT SURGERY IN AYURVEDA

Ayurved science of life which is divided into 8 branches. Shalya (Surgery) is one of the branches of Ashtanag Ayurved. From ancient Indian surgery various surgical procedures were divided in Chhedya, Bhedya and Vedhya. There are about 15 types of surgical repair of the ear is mentioned in Sushruta Samhita: - 1. Nemisandhanaka 2. Utpala Bhedyaka 3. Valluraka 4.Asangima 5. Ganda Karna 6. Aharya 7. Nirvedhima 8. Vyayojima 9. Kapatasandhika 10. Ardhakapata Sandhiaka 11. Sanksipta 12. Hinakarna 13. Vallikarna 14. Yasti Karna 15. Kakaustaka. Description of Sandhan karma found in ancient times. Reference of Magical operative surgery of Ashwinikumaras mentioned in Vedas. According to Upanishad, Ashwinikumaras also operated and repaired the excised head of Yagyana by Rudra. Ashwinikumaras were doing both homo and hetero transplantations at that time. Sushruta has described 15 methods of Karna-sandhan (Auroplasty) repairs of the several ear-lopes. The concept of practical training mentioned in Yogya soothreeya adhyaya is still relevant. Before entering in the field of practice, the training at internship serves the same purpose which was proposed by Sushruta years back. Sushruta was the first person to classify surgical procedures in three divisions. 1. Purva karma (pre-Operative procedures) 2. Pradhana karma (Operative procedures) 3. Paschat karma (post-Operative procedures). 1. Poorva Karma (Preoperative procedures) :- Acharya Sushruta has mentioned in detail about the materials to be collected before any surgical procedures, which includes instruments and other preparations. 2. Pradhana Karma (Operative procedures) Aacharya Sushruta has classified basic surgical procedures into eight types viz., Chedana (excision), Bhedana (incision), Lekhana (scrapping), Vyadhana (puncturing), Eshana (probing), Aharana (extraction), Visravana (drainage) and Seevana (suturing). 3. Paschat Karma (Post-Operative) Acharya Sushruta has given an extensive knowledge about post – operative care. He has mentioned that the patient should be sprinkled with cold water; wound should be pressed all around with finger, gently massaged and washed with Kashaya. Many of the techniques used in recent era of recon-struction surgeries were mentioned by Acharya Sushruta in Sushrut Samhita sutrasthan in different reconstructions of ear, nose and lip. This extraordinary knowledge indicates the greatness of our Acharyas, and we have to do research on their treatment modalities.  The Chikitsa of Asthi and Sandhi bhagna was described by Sushruta under heading of Bhagna. The concept of physical rehabilitation after full recovery from the fracture and dislocation is followed by Orthopaedic surgeons and has now become a new branch known as physiotherapy.

KEYWORDS: Ayurveda, Paschat Karma, Poorva Karma, Pradhan Karma, Shalya-Vidhi.