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Books > Ayurveda > Ayurveda > Susruta > Surgical Essence of Susruta Samhita
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Surgical Essence of Susruta Samhita
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Surgical Essence of Susruta Samhita
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About the Author

Dr. K.K. Thakral was born on 1938 in the village Sobowal, Distt. Sargodha, now in Pakistan. The family shifted to Yamuna Nagar, Haryana during partition of the country. After passing intermediate with science he graduated from state Ayurvedic college, Lucknow in 1964 obtaining Bachelor of Ayurveda with Modern Medicine and Surgery (B.A.M.S.) degree from Lucknow University in First position. He obtained his P.G. degree D. Ay.M (Shalya Shalakaya, i.e. surgery and E.N.T.) from B.H.U. Varanasi in 1968 in first position. He served as lecturer, reader, Professor (Shalya) in various state Ayurvedic colleges of U.P. Then he served as Principal and Dean, Faculty of Ayurveda, Kanpur University for 5 years. He was invited to work as Asstt. Research Surgeon, Surgeon, Deptt. of Surgery, University of California, San Francisco, School of Medicine, U.S.A. for two years and conducted higher research in wound healing. He worked as Director, Ayurveda and Unani and Director Ayurveda and Unani (Syllabus valuation) during 1995-1996, U.P.

He has published 56 research papers out of which 12 are in foreign journals. He has guided Ph. D. And M.D. thesis, and has published a book entitled ‘Shalya tantra ke siddhanta’. He was moderator, Publication division C.C.I.M. New Delhi. He worked as nember of Ayurved advisory committee, U.P.,C.C.I.M. New Delhi, Education committee C. C. I .M., National task force on Kshar Sutra, Dept. of AYUSH, Deptt. of Ayush, Ministry of Health & F.W. govt. of India. He worked as expert member, Public Service commission, Uttra Khand, and B.H.U. Varanasi. He has delivered 52 guest lectures during C.M.E. and R.O.T.P. programmes.

He was awarded Ayurved Ratnakar in 1991, Ayurved Brahaspati in 1992 and National Herbal Protection award, Global open university in 2010.

He represented India during International conference, Juntendo University, Japan in 1992 and also was Chief guest Japan Ayurved Society in 1992.

He has renderd social services in Bronchial asthma relief camps-47. Handicapped service camps-4 and Eye relief camps-15.

He has been awarded fellow of International College of Angiology, U.S.A. 1979, Fellow of Academy of Indian Medicine-B.H.U.-1997 and Fellow of Rashtriya Ayurved Vidyapeeth-(E.R.A.V.) New Delhi-2001, and worked as GURV for 3 years.

After his retirement as Director, Ayurveda and Unani, U.P. he is running his own specialized Kshar Sutra Clinic and serving the humanity.

Foreword

It gives me immense pleasure to write the foreword of the book entitled "Surgical Essence of Sushruta Samhita" written by Prof. K.K. Thakral, who has been a teacher, researcher and administrator.

"Sushruta" the great surgeon of ancient India lived and practiced surgery around 7000 years back. He propounded and established the principles and philosophy of Surgery. His teachings on treatment of different kinds of wounds including war wounds, asepsis, antisepsis, ways of spread of infection, fractures, dislocations piles, Fistula in ano, urinary bladder stones, and caesarean section are of great importance.

He was the first person to perform rhinoplasty and repair of cut ears and so gave Plastic surgery to the world and that is why he is known as "Father of Surgery" and rightly so.

In the present times surgery has made a huge progress with the help of anaesthesia, technology and newer instruments which have made it possible to reach all the organs of the body. If analysed carefully all these developments are based on the surgical principles and philosophy as described by Sushruta.

Prof. Thakral with his vast experience has tried to bring out all those' i1ilbdrtant' facts in his book. The book contains important Shlokas with their translation both in English and Hindi which will help the-readers to understand and comprehend the subject easily. The modern day surgeons in India and abroad would also be benefited by understanding the knowledge embedded in Sushruta Samhita.

I congratulate Prof. Thakral for-this scholarly work and hope he would keep exploring the treasure of knowledge present in ancient medical books for the benefit of humanity.

Preface

I am happy to bring out this short compilation of Susruta' s verses on important topics in Surgery. It is hoped that it will help the Post Graduate students of Shalya Tantra as well as teachers to review the subject. I wish that Post Graduate Students remember these Shlokas by heart and am sure that if they do so they shall never fail in the teaching and practice of their surgical skill. Needless to mention that the compilation is by no means complete. However efforts have been made to include all important aspects. In future further improvements in arrangement of the matter and inclusion of the matter left out will be made. I have every hope that this short compilation will help the reader to have a bird's eye view of the vast treasuers of knowledge locked in our ancient Samhita and will initiate him to dive deeper in the subject to bring out new suggestions for enriching the science and practice of surgery as a whole. I owe my gratitude to my teachers (late) Dr. P.J. Deshpande, (Late) Dr. L.M. Singh, (Late) Dr. P.S. Shankaran, who always stressed for studying Sushruta Samhita.

Contents

1 Definition of vrana (wounds) 1
2 2nd Definition of vrana 1
3 Classification of vrana (wounds) 2
4 Examination 2
5 Trividh pareeksha (Three methods of examination) 2
6 Normal shapes of curable wounds 3
7 Seats of vrana (wounds) 3
8 Detail of seats 3
9 Odors 4
10 Detail of odors 4
11 Detail of odors 5
12 Fourteen types of wound sischarges, 12-A, wound discharges according to the site of wounds are as follows 5
13 Colours 7
14 Pain, 14-A, Vatik Pain, 14-B, Paittik pain, 14-C, Shleshmic pain, 14-D, Sanipattik pain. 0
15 Types of dushta vrana 9
16 Signs and symptoms of unclean wound 11
17 Signs and symptom of unclean wound 11
18 Shuddha vrana (clean wound) 11
19 Shuddha vrana (clean wound) 11
20 Shuddha vrana (A clean wound) 12
21 Ruhyaman vrana (healing wound) 12
22 Rudha vrana (healed wound) 12
23 Factors retarding wound healing 13
24 Factors retarding wound healing 13
25 Factors retarding wound healing 14
26 Complications of wounds and of the wounded 14
27 Complications of wounds and of the wounded 14
28 Complications of wounds and of the wounded 15
29 Prognosis of wounds, curable wounds 15
30 Curable wounds 16
31 Wounds curable with difficulty 16
32 32-A, Wound curable with difficulty 16
33 Incurable wounds 17
34 Incurable wounds 17
35 Incurable wounds 17
36 Incurable wounds 18
37 Classification of traumatic wounds 18
38 Classification of traumatic wounds 18
39 Shapes of wounds 18
40 Shapes of wounds 18
41 Chhinna vrana (excised wound) 19
42 Varieties of china vrana 19
43 Bhinna vrana (Penetrating wound) 20
44 Abdominal injury 20
45 Abdominal injury 20
46 Abdominal injury 21
47 Viddha vrana (punctured wound) 21
48 Varieties of viddh vrana 21
49 Varieties of viddha vrana 21
50 50-A, kshat vrana (Incised wound) 22
51 Pichchita vrana (lacerated wound) 23
52 Varieties of pichchita vrana 23
53 Ghrishtaa vrana (abrased wound) 23
54 Special characters of pichchita and ghrishta vrana 23
55 Prognosis of injuries according to the characters of discharges 24
56 Abdominal injury without complication 24
57 Role of dosha during ripening of shofa 25
58 Features of aama shofa 25
59 Features of aama shofa 25
60 Features of pachyamana shofa 25
61 Features of pakwa shofa 26
62 Do's for the wounded 27
63 Do's for the wounded 27
64 Do's for the wounded 28
65 Do's for the wounded 28
66 Harmful diets for the wounded 28
67 67A. Harmful diets for the wounded 29
68 68-A, Harmful diets and other factors for the wounded 30
69 Beneficial diets for the wounded 31
70 Beneficial diets for the wounded 31
71 Beneficial diets for the wounded 31
72 Beneficial diets for the wounded 31
73 Sixty procedures in the management of wounds 32
74 General qualities of a wound 33
75 Line of management of traumatic wounds 34
76 Line of management of wounds 34
77 Qualities of ideal incision 34
78 Importance of knowledge of stages of vrana-shofa 35
79 Burns; Materials used for cauterization 35
80 Different forms of therapeutic burns 36
81 Clinical features of different degree of burns 36
82 Clinical features of different degree of burns 36
83 Stages of accidental burns 37
84 Common treatment for all burns 37
85 Common treatment for all burns 37
86 Treatment of samyagdagdh 37
87 Treatment of atidagdh 38
88 Kshar; definition 38
89 Qualities of ideal incision 38
90 Varieties 39
91 Indications 39
92 Internal use 39
93 Signs of ideal kshar patan (application of Kshar) 40
94 Signs of ideal kshar patan (application of Kshar) 40
95 95-A, antidote 40
96 Deficient therapeutic burns 40
97 Complications of wounds and of the wounded 41
98 Complications of wounds and of the wounded 41
99 Complications of wounds and of the wounded 41
100 Advantages of ksharkarma 42
101 Bhagna (fractures); functions of bone 43
102 Varieties of bones 43
103 Effect of trauma 43
104 Causes of fractures 43
105 Types of skeletal injuries 44
106 Treatment of compound 44
107 Types of fractures 45
108 Signs and symptoms 45
109 Typical clinical features of fractures & of joint injuries 45
110 Vishisht 46
111 Vivartit 46
112 Avkhshipt 46
113 Atikhshipt 46
114 Tiryak khshipt 47
115 Karkatak 47
116 Ashwakarna 47
117 Choornit 47
118 Pichchita vrana (lacerated wound) 47
119 Asthichhallit 47
120 Vellit 48
121 Majjanugat 48
122 Atipatit 48
123 Vakra 48
124 Chhinna 48
125 Patit 48
126 Sphutit 49
127 Bad prognosis 49
128 Prognosis 50
129 129-A; Prognosis 50
130 Treatment (first aid) 50
131 Principles of manipulation 51
132 Four principles management of skeletal injuries 51
133 Splinting material 52
134 Immobilization, Do' s & Don'ts 52
135 Principles of treatment of compound fracture 52
136 Loose bone 53
137 Infection 53
138 Management of malunion 53
139 Management of malunion 54
140 Use of healthy limb for splintage 54
141 Gradual weight bearing exercises 54
142 Gradual weight bearing exercises 55
143 Treatment of avulsed ear 55
144 Beneficial procedures 55
145 Criteria of ideal healing 56
146 146-A; Do's and Don'ts 56
147 Plastic surgery; varieties of ear repair 57
148 Basic principles of ear plasty 57
149 If one karnapali (pinna) is absent 57
150 If both karnapali (pinna) are absent 58
151 If outer pali (pinna) is bigger or smaller 58
152 If remnant pinna is big and spread 58
153 Indications 59
154 Contraindications for repair 59
155 Operative procedure 59
156 Operative procedure 61
157 Don'ts in post operative period 62
158 Complication of too early physiotherapy 62
159 Complications of too early physiotherapy 63
160 Rhinoplasty 63
161 Detachment of pedicle and correction of repair 64
162 Ideally healed ear 64
163 Instruction for surgeons 65
164 BANDH (bandaging); bandaging materials. 65
165 Varieties of bandages 66
166 Indications 67
167 Kosh bandage 67
168 Daam bandage 67
169 Application of daam bandage 67
170 Swastik bandage 67
171 Annuvellit bandage 68
172 Mutoli (pratoli) bandage 68
173 Mandal bandage 68
174 Sthagika bandage 68
175 Yamak bandage 68
176 Khatwa bandage 68
177 Cheen bandage 68
178 Vibandh bandage 68
179 Vitaan bandage 69
180 Gophana bandage 69
181 Panchangi bandage 69
182 Utsang bandage 69
183 Varieties 69
184 Ideal bandage 70
185 Advantages of bandaging 70
186 Frequency of change of bandages 71
187 Advantages of bandaging 71
188 188-A situations to avoid bandaging 0
189 Urinary stones; Anatomical position and relations 72
190 Functions of bladder 73
191 Functions of bladder 74
192 Predisposing factors 74
193 Pathogenesis 75
194 Varieties 75
195 Signs and sympoms 75
196 Signs and symotoms 76
197 Symptoms of vataja Asjmari 77
198 Symptoms of pittaja asjmari 77
199 Symptoms of kaphaj ashmari 77
200 Symptoms of shukraj ashmari 78
201 Complications 78
202 Complications 78
203 Prognosis 78
204 Prognosis 79
205 Prognosis 79
206 Principle of management; treatments 79
207 Sequence of symptoms during management 79
208 Indications for surgical treatment 80
209 Seriousness of prognosis 80
210 Caution while operating 81
211 Operative procedure 81
212 Specific indications; chhedan 82
213 Instruments used for chhedana and bhedana 83
214 General indications of bhedan 83
215 Specific indications; chhedan 84
216 General indications of lehan 85
217 217-A and 217-B; specific indications 0
218 Material used for lekhen 86
219 219-A Specific indications 0
220 220-A, 220-B; Indications for vyadhan (puncturing) 87
221 221-A, 221-B; indications of Eshan 0
222 Probing the wound 88
223 Probing the wound 89
224 Two types of probes 89
225 Selective use of probe 89
226 Indications of Aaharan 90
227 227-A, Specific indications 90
228 228-A; Indications of Visravana (drainage) 90
229 Instruments for visravana 91
230 Indications of seevan (suturing) 91
231 Specific indications; chhedan 92
232 Specific indications; chhedan 92
233 Contraindications of seevan 92
234 Contraindications of seevan 93
235 235-A; suturing technique 93
236 Suture materials 93
237 Types of sutures 94
238 Ideal stitches 94
239 Blood; definition of blood 94
240 Definition of blood 95
241 Blood depots 95
242 Quantity 95
243 Importance of blood 95
244 Diseases due to blood impurities 96
245 General principle of treatment 97
246 Contra indications for blood letting 97
247 Two methods of blood letting 98
248 Choice of method with justification 98
249 Choice of method with justification 99
250 Contraindications for venesection 99
251 Contraindications for venesection 99
252 Contraindications for venesection 99
253 Size of puncture according to site lesion 100
254 Blood letting time (time when blood letting should be done) 100
255 Blood letting time 100
256 Quantiy 101
257 Ideal blood letting test 101
258 Conditions when blood does not flow 101
259 259-A; Conditions when blood does not flow 102
260 Four principles of controlling bleeding 102
261 Action of four principles 103
262 Action of four principles 103
263 Action of four principles 103
264 When to stop visravan 103
265 Ideal signs of blood letting 104
266 Importance of venesection 104
267 Advantages of blood letting 104
268 Method and procedure 104
269 Method and procedure 105
270 Jalauka 105
271 Poisonous 106
272 Non poisnous 106
273 Contra indications of leech 106
174 Experts in use of jalauka 106
275 Pathology of nadi vrana 107
276 Management 107
277 Application of kshar sutra 108
278 Applications of kshar sutra 108
279 Application of kshar sutra 108
280 Definition of bhagandra 109
281 Types of bhagandra 109
282 Types of bhagandra 109
283 Types of bhagandra 109
284 Examination of bhagandra 110
285 Pracheen and arvacheen 110
286 Operative procedure 111
287 Shatponak 111
288 Ushtragreeva 112
289 Parisravi 113
290 Patikshepi 114
291 Piju 114
292 Arsho-bhagandara 114
293 Arsho-bhagandara 114
294 294-A; Shambukavarta 115
295 Unmargi 116
296 Management in general 117
297 Treatment of a burst Abscess or when it is in ripen condition 117
298 298-A; treatment of shatponak 117
299 Ushtragreeva 118
300 Parisravi 119
301 Parikshepi 120
302 Arshobhagandra 120
303 Care in children 120
304 Unmargi 120
305 To relieve pain 121
306 Miscellaneous; Dose of medicine 122
307 Protection of vrana from contamination 122
308 Spread of diseases 123
309 Good medical man 123
210 Good medical man 124
311 Good medical man 124
312 Good medical man 124
313 A vaidya who does not know the procedures 125
314 Ubhayagaya vaidya (learned and skilled) 125
315 Ubhayagaya vaidya (learned and skilled) 125
316 A careless medical student 125
317 Qualities of a surgeon 126
318 Qualities of a surgeon 126
319 Qualities of a surgeon 126
320 Qualities of a surgeon 127
321 Unskilled surgeon 127
322 Surgeon with qualities 127
232 Surgeo with qualities 128
324 Qualities of assistants/nursing staff 128
325 Relation with the patient 129
326 Arbud (tumour); complete eradication of arbudas 129
327 Relation of dosha prakopa and age 129
328 Substitutes of agni and kshara 130
329 Assessment of bala 130
330 Pathogenesis of vyadhi 130
331 Pathogenesis of vyadhi 131
332 Change of management 131
333 Definition of shalya 132
334 Definition of shalya 132
335 Whole course of surgery 132
336 Whole course of surgery 133
337 Surgical manoeuvre; No food before operation 133
338 Definition of Yantra 133
339 Number of Yantra (blunt instruments essential in operation theatre) 134
340 Importance of kankamukha instrument, 340-A; Number of sharp instruments. 134
341 Definition of shopha (Inflammatory swelling) 134
342 Diagnosis of presence of shalya (foreign body) 342-A; Marmas (vital points) 135
343 Sadya pranhar 136
344 Kalantar pranhar 136
345 Vishalyaghna 136
346 Vaikalyakar 137
347 Rujakar 137
348 Time effect on injury 137
348 Kriyakal 137
350 Kriyakal 138
351 Prognosis of vrana 138
352 Direction of shalya 138
353 353-A, 353-B; Fate of shalya 139
354 Types of shalya 139
355 Method of extraction of shalya 140
356 Careful use of procedures (Agni, Kahar) 141
357 Groups of drugs & indications, aragvadhadi 141
358 Varunadi 141
359 Veertarvadi 141
360 Sursadi 141
361 Priyangu and others 141
362 Naygrodhadi 141
363 Lakhshadi 142
364 Apachi 142
365 Arbuda 142
366 Adhyarbuda 143
367 Dwirarbuda 143
368 Galganda 143
369 Shastras 144
370 Burns; Materials used for cauterization 144
371 Leeches 144
372 Shopha 145
373 Vranalepa 145
374 Types of diseases 145
375 Types of diseases 145
376 Surgical manipulation 146
377 377-A; types of stitching 146
378 Stitching materials 146
379 Types of needles (three types) 147
380 Types of hemorrhoids 147
381 Types of bladder stones 147
382 Fistula in Ano 147
383 Types of udaras 148
384 Types of vidradhi 148
385 Types of visarpa 148
385 Types of visarpa 148
386 Types of nadi vrana 148
387 Types of stanrogas 149
388 Types of granthi 149
389 Types of arbuda 149
390 Types of vriddhi 150
391 Kshudrarogas 150
392 Types of bhagna (dislocation) 150
393 Types of bhagna (fractures) 150
394 Mukhrogas 151
395 Seat of mukh rogas 151
396 Number of marmas 151
397 Types of marmas according to post injury effect, 397-A-Basti marma 151
398 Precaution during operations 152
399 Postoperative management 153
400 Definition of sharkara (gravel) 153
401 Signs and symptoms 153
402 Signs and symptoms 153
403 Complications 154
404 Surgical management 154
405 Basic surgical procedures, general indications 154
406 Excision 155
407 Every substance in the world is a medicine 155
408 Importance of food 156
     

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Surgical Essence of Susruta Samhita

Item Code:
NAN439
Cover:
Paperback
Edition:
2016
ISBN:
9788176373807
Language:
Sanskrit Text With English Translation
Size:
8.5 inch X 5.5 inch
Pages:
176
Other Details:
Weight of the Book: 170 gms
Price:
$20.00   Shipping Free
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About the Author

Dr. K.K. Thakral was born on 1938 in the village Sobowal, Distt. Sargodha, now in Pakistan. The family shifted to Yamuna Nagar, Haryana during partition of the country. After passing intermediate with science he graduated from state Ayurvedic college, Lucknow in 1964 obtaining Bachelor of Ayurveda with Modern Medicine and Surgery (B.A.M.S.) degree from Lucknow University in First position. He obtained his P.G. degree D. Ay.M (Shalya Shalakaya, i.e. surgery and E.N.T.) from B.H.U. Varanasi in 1968 in first position. He served as lecturer, reader, Professor (Shalya) in various state Ayurvedic colleges of U.P. Then he served as Principal and Dean, Faculty of Ayurveda, Kanpur University for 5 years. He was invited to work as Asstt. Research Surgeon, Surgeon, Deptt. of Surgery, University of California, San Francisco, School of Medicine, U.S.A. for two years and conducted higher research in wound healing. He worked as Director, Ayurveda and Unani and Director Ayurveda and Unani (Syllabus valuation) during 1995-1996, U.P.

He has published 56 research papers out of which 12 are in foreign journals. He has guided Ph. D. And M.D. thesis, and has published a book entitled ‘Shalya tantra ke siddhanta’. He was moderator, Publication division C.C.I.M. New Delhi. He worked as nember of Ayurved advisory committee, U.P.,C.C.I.M. New Delhi, Education committee C. C. I .M., National task force on Kshar Sutra, Dept. of AYUSH, Deptt. of Ayush, Ministry of Health & F.W. govt. of India. He worked as expert member, Public Service commission, Uttra Khand, and B.H.U. Varanasi. He has delivered 52 guest lectures during C.M.E. and R.O.T.P. programmes.

He was awarded Ayurved Ratnakar in 1991, Ayurved Brahaspati in 1992 and National Herbal Protection award, Global open university in 2010.

He represented India during International conference, Juntendo University, Japan in 1992 and also was Chief guest Japan Ayurved Society in 1992.

He has renderd social services in Bronchial asthma relief camps-47. Handicapped service camps-4 and Eye relief camps-15.

He has been awarded fellow of International College of Angiology, U.S.A. 1979, Fellow of Academy of Indian Medicine-B.H.U.-1997 and Fellow of Rashtriya Ayurved Vidyapeeth-(E.R.A.V.) New Delhi-2001, and worked as GURV for 3 years.

After his retirement as Director, Ayurveda and Unani, U.P. he is running his own specialized Kshar Sutra Clinic and serving the humanity.

Foreword

It gives me immense pleasure to write the foreword of the book entitled "Surgical Essence of Sushruta Samhita" written by Prof. K.K. Thakral, who has been a teacher, researcher and administrator.

"Sushruta" the great surgeon of ancient India lived and practiced surgery around 7000 years back. He propounded and established the principles and philosophy of Surgery. His teachings on treatment of different kinds of wounds including war wounds, asepsis, antisepsis, ways of spread of infection, fractures, dislocations piles, Fistula in ano, urinary bladder stones, and caesarean section are of great importance.

He was the first person to perform rhinoplasty and repair of cut ears and so gave Plastic surgery to the world and that is why he is known as "Father of Surgery" and rightly so.

In the present times surgery has made a huge progress with the help of anaesthesia, technology and newer instruments which have made it possible to reach all the organs of the body. If analysed carefully all these developments are based on the surgical principles and philosophy as described by Sushruta.

Prof. Thakral with his vast experience has tried to bring out all those' i1ilbdrtant' facts in his book. The book contains important Shlokas with their translation both in English and Hindi which will help the-readers to understand and comprehend the subject easily. The modern day surgeons in India and abroad would also be benefited by understanding the knowledge embedded in Sushruta Samhita.

I congratulate Prof. Thakral for-this scholarly work and hope he would keep exploring the treasure of knowledge present in ancient medical books for the benefit of humanity.

Preface

I am happy to bring out this short compilation of Susruta' s verses on important topics in Surgery. It is hoped that it will help the Post Graduate students of Shalya Tantra as well as teachers to review the subject. I wish that Post Graduate Students remember these Shlokas by heart and am sure that if they do so they shall never fail in the teaching and practice of their surgical skill. Needless to mention that the compilation is by no means complete. However efforts have been made to include all important aspects. In future further improvements in arrangement of the matter and inclusion of the matter left out will be made. I have every hope that this short compilation will help the reader to have a bird's eye view of the vast treasuers of knowledge locked in our ancient Samhita and will initiate him to dive deeper in the subject to bring out new suggestions for enriching the science and practice of surgery as a whole. I owe my gratitude to my teachers (late) Dr. P.J. Deshpande, (Late) Dr. L.M. Singh, (Late) Dr. P.S. Shankaran, who always stressed for studying Sushruta Samhita.

Contents

1 Definition of vrana (wounds) 1
2 2nd Definition of vrana 1
3 Classification of vrana (wounds) 2
4 Examination 2
5 Trividh pareeksha (Three methods of examination) 2
6 Normal shapes of curable wounds 3
7 Seats of vrana (wounds) 3
8 Detail of seats 3
9 Odors 4
10 Detail of odors 4
11 Detail of odors 5
12 Fourteen types of wound sischarges, 12-A, wound discharges according to the site of wounds are as follows 5
13 Colours 7
14 Pain, 14-A, Vatik Pain, 14-B, Paittik pain, 14-C, Shleshmic pain, 14-D, Sanipattik pain. 0
15 Types of dushta vrana 9
16 Signs and symptoms of unclean wound 11
17 Signs and symptom of unclean wound 11
18 Shuddha vrana (clean wound) 11
19 Shuddha vrana (clean wound) 11
20 Shuddha vrana (A clean wound) 12
21 Ruhyaman vrana (healing wound) 12
22 Rudha vrana (healed wound) 12
23 Factors retarding wound healing 13
24 Factors retarding wound healing 13
25 Factors retarding wound healing 14
26 Complications of wounds and of the wounded 14
27 Complications of wounds and of the wounded 14
28 Complications of wounds and of the wounded 15
29 Prognosis of wounds, curable wounds 15
30 Curable wounds 16
31 Wounds curable with difficulty 16
32 32-A, Wound curable with difficulty 16
33 Incurable wounds 17
34 Incurable wounds 17
35 Incurable wounds 17
36 Incurable wounds 18
37 Classification of traumatic wounds 18
38 Classification of traumatic wounds 18
39 Shapes of wounds 18
40 Shapes of wounds 18
41 Chhinna vrana (excised wound) 19
42 Varieties of china vrana 19
43 Bhinna vrana (Penetrating wound) 20
44 Abdominal injury 20
45 Abdominal injury 20
46 Abdominal injury 21
47 Viddha vrana (punctured wound) 21
48 Varieties of viddh vrana 21
49 Varieties of viddha vrana 21
50 50-A, kshat vrana (Incised wound) 22
51 Pichchita vrana (lacerated wound) 23
52 Varieties of pichchita vrana 23
53 Ghrishtaa vrana (abrased wound) 23
54 Special characters of pichchita and ghrishta vrana 23
55 Prognosis of injuries according to the characters of discharges 24
56 Abdominal injury without complication 24
57 Role of dosha during ripening of shofa 25
58 Features of aama shofa 25
59 Features of aama shofa 25
60 Features of pachyamana shofa 25
61 Features of pakwa shofa 26
62 Do's for the wounded 27
63 Do's for the wounded 27
64 Do's for the wounded 28
65 Do's for the wounded 28
66 Harmful diets for the wounded 28
67 67A. Harmful diets for the wounded 29
68 68-A, Harmful diets and other factors for the wounded 30
69 Beneficial diets for the wounded 31
70 Beneficial diets for the wounded 31
71 Beneficial diets for the wounded 31
72 Beneficial diets for the wounded 31
73 Sixty procedures in the management of wounds 32
74 General qualities of a wound 33
75 Line of management of traumatic wounds 34
76 Line of management of wounds 34
77 Qualities of ideal incision 34
78 Importance of knowledge of stages of vrana-shofa 35
79 Burns; Materials used for cauterization 35
80 Different forms of therapeutic burns 36
81 Clinical features of different degree of burns 36
82 Clinical features of different degree of burns 36
83 Stages of accidental burns 37
84 Common treatment for all burns 37
85 Common treatment for all burns 37
86 Treatment of samyagdagdh 37
87 Treatment of atidagdh 38
88 Kshar; definition 38
89 Qualities of ideal incision 38
90 Varieties 39
91 Indications 39
92 Internal use 39
93 Signs of ideal kshar patan (application of Kshar) 40
94 Signs of ideal kshar patan (application of Kshar) 40
95 95-A, antidote 40
96 Deficient therapeutic burns 40
97 Complications of wounds and of the wounded 41
98 Complications of wounds and of the wounded 41
99 Complications of wounds and of the wounded 41
100 Advantages of ksharkarma 42
101 Bhagna (fractures); functions of bone 43
102 Varieties of bones 43
103 Effect of trauma 43
104 Causes of fractures 43
105 Types of skeletal injuries 44
106 Treatment of compound 44
107 Types of fractures 45
108 Signs and symptoms 45
109 Typical clinical features of fractures & of joint injuries 45
110 Vishisht 46
111 Vivartit 46
112 Avkhshipt 46
113 Atikhshipt 46
114 Tiryak khshipt 47
115 Karkatak 47
116 Ashwakarna 47
117 Choornit 47
118 Pichchita vrana (lacerated wound) 47
119 Asthichhallit 47
120 Vellit 48
121 Majjanugat 48
122 Atipatit 48
123 Vakra 48
124 Chhinna 48
125 Patit 48
126 Sphutit 49
127 Bad prognosis 49
128 Prognosis 50
129 129-A; Prognosis 50
130 Treatment (first aid) 50
131 Principles of manipulation 51
132 Four principles management of skeletal injuries 51
133 Splinting material 52
134 Immobilization, Do' s & Don'ts 52
135 Principles of treatment of compound fracture 52
136 Loose bone 53
137 Infection 53
138 Management of malunion 53
139 Management of malunion 54
140 Use of healthy limb for splintage 54
141 Gradual weight bearing exercises 54
142 Gradual weight bearing exercises 55
143 Treatment of avulsed ear 55
144 Beneficial procedures 55
145 Criteria of ideal healing 56
146 146-A; Do's and Don'ts 56
147 Plastic surgery; varieties of ear repair 57
148 Basic principles of ear plasty 57
149 If one karnapali (pinna) is absent 57
150 If both karnapali (pinna) are absent 58
151 If outer pali (pinna) is bigger or smaller 58
152 If remnant pinna is big and spread 58
153 Indications 59
154 Contraindications for repair 59
155 Operative procedure 59
156 Operative procedure 61
157 Don'ts in post operative period 62
158 Complication of too early physiotherapy 62
159 Complications of too early physiotherapy 63
160 Rhinoplasty 63
161 Detachment of pedicle and correction of repair 64
162 Ideally healed ear 64
163 Instruction for surgeons 65
164 BANDH (bandaging); bandaging materials. 65
165 Varieties of bandages 66
166 Indications 67
167 Kosh bandage 67
168 Daam bandage 67
169 Application of daam bandage 67
170 Swastik bandage 67
171 Annuvellit bandage 68
172 Mutoli (pratoli) bandage 68
173 Mandal bandage 68
174 Sthagika bandage 68
175 Yamak bandage 68
176 Khatwa bandage 68
177 Cheen bandage 68
178 Vibandh bandage 68
179 Vitaan bandage 69
180 Gophana bandage 69
181 Panchangi bandage 69
182 Utsang bandage 69
183 Varieties 69
184 Ideal bandage 70
185 Advantages of bandaging 70
186 Frequency of change of bandages 71
187 Advantages of bandaging 71
188 188-A situations to avoid bandaging 0
189 Urinary stones; Anatomical position and relations 72
190 Functions of bladder 73
191 Functions of bladder 74
192 Predisposing factors 74
193 Pathogenesis 75
194 Varieties 75
195 Signs and sympoms 75
196 Signs and symotoms 76
197 Symptoms of vataja Asjmari 77
198 Symptoms of pittaja asjmari 77
199 Symptoms of kaphaj ashmari 77
200 Symptoms of shukraj ashmari 78
201 Complications 78
202 Complications 78
203 Prognosis 78
204 Prognosis 79
205 Prognosis 79
206 Principle of management; treatments 79
207 Sequence of symptoms during management 79
208 Indications for surgical treatment 80
209 Seriousness of prognosis 80
210 Caution while operating 81
211 Operative procedure 81
212 Specific indications; chhedan 82
213 Instruments used for chhedana and bhedana 83
214 General indications of bhedan 83
215 Specific indications; chhedan 84
216 General indications of lehan 85
217 217-A and 217-B; specific indications 0
218 Material used for lekhen 86
219 219-A Specific indications 0
220 220-A, 220-B; Indications for vyadhan (puncturing) 87
221 221-A, 221-B; indications of Eshan 0
222 Probing the wound 88
223 Probing the wound 89
224 Two types of probes 89
225 Selective use of probe 89
226 Indications of Aaharan 90
227 227-A, Specific indications 90
228 228-A; Indications of Visravana (drainage) 90
229 Instruments for visravana 91
230 Indications of seevan (suturing) 91
231 Specific indications; chhedan 92
232 Specific indications; chhedan 92
233 Contraindications of seevan 92
234 Contraindications of seevan 93
235 235-A; suturing technique 93
236 Suture materials 93
237 Types of sutures 94
238 Ideal stitches 94
239 Blood; definition of blood 94
240 Definition of blood 95
241 Blood depots 95
242 Quantity 95
243 Importance of blood 95
244 Diseases due to blood impurities 96
245 General principle of treatment 97
246 Contra indications for blood letting 97
247 Two methods of blood letting 98
248 Choice of method with justification 98
249 Choice of method with justification 99
250 Contraindications for venesection 99
251 Contraindications for venesection 99
252 Contraindications for venesection 99
253 Size of puncture according to site lesion 100
254 Blood letting time (time when blood letting should be done) 100
255 Blood letting time 100
256 Quantiy 101
257 Ideal blood letting test 101
258 Conditions when blood does not flow 101
259 259-A; Conditions when blood does not flow 102
260 Four principles of controlling bleeding 102
261 Action of four principles 103
262 Action of four principles 103
263 Action of four principles 103
264 When to stop visravan 103
265 Ideal signs of blood letting 104
266 Importance of venesection 104
267 Advantages of blood letting 104
268 Method and procedure 104
269 Method and procedure 105
270 Jalauka 105
271 Poisonous 106
272 Non poisnous 106
273 Contra indications of leech 106
174 Experts in use of jalauka 106
275 Pathology of nadi vrana 107
276 Management 107
277 Application of kshar sutra 108
278 Applications of kshar sutra 108
279 Application of kshar sutra 108
280 Definition of bhagandra 109
281 Types of bhagandra 109
282 Types of bhagandra 109
283 Types of bhagandra 109
284 Examination of bhagandra 110
285 Pracheen and arvacheen 110
286 Operative procedure 111
287 Shatponak 111
288 Ushtragreeva 112
289 Parisravi 113
290 Patikshepi 114
291 Piju 114
292 Arsho-bhagandara 114
293 Arsho-bhagandara 114
294 294-A; Shambukavarta 115
295 Unmargi 116
296 Management in general 117
297 Treatment of a burst Abscess or when it is in ripen condition 117
298 298-A; treatment of shatponak 117
299 Ushtragreeva 118
300 Parisravi 119
301 Parikshepi 120
302 Arshobhagandra 120
303 Care in children 120
304 Unmargi 120
305 To relieve pain 121
306 Miscellaneous; Dose of medicine 122
307 Protection of vrana from contamination 122
308 Spread of diseases 123
309 Good medical man 123
210 Good medical man 124
311 Good medical man 124
312 Good medical man 124
313 A vaidya who does not know the procedures 125
314 Ubhayagaya vaidya (learned and skilled) 125
315 Ubhayagaya vaidya (learned and skilled) 125
316 A careless medical student 125
317 Qualities of a surgeon 126
318 Qualities of a surgeon 126
319 Qualities of a surgeon 126
320 Qualities of a surgeon 127
321 Unskilled surgeon 127
322 Surgeon with qualities 127
232 Surgeo with qualities 128
324 Qualities of assistants/nursing staff 128
325 Relation with the patient 129
326 Arbud (tumour); complete eradication of arbudas 129
327 Relation of dosha prakopa and age 129
328 Substitutes of agni and kshara 130
329 Assessment of bala 130
330 Pathogenesis of vyadhi 130
331 Pathogenesis of vyadhi 131
332 Change of management 131
333 Definition of shalya 132
334 Definition of shalya 132
335 Whole course of surgery 132
336 Whole course of surgery 133
337 Surgical manoeuvre; No food before operation 133
338 Definition of Yantra 133
339 Number of Yantra (blunt instruments essential in operation theatre) 134
340 Importance of kankamukha instrument, 340-A; Number of sharp instruments. 134
341 Definition of shopha (Inflammatory swelling) 134
342 Diagnosis of presence of shalya (foreign body) 342-A; Marmas (vital points) 135
343 Sadya pranhar 136
344 Kalantar pranhar 136
345 Vishalyaghna 136
346 Vaikalyakar 137
347 Rujakar 137
348 Time effect on injury 137
348 Kriyakal 137
350 Kriyakal 138
351 Prognosis of vrana 138
352 Direction of shalya 138
353 353-A, 353-B; Fate of shalya 139
354 Types of shalya 139
355 Method of extraction of shalya 140
356 Careful use of procedures (Agni, Kahar) 141
357 Groups of drugs & indications, aragvadhadi 141
358 Varunadi 141
359 Veertarvadi 141
360 Sursadi 141
361 Priyangu and others 141
362 Naygrodhadi 141
363 Lakhshadi 142
364 Apachi 142
365 Arbuda 142
366 Adhyarbuda 143
367 Dwirarbuda 143
368 Galganda 143
369 Shastras 144
370 Burns; Materials used for cauterization 144
371 Leeches 144
372 Shopha 145
373 Vranalepa 145
374 Types of diseases 145
375 Types of diseases 145
376 Surgical manipulation 146
377 377-A; types of stitching 146
378 Stitching materials 146
379 Types of needles (three types) 147
380 Types of hemorrhoids 147
381 Types of bladder stones 147
382 Fistula in Ano 147
383 Types of udaras 148
384 Types of vidradhi 148
385 Types of visarpa 148
385 Types of visarpa 148
386 Types of nadi vrana 148
387 Types of stanrogas 149
388 Types of granthi 149
389 Types of arbuda 149
390 Types of vriddhi 150
391 Kshudrarogas 150
392 Types of bhagna (dislocation) 150
393 Types of bhagna (fractures) 150
394 Mukhrogas 151
395 Seat of mukh rogas 151
396 Number of marmas 151
397 Types of marmas according to post injury effect, 397-A-Basti marma 151
398 Precaution during operations 152
399 Postoperative management 153
400 Definition of sharkara (gravel) 153
401 Signs and symptoms 153
402 Signs and symptoms 153
403 Complications 154
404 Surgical management 154
405 Basic surgical procedures, general indications 154
406 Excision 155
407 Every substance in the world is a medicine 155
408 Importance of food 156
     

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