AIAPGET POINTS
– Acharya Sushruta has described Swarabheda and its remedy in Chapter 53 of Uttara Tantra.
– Ati Uchcha Bhashana, Visha, Adhyayana, Gita, Shitadi – are the Nidanas of Swarabheda.
– Within the Samprapti of Swarabheda, SWARAVAHA SROTAS are broken by aggravated Vatadi doshas.
– There are six varieties of Swarabheda – Vataja, Pittaja, Kaphaja, Sannipataja, Kshayaja and Medoja Swarabheda.
– Gadgadavat Swara – is a characteristic of Vataja Swarabheda.
– Digdha Gala Oshta Talu are the particular options of Medoja Swarabheda.
– Shvasa-Kasa-Vidhi has been talked about amongst remedy ideas of Swarabheda.
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The 53rd chapter of Uttaratantra of Sushruta Samhita is called as Svarabheda Pratiședha. This chapter offers with Remedy of Hoarseness.
अथातः स्वरभेदप्रतिषेधमध्यायं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||
We are going to now expound Svarabhedapratisedha – remedy of hoarseness of voice; as revealed by the venerable Dhanvantari.
Nidāna- samprāpti – causes and pathogenesis
अत्युच्चभाषणविषाध्ययनातिगीतशीतादिभिः [१] प्रकुपिताः पवनादयस्तु |
स्रोतःसु ते स्वरवहेषु गताः प्रतिष्ठां हन्युः स्वरं भवति चापि हि षड्विधः सः ||३||
Causes –
– Speaking in excessive pitch, for extended durations of time,
– Affliction by poisons,
– Finding out in loud voice
– Singing in loud voice
– Extreme use of chilly issues
Pathogenesis –
Because of the above mentioned causes, Vata and different doshas get aggravated. These aggravated doshas get lodged and localized within the svaravaha srotas i.e. channels of voice and destroy the voice of the individual. That is known as Svarabheda.
Sorts – Swarabheda is of six varieties.
Lakşana – medical options
वातेन कृष्णनयनाननमूत्रवर्चा भिन्नं शनैर्वदति गद्गदवत् स्वरं च |
पित्तेन पीतवदनाक्षिपुरीषमूत्रो ब्रूयाद्गलेन परिदाहसमन्वितेन ||४||
कृच्छ्रात् कफेन सततं कफरुद्धकण्ठो मन्दं शनैर्वदति चापि दिवा विशेषः |
सर्वात्मके भवति सर्वविकारसम्पदव्यक्तता च वचसस्तमसाध्यमाहुः ||५||
धूप्येत वाक् क्षयकृते क्षयमाप्नुयाच्च वागेष चा(वा)पि हतवाक् परिवर्जनीयः |
अन्तर्गलं स्वरमलक्ष्यपदं चिरेण मेदश्चयाद्वदति दिग्धगलौष्ठतालुः ||६||
| Sort of Svarabheda | Signs |
| Vataja Svarabheda – hoarseness of voice produced by vata | Blackish discolouration of the attention, face, urine and faeces of the affected person
Speaks with damaged voice, slowly Speech related to stammering |
| Pittaja Svarabheda – hoarseness of voice produced by pitta | Yellowish discolouration of the face, eyes, faeces and urine of the affected person
Speech comes from deep contained in the throat i.e. the individual speaks from the throat Speech related to burning sensation |
| Kaphaja Svarabheda – hoarseness of voice produced by kapha | Individual speaks with problem, constantly, slowly and throughout the day
Obstruction of throat by kapha at night time |
| Sannipataja Svarabheda – hoarseness of voice produced by simultaneous aggravation of all of the three doshas | Signs of all of the doshas shall be current
Voice of the individual won’t be manifested, not audible It’s incurable |
| Kshayaja Svarabheda – hoarseness of voice attributable to Kshaya – consumption or pthisis | Voice is lower or
Voice is totally misplaced It’s incurable |
| Medoja Svarabheda – hoarseness of voice attributable to accumulation of medas – fats | Sound of the voice lurks within the throat of the affected person,
Phrases don’t come clearly, Voice of the affected person comes out slowly The individual’s throat, lips and palate are coated with fats |
क्षीणस्य वृद्धस्य कृशस्य चापि चिरोत्थितो यश्च सहोपजातः |
मेदस्विनः सर्वसमुद्भवश्च स्वरामयो यो न स सिद्धिमेति ||७||
Remedy performed for hoarseness of voice don’t succeed within the beneath talked about circumstances (i.e. it might develop into incurable) –
– In individuals who’re weak
– Aged folks
– Emaciated individuals
– That which has develop into persistent
– That which is congenital
– That occurring in overweight people
– That produced by all of the doshas collectively
Samāñya cikitsā – normal remedy
स्निग्धान् स्वरातुरनरानपकृष्टदोषान् न्यायेन तान् वमनरेचनबस्तिभिश्च |
नस्यावपीडमुखधावनधूमलेहैः सम्पादयेच्च विविधैः कवलग्रहैश्च ||८||
यः श्वासकासविधिरादित एव चोक्तस्तं चाप्यशेषमवतारयितुं यतेत |९|
वैशेषिकं च विधिमूर्ध्वमतो वदामि तं वै स्वरातुरहितं निखिलं निबोध ||९||
Under talked about are the remedy ideas for Svarabheda –
Snehana – firstly, the affected person affected by voice problems or hoarseness of voice needs to be administered with oleation remedy.
Swedana – After oleation, sudation remedy needs to be administered.
Shodhana – After oleation and sudation, purificatory therapies needs to be administered within the type of vamana – emesis, virechana – purgation and vasti – enema.
Nasya and so forth – Different therapies needs to be performed in response to the standard process needs to be performed, together with
– nasya – errhines and avapida – sort of nasal drops,
– mukha dhavana – mouthwashes,
– dhuma – inhalation of medicated smoke,
– leha – electuaries and
– kavala – varied varieties of gargles
Shvasa Kasa Vidhi – Therapies talked about within the remedy of dyspnoea and cough may also be administered to deal with svarabheda.
After this, particular therapies useful for sufferers affected by several types of problems of voice / hoarseness of voice shall be described.
Vātaja svarabheda cikitsa
स्वरोपघातेऽनिलजे भुक्तोपरि घृतं पिबेत् |
कासमर्दकवार्ताकमार्कवस्वरसे शृतम् ||१०||
पीतं घृतं हन्त्यनिलं सिद्धमार्तगले रसे |
यवक्षाराजमोदाभ्यां चित्रकामलकेषु वा ||११||
देवदार्वग्निकाभ्यां वा सिद्धमाजं समाक्षिकम् |
सुखोदकानुपानो वा ससर्पिष्को गुडौदनः ||१२||
In vataja svarabheda
Ghee ready with the beneath talked about substances needs to be given to the affected person to drink –
– kasamarda
– vartaka and
– juice of markava
Alternatively, ghee ready with juice of artagala needs to be given. This cures vataja svarabheda.
Additionally, goat’s ghee boiled with beneath talked about herbs added with honey needs to be given –
– yavakshara
– ajamoda
Goat’s ghee boiled and ready with the beneath talked about herbs needs to be given blended with honey –
– amalaka
– devadaru
– agnika
Gudodana is boiled rice added with jaggery. This needs to be served with ghee for consumption. Comfortably heat water needs to be given as an after-drink.
Pittaja svarabheda cikitsa
क्षीरानुपानं पित्ते तु पिबेत् सर्पिरतन्द्रितः |
अश्नीयाच्च ससर्पिष्कं यष्टीमधुकपायसम् ||१३||
लिह्यान्मधुरकाणां वा चूर्णं मधुघृताप्लुतम् |
शतावरीचूर्णयोगं बलाचूर्णमथापि वा ||१४||
In pittaja svarabheda
Ghee needs to be given for consumption adopted by milk for ingesting.
Yashtimadhu Payasa – milk pudding ready with licorice needs to be given to drink added with ghee.
Powder of herbs of candy style i.e. Kakolyadi Gana group of herbs needs to be given to lick blended with honey and ghee.
Alternatively, powder of Satavari or Bala shall be given blended with honey and ghee to lick.
Kaphaja svarabheda cikitsā
पिबेत् कटूनि मूत्रेण कफजे स्वरसङ्क्षये |
लिह्याद्वा मधुतैलाभ्यां भुक्त्वा खादेत् कटूनि वा ||१५||
In kaphaja svarabheda
Powder of herbs tasting pungent like Trikatu and so forth needs to be given, blended with cow urine.
The identical powder of pungent herbs shall be given to lick after mixing it with honey and oil.
It may also be consumed after taking meals.
Medaja svarabheda cikitsa
स्वरोपघाते मेदोजे कफवद्विधिरिष्यते |
सर्वजे क्षयजे चापि प्रत्याख्यायाचरेत् क्रियाम् ||१६||
In medoja svarabheda
Remedy needs to be performed on the identical traces of kaphaja svarabheda remedy defined above.
In trioshaja and ksayaja svarabheda
Remedy needs to be performed after intimating the affected person and his household concerning the incurability of those circumstances.
शर्करामधुमिश्राणि शृतानि मधुरैः सह |
पिबेत् पयांसि यस्योच्चैर्वदतोऽभिहतः स्वरः ||१७||
Milk boiled with candy tasting herbs added with sugar and honey needs to be given for consumption to the sufferers affected by hoarseness attributable to talking or learning loudly.
इति सुश्रुतसंहितायामुत्तरतन्त्रान्तर्गते कायचिकित्सातन्त्रे छर्दिप्रतिषेधो नाम (पञ्चदशोऽध्यायः, आदितः) त्रिपञ्चाशत्तमोऽध्यायः ||५३||
Thus ends the fifty-third chapter by title Svarabheda pratişedha in Uttara sthana of Suśruta Samhita.
