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Sushruta Samhita Uttaratantra Chapter 8 Cikistsita Pravibhga Vijnaniya (Sorts of Therapy) ⋆ Simple Ayurveda Hospital


The eighth chapter of Uttaratantra of Sushruta Samhita is called as Cikistsita Pravibhga Vijnaniya Adhyaya. This chapter offers with Sorts of Therapy.

अथातश्चिकित्सितप्रविभागविज्ञानीयमध्यायं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः (सुश्रुताय) ||२||

We’ll now expound the chapter by identify Cikisita pravibhaga Vijnaniya i.e. information of classifications of remedy (of eye ailments) as revealed by the venerable Dhanantari.

षट्सप्ततिर्येऽभिहिता व्याधयो नामलक्षणैः |
चिकित्सितमिदं तेषां समासव्यासतः शृणु ||३||

The grasp tells ‘Now, we will clarify briefly and likewise elaborate remedy for the seventy-six ailments described by their identify and quantity. Hearken to the identical attentively.’

छेद्यास्तेषु दशैकश्च नव लेख्याः प्रकीर्तिताः |
भेद्याः पञ्च विकाराः स्युर्व्यध्याः पञ्चदशैव तु ||४||
द्वादशाऽशस्त्रकृत्याश्च याप्याः सप्त भवन्ति हि |
रोगा वर्जयितव्याः स्युर्दश पञ्च च जानता |
असाध्यौ वा भवेतां तु याप्यौ चागन्तुसञ्ज्ञितौ ||५||

Relying on the mode of remedy / surgical process utilized in treating these circumstances and prognosis of ailments, the seventy-six eye ailments could be labeled as beneath talked about 

Class of eye ailments Quantity
Chedya – ailments treatable by excision 11
Lekhya – ailments treatable by scraping 9
Bhedya – ailments treatable by incising / slicing 5
Vedhya – ailments treatable by puncturing, venepuncture 15
Asastrakrta – ailments treatable with out utilizing shastra – sharp devices / surgical procedures 12
Yapya – ailments that are maintainable and controllable however can’t cured, long-standing ailments 7
Varjya – reject-able ailments or Asadhya – incurable ailments 15
Agantuja, Bahya Nimittaja – ailments brought on attributable to exogenous causes 2

These ailments that are agantuja i.e. exogenous are thought of as Yapya.

Chedya

अर्शोऽन्वितं भवति वर्त्म तु यत्तथाऽर्शः शुष्कं तथाऽर्बुदमथो पिडकाः सिराजाः |
जालं सिराजमपि पञ्चविधं तथाऽर्म छेद्या भवन्ति सह पर्वणिकामयेन ||६||

Under talked about are eleven ailments that are chedya i.e. treatable by excision, slicing or eradicating –

        Vartma Arsas – 1

        Suska Arsas – 1

        Varmta Arbuda – 1

        Siraja Pidaka – 1

        Sira Jala – 1

        Arma – 5 varieties

        Parvanika – 1  

Lekhya

उत्साङ्गिनी बहलकर्दमवर्त्मनी च श्यावं च यच्च पठितं त्विह बद्धवर्त्म |
च पोथकियुतं खलु यच्च वर्त्म कुम्भीकिनी च सह शर्करया च लेख्याः ||७||

Under talked about are the 9 ailments that are lekhya i.e. curable by scraping –

        Utsangini – 1

        Bahala Vartma – 1

        Kardama Vartma – 1

        Syava Vartma – 1

        Baddha Vartma / Vartma Bandhaka – 1

        Klista Vartma – 1

        Pothaki – 1

        Kumbhikini – 1

        Vartma Sarkara – 1  

Bhedya

श्लेष्मोपनाहलगणौ च बिसं च भेद्या ग्रन्थिश्च यः कृमिकृतोऽञ्जननामिका च |८|

Under talked about are the 5 ailments that are bhedya i.e. curable by incising –

        Slesmopananaha – 1

        Lagana – 1

        Bisavartma – 1

        Krimi Granthi – 1

        Anjananamika – 1

Vedhya

आदौ सिरा निगदितास्तु ययोः प्रयोगे पाकौ च यौ नयनयोः पवनोऽन्यतश्च ||८||
पूयालसानिलविपर्ययमन्थसञ्ज्ञाः स्यन्दास्तु यान्त्युपशमं हि सिराव्यधेन |

Under talked about are the fifteen ailments that are Vedhya i.e. curable by puncturing –

        Sira nigaditani – two ailments indicated by the time period sira i.e. Sirotpata and Siraharsa – 2

        Paka – 2

        Anyatovata – 1

        Puyalasa – 1

        Vataviparyaya – 1

        Adhimantha – 4

        Abhisyanda – 4

These fifteen vedhya ailments of the attention will subside or get cured by puncturing these veins indicated earlier in chapter 8 of Sushruta Samhita Sarira Sthana part.

Asastra Krta

शुष्काक्षिपाककफपित्तविदग्धदृष्टिष्वम्लाख्यशुक्रसहितार्जुनपिष्टकेषु ||९||
अक्लिन्नवर्त्महुतभुग्ध्वजदर्शिशुक्तिप्रक्लिन्नवर्त्मसु तथैव बलाससञ्ज्ञे |
आगन्तुनाऽऽमययुगेन च दूषितायां दृष्टौ न शस्त्रपतनं प्रवदन्ति तज्ज्ञाः ||१०||

Under talked about are the twelve ailments together with two exogenous ailments wherein the attention specialists don’t advocate the usage of shastra (i.e. surgical devices shouldn’t be utilized in these circumstances) –

        Suskaksipaka – 1

        Kaphavidagdha Drshti – 1

        Pittavidagdha Drshti – 1

        Amladhyusita – 1

        Avrana Sukra – 1

        Arjuna – 1

        Pistaka – 1

        Aklinna Vartma – 1

        Hutabhughdvaja Drsti / Dhumadarsi – 1

        Suktika – 1

        Praklinna Vartma – 1

        Balasa Grathita – 1

        Agantu / Bahya Nimittaja – 2

Yapya

सम्पश्यतः षडपि येऽभिहितास्तु काचास्ते पक्ष्मकोपसहितास्तु भवन्ति याप्याः |११|

Under talked about are the seven ailments that are Yapya – controllable / manageable, however not utterly curable –

        Kaca – 6 varieties

        Paksmakopa – 1

Asadhya and Varjya

चत्वार एव पवनप्रभवास्त्वसाध्या द्वौ पित्तजौ कफनिमित्तज एक एव |
अष्टार्धका रुधिरजाश्च गदास्त्रिदोषास्तावन्त एव गदितावपि बाह्यजौ द्वौ ||११||

Under talked about are the fifteen ailments together with two bahyaja that are sadhya – incurable or varjya – rejectable –

        Ailments attributable to aggravated vata by identify Hatadhimantha, Nimesa, Gambhirika Drsti and Vatahata Vartma – 4

        Ailments attributable to aggravated pitta by names Hrsvajadya and Jalasrava – 2

        Illness attributable to aggravated kapha by identify Kaphasrava – 1

        Ailments attributable to aggravated rudira / rakta i.e. blood by names Raktasrava, Ajakajata, Sonitarsa, Savrana Sukra – 4

        Ailments born from aggravated tridosas by names Puyasrava, Nakulandya, Aksipakatyaya and Alaji – 4

        Ailments that are bahyaja i.e. nimittaja and animittaja drstihani – 2

 

इति सुश्रुतसंहितायामुत्तरतन्त्रान्तर्गते शालाक्यतन्त्रे चिकित्सितप्रविभागविज्ञानीयो नामाष्टमोऽध्यायः ||८||

Thus ends the eighth chapter by identify Cikitsita Praibhagiya in Uttara Sthna of Susruta Samhita.

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