Sushruta Samhita

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6

siva.sh/sushruta-samhita/sharira-sthana/8/6

तत्र स्निग्धस्विन्नमातुरं यथादोषप्रत्यनीकं द्रवप्रायमन्नं भुक्तवन्तं यवागूं पीतवन्तं वा यथाकालमुपस्थाप्यासीनं स्थितं वा प्राणानबाधमानो वस्त्रपट्टचर्मान्तर्वल्कललतानामन्यतमेन यन्त्रयित्वा नातिगाढं नातिशिथिलं शरीरप्रदेशमासाद्य प्राप्तं शस्त्रमादाय सिरां विध्येत् ||६||

sanskrit

In this context, after making the patient undergo oil massage and fomentation, and ensuring they have consumed a liquid-based diet appropriate to their dosha, or having consumed barley gruel, the patient should be positioned either seated or standing at the proper time. Without causing difficulty in breathing, the concerned body part should be securely, but neither too tightly nor too loosely, tied with a bandage made of cloth, leather, or bark of a tree. Then, after making the necessary preparations and using the appropriate surgical instrument, the vein (Sira) should be punctured.

english translation

hindi translation

tatra snigdhasvinnamAturaM yathAdoSapratyanIkaM dravaprAyamannaM bhuktavantaM yavAgUM pItavantaM vA yathAkAlamupasthApyAsInaM sthitaM vA prANAnabAdhamAno vastrapaTTacarmAntarvalkalalatAnAmanyatamena yantrayitvA nAtigADhaM nAtizithilaM zarIrapradezamAsAdya prAptaM zastramAdAya sirAM vidhyet ||6||

hk transliteration

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7

siva.sh/sushruta-samhita/sharira-sthana/8/7

नैवातिशीते नात्युष्णे न प्रवाते न चाभ्रिते | सिराणां व्यधनं कार्यमरोगे वा कदाचन ||७||

sanskrit

The puncturing of veins (Sira) should never be performed when it is extremely cold, extremely hot, during strong winds, or when the sky is overcast, nor should it be performed on a person who is not in good health.

english translation

hindi translation

naivAtizIte nAtyuSNe na pravAte na cAbhrite | sirANAM vyadhanaM kAryamaroge vA kadAcana ||7||

hk transliteration

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8

siva.sh/sushruta-samhita/sharira-sthana/8/8

तत्र व्यध्यसिरं पुरुषं प्रत्यादित्यमुखमरत्निमात्रोच्छ्रिते उपवेश्यासने सक्थ्नोराकुञ्चितयोर्निवेश्य कूर्परे सन्धिद्वयस्योपरि हस्तावन्तर्गूढाङ्गुष्ठकृतमुष्टी मन्ययोः स्थापयित्वा यन्त्रणशाटकं ग्रीवामुष्ट्योरुपरि परिक्षिप्यान्येन पुरुषेण पश्चात्स्थितेन वामहस्तेनोत्तानेन शाटकान्तद्वयं ग्राहयित्वा ततो ब्रूयात्- दक्षिणहस्तेन सिरोत्थापनार्थं नात्यायतशिथिलं यन्त्रमावेष्टयेति, असृक्स्रावणार्थं च यन्त्रं पृष्ठमध्ये पीडयेति, कर्मपुरुषं च वायुपूर्णमुखं स्थापयेत् ; एष उत्तमाङ्गगतानामन्तर्मुखवर्जानां सिराणां व्यधने यन्त्रणविधिः | पादव्यध्यसिरस्य पादं समे स्थाने सुस्थितं स्थापयित्वाऽन्यं पादमीषत्सङ्कुचितमुच्चैः कृत्वा व्यध्यसिरं पादं जानुसन्धेरधः शाटकेनावेष्ट्य हस्ताभ्यां प्रपीड्य गुल्फं व्यध्यप्रदेशस्योपरि चतुरङ्गुले प्लोतादीनामन्यतमेन बद्ध्वा वा पादसिरां विध्येत् | अथोपरिष्ठाद्धस्तौ गूढाङ्गुष्ठकृतमुष्टी सम्यगासने स्थापयित्वा सुखोपविष्टस्य पूर्ववद्यन्त्रं बद्ध्वा हस्तसिरां विध्येत् | गृध्रसीविश्वाच्योः सङ्कुचितजानुकूर्परस्य | श्रोणीपृष्ठस्कन्धेषून्नामितपृष्ठस्यावाक्शिरस्कस्योपविष्टस्य | विस्फूर्जितपृष्ठस्य विध्येत् | उदरोरसोः प्रसारितोरस्कस्योन्नामितशिरस्कस्य विस्फूर्जितदेहस्य | बाहुभ्यामवलम्बमानदेहस्य पार्श्वयोः | अनामितमेढ्रस्य मेढ्रे | उन्नमितविदष्टजिह्वाग्रस्याधोजिह्वायाम् | अतिव्यात्ताननस्य तालुनि दन्तमूलेषु च | एवं यन्त्रोपायानन्यांश्च सिरोत्थापनहेतून् बुद्ध्याऽवेक्ष्य शरीरवशेन व्याधिवशेन च विदध्यात् ||८||

sanskrit

In this procedure, the patient whose veins are to be punctured should be seated facing the sun, on a seat that is slightly elevated. The knees should be bent and placed on the thighs, while both elbows should be placed over the junction of the two shoulder joints. The hands should be clasped together, with the thumbs hidden within the fists. A piece of cloth should be wrapped around the neck of the patient by another person standing behind him, who should hold the two ends of the cloth with his left hand while holding his breath. The person assisting the procedure should apply pressure on the patient's back to facilitate blood flow. This is the procedure for puncturing the veins of the upper parts of the body, except for the internal veins. For puncturing the veins of the feet, the patient should stand firmly on one foot, while the other foot should be slightly raised. The area where the vein is to be punctured, just below the knee joint, should be wrapped with a cloth and pressed firmly. The location of the vein, four fingers above the ankle, should be marked and punctured. For puncturing the hand veins, the arms should be placed correctly in the seated position, and the hand should be wrapped and punctured following the previous procedure. For veins of the back, hips, and shoulders, the patient should sit with his knees and elbows slightly bent, and his head tilted downward. For the abdomen and chest, the patient should be seated with his chest expanded, head slightly raised, body extended, and supported by both arms. For the groin, the patient should not bend the groin area while the vein is being punctured. For the mouth and palate, the tongue should be stretched upward or downward according to the need. For puncturing the gums and teeth roots, the mouth should be opened wide. This method of using instruments and pressure is determined by the condition of the body and the disease, and should be employed intelligently.

english translation

hindi translation

tatra vyadhyasiraM puruSaM pratyAdityamukhamaratnimAtrocchrite upavezyAsane sakthnorAkuJcitayornivezya kUrpare sandhidvayasyopari hastAvantargUDhAGguSThakRtamuSTI manyayoH sthApayitvA yantraNazATakaM grIvAmuSTyorupari parikSipyAnyena puruSeNa pazcAtsthitena vAmahastenottAnena zATakAntadvayaM grAhayitvA tato brUyAt- dakSiNahastena sirotthApanArthaM nAtyAyatazithilaM yantramAveSTayeti, asRksrAvaNArthaM ca yantraM pRSThamadhye pIDayeti, karmapuruSaM ca vAyupUrNamukhaM sthApayet ; eSa uttamAGgagatAnAmantarmukhavarjAnAM sirANAM vyadhane yantraNavidhiH | pAdavyadhyasirasya pAdaM same sthAne susthitaM sthApayitvA'nyaM pAdamISatsaGkucitamuccaiH kRtvA vyadhyasiraM pAdaM jAnusandheradhaH zATakenAveSTya hastAbhyAM prapIDya gulphaM vyadhyapradezasyopari caturaGgule plotAdInAmanyatamena baddhvA vA pAdasirAM vidhyet | athopariSThAddhastau gUDhAGguSThakRtamuSTI samyagAsane sthApayitvA sukhopaviSTasya pUrvavadyantraM baddhvA hastasirAM vidhyet | gRdhrasIvizvAcyoH saGkucitajAnukUrparasya | zroNIpRSThaskandheSUnnAmitapRSThasyAvAkziraskasyopaviSTasya | visphUrjitapRSThasya vidhyet | udarorasoH prasAritoraskasyonnAmitaziraskasya visphUrjitadehasya | bAhubhyAmavalambamAnadehasya pArzvayoH | anAmitameDhrasya meDhre | unnamitavidaSTajihvAgrasyAdhojihvAyAm | ativyAttAnanasya tAluni dantamUleSu ca | evaM yantropAyAnanyAMzca sirotthApanahetUn buddhyA'vekSya zarIravazena vyAdhivazena ca vidadhyAt ||8||

hk transliteration

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9

siva.sh/sushruta-samhita/sharira-sthana/8/9

मांसलेष्ववकाशेषु यवमात्रं शस्त्रं निदध्यात्, अतोऽन्यथाऽर्धयवमात्रं व्रीहिमात्रं वा व्रीहिमुखेन, अस्थ्नामुपरि कुठारिकया विध्येदर्धयवमात्रम् ||९||

sanskrit

In muscular areas, the instrument should be inserted to the depth of a barley grain. In other areas, it should be inserted half the depth of a barley grain or to the depth of a rice grain, with the tip of the instrument shaped like a rice grain. For areas near the bones, a small axe-shaped instrument should be used to puncture to a depth of half a barley grain.

english translation

hindi translation

mAMsaleSvavakAzeSu yavamAtraM zastraM nidadhyAt, ato'nyathA'rdhayavamAtraM vrIhimAtraM vA vrIhimukhena, asthnAmupari kuThArikayA vidhyedardhayavamAtram ||9||

hk transliteration

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10

siva.sh/sushruta-samhita/sharira-sthana/8/10

व्यभ्रे वर्षासु विध्येत्तु ग्रीष्मकाले तु शीतले | हेमन्तकाले मध्याह्ने शस्त्रकालास्त्रयः स्मृताः ||१०||

sanskrit

In the rainy season, puncturing should be done during breaks in rainfall. In the summer, it should be done in cool conditions. In the winter, it should be performed at midday. These three times are remembered as the appropriate times for surgical procedures.

english translation

hindi translation

vyabhre varSAsu vidhyettu grISmakAle tu zItale | hemantakAle madhyAhne zastrakAlAstrayaH smRtAH ||10||

hk transliteration

Chapter 8

Verses 11-15