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AYANAACADEMYby Dr Vijaya Dwarampudi
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25. aṣṭavidhaśastrakarmīyādhyāyaḥ

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Adhikarana 1 (1-4) · Śloka 5

athātō'ṣṭavidhaśastrakarmīyamadhyāyaṁ vyākhyāsyāmaḥ ||1|| yathōvāca bhagavān dhanvantariḥ ||2|| chēdyā bhagandarā granthiḥ ślaiṣmikastilakālakaḥ | vraṇavartmārbudānyarśaścarmakīlō'sthimāṁsagam ||3|| śalyaṁ jatumaṇirmāṁsasaṅghātō galaśuṇḍikā | snāyumāṁsasirākōthō valmīkaṁ śatapōnakaḥ ||4|| adhruṣaścōpadaṁśāśca māṁsakandyadhimāṁsakaḥ |5|

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अथातोऽष्टविधशस्त्रकर्मीयमध्यायं व्याख्यास्यामः ||१|| यथोवाच भगवान् धन्वन्तरिः ||२|| छेद्या भगन्दरा ग्रन्थिः श्लैष्मिकस्तिलकालकः | व्रणवर्त्मार्बुदान्यर्शश्चर्मकीलोऽस्थिमांसगम् ||३|| शल्यं जतुमणिर्मांससङ्घातो गलशुण्डिका | स्नायुमांससिराकोथो वल्मीकं शतपोनकः ||४|| अध्रुषश्चोपदंशाश्च मांसकन्द्यधिमांसकः |५|

Meaning of the śloka

Now the chapter on the eight kinds of surgical procedure will be explained, as taught by Bhagavan Dhanvantari. Conditions designated for excision include bhagandara, granthi, a kapha-origin tilakalaka, wound margins, arbuda, arshas, carmakila involving bone or flesh, a foreign body, jatumanimamsasanghata, galashundika, putrefaction of ligaments, flesh or vessels, valmika, shataponaka, adhrusha, upadamsha, mamsakandi and adhimamsaka.

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tatra pūrvaṁ chēdyakarmaṇa ēva darśitatvāttadbhēdamēva darśayannāha- chēdyā bhagandarā ityādi| granthiḥ ślaiṣmika iti āmō na tu pakvaḥ| tilakālaka iti kṣudrarōgaparipaṭhitaḥ; na tu śūkadōṣōktaḥ, tasyāsādhyatvāt| vraṇavartmēti klinnō vraṇauṣṭhaḥ| arbudāni sarvāṇi| arśō vātikaṁ ślaiṣmikaṁ ca| carmakīla iti gudapārśvavartī māṁsāṅkuraḥ| snāyvādibhiḥ saha kōthaśabdaḥ pratyēkaṁ sambadhyatē, kōthaḥ pūtībhāvaḥ| śatapōnaka iti śūkadōṣapaṭhitaḥ; anyē tu “bhagandaragrahaṇēnāpyupāttasya śatapōnakasya punarupādānamatyantacchēdanārtham, ananyapratīkāratvāt”||1-4||

Meaning of the commentary

Because excision was previously introduced, its particular indications are listed first. The kapha granthi intended here is unripe, not already suppurated. Tilakalaka is the condition listed among minor diseases, not the condition bearing that name among disorders of the penis, which is considered incurable. Vranavartman means a moist wound lip or margin. All varieties of arbuda are included. The arshas intended are the vata and kapha types. Carmakila is a fleshy projection beside the anus. Kotha, meaning putrefaction, applies separately to ligament, flesh and vessel. Shataponaka is listed among disorders of the penis. Others say it is named again despite already being included under bhagandara to prescribe complete excision, since no other remedy applies.

Key terms

chedya
A condition designated for excision, the first of the eight operative categories.

Adhikarana 2 (5-8) · Śloka 8

bhēdyā vidradhayō'nyatra sarvajādgranthayastrayaḥ ||5|| āditō yē visarpāśca vr̥ddhayaḥ savidārikāḥ | pramēhapiḍakāḥ śōphaḥ stanarōgō'vamanthakāḥ ||6|| kumbhīkānuśayī nāḍyō vr̥ndau puṣkarikā'lajī | prāyaśaḥ kṣudrarōgāśca puppuṭau tāludantajau ||7|| tuṇḍikērī gilāyuśca pūrvaṁ yē ca prapākiṇaḥ | bastistathā'śmarīhētōrmēdōjā yē ca kēcana ||8||

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भेद्या विद्रधयोऽन्यत्र सर्वजाद्ग्रन्थयस्त्रयः ||५|| आदितो ये विसर्पाश्च वृद्धयः सविदारिकाः | प्रमेहपिडकाः शोफः स्तनरोगोऽवमन्थकाः ||६|| कुम्भीकानुशयी नाड्यो वृन्दौ पुष्करिकाऽलजी | प्रायशः क्षुद्ररोगाश्च पुप्पुटौ तालुदन्तजौ ||७|| तुण्डिकेरी गिलायुश्च पूर्वं ये च प्रपाकिणः | बस्तिस्तथाऽश्मरीहेतोर्मेदोजा ये च केचन ||८||

Meaning of the śloka

Conditions designated for incision include vidradhi except the type arising from all doshas, the three dosha-specific granthis, the first three types of visarpa, vriddhi together with vidarika, prameha pidaka, shopha, breast disease, avamanthaka, kumbhika, anushayi, nadi, ekavrinda and vrinda, pushkarika, alaji, most minor diseases, palatal and dental pupputa, tundikeri, gilayu, conditions previously said to suppurate, the urinary bladder specifically because of a stone, and disorders arising from medas.

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bhēdyaviṣayaṁ darśayannāha- bhēdyā ityādi| granthayastraya iti vātapittakaphajāḥ| āditō yē visarpāścēti vātapittaślēṣmajāḥ| vidārikā kṣudrarōgēṣu| avamanthaka iti śūkadōṣēṣu| vr̥ndāviti ēkavr̥ndō vr̥ndaśca kaṇṭhagatarōgēṣu| puṣkarikā śūkadōṣēṣu| puppuṭau tāludantajāviti tālupuppuṭō dantapuppuṭaśca| pūrvaṁ yē ca prapākiṇa iti bhagandarādayaḥ| bastistathā'śmarīhētōriti aśmarīnimittamēva bastirbhēdyō nānyahētōḥ, abhēdē dhruvamaraṇādbhēdē ca saṁśayāt||5-8||

Meaning of the commentary

The three granthis are those from vata, pitta and kapha. The first three visarpa types are likewise vata, pitta and kapha. Vidarika belongs to the minor diseases, avamanthaka and pushkarika to disorders of the penis, and ekavrinda and vrinda to throat diseases. Palatal pupputa and dental pupputa are both included. The earlier suppurating disorders include bhagandara and others. The bladder is incised only when a urinary stone is the cause, not for another cause; the source reasons that non-incision then brings certain death while incision has an uncertain result.

Key terms

bhedya
A condition designated for incision or opening.
← 24. vyādhisamuddēśīyādhyāyaḥ26. pranaṣṭaśalyavijñānīyādhyāyaḥ →