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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Show commentary
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.