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Therapyचिकित्सा कर्म

Surgery (shastra karma)

शस्त्रकर्म (शल्य क्रिया) · शस्त्रकर्म

Extracted from the textNeeds a trained practitioner2 references

Built from passages of the source by the curated extraction. Pending human review.

Names and synonyms

Sanskrit
शस्त्रकर्मशल्यकर्मशस्त्रप्रयोगछेदनभेदनलेखन
Hindi
शस्त्रकर्मशल्य क्रियाऑपरेशनचीरा लगाना
English
Surgerysurgerysurgical procedureincisionexcision
Romanized
shastra karma

What the text says

Each statement reports the source, with its chapter, page and verse. Traditional descriptions are not presented as proven medical facts.

Historical5

  • The introduction calls surgery (śalya) one of the principal limbs of Ayurveda and says Suśrutācārya set it out in a systematic, scientific way; many surgical treatises existed earlier, by Upadhenu, Urabhra, Puṣkalāvata and others, but the credit for compiling them in order goes to Suśruta.

    Front matter · p. 7IntroductionTraditional description
  • It says the Suśruta Saṁhitā describes many kinds of instruments (śastra, yantra, anuyantra), discusses how the eight kinds of surgical operation and the after-care are to be done, and describes the steps before and after surgery, such as wound healing, so well that modern surgeons can still learn from it; Western surgeons have taken up Suśruta's method under the name 'Indian Methods'.

    Front matter · p. 7IntroductionTraditional description
  • According to the introduction, Suśruta describes not only minor but also major operations such as opening the abdomen; operations for baddhagudodara, aśmarī, āntravṛddhi and bhagandara in a manner close to modern practice; procedures for an obstructed foetus (mūḍhagarbha) and for removing foreign bodies (śalya); cutting open the abdomen to deliver the child and suturing the uterus again; and many operations for eye diseases.

    Front matter · p. 8IntroductionTraditional description
  • The introduction says that a large part of the Kalyāṇakāraka deals with surgery, and that it describes the eight kinds of surgical operation and their procedures in an orderly way.

    Front matter · p. 8IntroductionTraditional description
  • It says surgery, being very useful, is mentioned in works such as the Mahābhārata, which records that experts in extracting arrows were called when Bhīṣma lay on his bed of arrows, and that surgery was practised in India until some time ago.

    Front matter · p. 8IntroductionTraditional description

Safety

  • Needs a trained practitioner. This procedure or preparation is of a kind that should only be carried out under qualified supervision.

Pregnancy, breastfeeding, children, older adults, kidney or liver disease and other medicines all call for professional advice before any traditional remedy is used.

Where else is this mentioned?

Named 82 times on 48 pages. These are automatic name matches, so a few may refer to something else with the same name.

Questions and answers

Into which two kinds does the text divide treatment, and what does external treatment consist of?

Internal treatment, which is dharma, and external treatment, which is only an auxiliary cause; external treatment means oleation, sudation, emesis, purgation and, where suitable, excision and incision, chosen according to substance, place, time and condition.

Detailed answer and sources
Which udaras does the text call curable by medicines, which by surgery, and which incurable?

The first four (vata, pitta, kapha and combined) by medicines and the other four by surgery, with both needed after a long time; udaras that have ended as jalodara, and patients who refill quickly after purgation with anorexia, broken-feeling flanks and swelling, are to be left as incurable.

Detailed answer and sources
Which treatments does chapter 12 forbid for children's diseases?

Cautery, purgation, caustic alkali, surgery, emesis and the like; mild measures are used instead.

Detailed answer and sources
According to the commentary, which piles are treated with medicine, which with alkali, which with cautery and which with the knife?

Recent, mild, internal piles with medicine; soft, spread, thick, raised ones with alkali; rough, firm, raised, hard ones with cautery; thin-based, hanging, moist ones with the knife.

Detailed answer and sources
Why does the text say a stone in a child is easy to remove?

Because the child's body and bladder are small, its flesh is scant and an instrument can be applied easily.

Detailed answer and sources
When does the text say a urinary stone yields to medicine, and when does it call for surgery?

A soft stone is cured by medicines; a hard, grown stone is broken open with care and removed, that is, by surgery.

Detailed answer and sources
What four kinds of therapeutic action does chapter 21 name?

Caustic (kshara), fire (agni), knife (shastra) and medicine (aushadha).

Detailed answer and sources
By which four procedures, according to the translation, are diseases treated, and why should none of them be relied on alone?

Poison, alkali, fire and instruments; some diseases are treated by one of them, some by two, some by three and some by all four.

Detailed answer and sources

All references

Every page and verse of the source that this entry draws on.

Quick facts

Content type
Therapy
Categories
Surgery
Source pages with records
2
Pages naming it
48
Chapters
Front matter
Extraction tasks
T01
Record id
method_shastrakarma