The
great Maharishi, Susruta
was the inventor of this branch of Ayurveda. He even wrote a
book on surgery titled 'Salya
Chikitsa'. This book describes various
surgical operations and the devices associated with them.
Term Salya means foreign body. This branch deals with the removal
of the foreign matter. Along with the school of Medicine in
India, the school surgery also existed which is popularly called
as Dhanwantariya Sampradaya or Dhanvanthiri's school. The Vedic
corpus gives narration of the miraculous surgeries performed
by Asvinis, the divine twin gods .The compendium of Sushruta,
Sushruta Samhita is the magnum opus of ancient Indian surgery;
it narrates the theory and practice of that time in detail.
In fact, Sushrutha can be rightly called the father of Surgery.
He narrates for the first time, description of human cadaver
for proper anatomical understanding. Thorwald Jurgeon of Germany
in his work of Science and Secrets of Medicine observes as follows
- Certainly this was (Sushruta's) the oldest term in dissection
known to history.
Sushruta explains one hundred
and one ------- instruments or Yantras classified into six classes.
Cruciform or Swastika
Pineer like or Samdamsa
Flat edged or Tala
Tabular or Nadi
Rod - like or Salaka
Accessary or Upayantras
He narrates eight kinds of surgical
techniques or sastrakarma such as
Incising
Excising
Scraping
Puncturing
Probing
Extracting
Draining
Suturing
All the surgical operations that are carried out involve one
or more of these eight techniques only and it is hard to add
any new one even today. For making a patient insensible to pain
for a successful operation, he adopted the use of wine, as an
anesthetic. Many accept him as a pioneer in the science of anesthesia
in the remote past of the history of surgery in India. Sushrutha
should be regarded as the pioneer to imagine, evolve and introduce
simple experimental models for training in surgical procedures.
The ingenuity of Sushrutha is best reflected in the systematic
division of operative procedures in three distinct stages
Pre-operative or purvakarma
Operation proper or Pradhana karma
Post-operative procedure or Paschatkarma
His narration of postoperative wards and keeping the patient
in sterile conditions shows his depth in this subject. He narrates
about 14 kinds of bandages and specifies the kinds suitable
to different parts of the body.
Parasurgical measures narrated by him show that he (Sushrutha)
was not keen to resort to hold knife at the first instance.
He advocates safer and simple techniques like
Blood lilting or Raktamoksana
Application of poultries of drugs
Cautery - Kshara and agnikarmas
Sushruta's contribution in reconstructive surgery or plastic
surgery is outstanding. Reconstruction of mutilated nose (Rhinoplasty),
ear to be (Otoplasty) and lips (Oroplasty), grafting of the
healthy skin from the cheek, rotation of the pedicle flap transfer
to the nose, ear or lips and reconstruction resembling the normal
shape, all have been described by Sushruta in a meticulous manner.
This narration of Rhinoplasty has stood the test of time and
finds mention as the Indian method in modern books on plastic
surgery.
We can find surgical treatment
for diseases like
Hemorrhoids
Fistula inano or bhaganda
Urinary calculi or Asmari
Hernia or anthravriddhi
Intestinal obstruction or baddhadara
Perforation of abdominal viscera or Chidrodara
Tumors or Gulma
Benign tumors or Granthi
Obstructed labour or mudhagarbha
Bala Chikitsa (Pediatrics)
Visha Chikitsa( Toxicology)
Graha Chikitsa( Psychiatry)
Rasayana Chikitsa( Rejuvenation
therapy)
Salakya Chikitsa (ENT
and eye diseases)
Vajeekarana Chikitsa(Aphrodisiac
therapy)