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AH-Su-Chapter 30: Kshar-Agni Karma Vidhi / Alkali and Thermal Cautery Procedure

Kshara Sresthata – advantages of alkaline cautery:- Of all the sharp instruments and accessory instruments, Kshara (caustic alkali) is the best. It performs many functions such as incising, excising etc; It can be used even in inaccessible places. Success can be obtained by its use even in diseases which are very difficult to cure and also because it can be used even in the form of a drink. 1 – 2. Paneeya Kshara indication –   In a drinkable form it is used in Arsha – haemorrhoids, Agnisada – dyspepsia, Ashma – renal calculus, Gulma – Tumors of the abdomen Udara – ascites, enlargement of the abdomen Garavisha – chronic poisoning etc. Pratisarana Kshara Yogya - In the form direct application, Kshara can be used in Mashaka – moles – warts, Shvitra – leucoderma, Bahya Arsha – external piles, Kushta – skin diseases Supti – anesthetic patches, Bhagandara – rectal fistula, Arbuda – cancerous growth, Granthi – tumour, fibroid Dushta Nadi vrana – foul and sinus

AH-Su-Chapter 29: Shastrakarma Vidhi / Surgical Procedures

Due to Paka ( suppuration ) of inflammation, Vranashotha (inflammatory ulcer) develops. Hence, swelling should be treated first, preventing the formation of pus, by all efforts, such as Susheeta lepa – application of cold poultices, Seka – bathing the part with cold decoction of drugs, Asramoksha – blood letting, Samshodhana – Purifying Panchakarma therapies. 1. Trividha Sopha – three stages of swelling :- Shopha – Swelling is of three types. Ama shopha – unripe, raw, initial stage, without pus formation Pachyamana shopha – with symptoms of inflammation, initial stage of pus formation Pakva shopha – with full pus formation. Ama shopha – (unripe swelling)   mild with slight heat and pain, The swelling will have the same colour as the skin. The swelling is immovable. 2. Pachyamana shopha - Vivarna – The swelling gains a different color than that of the skin. Ragi – it is usually red coloured. Bastiriva – It enlarges like an animal bladder. Nistoda – continuous

AH-Su-Chapter 28: Shalya Aaharan Vidhi / Removal of Foreign Body

Shalya means a foreign body. Aharana means extraction, pulling out etc. Shalya gati   -   direction of entry of foreign bodies- Vakra – Irregular – curved, Ruju ­ – straight, Tiryak – horizontal, Urdhwa – upward and Adha – downward are the five Shalyagati (directions of movement of the foreign bodies) Shalya Vrana   - ulcer with a foreign body inside :- Blue discolouration, swelling, pain, frequent bleeding, elevated like a bubble, studded with eruptions and softening  of muscles are the features from which a wound having a foreign body should be recognized. 1-2 Tvak gata – When the foreign body is in the skin , there is discoloration, hard and large swelling; Mamsagata (when it is in the muscle) , there will be sucking pain, steady progress of the swelling, tenderness, suppuration and non- healing of the wounds of entry of the foreign body; when it is in between two muscles   ( Peshi ) the signs will be similar that residing inside the muscle except the swelli

AH-Su-Chapter 27: Siravyadha Vidhi / Venesetion (Blood Letting)

Sira = vein. Vyadha = puncturing.  Shuddharakta Laksana- Features of pure blood:- Slightly sweet and salt in taste neither cold nor hot, resembling the colour of lotus, Indragopa insect, gold, blood of sheep and rabbit - are the characteristic properties of pure blood; It is the cause of origin of the body, by it, is determined the condition of body as healthy or unhealthy. 1-1 ½ Effect of vitiated blood – Dushtaraka Karma - Blood usually gets vitiated by Pitta and Kapha. It produces  diseases such as Visarpa- Herpes, Vidradhi – Abscesses, Pleeha – Disease of the spleen, Splenomegaly Gulma – Tumors of the abdomen - Agnisadana – Dyspepsia, Jvara – fever Mukha, Netra Shiroroga – diseases of the mouth, eyes and the head; Mada – intoxication- toxicity, Trut – excessive thirst Lavanasyata – salty taste in the mouth, Vatasra- Gout, Pittasra- bleeding disease, belching with pungent and sour tastes and dizziness. Those curable diseases, not getting cured even aft