AH-Su-Chapter 28: Shalya Aaharan Vidhi / Removal of Foreign Body
Shalya
means a foreign body. Aharana means extraction, pulling out etc.
In the same way hair and other foreign bodies should be removed by making use of the hook. 37
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)
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 swelling 3-4
when it is in between two muscles (Peshi) the signs will be similar that residing inside the muscle except the swelling 3-4
Snayugata
shalya (tendons) – Convulsions, shock,
stiffness, loss of movements and severe pain are the symptoms when the foreign
body is in tendons. when foreign body is in the tendons and is difficult to
remove;
Siragata
shalya (veins) – there is distention
of the vein; when lodged in the veins, there is distention of the vein;
Srotogata
Shalya (body channels) – there will be
loss of their respective functions and qualities,
Dhamanigata
shalya (arteries) – bleeding with
frothing, chest discomfort, nausea and body ache;
Sandhiagata
(joints) – severe shock, pain and
filling up of different types of fluids and swelling
Asthigata
(bones) – the signs are the same, with
loss of movement also.
Koshtagata
(abdomen) – there will be distention
and appearance of food faecal matter and urine at the orifice
of the wound.
Marmagata
(vital spots) – appearance of signs of
injury to such spots.
In
addition to the general signs, enumerated so far, even their discharges- fluids
coming out from them such as Lasika (Lymph) from skin, Rakta (blood) from veins
and Arteries, Majja – marrow bones etc. should be observed. 5-9 ½
If
foreign body is lodged in persons who have pure body – purified with therapies
such as Panchakarma and if the foreign body enters in the same line of the
organ, the chances of healing are good. If the body is not purified, it
produces serves distress due to aggravation of Doshas. 10
Recognizing the site of foreign body beneath the skin –
The exact site of foreign bodies concealed in the skin, is recognized by
The appearance of redness,
pain, burning sensation and tenderness after anointing with oil, fomentation or massage;
by the melting of solid ghee, placed at the site,
by quick drying of the paste of sandal wood etc.
The exact site of foreign bodies concealed in the skin, is recognized by
The appearance of redness,
pain, burning sensation and tenderness after anointing with oil, fomentation or massage;
by the melting of solid ghee, placed at the site,
by quick drying of the paste of sandal wood etc.
Site of foreign body concealed in the muscle, joint and abdomen – canbe recognized by clearing looseness, thinness of the
muscles by Panchakarma therapies or by other methods of slimming the body and
then observing for sites of pain, redness etc.
The site of those concealed in the bones is recognized by anointing with oil, fomentation, tying
with rope or bandage squeezing and massaging;
The sites of those concealed in the joints by extending or folding of joint in addition to signs
similar to lodged in bones.
Sites
of those concealed in tendons, veins, channels and arteries are recognized by appearance of pain in such places,
in a horse chariot, with broken wheels.
Features
of those concealed, in vulnerable spots are not described separately because
such spots are composed of muscles and other tissues only- the features of
which have been described already.
Generally
the site of the foreign body is determined by the appearance of distressing
symptoms, abnormal movements etc. during activity and by the presence of pain.
17
The
shape of the invisible foreign body is determined by the shape of the wound,
such as round – circular wide, with four Angula, with 3 edges. Etc.18
Shalyaharana- removal of foreign bodies:-
Method
of their removal are though upward and downward directions;
those entering into the body from above and below should be taken out in the opposite directions respectively. 19
those entering into the body from above and below should be taken out in the opposite directions respectively. 19
Those
which have entered from sideward – horizontally should be removed by cutting it
conveniently. 19 ½
Foreign
bodies, arrowheads which are lodged in the chest, axillae, groins and Flanks,
which can be cut and which have board blades should be pulled out.
Shalyas that should not be removed -
Those which lead to death soon after their removal, which are lost / invisible, which are absorbed by the body and those which do not produce complications- should not be removed. 20-21
Those which lead to death soon after their removal, which are lost / invisible, which are absorbed by the body and those which do not produce complications- should not be removed. 20-21
Aharana Vidhi- means and methods of removal -
Those
which can be held with the hand should be removed by the hand itself.
While others which are visible should be held by instruments such Simha- lion faced Varmimukha- fish faced, karkata mukha –crab faced etc. 22
While others which are visible should be held by instruments such Simha- lion faced Varmimukha- fish faced, karkata mukha –crab faced etc. 22
Those
which are invisible but can be grasped by instruments, through the wound,
should be pulled out by instruments having faces like the Kankha – heron,
Bhringa- Shrike, Kurara- osprey, Sharari- a kind of heron and Vayasa –crow. 23
Those
which are lodged in the skin should be removed with the help of Sandamhsa-
Yantra (forceps);
Those which are hollow, with the help of Tala Yantra- instruments with flat discs,
Those which are lodged in hollow spaces, by using Naraka Yantra- tubular instruments and the rest by other convenient instruments. 24
Those which are hollow, with the help of Tala Yantra- instruments with flat discs,
Those which are lodged in hollow spaces, by using Naraka Yantra- tubular instruments and the rest by other convenient instruments. 24
Those
which cannot be held by instruments should be removed by cutting open the site
with sharp instruments, the wound is next cleared of the blood, soaked with
ghee, fomented and then bandaged;
The patient is advised to follow the prescribed regime – described in verses. 30-42 of the next chapter. 25
The patient is advised to follow the prescribed regime – described in verses. 30-42 of the next chapter. 25
Those
lodged in the veins and tendons – including nerves, should be pulled out after
loosing them with the help of Salaka – rod like instruments.
If
foreign body is in the chest (Hrudaya), patient should be sprinkled with
ice water (himambu). 26-27
Foreign
body, arrow head, lodged in the bones should be removed by holding the patient
tight by the legs of the physician, if not possible by this method, it should
be pulled out by attendants who are strong. 28
If
not possible even by that method, the tail end (feather tied end of the arrow)
should be bent and fastened tight to the string of a bent bow, and the bow tied
to the bridle bit of a horse should then be whipped so that it raises its head
suddenly and with force by this method the arrow is removed. 29-30
Likewise,
the branches of trees may be made use of; in case of arrows with thin or fragile
tail ends, thin bamboo poles can be made use. 31
If
the tail end of the arrow is surrounded by an elevation, it should be pulled
out after cutting off the elevated part suitably; if the arrowhead has caused a
bulging on the body, it should be removed with the help of a Nadiyantra
(tubular instrument) after shaking / hitting the bulging with a hammer.32
By
the hammer, the arrow which has no clear passage of exit, should be brought
into a passage, suitable for pulling out;
Those which have earlike projection should be pulled out after cutting off their ears or by fixing them inside tubular instruments. 33
Those which have earlike projection should be pulled out after cutting off their ears or by fixing them inside tubular instruments. 33
The
arrow heads without earlike projections, which have created a wide opening in
the body and lodged straight, can be removed by making use of a magnet.
Foreign
bodies which have entered the large intestine can be removed by inducing
purgations. 34
Bad
air- gas, poison, breast milk, blood, fluids etc. which are acting foreign
bodies should be removed by sucking by using animal horn (Shrunga) etc. 34 ½
If
the foreign body has gone into the passage of the throat, a lotus stalk /
sponge like portion, tied with a thread should be passed into the throat, and
when the foreign body gets stuck to the stalk, the thread should be pulled out
slowly. 35
If
the foreign body in the throat is made up of Lac, a heated iron rod should be
passed through a tubular instrument and made to touch the foreign body and then
removed out; those which are not made of Lac should be removed by making use of
food smeared with Lac, at its tip. 36
Thorn
like, hook like bodies – which are in the throat should be removed by inserting
a ball of hair fastened with a thread, making the patient vomit the water which
he has been made to drink earlier, the foreign body sticking to the ball of
hair during vomiting is removed by pulling the thread quickly.
In the same way hair and other foreign bodies should be removed by making use of the hook. 37
Those
foreign bodies which are lodged in the mouth and nose, if not possible to be
removed out though respective orifices, should be pushed back, making them to
enter into the wider tract. 38
If a
bolus of food is stuck up in the throat, it should be removed by using thread,
cloth of flax, silk, hair or water. 39
The
person who has swallowed water to his full stomach – by drowning should be held
with his head down and legs up and shaken well, on laid on the round with the
face bent down and then made to vomit all the water; he should then be immersed
in heap of ash. 40
If
the ears are full with water, it should be removed inserting the finger and oil
removers put into the ears or the ears should be kept facing downwards
and the head given the blow from the side. Or the water can be sucked out with
the help of tubular instruments 41
If
any insect has entered into ears, the ears should be filled with warm salt
water or sour gruel (Sukta), when the insect is dead, dehydration measures
should be adopted or the ears should be filled with water. 42
Foreign
bodies of Lac, and other metals remaining for long time inside the body get dissolved
the heat of the body. 43
Foreign
body composed of Mud, Bamboo, wood, horn bone, tooth and hair of animals or
man, stone do not get dissolved by body heat;
Those
composed of horn, Bamboo Iron, wood of palm tree or remaining for long periods
inside the body generally get distorted, remain un-dissolved and produce
putrefaction in the muscles and blood . 44- 44 ½
If
the foreign body is concealed deep inside fleshy parts, purification should be
created in such parts by squeezing, fomentation, thinning measures
and smoothening therapies, use of strong, hot poultices warm foods and
drinks, incising and other methods, of sharp instrumentation, trampling by feet
etc. and then the foreign bodies removed by excision, probing or cutting. 45-46
Keeping
in mind the different and peculiar features of the foreign bodies, their place
of lodging and instruments of removal, the intelligent physician should
recognized them and remove them by appropriate methods. 47- 47 ½
Thus ends the twenty
eighth chapter called Salyaharana Vidhi in Suthrasthana
of Ashtang Hridaya composed by Srimad Vaghata, son of Sri Vaidyapati
Simhagupta.
i like your post .hope it will help us a lot herf= "http://organicliving.tech" naturopathy
ReplyDelete