This text explains Sushruta Samhita Sutrasthana Chapter 19 “Vranitopasaniya Adhyaya” Care of the wounded.
Vranitopasaniya Adhyaya- Care of the wounded
We’ll now clarify the chapter by identify Vranitopasaniya- care of the wounded particular person, as revealed by the venerable Dhanvantari.
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Vranitagara – Ward for the wounded
To start with, a chamber shall be chosen and organized for the wounded particular person to remain. The chosen chamber ought to be constructed in an auspicious land and may have been constructed in accordance with vastu shastra (science of structure) and so forth. An individual residing in such an auspicious home (home constructed on an auspicious land) in-built accordance with science of structure, which is clear (free from filth), free from daylight (warmth of the solar) falling straight and heavy breeze won’t endure from bodily, psychological and traumatic issues.
Association of bedding within the ward for the wounded
In such a home (chamber) correct association for sleeping ought to be carried out in order that the affected person can sleep conveniently. The bedding ought to be freed from troubles (snug to sleep), vast and lengthy (with correct dimensions), lined with clear material, nice to the thoughts, match to maintain the top to the east course (pillow in direction of east), and having the weapons positioned beneath the pillow (for use for cover from enemies, animals and so forth.).
The wounded particular person ought to sleep on a large mattress, handy for simple actions (of physique components and different actions), snug sufficient to alter place and sides whereas sleeping. Because the Gods reside within the east, the particular person ought to sleep retaining his head in that course as an indication of worship (respect).
The wounded dwelling in firm of excellent and affectionate pals within the ward
In such an auspicious home (ward), the wounded particular person ought to reside or sleep (on the snug bedding), within the firm of affectionate pals who discuss pleasingly, as a lot and so long as he likes.
Pals telling tales of many varieties, will drive away the discomfort (ache) of the wound (within the wounded) and by comforting and nice dialog guarantee the particular person (of treatment).
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Ahita Acharika
Actions and meals to be prevented
He (wounded particular person) mustn’t sleep throughout the day. By sleeping throughout the day itching within the wound, feeling of heaviness of the physique, swelling, ache, redness and exudation – all turn into significantly elevated.
He ought to fastidiously shield the wound throughout his actions comparable to elevating, sitting, turning, strolling, talking loudly and so forth. The wounded particular person mustn’t bask in standing, sitting, strolling for an extended interval and sleeping throughout the day, regardless of him being sturdy. An excessive amount of indulgence in standing, sitting, sleeping and so forth., will result in aggravation of vata which in flip would result in manifestation of assorted sorts of ache within the physique components. Due to this fact, these actions shall be prevented.
He ought to keep away from seeing, speaking and touching the lady with whom he’s eligible for sexual actions from an extended distance itself. By seeing and so forth. of girls, his semen would get dislodged (from its regular seat) and circulation out (will get ejaculated). Then the particular person will endure from all of the dangerous results of copulation although he truly has not carried out it.
He mustn’t partake (as meals) freshly harvested grains, Masa (black gram), tila (sesame), Kalaya (spherical pea), Kulatha (horse gram), nispava (cow gram), haritaka saka ( leafy greens), issues that are bitter, salt and pungent in style, Guda (jaggery / treacle), eatables made out of flour, dry meat, dry greens, meat and muscle fats of goat, sheep and animals dwelling in marshy locations and in water, chilly water, Krsara (rice cooked together with inexperienced gram), Payasa (milk pudding), curds, milk, buttermilk and so forth.
Issues enumerated above commencing with freshly harvested grains and ending with buttermilk is called Dosa Sanjanana varga (group inflicting aggravation or Tridosha). They trigger a rise in doshas and likewise improve in (formation of) pus.
Notes: Dalhana mentions haritaka saka as comprising Kuthera, Sigru, Surasa, Sumukha, Ausuri, Bhutena, Mulaka and Cukrika.
The particular person habituated to wine consuming (alcoholic addict) ought to keep away from utilizing Maireya, Arista, Asava, Sidhu and by-products of Sura.
Wine which is bitter, dry, penetrating, sizzling in efficiency and fast performing, if consumed destroys the wound (produces nice harm) rapidly.
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He also needs to keep away from an excessive amount of indulgence in breeze, daylight, mud, smoke, mist, dew, consuming meals in extra amount, use of disliked meals, listening to disagreeable sounds, seeing disagreeable and disliked issues, jealousy, anger, worry, grief, fear, retaining awake at nights, consuming incompatible meals; irregularity of sleeping, fasting, talking loudly and bodily train, standing nonetheless in a spot, roaming in forbidden locations, publicity to chilly wind, consuming flawed and unhealthy mixture of meals (combination of mutually reverse / incompatible meals), consuming repeatedly in brief intervals (earlier than the beforehand taken meals is digested), indigestion (meals which trigger indigestion) and hassle by flies and so forth.
Within the wounded particular person, troubled by the above causes (or another causes), and in whom (wounded particular person) the blood and muscle tissues have been depleted; the meals which has been ingested doesn’t get digested. As a result of this indigestion, there will probably be immense aggravation of doshas (vata, pitta and kapha). This in flip would result in manifestation of swelling, ache, discharges (exudation), burning sensation and suppuration (pus formation).
Disciplined life beneficial for a wounded particular person
He ought to at all times maintain his nails and hairs quick; be clear, put on white gown, resort to observance of propitiatory and auspicious rites, dedicated to (service of) gods, Brahmanas and academics. For what purpose (he ought to comply with all this stuff)? As a result of the Raksasas (demons) who roam round (search pleasure) in harming others, who’re very highly effective, followers (retinue) of Pasupati (Shiva), Kubera (God of wealth) and Kumara (Sanmukha) who’re keen on flesh and meals, transfer about close to the wounded particular person both in quest of blood, for receiving worship or for killing the particular person (if not worshipped and supplied oblations).
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Find out how to fulfill the demons?
These demons who want worship, ought to be worshipped, with nice devotion, continuously, by providing incense (aromatic smoke), ritual worship (with prayers, flowers and so forth.), oblations (flesh blood and so forth., of animals killed) and different eatables.
When demos turn into glad (with worship, oblation and so forth.) they won’t trigger any hurt to the particular person, who stays disciplined. Therefore the wounded particular person ought to at all times stay with out lassitude (with out yielding to sensual pleasure) surrounded by folks (pals, family and so forth.), reside in a home (chamber/ ward) adorned with lights, water, weapons, garland, rope (material band), flowers, Laja (parched rice) and so forth. and spend his time, retaining his thoughts happy with wealth, music and listening to tales that are benevolent, auspicious and pleasing to the thoughts.
He who listens to tales bestowing wealth, auspiciousness and pleasantness to the thoughts, and stays eager for the treatment of the ailments, obtains happiness (well being) rapidly.
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Raksha Karma
Protecting ceremony
Each the priest and the doctor ought to carry out protecting rites every day throughout the unions i.e., junction of evening and morning and junction of morning and evening (early morning and early night) as stipulated in Rig, Yajur, Sama and Atharva Vedas and different benedictory hymns for the safety of the sufferers.
Dhupa
Fumigation
Fumigation of the chamber ought to be carried out for ten days, twice a day with out laziness, utilizing Sarsapa, leaves of Arista (neem) added with ghee and salt.
Chatra, Atichatra, Lanhali, Jatila, Brahmacarini, Laksmi, Guha, Atiguha, Vaca, Ativisa, Satavirya,Sahasravirya and Siddharthaka – ought to be worn on the top (as amulets).
The wound ought to be fanned with a fan made from hairs (of animals) but it surely shouldn’t be hit, pricked or scratched whereas in sleep.
By resorting to those actions from the start, Nisacaras (evening prowlers / demos) get away from the affected person similar to different animals run away from the forest invaded by the lion.
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Sanskrit Verses
Hitahara
Appropriate meals
Little amount of cooked rice (porridge) ready from outdated rice which is made unctuous and heat, with extra of liquid (water), and consumed (every day) together with the meat of animals of desert like areas, helps in therapeutic of the wound rapidly.
Soup ready from Tanduliyaka, Jivanti, Sunisannaka, Vastuka, Balamulaka, Vartaka, Patola and Karavellaka, fried in ghee, blended with rock salt, powder of pomegranate and juice of Indian gooseberry (Emblica officinalis) ought to be consumed. Additionally, different substances related in qualities like these talked about above and cooked rice shall be taken together with soup of mudga (inexperienced gram) and so forth. One also needs to use saktu (paste of flour), vilepi (gruel), kulmasa (cooked pulses) and boiled water.
Notes: – The phrase “Dravottaram” truly means” with extra of water” however on this context it’s interpreted as ‘past water / with out water’ – by Dalhana and different commentators, as a result of consumption of extra water is prohibited in sufferers with wound.
The wounded particular person mustn’t sleep throughout the day, ought to stay inside a home / chamber devoid of breeze and below the management of the doctor (promptly follows the directions of the doctor) will get cured of the wound rapidly.
Swelling of the wound happens as a consequence of exertion (of any kind), redness (and swelling) as a consequence of retaining awake, at evening. Swelling, redness and ache happen as a consequence of sleeping at day time. Swelling, redness, ache and demise will happen as a consequence of copulation.
The wounded man who adheres to this routine (meals and actions) obtains happiness (well being) and longevity certainly, as per (as mentioned by) the phrases of Dhanvantari.
Thus ends the nineteenth chapter by identify Vranitopasaniya, in Sutra sthana of Sushruta Samhita.
