This text explains Sushruta Samhita Sutrasthana Chapter 23 “Krutyakrutya Vidhi Adhyaya” – Curable and incurable wounds.
Krutyakrutya Vidhi
Curable and Incurable wounds
Now we are going to expound the chapter by title Krutyakrutya vidhi- curable and incurable wounds; as revealed by the venerable Dhanvantari.
Learn – Lord Dhanwantari ‘The God of Ayurveda
Sukhasadhya Vrana
Simply curable wounds
Wounds are simply curable in individuals –
- who’re youths,
- sturdy,
- valiant (having energy to stay),
- having sturdy thoughts (will energy) and self-controlled
When all these 4 qualities are present in a single individual, his / her wound could be very simply curable.
Within the youth, the injuries heal shortly as a result of all of the tissues are new and absolutely grown / have capability to develop.
In a powerful individual, the physique can have steady and well-developed muscle tissues. The sharp devices utilized in these individuals won’t attain (trigger harm) to the veins, tendons and so on.
Individuals who’re valiant don’t turn into exhausted by ache; damage (by devices) and management (restrictions) over meals and so on.
Individuals who’re sturdy of thoughts (will energy) don’t undergo from ache attributable to even enormously troublesome remedies.
Therefore in these sorts of individuals wounds are very simply curable.
It’s reverse (not simply curable) in individuals who’re previous, emaciated, not valiant, and afraid of life (dying).
Wounds located on the buttocks, rectum (anus), genital organ, brow, cheeks, lips, again, ears, scrotum, stomach, shoulders and inside the mouth heal simply.
Learn – Charaka Vrana Chikitsa – twenty fifth Chapter – Wounds, Ulcers
Kricchra Sadhya vrana
Wounds curable with problem
Wounds located within the eyes, tooth, nostril, outer canthus of the attention, ears, umbilicus, sutures (raphae), buttocks, flanks, epigastrium, chest, axillae, breasts and joints; these which have sinus exuding froth, pus, blood and air (fuel), which have a international physique inside – are curable with problem. Equally, these which eradicate (pus and so on.) from under within the upward course, these positioned close to the border of the hairs (within the head), close to the basis of the nails, important spots and bones of the foreleg; even (wound of) fistula-in-ano which is going through inward, that wound located on the raphe and pelvic bone close to it (coccyx) are troublesome to remedy.
Wounds in individuals affected by leprosy, poison, consumption, diabetes mellitus and in those that are having wounds already, heal with problem.
Yapya vrana
Wounds which persist lengthy
Wounds produced by the under talked about situations are thought-about to be yapya (manageable / relievable however persisting for lengthy, can’t be fully cured) –
- paraphimosis,
- phimosis,
- obstruction of the rectum (rectal stenosis) and
- enlargement of the stomach;
- cystic swellings, damage (or damage of cystic swellings) and worms / worms creating within the wound over a tumor,
- worms showing in nasal catarrh (rhinitis),
- worms showing within the belly viscera / illnesses of the belly viscera,
- worms discovered within the wounds / ulcers of (associated to or attributable to) pores and skin illnesses and diabetes
- sharkara meha and sikata meha (kinds of diabetes),
- vatakundalika – ache within the urinary bladder,
- ashtila – prostatic enlargement
- tartar of the tooth,
- gingivitis,
- tonsillitis,
- gums vitiated by dangerous dentifrices, toxic tooth pastes / powders,
- erysipelas,
- wound / tear of the bone,
- wound or tear of chest (lungs),
- tumor of wounds and such others
Significance of ‘well timed and appropriate remedy’ of wounds
In individuals who don’t take appropriate remedies, curable wounds turn into relievable, relievable ones turn into incurable and incurable as soon as destroys life.
Learn – How To Make Prognosis Of Illness In accordance To Ayurveda?
Yapya Vyakhya
Definition of yapya
Yapya (relievable) illnesses are these that are below management by the assistance of remedy. However the identical illnesses would kill the individual instantly (inside a short while) after withdrawing /stopping the remedy. Relievable illnesses maintain the affected person when the remedy is on the market (so long as correct and well timed remedy is in course of) and kill him when the remedy is stopped, identical to the home is supported by pillars correctly positioned (and collapse when they’re eliminated).
Asadhya Vrana
Incurable wounds
Subsequent, we are going to describe wounds that are incurable: –
Wounds presenting with the under talked about options are thought-about to be incurable –
- wounds elevated like a ball of muscle,
- discharging copious exudation (pus, blood and so on) in extra,
- that are full of pus inside them
- related to ache,
- lips (edges) of the wound are bulged out just like the anus (anal opening) of a horse,
- some are onerous, raised just like the cow’s horn,
- some others have gentle muscular sprouts protruding out,
- some wounds exude vitiated blood and a few others discharge exudates that are skinny, chilly and slimy,
- these elevated on the middle,
- some having their edges dipping inwards (into the wound) and cavities / perforations shaped inside,
- some having community of ligaments which resemble beams (wick) of silk cotton and have ugly look,
- these that are produced by aggravated doshas (and as a result of aggravation of doshas in them) and exuding muscle fats, fats, marrow and mind like matter
- wounds occurring within the alimentary tract from which there happens yellow or black coloured discharges or there may be discharge of urine, feces or wind (fart / fuel),
- the identical (wounds of the alimentary tract) exuding pus and blood from their orifices at each ends i.e., from mouth and anal opening together with exudes from the injuries,
- wounds occurring in individuals who’ve depletion of muscle tissues and unfold throughout;
- these wounds having sinuses with minute orifices unfold throughout,
- these having bubbles (sprouts) of muscle tissues,
- wounds located within the head and throat bringing out air (fuel) accompanied with sound,
- wounds in individuals having emaciated muscle tissues, exuding pus and blood,
- wounds related (sophisticated with presence of) with lack of style, indigestion, cough, dyspnoea and such different problems (secondary illnesses),
- wound attributable to fracture of the cranium by way of which the mind matter is seen;
- wounds during which signs of all of the three doshas develop,
- wounds related or sophisticated by presence of cough and dyspnoea
Agantu Vrana
Agantu vrana (unintended / traumatic wound) which exudes muscle fats, fats, marrow and mind matter, may get cured however not that produced by aggravation of the dosas (additionally having exudes of muscle fats and so on).
Learn – Madhava Nidana Chapter 43 Sadyo Vrana Nidanam
Prognosis of wounds
The illnesses (wound) which engulfs (vitiates and destroys all of the tissues) even in a spot which isn’t a significant spot and is devoid of veins, joints, bones and so on is an incurable characteristic, particularly so if they don’t seem to be responding to the remedy.
The illnesses which develop steadily involving the Dhatus (tissues) one after the opposite slowly, will not be attainable to be cured simply as an previous (huge) tree (grown slowly and steadily).
Equally, the illness which is steady, enormously elevated and invading all of the tissues steadily, nullifies the efficiency of the medicines identical to malevolent planets nullify the chanting of hymns (energy of expiatory hymns).
The wound which has options reverse of the above is alleged to be simply curable, so additionally that which isn’t firmly rooted (is curable simply) simply as a younger plant which is simple to be pulled out.
Suddha Vrana
Clear wound
The wound with the under talked about options is alleged to be a suddha vrana (clear / therapeutic wound) –
- that which isn’t invaded / affected by the tridoshas,
- that whose lips (edges) are blue in coloration,
- that which has developed (small) eruptions (granulation tissues) that are even,
- that which isn’t related to ache and exudation,
Learn – Harm, Wound care Ayurvedic Treatments, Medicines
Rohati Vranam
Wound which is therapeutic
That (wound) which has the colour much like that of a pigeon, which is devoid of pus and so on. (moisture, exudation), steady, and having chipitaka – dry, white, gentle flakes of pores and skin adhering firmly is taken into account to be therapeutic.
Rudha Vrana
Healed wound
The wound whose lips (edges) have healed, which doesn’t have knots of muscle tissues in it, which doesn’t have swelling all spherical it, which isn’t related to ache, has similar coloration as that of the encompassing pores and skin, and which has turn into even is taken into account as samyak rudha i.e., correctly healed wound.
Causes for healed wound to get torn
Even a healed wound turns into torn (cracked moreover) by aggravation of the dosha, by indulgence in bodily train, damage, indigestion and an excessive amount of of pleasure, anger or concern.
Thus ends the twenty third chapter named Krtyakrtya vidhi in Sutra Sthana of Susrutha.
