Sushruta Samhita – An awesome 2500 year old Sanskrit text on medicine and surgery!

 


The Sushruta Samhita is among the most important ancient medical treatises. It is one of the foundational texts of the medical tradition in India, alongside the Charaka-Saṃhitā, the Bheḷa-Saṃhitā, and the medical portions of the Bower Manuscript.

The Sushruta Samhita was composed after Charaka Samhita, and except for some topics and their emphasis, both discuss many similar subjects such as General Principles, Pathology, Diagnosis, Anatomy, Sensorial Prognosis, Therapeutics, Pharmaceutics and Toxicology.

The Sushruta and Charaka texts differ in one major aspect, with Sushruta Samhita providing the foundation of surgery, while Charaka Samhita being primarily a foundation of medicine.

The Sushruta Samhita, in its extant form, is divided into 186 chapters and contains descriptions of 1,120 illnesses, 700 medicinal plants, 64 preparations from mineral sources and 57 preparations based on animal sources.

The Sushruta-Saṃhitā is divided into two parts: the first five chapters, which are considered to be the oldest part of the text, and the "Later Section" (Skt. Uttaratantra) that was added by the author Nagarjuna. The content of these chapters is diverse, some topics are covered in multiple chapters in different books

The Sushruta Samhita is best known for its approach and discussions of surgery. It was one of the first in human history to suggest that a student of surgery should learn about human body and its organs by dissecting a dead body. A student should practice, states the text, on objects resembling the diseased or body part. Incision studies, for example, are recommended on Pushpaphala (squash, Cucurbita maxima), Alavu (bottle gourd, Lagenaria vulgaris), Trapusha (cucumber, Cucumis pubescens), leather bags filled with fluids and bladders of dead animals.

The ancient text describes haemorrhoidectomy, amputations, plastic, rhinoplastic, ophthalmic, lithotomic and obstetrical procedures.

The treatise mentions various methods including sliding graft, rotation graft and pedicle graft. Reconstruction of a nose (rhinoplasty) which has been cut off, using a flap of skin from the cheek is also described. Labioplasty too has received attention in the samahita.

The Sushruta Samhita, along with the Sanskrit medicine-related classics Atharvaveda and Charaka Samhita, together describe more than 700 medicinal herbs. The description includes their taste, appearance and digestive effects to safety, efficacy, dosage and benefits.

A number of Sushruta's contributions have been discussed in modern literature. Some of these include Hritshoola (heart pain), circulation of vital body fluids (such as blood (rakta dhatu) and lymph (rasa dhatu), Madhumeha, obesity, and hypertension. The first mention of leprosy is described in Sushruta Samhita. The text discusses kidney stones and its surgical removal.

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