Surgery in ancient India (Study)
by P. P. Prathapan | 2011 | 50,270 words
This essay studies Surgery in ancient India based on Sanskrit sources.—The Sushruta Samhita details the practice of surgery known to ancient Indian traditional medicine, which showcases an advanced development in this field as well as theoretical and practical knowledge of hygiene rivaling contemporary routine practices. The present thesis further ...
18. The functions of Surgical Instruments
The functions of surgical Instruments withdrawing a salya by moving it to and fro, injection or filling, binding, uplifting, cutting and there by withdrawing a salya, resetting by means of a twirling motion, removing of a salya from one place to another, twisting, expanding, pressing, purifying of a passage, drawing off, attracting, bringing to the surface, uplifting, lowering down, applying pressure all round a part, or an organ, agitating, sucking, searching, cutting or cleaving, straightening, washing or flushing, stuffing the nose and cleansing. They number twenty four in all. The intelligent surgeon shall exercise his judgment and determine the nature of the surgical operation required in each individual case, for surely the salyas requiring a surgeon's aid are infinitely varied in their character. An appliance (yantra) which is too thick, or made of inferior metal and hence not substantially made, or too short or too long, or does not admit of being easily handled and is incapable of taking in 254
the entire salya, or is curved, loosely fitted, or soft-bolted, or loosely tied up with cords, should not be used in surgical operations. These are the twelve defects of a surgical instrument. The use of an instrument devoid of the above said defects and measuring eighteen fingers in length, is commended in surgical operations. Salyas which are manifest and visible to the naked eye, should be extracted with the instruments of the simhamukha (lionmouthed) type, while those that cannot be seen, should be removed. with the help of the kankamukhas heron mouthed instruments, etc., according to the directions laid down in the sastras medical or surgical works of recognized authority. The kankamukhas are the best of all other types of instruments, in as much as they can be inserted and taken out without the least difficulty, are capable of drawing out a salya with the greatest ease, and are applicable to all parts of the human body be they an artery or a bone-joint.