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Elaborate the Concept of Snayu from Shushrut Samhita

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Journal name: Ayushdhara
Original article title: Elaborate the Concept of Snayu from Shushrut Samhita
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Original source:

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Author(s):

Shilpa Rahul Revale
Assistant Professor, Department of Rachana Sharir, S.C. Mutha Aryangla Vaidyak Mahavidyalaya, Satara, Maharashtra, India


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: Elaborate the Concept of Snayu from Shushrut Samhita

Year: 2022 | Doi: 10.47070/ayushdhara.v9i3.973

Copyright (license): CC BY-NC-SA 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

The concept of �Snayu� in the context of the Sushrut Samhita is a significant anatomical structure that conveys critical insights into the composition and functioning of the human body. This review article emphasizes the importance of Snayu, correlating it with modern anatomical understanding, and highlights its relevance in diagnosing and treating various ailments associated with it. Sushruta, an ancient Ayurvedic text, extensively details the structure and functionality of Snayu, showcasing its role in various medical phenomena and surgical contexts.

Importance of Snayu in Human Anatomy

Snayu has been identified as a distinct structure in the body, separate from Mansa (flesh), Peshi (muscle), Sira (veins), Dhamani (arteries), and other soft tissues. Sushruta mentions the importance of identifying the 900 Snayu present in the human body, noting that these structures are essential for providing stability and strength. There are different types of Snayu, including Pratanvatya (long creeper-like), Vrutta (circular), Pruthula (broad and flat), and Sushir (having openings), each serving specific anatomical functions, particularly around joints and in facilitating movement. Understanding these variations can aid practitioners in treating conditions that affect these robust structures.

Clinical Implications of Snayu

The clinical implications arising from Snayu structures are profound, particularly when treating conditions known as Snayugat vyadhi, which often involve serious symptoms like tremors, pain, and convulsions. Sushruta emphasizes careful diagnosis and treatment of Snayu-related conditions due to their complex nature and the risk of resulting health complications such as severe pain, edema, or even deformity. The recognition of Snayu as Marma adhisthana, or vital points, necessitates greater vigilance in both surgical and therapeutic interventions, making knowledge of Snayu crucial for physicians when addressing injuries and diseases associated with tendons and ligaments.

Conclusion

In summary, Snayu is a broad term that encompasses various forms of fibrous connective tissue in the human body, including tendons, ligaments, and aponeuroses. The insights derived from Sushrut Samhita provide foundational knowledge for managing ailments linked to these structures, highlighting the necessity of a tailored treatment approach, particularly through methods such as Agnikarma, Bandhan, and Sneha application. Thus, the intricate understanding of Snayu not only informs anatomical and physiological comprehension but also directs effective clinical practices in Ayurveda, ensuring the holistic care of patients suffering from associated conditions.

FAQ section (important questions/answers):

What is the significance of 'Snayu' in the human body?

'Snayu' is a fibrous connective tissue structure important for movement. It consists of tendons, ligaments, and peripheral nerves, playing a crucial role in providing stability and facilitating motion at joints.

How does 'Snayu' differ from muscles and veins?

'Snayu' is distinct from 'Mansa' (flesh) and 'Peshi' (muscle) as it is non-contractile and less stretchable. Unlike 'Sira' (veins) and 'Dhamani' (arteries), 'Snayu' does not conduct blood but serves as a connective structure.

What types of 'Snayu' are described in Sushrut Samhita?

Sushrut Samhita identifies four types of 'Snayu': Pratanvatya (tendons), Vrutta (circular tendons), Pruthula (broad, flat tendons), and Sushir (structures with openings). Each type has specific anatomical features and functions.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Elaborate the Concept of Snayu from Shushrut Samhita�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Snayu:
Snayu is a crucial anatomical structure in the human body, described in the Shushrut Samhita. It refers to fibrous connective tissue types such as tendons, ligaments, and aponeuroses which play roles in movement and stability. The proper treatment of Snayu injuries and disorders involves specific protocols described in ancient texts.

2) Marma:
Marma are vital points in the human body according to Ayurvedic texts. In Shushrut Samhita, 27 out of 107 Marma are described as Snayu Marma, indicating their association with fibrous tissues. These points are critical during surgical procedures and must be treated with care to avoid severe complications.

3) Samhita:
Samhita refers to classical Ayurvedic texts, such as Shushrut Samhita, which provide comprehensive knowledge about various anatomical structures and medical treatments. These texts are fundamental in the study of Ayurveda, offering detailed descriptions verified through corpse research.

4) Human body:
[see source text or glossary: Human body]

5) Sira (Shira):
Sira are structures through which blood flows, such as veins. They are distinct from Snayu, as Sira are flexible and distensible, formed by the Mrudupaka of Meda. Snayu do not conduct blood, differentiating them from Sira and other anatomical structures.

6) Prakara:
[see source text or glossary: Prakara]

7) Shopha (Sopha):
Shopha means edema or swelling and is a common symptom associated with Snayu disorders. It can arise due to injuries or conditions impacting the Snayu structures, leading to physical discomfort and medical complications.

8) Sthana:
Sthana refers to the specific location or site in the body. For Snayu, various Sthanas such as Mani Bandha (wrist) and Gulpha (ankle) are pivotal in discussing the anatomical structure and its relevance in different conditions.

9) Pesi (Peshi):
Peshi, synonymously used with muscle, differs from Snayu. In Shushrut Samhita, Peshi is used to describe muscle tissue, while Snayu pertains to tendons and ligaments. The distinct terminology helps in understanding different tissue types in the human body.

10) Basti:
Basti refers to the urinary bladder in the context of Shushrut Samhita. It is enveloped by Sira and Snayu, which provide structural support. Understanding its anatomical layering is important in surgical and medical treatments involving the urinary system.

11) Agnikarma (Agni-karma):
Agnikarma involves therapeutic burning used as a treatment method. In the context of Snayu disorders, Agnikarma helps alleviate pain and promote healing. Sushruta recommended it as part of the treatment protocol for diseases affecting tendons and ligaments.

12) Disease:
[see source text or glossary: Disease]

13) Paribhasha (Paribhasa):
[see source text or glossary: Paribhasha]

14) Dhamani:
Dhamani are arteries through which blood flows from the heart to various body parts. Unlike Snayu, Dhamani are involved in the circulatory system, highlighting the distinctions between these anatomical structures in Ayurvedic texts.

15) Kandara (Kamdara):
Kandara in Shushrut Samhita refers to tendons. Vrutta Snayu, a type of Snayu described as tendon-like structures, aligns with the modern understanding of tendons, illustrating the historical knowledge of these fibrous tissues.

16) Sandhi (Shandhi, Samdhi):
Sandhi denotes joints in the body, formed by the union of two or more bones. Pratanvatya Snayu, which are tendon or nerve-like structures, are present at these joints, contributing to stability and movement.

17) Karma (Karman):
[see source text or glossary: Karma]

18) Sneha:
Sneha means oilation and is a therapeutic practice involving the application of oils. It is one of the treatments suggested for Snayu Vikara in Shushrut Samhita to treat ailments related to tendons and other fibrous tissues.

19) Blood:
Blood circulates through Sira and Dhamani but not through Snayu, which are fibrous connective tissues. Understanding this distinction is crucial for diagnosing and treating conditions pertaining to these different structures.

20) Ruja:
Ruja translates to severe pain, a common symptom in Snayu-related disorders. Effective treatment of Snayu ailments often focuses on alleviating Ruja through various Ayurvedic therapeutic protocols like Sneha, Agnikarma, and Bandhan.

21) Medas (Meda, Medash):
Meda Dhatu, or adipose tissue, is the origin of Snayu according to Shushrut Samhita. It undergoes Khara paak to form the tough fibrous structures of Snayu, highlighting the tissue differentiation in Ayurvedic anatomy.

22) Adhishthana (Adhisthana):
Adhisthana refers to the anatomical base or seat of a structure. In snail injuries, the Snayu forms one of the Adhisthana, whose location determines the severity of the condition and its treatment protocol.

23) Discussion:
[see source text or glossary: Discussion]

24) Science (Scientific):
[see source text or glossary: Scientific]

25) Siravedha (Sira-vedha):
Siravedha is a surgical act of venous puncture, often done with careful attention to avoid damaging Snayu structures. Mismanagement can lead to complications, reinforcing the need for meticulous anatomical knowledge.

26) Knowledge:
[see source text or glossary: Knowledge]

27) Vishesha (Visesa):
[see source text or glossary: Vishesha]

28) Mardana:
Mardana refers to therapeutic massage. It is a recommended treatment for Snayu ailments according to Sushruta. This therapy aids in relieving stiffness and promoting healing of tendons and ligaments.

29) Pesita (Peshita):
[see source text or glossary: Peshita]

30) Shakha (Sakha):
Shakha refers to branches of the body, such as limbs. Each Shakha is said to contain 150 Snayu, demonstrating the extensive presence and importance of these fibrous tissues throughout the human body.

31) Vyadhin (Vyadhi):
[see source text or glossary: Vyadhi]

32) Sutra:
[see source text or glossary: Sutra]

33) Griva:
Griva refers to the neck region. It contains several Snayu, which provide structural support and enable movement. Their roles and potential injuries are discussed in the Shushrut Samhita.

34) Edema (Oedema):
[see source text or glossary: Edema]

35) Jute:
Jute fibers are used as an analogy for the toughness and durability of Snayu. This comparison highlights Snayu's strength and its role as suturing material in ancient surgical practices.

36) Pain:
Pain, or Ruja, is a primary symptom associated with Snayu disorders. Proper management of pain is critical in the treatment of Snayu Vikara, employing therapies like Agnikarma and Sneha.

37) Sutrasthana (Sutra-sthana):
[see source text or glossary: Sutra-sthana]

38) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is the Indian state where the author, Shilpa Rahul Revale, is an Assistant Professor at S.C. Mutha Aryangla Vaidyak Mahavidyalaya. This context emphasizes the regional contribution to the study of Ayurvedic medicine.

39) Manibandha (Mani-bandha, Manibamdha):
Mani-bandha refers to the wrist. Snayu and their injuries in this region are critical, highlighting the necessity for knowledge in their proper treatment as elucidated in Ayurvedic texts.

40) Medadhatu (Meda-dhatu):
Meda-dhatu, or adipose tissue, is identified as the origin of Snayu structures. This differentiation, involving Khara and Mrudu pakkas, underlies the histological distinctions in Ayurvedic understanding.

41) Netraroga (Netra-roga):
Netraroga are eye diseases in Ayurveda. One such condition involves the growth of skin resembling Snayu towards the cornea (Krushna Mandala), illustrating the diverse mentions of Snayu.

42) Upakrama:
Upakrama refers to treatment protocols. For Snayu Vikara, Sushrut Samhita suggests using therapies like Sneha, Upnaha, and Agnikarma for effective management of diseases affecting tendons and ligaments.

43) Lakshana (Laksana):
[see source text or glossary: Lakshana]

44) Utkshepa (Utksepa):
Utkshepa refers to a specific Snayu Marma associated with the temporal fascia and dura mater. Injury to this structure can lead to significant complications, as detailed in Ayurvedic texts.

45) Vaikalya:
Vaikalya means deformity, which can occur from improper treatments relating to Snayu. Preventing Vaikalya requires precise surgical and therapeutic intervention, emphasizing the importance of Snayu care.

46) Badhirya:
Badhirya, or deafness, can result from injury to specific Snayu Marma like Vidhur. These crucial points need careful handling during medical and surgical procedures.

47) Sanskrit:
[see source text or glossary: Sanskrit]

48) Shastra (Sastra):
Shastra karma refers to surgical procedures. In these, careful attention to Snayu structures is critical to avoid complications like Ruja and Shopha. Proper training in Shastra karma ensures effective treatment.

49) Koshtha (Kostha):
Koshtha indicates the body cavity, containing 230 Snayu according to Shushrut Samhita. This underscores the pervasive presence and significance of these fibrous structures within the internal body.

50) Samanya:
[see source text or glossary: Samanya]

51) Mandala (Mamdala):
Mandala refers to specific body regions such as Krushna Mandala (cornea) in Netraroga. Understanding its involvement with Snayu highlights the detailed anatomical knowledge in Ayurveda.

52) Utpatti:
[see source text or glossary: Utpatti]

53) Kshipra (Ksipra):
Kshipra denotes specific inter-metatarsal or inter-carpal spaces involving Snayu. These areas are prone to symptoms like Aakshepa (convulsions) due to their tendinous and neural compositions.

54) Stabdha:
[see source text or glossary: Stabdha]

55) Tantra (Tamtra, Tantrism):
[see source text or glossary: Tantra]

56) Dravya:
[see source text or glossary: Dravya]

57) Vikara:
Vikara indicates disorders or ailments. Snayu Vikara encompasses various conditions affecting tendons and ligaments, requiring therapies like Agnikarma, Bandhan, and Mardana for effective management.

58) Bandha (Bamdha):
[see source text or glossary: Bandha]

59) Shalya (Salya):
[see source text or glossary: Shalya]

60) Urdhva:
[see source text or glossary: Urdhva]

61) Samuha:
[see source text or glossary: Samuha]

62) Gulpha:
Gulpha refers to the ankle region, containing numerous Snayu. Understanding their role in movement and the impact of injuries is critical for medical treatments involving the lower limb.

63) Marana:
Marana signifies death, an extreme outcome of severe Snayu injuries if not properly treated. This underscores the vital role of Snayu in maintaining overall body integrity and function.

64) Shatara (Satara):
Satara is a district in Maharashtra, India, where the author is based. This geographical detail situates the academic and medical contributions of Shushrut Samhita within this region.

65) Medhra:
Medhra or penis, has Snayu structures related to the Griva and Hrudaya. This anatomical correlation highlights the interconnectedness of structures throughout the human body in Ayurvedic knowledge.

66) Khara:
[see source text or glossary: Khara]

67) Nakha:
Nakha refers to nails, the tips of Gandhara (tendons). This highlights the anatomical specificity in Ayurvedic texts, showing the detailed understanding of body parts like tendons extending to nails.

68) Bimba (Vimba):
[see source text or glossary: Bimba]

69) Asthi (Ashthi):
Asthi denotes bones in the human body. They form joints (Sandhi) alongside Snayu, which provide ligamentous support, differentiating Snayu's role in the musculoskeletal system.

70) Bhava:
[see source text or glossary: Bhava]

71) Sivya:
Sivya Dravya in Shushrut Samhita refers to suturing material. Snayu, being tough and thread-like, was historically used as natural sutures, indicating its versatility in ancient medical practices.

72) Dhatu:
[see source text or glossary: Dhatu]

73) Vrana:
[see source text or glossary: Vrana]

74) Mutha:
Mutha is part of S.C. Mutha Aryangla Vaidyak Mahavidyalaya in Maharashtra, where the author works. This institution contributes to the ongoing research and education of Ayurvedic practices and texts.

75) India:
India is the country where traditional Ayurvedic medicine, including the knowledge from Shushrut Samhita, originated and continues to be practiced and studied.

[Note: The above list is limited to 75. Total glossary definitions available: 84]

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