Sushruta Samhita · Chapter 1.27

athātaḥ śalyāpanayanīyamadhyāyaṃ vyākhyāsayāmaḥ //

yathovāca bhagavān dhanvantariḥ //

śalyaṃ dvividhamavabaddhamanavabaddhaṃ ca //

tatra samāsenānavabaddhaśalyoddharaṇārthaṃ pañcadaśa hetūn vakṣyāmaḥ / tadyathā svabhāvaḥ pācanaṃ bhedanaṃ dāraṇaṃ pīḍanaṃ pramārjanaṃ nirdhmāpanaṃ vamanaṃ virecanaṃ prakṣālanaṃ pratimarśaḥ pravāhaṇaṃ ācūṣaṇaṃ ayaskānto harṣaśceti //

tatrāśrukṣavathūdgārakāsamūtrapurīṣānilaiḥ svabhāvabalapravṛttairnayanādibhyaḥ patati māṃsāvagāḍhaṃ śalyamavidahyamānaṃ pācayitvā prakothā(ā.pā)ttasya pūyaśoṇitavegādgauravādvā patati / pakvamabhidyamānaṃ bhedayeddārayedvā / bhinnamanirasyamānaṃ pīḍanīyaiḥ pīḍayet pāṇibhirvā / aṇūnyakṣaśalyāni pariṣecanādhmāpanairbālavastrapāṇibhiḥ pramārjayet / āhāraśeṣaśleṣmahīnāṇuśalyāni śvasanotkāsanapradhamanairnirdhamet / annaśalyāni vamanāṅgulipratimarśaprabhṛtibhiḥ / virecanaiḥ pakvāśayagatāni / vraṇadoṣāśayagatāni prakṣālanaiḥ / vātamūtrapurīṣagarbhasaṅgeṣu pravāhaṇamuktaṃ / mārutodakasaviṣarudhiraduṣṭastanyeṣvācūṣaṇamāsyena viṣāṇairvā / anulomamanavabaddhamakarṇamanalpavraṇamukhamayaskāntena / hṛdyavasthitamanekakāraṇotpannaṃ śokaśalyaṃ harṣeṇeti //

sarvaśalyānāṃ tu mahatāmaṇūnāṃ vā dvāvevāharaṇahetū bhavataḥ pratilomo'nulomaśca //

tatra pratilomamarvācīnamānayet anulomaṃ parācīnam //

uttuṇḍitaṃ chitvā nirghātayecchedanīyamukham //

chedanīyamukhānyapi kukṣivakṣaḥkakṣāvaṃkṣaṇaparśukāntarapatitāni ca hastaśakyaṃ yathāmārgeṇa hastenaivāpahartuṃ prayateta //

hastenāpahartumaśakyaṃ viśasya śastreṇa yantreṇāpaharet //

bhavati cātra /

śītalena jalenainaṃ mūrcchantamavasecayet /

saṃrakṣedasya marmāṇi muhurāśvāsayecca tam //

tataḥ śalyamuddhṛtya nirlohitaṃ vraṇaṃ kṛtvā svedārhamagnigh;rtaprabhṛtibhiḥ saṃsvedya vidahya pradihya sarpirmadhubhyāṃ baddhvācārikamupadiśet / ( sirāsnāyuvilagnaṃ śalākādibhirvimocyāpanayet śvayathugrastavāraṅgaṃ samavapīḍya śvayathuṃ durbalavāraṅgaṃ kuśādibhirbaddhvā /)

hṛdayamabhito vartamānaṃ śalyaṃ śītajalādibhirudvejitasyāpaharedyathāmārgaṃ durupaharamanyato'pabādhyamānaṃ pāṭayitvoddharet //

asthivivarapraviṣṭamasthividaṣṭaṃ vāvagṛhya pādābhyāṃ yantreṇāpaharet aśakyamevaṃ vā balavadbhiḥ suparigṛhītasya yantreṇa grāhayitvā śalyavāraṅgaṃ pravibhujya dhanurguṇairbaddhaikataścāsya pañcāṅgyāmupasaṃyatasyāśvasya vaktrakavike badhnīyāt athainaṃ kaśayā tāḍayedyathonnamayan śiro vegena śalyamuddharati dṛḍhāṃ vā vṛkṣaśākhāmavanamya tasyāṃ pūrvavadbaddhvoddharet //

adeśottuṇḍitamaṣṭhīlāśmamudgarāṇāmnyatamasya prahāreṇa vicālya yathāmārgameva yantreṇa //

( yantreṇa ) vimṛditakarṇāni karṇavantyanābādhakaradeśottuṇḍitāni purastādeva //

jātuṣe kaṇṭhāsakte kaṇṭhe nāḍīṃ praveśyāgnitaptāṃ ca śalākāṃ tayāvagṛhya śītābhiradbhiḥ pariṣicya sthirībhūtāmuddharet //

ajātuṣaṃ jatumadhūcchiṣṭapraliptayā śalākayā pūrvakalpenetyeke //

asthiśalyamanyadvā tiryakkaṇṭhāsaktamavekṣya keśoṇḍukaṃ dṛḍhaikasūtrabaddhaṃ dravabhaktopahitaṃ pāyayedākaṇṭhāt pūrṇakoṣṭhaṃ ca vāmayet vamataśca śalyaikadeśasaktaṃ jñātvā sūtraṃ sahasā tvākṣipet mṛdunā vā dantadhāvanakūrcakenāpaharet praṇudedvāntaḥ / kṣatakaṇṭhāya ca madhusarpiṣī leḍhuṃ prayacchettriphalācūrṇaṃ vā madhuśarkarāvimiśram //

udakapūrṇodaramavākśirasamavapīḍayeddhunīyādvāmayedvā bhasmarāśau vā nikhanedāmukhāt //

grāsaśalye tu kaṇṭhāsakte niḥśaṅkamanavabuddhaṃ skandhe muṣṭinābhihanyāt snehaṃ madyaṃ pānīyaṃ vā pāyayet //

bāhurajjulatāpāśaiḥ kaṇṭhapīḍanādvāyuḥ prakupitaḥ śleṣmāṇaṃ kopayitvā sroto niruṇaddhi lālāsrāvaṃ phenāgamanaṃ saṃjñānāśaṃ cāpādayati tamabhyajya saṃsvedya śirovirecanaṃ tasmai tīkṣṇaṃ dadyādrasaṃ ca vātaghnaṃ vidadhyāditi //

bhavanti cātra /

śalyākṛtiviśeṣāṃśca sthānānyāvekṣya buddhimān /

tathā yantrapṛthaktvaṃ ca samyak śalyamathāharet //

karṇavanti tu śalyāni duḥkhāhāryāṇi yāni ca /

ādadīta bhiṣak tasmāttāni yuktyā samāhitaḥ //

etairupāyaiḥ śalyaṃ tu naiva niryātyate yadi /

matyā nipuṇayā vaidyo yantrayogaiśca nirharet //

śothapākau rujaścogrāḥ kuryācchalyamanirhṛtam /

vaikalyaṃ maraṇaṃ cāpi tasmādyatnādvinirharet //