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SHALYA TANTRA - SURGERY
Posted Date: 15 Feb 2008 Resource Type: Articles/Knowledge Sharing Category: How things work
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Posted By: SajithkumarS Member Level: Diamond
Rating:  Points: 5
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Articles of Bandaging: Ksauma (cloth woven with the fibres of Atast plant),K-
arpasa (cotton) Avika (blankets made of sheep's wool) Dukula (loom silk)Kause-
ya (silk) the Patrorna (a kind of cloth made of the fibres of Naga trees, whi-
ch grow in the provinces paundra and Magadha), the Cinapatta (Chinese cloth).
Antarvalkala (the inner bark or fibers of a tree) Carma (skin),the Alabu saka-
la (the skin of a gourd) the Lata-Vidala (half-thrashed syama creepers) strrin
g or cord the cream of milk Tula phala (cotton seeds ) and iron These access-
oris should be used in considration of the exigencies of each case and the
time or the seasons of the year in which it occurss In a swelling or ucler
caused by the deranged vayu and kapham the bandage should consist of a piece
of thick cloth whereas in summer it should consist of thin linen Similarly, a
bandage tied round any deep or hollow part of the body should consist of a pie
ce of thick cloth The contrary rule should be observed when the seat of the
bandage would be at any flexible part of the body. Similarly in the case of a
snake bite a ligature should be firmly tired above the puntured wound with
a sting ortwisted cord of cotton while a fractured bone should be set right
by twisting bunches of half thrashed syams creept (Latavida) round the se-
at of fracture A local haemorhage should be arrested by binding the part with
mild cream while the affected part in a case of Ardita (facial paralysis)as
well as a broken tooth should be bound with strings of iron gold or silver Wa-
rts, etc., should be bandaged with Ela (cardamom skin) while dried gourd skins
must be used in bandaging ulcers on the head (scalp). BANDAGES: The 14 diffe-
rent forms of bandage are: the Kosa (a sheath or scabard), the Dama (a cord
or chapter),the Svastika (cross), the Anvellita (a twist) the Pratoll or Utt-
oli (a winding street or road ) the Mandala (ring) the Sthagika (a betel-b-
ox),the Yamaka( double or twin) the khatva (a bedstead),the Cina (a streamer),
the Vibandha (noose) the Vitana the gophanna (horn shaped) and the pancangi
(five-limbed ), Their shapes can be easily inferred from the meanings of the-
ir names. APPLICATIONS: Out of these the kosa or thee sheath shaped bandage
should be tied round the thumb and the phalanges of the fingers the Dama or
chaplet-shaped bandage, round the narrow or unbent parts of the body ; the Sv-
astika or cross shaped round the joints round the articulation or the marms kn
own as the kuurcakas (ncvicular ligaments) round the eye-brows round the ears
and round the regiion of the brest. breast Similarly the banndage known as
the Anuvellita should ebe used whin the seat of the affection would be formed
to be situated at the extremities (hands and legs). A bandage of the Pratoli
class should tied round the neck or penis; the Mandalam (ring shaped) round
the circlar parts of the body the Sthagika (betel-box) round the glans-penis
and the tips of the fingers; the Yamkam, round the confluent or contiguous
ulcers; the Khatva(bedstead- shaped) over and around the cheeks cheek bones a
and the parts between the ears and the eye browns; the Vitanam over the skull
the Gophana (horn-shaped) round the region of the chin and the Pancangi round
the part lying above the clavivles. In the short a bandage of any particular
shape should be tied round the part of the body to which it would be found to
be most suited The Yantranas (fastenings of bandages) and divided into thr-
ee different classes according as they are fastened above below or obliquently
round an ulcer. KAVALIKA (TOW): Any soft stuffing or tow (such as leaves) or
the bark of trees of medicinal irtues ) between the medicine applied over an
ulcer and the badnaging linen is called the Kavalika (medicatedtow)The tow or
the kavalika should be placed thickly (on the seat o affection), and then the
physician (surgeon) having pressed it with his left hadn should place a pi-
ece of straight soft untwisted and unfolded or unshrivelled linen over it,
and then firmly tie up the bandage in a manner so as not to leave any knot ov-
er the seat of the ulcer or to cause any discomfort to the patient. INTRODUCT-
ION OF LINT OR VIKESIKA: A vikesika (lint) saturated with honey clarified
butte and a medicinal paste should be inserted into the ulcer care should be
taken not to introducee the lint edxtremely dry or oily (oversoaked ) in a
lubricating or oily medicinal prepartion) insamuch as an over lubricated lint
would give rise to an excessive formation of slimy mucous in the ulcer whereas
its parched subsituted would bring about the friction and the consequent brek-
ing of the edges of the ulcer like one misplaced or wrongly inserted. a banda-
ge should be tied in any of the three ways of Gadha Sama and Sithila fasteni-
ng according to the shape and the seat of the ulcer A tight bandage (Gandha-
bandha)should be tied round the buttocks round the arm pits round the inguinal
regions round the breast or round the head A bandage of the Sama pattern shou-
ld be fastened round the ears,round the extremites (hands and legs) round the
face round the throat round the lips round te penis round the scrotun round
the back round the belly and the chest A loose bandaging (sithila-bandha)
should be the rule in the region of the eyes and location of important joint
or unions An ulcer brought about or characterised by the symptoms of the
deranged 'pittam' and occurring at a place where a tihgt bandaging is indicat-
ed should be fastened with one of the Samabahand class and with a sithila ban
where one of the Sama type would be indicated whereas it should not be bandage
d at all in the event of a loose bandage (sithila- bandha)being indicated The
same rule should be observed in the case of an ulcer caused through a diseas-
ed or contaminated state of the blood similarly in the case of an ulcer produ-
ced through a deranged condition of the 'kapham' a loose bandaging, otherwise
enjoined to be adopted should be subsititued for one of the same pattern a ti-
ght bandage should give place to a lighter one under the same circunstances a
and such a procedure should be deened as holding good even in the case of an
ulcer caused by the action of the deranged 'vayu' In summer and autumn the
bandage of an ulcer due to the virtiated blood or 'pittam' should be changed
twice a day while the one tied round an ulcer of the deranged 'vayu' or 'ka-
pham' should be changed on each third day in spring and in hemanta,(winter)
Similarly an ulcer marked by the action of the deranged vaayu should be ban-
daged twice a day "Thou shalt exercise thy own discreation and vary or adopt
the preceding rules of bandaging according to the exigencies of each case" A
medicated lint fails to have any efficacy but rather tends to augment the
loacal pain and swelling where a bandnage enjoined to be loosely bound or bou
nd up with moderate and uniform steadiness (sama-bandha) is placed by a ti-
ght or deep fastened one (Gandha-bandha) A loose bandage injudiciously used
in case where a tight or a moderately firm bandage should have been used .
would cause the medicine to fall off from the lint and give rise to the conse-
quent friction and laceration of the edges of the ulcer Similarly a moderately
firm and steady bandage (Samabandha) fastened in a case where a light or loose
bandage should have been use would fail to produce any effect,A proper banda-
ge would lead to the subsidence of pain and the softening of the edges of
the ulcer thus bringing about a purification of the local blood. EVILS OF NON
BANDAGING: An ulcer left uncovered and united with a suitable bandage is soon
assailed by gnats and flies It is moistened by sweat and cold wind etc., and
stands in danger of being irritated by deposits of many foreign matters such
as the particles of bone dust weeds etc. Moreover a constant exposure to heat
or cold brings on varried pains the ulcer develops into one of a malignant
type and the applied medicinal plaseter are dried encrusted and speedily fal o
off. A smashed lacerated fractured, dislocted, displaced bone,or a vein or a
lighment similarly jeopardised may be soon healed or set right with the help
of a surgical bandage. The patient is enabled by such a means to lie down or
stand up or move about with ease. And an increased facility of rest or moveme-
nt leads to speedy healing. CASES WHERE BANDAGING IS PROHIBITED: Ulcers should
not be bandaged at all that are due to the deraged condition of blood or 'pit-
tam' or to the defects of a blow or of any imbibed poison and characteresed
by a sucking burning pain redness or suppuration as well as those which are
incidental to burns or to the applications of actural or potential cauteries
marked by a sloughing or phagedenin character. An ulcer due to a scaled in a
leper or a carbuncle in a diabetic petient (Pidaka) as well as a fleshly con-
dylomata due to a bite from a venomuss rat or any other poisonus ulcer should
not be banddaged at all. The same rule should be observed in the case of a
dreadful suppuraion about the anus or in that of a sloughing ulcer An intell-
igent physician familar with the specific features of ulcer should observe
the shape of the one under treatment and prognosticate the result from its
seat or locality and the nature of the deranged bodily humours involved in the
case. The season of the year in which an ulcer is first seen to appear also de
termines the nature of the prognosis. Bandates may be tied up either from ab-
ove below or form the side of a diseased locality. First the kavakika or tow
should be thickly laid over the seat of the ulcer and after that a piece of
soft and unshrivelled linen should be loosely or tightly tied up according to
to the directions laid down before. An ulcer p roperly bandaged has a greater
chance of not being affected by laying down sitting up or any other movement
of the parient, nor by the joltings of conveyance he may ride or be carraied
in. An ulcer affecting a vein or a ligament or the skin(superficial) or the
flesh or the bones cannot be healed without bandaging it. An ulcer situated
in any of the internal chambers(cavities)of the body or occuring at any junct-
tion of the limbs or organs etc., or having its seat in a bone and whether
of a deep supeficial maligant or corrosive character cannot be brought to a
successful termintion without the help of a bandage.
For more details, visit http://209.85.175.104/search?q=cache:FsUkWQVfldsJ:gist.ap.nic.in/cgi-bin/tsc1/rts4.cgi/%3Fs1%3D01%26s2%3D01%26s3%3D02%26s4%3D48052+site:http://gist.ap.nic.in+medicinal&hl=en&ct=clnk&cd=5
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Responses
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| Author: Karthika M 29 May 2008 | Member Level: Gold Points : 2 | It's new to me.Thank you.
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