Sushruta Samhita Chapter 33 Avaraniya Adhyaya

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This text explains Sushruta Samhita Sutrasthana Chapter 33 “Avaraniya Adhyaya” – Incurable illnesses.

Avaraniya Adhyaya

Incurable illnesses

अथातोऽवारणीयमध्यायं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||

We’ll now expound the chapter by identify Avaraniya (Vyadhi) incurable illnesses, as revealed by the venerable Dhanvantari.

उपद्रवैस्तु ये जुष्टा व्याधयो यान्त्यवार्यताम् |
रसायनाद्विना वत्स! तान् शृण्वेकमना मम ||३||

Illnesses, that are related to issues / secondary illnesses turn out to be incurable besides by means of Rasayana (rejuvenation remedy). Therefore, pricey son, hear attentively to my phrases.
Learn – Dangerous Prognosis Based mostly On Premonitory Signs Of Illness – Purvarupiya Arishta

Mahagada

Dreadful illnesses

 वातव्याधिः प्रमेहश्च कुष्ठमर्शो भगन्दरम् |
अश्मरी मूढगर्भश्च तथैवोदरमष्टमम् ||४||
अष्टावेते प्रकृत्यैव दुश्चिकित्स्या महागदाः |५|

 Under talked about are the eight dreadful illnesses –

  • Vata  Vyadhi (particular illnesses brought on by vata, illnesses of the nervous system),
  • Prameha (diabetes),
  • Kustha (leprosy),
  • Arshas (Hemorrhoids),
  • Bhagandara (fistula- in- ano),
  • Ashmari (urinary calculi),
  • Mudha garbha (foetal obstruction) and
  • Udara (enlargement of the stomach)

Notes: Dalhana explains that the  greatness of  these illnesses is due to inflicting demise and being incurable. Charaka Samhita (Ind. 9/8-9) enumerates the illnesses in another way as ”Vatavyadhi”, Apasmara (epilepsy), Kustha (leprosy), Shopha (dropsy), Udara (stomach problems), Gulma (stomach tumor), Madhumeha (diabetes mellitus) and Rajayakshma (pulmonary tuberculosis).

Problems, within the presence of which the illnesses needs to be rejected

प्राणमांसक्षयः शोषस्तृष्णा च्छर्दिर्ज्वरस्तथा ||५||
अतीसारश्च मूर्च्छा च हिक्का श्वासस्तथैव च |
एतैरुपद्रवैर्जुष्टान् सर्वानेव विवर्जयेत् ||६||

Even all different illnesses with the next issues / secondary illnesses needs to be rejected (not handled). They’re –

Life taking issues of Vata Vyadhi

शूनं सुप्तत्वचं भग्नं कम्पाध्माननिपीडितम् |
नरं रुजार्तमन्तश्च वातव्याधिर्विनाशयेत् ||७||

Vata Vyadhi (illnesses of the nervous system) kills the affected person when accompanied with issues equivalent to oedema, lack of tactile sensation, fractures, tremors, flatulence and ache.

Deadly issues of Prameha

यथोक्तोपद्रवाविष्टमतिप्रस्रुतमेव वा |
पिडकापीडितं गाढं प्रमेहो हन्ति मानवम् ||८||

Prameha (diabetes) kills the individual when related to issues talked about therein (Nidana sthana, chap13), an excessive amount of urination, and troubled an excessive amount of by eruptions.
Learn – Charaka Prameha Nidana: 4th Chapter

Deadly issues of Kustha – leprosy / pores and skin problems

प्रभिन्नप्रस्रुताङ्गं च रक्तनेत्रं हतस्वरम् |
पञ्चकर्मगुणातीतं कुष्ठं हन्तीह कुष्ठिनम् ||९||

Kustha (leprosy) kills the affected person when having issues equivalent to tearing / splitting of the physique elements, decaying and falling of physique elements, reddish discoloration of the eyes,  lack of voice and the affected person unsuitable for Panchakarma therapies (situation through which panchakarma therapies wouldn’t assist the affected person).
Learn – Charaka Kushta Nidana: fifth chapter

Life threatening issues of Arshas – haemorrhoids

तृष्णारोचकशूलार्तमतिप्रस्रुतशोणितम् |
शोफातीसारसंयुक्तमर्शोव्याधिर्विनाशयेत् ||१०||

Arshas (haemorrhoids) kills the affected person when accompanied with thirst, lack of style, stomach ache, copious bleeding, oedema and diarrhoea.

Life threatening issues of Bhagandara – fistula-in-ano

वातमूत्रपुरीषाणि क्रिमयः शुक्रमेव च |
भगन्दरात् प्रस्रवन्ति यस्य तं परिवर्जयेत् ||११||

Bhagandara (fistula- in-ano) needs to be refused when air (gasoline) / flatus, urine, faeces, worms and semen is seen popping out by means of the fistula.
Learn – Fistula In Ano Ayurvedic Understanding And Efficient Therapy

Deadly issues of ashmari – urinary calculus

प्रशूननाभिवृषणं रुद्धमूत्रं रुगन्वितम् |
अश्मरी क्षपयत्याशु सिकता शर्करान्विता ||१२||

Ashmari (urinary calculus) kills the affected person quickly when accompanied with profound swelling of the umbilicus (area of) and scrotum, obstruction of urination, extreme ache and elimination of urinary gravel.

Life taking issues of Mudha Garbha – obstructed foetus

 गर्भकोषपरासङ्गो मक्कल्लो योनिसंवृतिः |
हन्यात् स्त्रियं मूढगर्भे यथोक्ताश्चाप्युपद्रवाः ||१३||
Mudha Garbha (obstructed foetus) kills the girl when accompanied with obstruction (closure) of the uterus, post- partum ache, constriction of the vagina and different issues talked about therein (ch.8 Nidanasthan).
Learn – Mudha Garbha – Obstructed Labor, Ayurveda Perspective

Deadly issues of Udara – stomach enlargement

पार्श्वभङ्गान्नविद्वेषशोफातीसारपीडितम् |
विरिक्तं पूर्यमाणं च वर्जयेदुदरार्दितम् ||१४||

A affected person of Udara (stomach enlargement) needs to be refused when related to issues equivalent to splitting ache within the flanks, aversion to meals, oedema, diarrhoea, stomach being stuffed (with fluid) once more even after purgation.

Deadly issues of Jwara – fever

यस्ताम्यति विसञ्ज्ञश्च शेते निपतितोऽपि वा |
शीतार्दितोऽन्तरुष्णश्च ज्वरेण म्रियते नरः ||१५||
यो हृष्टरोमा रक्ताक्षो हृदि सङ्घातशूलवान् |
नित्यं वक्त्रेण चोच्छ्वस्यात्तं ज्वरो हन्ति मानवम् ||१६||
हिक्काश्वासपिपासार्तं मूढं विभ्रान्तलोचनम् |
सन्ततोच्छ्वासिनं क्षीणं नरं क्षपयति ज्वरः ||१७||
आविलाक्षं प्रताम्यन्तं निद्रायुक्तमतीव च |
क्षीणशोणितमांसं च नरं नाशयति ज्वरः ||१८||

  • Jvara (fever) kills the affected person who faints typically, falls on the bottom unconscious, suffers from chilly externally (coldness on the floor of the physique) and warmth internally (elevated warmth contained in the physique).
  • Fever kills the affected person of fever who has frequent horripilation, reddish eyes, ache within the coronary heart as if (feels as if) hit by stone, at all times breathes by means of the mouth.
  • Fever will kill the affected person who’s affected by hiccups, dyspnoea, extreme thirst, unconsciousness, unsteady look, fixed expirations and debility.
  • Fever would destroy (kill) an individual whose eyes are turbid (soiled), who faints typically, having very deep sleep, and diminution of blood and muscle tissue.
    Learn – Charaka – Jwara Chikitsa third Chapter

Deadly issues of Atisara – diarrhoea

श्वासशूलपिपासार्तं क्षीणं ज्वरनिपीडितम् |
विशेषेण नरं वृद्धमतीसारो विनाशयेत् ||१९||

Atisara (diarrhoea) kills the affected person when related to dyspnoea, ache within the stomach, extreme thirst, emaciation, fever and particularly so in older folks.

Life threatening issues in Rajayaksma – pulmonary tuberculosis

शुक्लाक्षमन्नद्वेष्टारमूर्ध्वश्वासनिपीडितम् |
कृच्छ्रेण बहु मेहन्तं यक्ष्मा हन्तीह मानवम् ||२०||

Rajayaksma (pulmonary tuberculosis) kills the sufferers when accompanied with white colored eyes (brilliant / lustrous eyes), aversion to meals, distinguished expiration and frequent urination.

Deadly issues in Gulma – stomach tumour

श्वासशूलपिपासान्नविद्वेषग्रन्थिमूढताः |
भवन्ति दुर्बलत्वं च गुल्मिनो मृत्युमेष्यतः ||२१||

Gulma (stomach tumour) kills the affected person when accompanied with dyspnoea, ache within the stomach (colic), extreme thirst, aversion to meals, absence of motion of the tumour and debility.
Learn – Gulma- Stomach Tumor- A Distinctive Illness In Ayurveda

Life threatening issues of Vidradhi – abscess

आध्मातं बद्धनिष्यन्दं छर्दिहिक्कातृडन्वितम् |
रुजाश्वाससमाविष्टं विद्रधिर्नाशयेन्नरम् ||२२||

Vidradhi (abscess) kills the affected person when having signs equivalent to distension (of the abscess), obstruction to move of exudations (blood, pus and so on), vomiting, hiccup, thirst, ache and dyspnoea.

Deadly issues of Pandu Roga – Anaemia

पाण्डुदन्तनखो यश्च पाण्डुनेत्रश्च मानवः |
पाण्डुसङ्घातदर्शी च पाण्डुरोगी विनश्यति ||२३|

The affected person of Pandu Roga (anaemia) perishes when accompanied with whitish-yellow (pale) coloration of the tooth, nails and eyes and sees all issues as yellowish white in color.

Deadly Signs of Raktapitta – bleeding problems

लोहितं छर्दयेद्यस्तु बहुशो लोहितेक्षणः |
रक्तानां च दिशां द्रष्टा रक्तपित्ती विनश्यति ||२४||

Raktapitta (bleeding illness) kills the affected person who has vomiting of blood incessantly, has pink colored eyes and sees the areas round as pink in color.

Life threatening issues of Unmada – Madness

अवाङ्मुखस्तून्मुखो वा क्षीणमांसबलो नरः |
जागरिष्णुरसन्देहमुन्मादेन विनश्यति ||२५||

Unmada (madness) kills the affected person who retains his face at all times both wanting down or up, has lack of muscle tissue and energy and is awake at all times (does stay awake in any respect).
Learn – Unmada-Madness: Ayurvedic Understanding And Administration

Deadly issues of Apasmara – epilepsy

बहुशोऽपस्मरन्तं तु प्रक्षीणं चलितभ्रुवम् |
नेत्राभ्यां च विकुर्वाणमपस्मारो विनाशयेत् ||२६||

Apasmara (epilepsy) kills the affected person who faints very incessantly, is emaciated significantly, has unsteady brows and makes irregular actions of the eyeballs.

इति  श्रीसुश्रुतसंहितायां सूत्रस्थानेऽवारणीयो नाम त्रयस्त्रिंशत्तमोऽध्यायः ॥३३॥

Thus ends the Thirty third chapters by identify Avaraniya in Sutra Sthana of Sushruta Samhita.

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