Abstract

Dr. Vinod Kumar Bhorale*

ABSTRACT

Ayurveda, the science of healthy living encompasses various branches related to different therapeutic aspects; Shalya chikitsa is one of them which involve surgical and para – surgical interventions. The Shalya Chikitsa deals with different surgical approaches for the management of various diseases such as; Bhagandara, Pilonidal Sinus, Arsha, Charmakeela, Kadara etc. Shalya Chikitsa provides versatile approaches for therapeutic purpose and “Asthavidha Shastra karma” is one such approach. Acharya Sushruta has been recognized as “Father of Surgery” worldwide and documented surgical principles to conduct safe surgery in his compendium known as Sushruta Samhita. Asthavida shastra karma (eight principles of surgery) is a unique contribution comprises with chedan (excision), hedana(incision), lekhana(scrapping), eshana(probing), aharana (extraction), visravana (evacuating) and seevana (suturing). Among these Bhedana Karma is one of the shastra karma which involves incision procedure to open a cavity for draining out tissue debris, rakta, pus and waste discharge using Vriddhipatra, Nakha shastra and Utpatpatra etc. Adopting the Bhedana karma followed by internal medicines will prevent recurrence/ relapse with a high cure rate with no adverse effects.