Shashti Upakrama That means, Classification, Medical Significance

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By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Grasp Sushruta is the grand grasp of surgical procedure. In Sushruta Samhita we come throughout 60 specialised remedies grouped underneath a heading referred to as ‘Shashti Upakrama’. Shashti means 60 quantity, Upakrama means remedies.
Learn – Sushruta’s 8 Varieties Of Surgical Procedures – Astavidha Shastra Karma

Medical utility of Shashti Upakrama

Sasti Upakramam is a gaggle of 60 sub-therapies/remedies. They’re defined within the context of remedy of Vranas in Chikitsa Sthana Part of Sushruta Samhita (Chapter 1). This may most likely be one among the many most historic descriptions of ‘complete administration of wounds, ulcers, irritation and wound-scars’. Although this clarification has been given within the context of wound administration, these remedies are extraordinarily useful in managing the related irritation and the scars shaped after the injuries have been healed. All remedies will not be used for a similar function; they’re used for various functions at completely different phases and displays of the injuries. They’re defined in the identical chronology by which they should be administered ‘stage-wise’.

Due to this fact the 60 procedures defined by Grasp Sushruta assist in coping with –

  • Administration of Vrana Shopha – i.e. irritation across the wounds / ulcers / abscess
  • Administration of Vrana – wounds and ulcers
  • Administration of Vrana Vastu – beauty restore of the shaped scar

The fashionable day wound administration too seems influenced by Sushruta’s shashti upakrams, however Sushruta’s model seems extra complete. Many measures defined by Ayurveda are purely restricted to the sphere and experience of Ayurveda and will not be practiced in fashionable medication or some other modern medical programs.

Sushruta’s clarification emphasis on the beauty restore of the wound scars, modalities to forestall recurrence and dehiscence of wounds which exhibits the development of surgical practices within the historic day.

Due to this fact Sashti Upakram contains treating the injuries proper from the stage of abscesses to the stage of scars. These comprise of extra advantageous strategies of wound administration compared to the identical interventions carried out by different medical programs involving many scientifically superior fashionable approaches.
Learn – Nadivrana – Sinus: Varieties, Signs, Ayurvedic Therapy

Shashti Upakramas as a part of Sapta Upakarmas – These 60 remedies can grossly included in Sapta Upakarmas i.e. 7 remedies of shopha (swelling related to wounds). Under talked about are the 7 therapies by which the 60 remedies are included.

Sl No Saptopakrama (7 therapies) Remedies of Shashti Upakramas (60 therapies) included underneath 7 primary therapies Whole Variety of remedies included underneath 7 primary therapies
1 Vimlapana Apararpana to Vimlapana 06
2 Avasechana Visravana to Virechana 04
3 Upanaha Upanaha and Pachana 02
4 Patana Chedana to Sevana 09
5 Shodhana Sandhana to Vrana Dhupana 13
6 Ropana
7 Vaikrutapaha Utsadhana to Raksha Vidhana 26
  Whole = 60 remedies

Learn – Damage, Wound care Ayurvedic Treatments, Medicines

Shashti Vidha Chikitsa – 60 sorts of remedy

The Shashti upakrama i.e. 60 sorts of remedy methods utilized in surgical apply defined by Grasp Sushruta are as under talked about –

Sl No Title of the Upakrama (remedy) That means Inclusion in Sapta Upakrama
1 Apatarpana  hunger / fasting Vimplapana
2 Alepa utility of medicinal pastes
3 Parisheka showering of medicinal fluids
4 Abhyanga oil therapeutic massage
5 Sweda fomentation or sudation
6 Vimlapana mild urgent / cleaning measures
7 Visraavana drainage Avasechana
8 Sneha inducing oiliness
9 Vamana therapeutic emesis
10 Virechana therapeutic purgation
11 Upanaha poultices Upanaha
12 Paachana serving to the pus to type correctly in order to empty it out
13 Chedana excision Patana
14 Bhedana incision
15 Daarana splitting / tearing
16 Lekhana Scraping
17 Eshana Probing
18 Aaharana Extraction
19 Vyadhana Puncturing
20 Vidravana Liquefaction
21 Seevana Suturing
22 Sandhana Unification, union of fractures Shodhana & Ropana
23 Peedana Compression
24 Shonita sthapana Checking the bleeding, enabling correct circulation
25 Nirvapana Software and showering of chilly efficiency medicines
26 Utkaarika Software of heat semi-solid vata assuaging medicinal pastes to deal with wound irritation and necrosis of wounds
27 Kashaya Administering natural decoctions
28 Varti Software / inserting suppositories
29 Kalka Natural Paste Software
30 Sarpi Use of medicated ghee
31 Taila Use of medicated oils
32 Rasakriya Administration of semi-solid medicinal extracts
33 Avachurnana Sprinkling of natural powders
34 Vrana Dhupana Fumigation of wounds
35 Utsaadana Elevation of wounds – remedy of wounds with some herbs to enhance granulation tissue in order to lift the ground of the wound Vaikrutapaha
36 Avasaadana Despair of wounds  – removing of unhealthy, pointless, hyper-granulation tissue from ground of the wound which could delay therapeutic of wounds
37 Mrudu Karma Softening the perimeters of the injuries
38 Daaruna Karma Hardening the margins of the injuries (some wounds have much less tensile power in order that the wound margin simply separate inflicting early dehiscence and wound therapeutic delayed. To keep away from very long time wound therapeutic, daaruna karma is finished)
39 Kshara Karma  Software of alkalis
40 Agni Karma Fireplace cauterization
41 Krshna Karma Inducing black shade (hypo-pigmentation space made regular like surrounding tissue)
42 Pandu Karma Inducing white shade (hyper-pigmentation space made regular like surrounding tissue)
43 Pratisaarana Tablets made up of tough powder of medicinal herbs is rubbed on smooth shiny pores and skin (after wound therapeutic) in order to make the pores and skin floor tough, identical to the traditional pores and skin
44 Roma Sanjanana Remedies and medicines (measures) enabling development of hairs
45 Loma Apaharana Remedies and medicines (measures) enabling removing of pointless hairs
46 Vasti Karma Medicinal Enemas
47 Uttara Vasti Karma Enemas given by way of urinary and genital passages
48 Bandha Bandages
49 Patra Daana Protecting the injuries with leaves
50 Krimighna Disinfectants
51 Brmhana Bulk selling and strengthening remedies
52 Vishagna Anti-toxins, remedies and medicines which nullify or neutralize the impact of poisons and toxins
53 Shiro virechana Nasal instillation of medicines
54 Nasya Nasal instillation of treatment / Errhines
55 Kavala dharana Rinsing of mouth with medicinal liquids
56 Dhooma Fumigation
57 Madhu sarpi Administration of honey and ghee
58 Yantra Instrumentation
59 Aahara Dietetic routine
60 Rakshaa vidhana Sterilization (the surgical ward, devices and many others ought to be sterilized by fumigating with Guggulu (Commiphora mukul) and many others herbs and Mantra uccharana (uttering or reciting holy hymns) to kill the small pathogenic organisms)

Click on to Seek the advice of Dr Raghuram Y.S. MD (Ayu)

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