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Sushruta’s 7 Kinds of Therapies Sapta Upakrama

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By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Sapta Upakramas are the therapies utilized in historical days for surgical interventions and procedures particularly for therapy of acute /persistent wounds, their problems and to stop their relapse. Their utility might be prolonged in skillful methods to deal with different systemic ailments additionally with modifications in therapy designing.

Sapta Upakramas are 7 sorts of therapies that are defined in Sushruta Samhita, ‘Amapakvaishaniyam Adhyayam’ Sutra sthana 17th chapter, Verses 54. Sapta = seven, Upakrama = therapies.
Grasp Sushruta has simply talked about the names of those 7 sorts of therapy with out explaining them intimately. The verse which highlights the names of those 7 specialised therapies is the final verse of this chapter. So we get a query, what is likely to be the medical or surgical utility of the procedures which aren’t detailed within the texts?
Learn – Shashti Upakrama Which means, Classification, Medical Significance

Magnification of seven Upakramas – Grasp Sushruta has simply given a synopsis of those therapies in Sutra Sthana, a piece of treatises whereby issues should be stated in nutshell. He additionally had a magnified model of those 7 therapies and referred to as it as ‘Shashti Upakrama’ i.e. ’60 sorts of therapies’. So exactly, Sushruta has hidden ‘60 valuable therapy procedures’ throughout the core of seven therapies solely to current them in a magnified method within the later context. Sushruta has defined these 60 sorts of specialised therapies within the first chapter of Chikitsa Sthana part which primarily offers with therapy points of many ailments.
Learn – Charaka Vrana Chikitsa – twenty fifth Chapter – Wounds, Ulcers

Sapta Upakrama

Grasp Sushruta has defined the chronology through which these 7 therapies needs to be administered. They’re –

  1. Vimlapana
  2. Avasechana
  3. Upanaha
  4. Patana Kriya
  5. Shodhana
  6. Ropana
  7. Vaikrutapaha

Sanskrit Verses

Shashti Upakrama in Sapta Upakrama

Completely different sorts of therapies talked about in shashti upakrama have been included beneath sapta upakrama. Apparently the 60 therapies defined in chikitsa sthana are additionally talked about in a chronology. The inclusions of fragments of 60 therapies beneath every therapy of sapta upakrama themselves outline every of the 7 therapies and what, how and when these therapies shall be carried out. In both case the chronology shall be maintained. All therapies and included sub therapies will not be wanted in all circumstances of wound therapy. They’re selective and conditional and apply to the stage of wound we’re coping with.
Learn – 4 Sorts Of Swedana As Per Sushruta And Vagbhata

1. Vimlapana

Vimlapana means to melt or inflicting to wither / languish. From the listing of 60 therapies the under talked about 6 therapies are included beneath Vimlapana. They’re used to make the wound gentle.

Sl No Identify of the Upakrama (therapy) Which means
1 Apatarpana  fasting
2 Alepa software 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

2. Avasechana

Avasechana means to expel the doshas. From the listing of 60 therapies the under talked about 4 therapies are included beneath Avasechana.

Sl No Identify of the Upakrama (therapy) Which means
1 Visravana drainage
2 Sneha inducing oiliness
3 Vamana therapeutic emesis
4 Virechana therapeutic purgation

3. Upanaha

Upanaha means making use of a poultice. It’s a sort of sudation remedy. From the listing of 60 therapies the under talked about 2 therapies are included beneath Upanaha.

Sl No Identify of the Upakrama (therapy) Which means
1 Upanaha poultices
2 Pachana serving to the pus to type correctly in order to empty it out

4. Patana Kriya

Patana means tearing, slipping, dividing or making incision. Kriya is the strategy through which that is carried out. From the listing of 60 therapies the under talked about 9 therapies are included beneath Patana Kriya.

Sl No Identify of the Upakrama (therapy) Which means
13 Chedana excision
14 Bhedana incision
15 Darana splitting / tearing
16 Lekhana Scraping
17 Eshana Probing
18 Aaharana Extraction
19 Vyadhana Puncturing
20 Vidravana Liquefaction
21 Seevana Suturing

Learn – Sushruta’s 8 Sorts Of Surgical Procedures – Astavidha Shastra Karma

5 & 6. Shodhana and Ropana

Shodhana means cleaning. Ropana means therapeutic. From the listing of 60 therapies the under talked about 13 therapies are included beneath Shodhana and Ropana.

Sl No Identify of the Upakrama (therapy) Which means
1 Sandhana Unification, union of fractures
2 Peedana Compression
3 Shonita sthapana Checking the bleeding, enabling correct circulation
4 Nirvapana Software and showering of chilly efficiency medicines
5 Utkaarika Software of heat semi-solid vata assuaging medicinal pastes to deal with wound irritation and necrosis of wounds
6 Kashaya Administering natural decoctions
7 Varti Software / inserting suppositories
8 Kalka Natural Paste Software
9 Sarpi Use of medicated ghee
10 Taila Use of medicated oils
11 Rasakriya Administration of semi-solid medicinal extracts
12 Avachurnana Sprinkling of natural powders
13 Vrana Dhupana Fumigation of wounds

Learn – Harm, Wound care Ayurvedic Cures, Medicines

7. Vaikrutapaha

Vaikrutapaha means eradicating the deformities or undesired modifications which have occurred as problems or sequels of wounds. From the listing of 60 therapies the under talked about 26 therapies are included beneath Vaikrutapaha.

Sl No Identify of the Upakrama (therapy) Which means
1 Utsadana Elevation of wounds – therapy of wounds with some herbs to enhance granulation tissue in order to lift the ground of the wound
2 Avasadana Despair of wounds  – elimination of unhealthy, pointless, hyper-granulation tissue from flooring of the wound which could delay therapeutic of wounds
3 Mrudu Karma Softening the perimeters of the injuries
4 Daruna 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, daruna karma is finished)
5 Kshara Karma  Software of alkalis
6 Agni Karma Hearth cauterization
7 Krshna Karma Inducing black colour (hypo-pigmentation space made regular like surrounding tissue)
8 Pandu Karma Inducing white colour (hyper-pigmentation space made regular like surrounding tissue)
9 Pratisaarana Tablets made up of tough powder of medicinal herbs is rubbed on gentle shiny pores and skin (after wound therapeutic) in order to make the pores and skin floor tough, similar to the traditional pores and skin
10 Roma Sanjanana Therapies and medicines (measures) enabling progress of hairs
11 Loma Apaharana Therapies and medicines (measures) enabling elimination of pointless hairs
12 Vasti Karma Medicinal Enemas
13 Uttara Vasti Karma Enemas given by way of urinary and genital passages
14 Bandha Bandages
15 Patra Daana Overlaying the injuries with leaves
16 Krimighna Disinfectants
17 Brmhana Bulk selling and strengthening therapies
18 Vishagna Anti-toxins, therapies and medicines which nullify or neutralize the impact of poisons and toxins
19 Shiro virechana Nasal instillation of medicines
20 Nasya Nasal instillation of remedy / Errhines
21 Kavala dharana Rinsing of mouth with medicinal liquids
22 Dhooma Fumigation
23 Madhu sarpi Administration of honey and ghee
24 Yantra Instrumentation
25 Aahara Dietetic routine
26 Rakshaa vidhana Sterilization (the surgical ward, devices and so on needs to be sterilized by fumigating with Guggulu (Commiphora mukul) and so on 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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