3. adhyayanasaṃpradānīyādhyāyaḥ

Larger type: Suśrutasaṃhitā · indented: Ḍalhaṇa's Nibandhasaṅgraha
athāto'dhyayanasampradānīyamadhyāyaṃ vyākhyāsyāmaḥ ||1|| yathovāca bhagavān dhanvantariḥ ||2||
athāta ityādi| adhīyata ityadhyayanaṃ śāstram| samyak pravibhajya 1 dānaṃ sampradānam||1-2||
prāgabhihitaṃ saviṃśamadhyāyaśataṃ pañcasu sthāneṣu | tatra sūtrasthānamadhyāyāḥ 2 ṣaṭcatvāriṃśat, ṣoḍaśa nidānāni, daśa śārīrāṇi, catvāriṃśaccikitsitāni, aṣṭau kalpāḥ, taduttaraṃ ṣaṭṣaṣṭiḥ ||3||
avibhaktamadhyayanaṃ dātumaśakyam, atastadvibhāgāyāha- prāgityādi| asya ca vākyasyārtha ādyādhyāye uktaḥ| pratisthānamadhyāyān saṅkhyātumāha- tatretyādi||3||
vedotpattiḥ śiṣyanayastathā'dhyayanadānikaḥ | prabhāṣaṇāgraharaṇāvṛtucaryā'tha yāntrikaḥ ||4|| śastrāvacāraṇaṃ yogyā viśikhā kṣārakalpanam | agnikarma jalaukākhyo hyadhyāyo raktavarṇanam ||5|| doṣadhātumalādyānāṃ vijñānādhyāya eva ca | karṇavyadhāmapakvaiṣāvālepo vraṇyupāsanam ||6|| hitāhito vraṇapraśno vraṇāsrāvaśca yaḥ pṛthak | kṛtyākṛtyavidhirvyādhisamuddeśīya eva ca ||7|| viniścayaḥ śastravidhau pranaṣṭajñānikastathā | śalyoddhṛtirvraṇajñānaṃ dūtasvapnanidarśanam ||8|| pañcendriyaṃ tathā chāyā svabhāvādvaikṛtaṃ tathā | avāraṇo yuktasenīya āturakramabhūmikau 3||9|| miśrakākhyo 4 dravyagaṇaḥ saṃśuddhau śamane ca yaḥ | dravyādīnāṃ ca vijñānaṃ viśeṣo dravyago'paraḥ ||10|| rasajñānaṃ vamanārthamadhyāyo recanāya ca | dravadravyavidhistadvadannapānavidhistathā ||11|| sūcanāt sūtraṇāccaiva savanāccārthasantateḥ 5| ṣaṭcatvāriṃśadadhyāyaṃ sūtrasthānaṃ pracakṣate ||12||
pratisthānoktānāmadhyāyānāṃ nāmāni nirdeṣṭumāha- vedotpattirityādi| śiṣyanayaḥ śiṣyopanayanīyaḥ| adhyayanadānikaḥ adhyayanasampradānīyaḥ| prabhāṣaṇaḥ prabhāṣaṇīyaḥ| agraharaṇaḥ agropaharaṇīyaḥ| ṛtucaryā ṛtucaryādhyāyaḥ| yāntrikaḥ yantravidhiḥ| śastrāvacāraṇaḥ śastrāvacāraṇīyaḥ| yogyā yogyāsūtrīyaḥ| viśikhā viśikhānupraveśanīyaḥ| kṣārakalpanaṃ kṣārapākavidhiḥ| agnikarma agnikarmavidhiḥ| jalaukākhyaḥ jalaukovacāraṇīyaḥ| adhyāyo raktavarṇanaṃ śoṇitavarṇanīyo'dhyāyaḥ| doṣadhātumalādyānāṃ vijñānādhyāyaḥ doṣadhātumalakṣayavṛddhivijñānīyaḥ| karṇavyadhaḥ karṇavyadhabandhavidhiḥ| āmapakvaiṣaḥ āmapakvaiṣaṇīyaḥ| ālepaḥ vraṇālepanabandhavidhiḥ| vraṇyupāsanaṃ vraṇitopāsanīyaḥ| hitāhitaḥ hitāhitīyādhyāyaḥ| vraṇāsrāvaḥ vraṇāsrāvavijñānīyaḥ| viniścayaḥ śastravidhau aṣṭavidhaśastrakarmīyaḥ| pranaṣṭajñānikaḥ pranaṣṭaśalyavijñānīyaḥ| śalyoddhṛtiḥ śalyāpanayanīyaḥ| vraṇajñānaṃ viparītāviparītavraṇavijñānīyaḥ| dūtasvapnanidarśanaṃ viparītāviparītadūtasvapnanidarśanīyaḥ| pañcendriyaṃ pañcendriyārthavipratipattiḥ| chāyā chāyāvipratipattiḥ| svabhāvādvaikṛtaṃ svabhāvavipratipattiḥ| avāraṇaḥ avāraṇīyādhyāyaḥ| āturakramaḥ āturopakramaṇīyādhyāyaḥ| bhūmiko bhūmipravibhāgīyaḥ| dravyagaṇaḥ dravyasaṅgrahaṇīyaḥ| saṃśuddhau śamane ca yaḥ saṃśodhanasaṃśamanīyaḥ| dravyādīnāṃ ca vijñānaṃ dravyaguṇarasavīryavipākavijñānīyaḥ| viśeṣo dravyago'paraḥ dravyaviśeṣavijñānīyaḥ| rasajñānaṃ rasaviśeṣavijñānīyaḥ| vamanārthamadhyāyaḥ vamanadravyavikalpavijñānīyaḥ| recanāya ca virecanadravyavikalpavijñānīyaḥ| śeṣāstu nirdiṣṭanāmaprasiddhā iti noktāḥ| ‘āturakramamiśrakau’ iti kecit paṭhanti; tanna, yataḥ pūrvanibandhakāraireṣa kramo nāṅgīkṛtaḥ| sūtrasthānasya niruktiṃ kartumāha- sūcanāditi| sūcanāt leśato'rthaprakāśanāt| sūtraṇāt arthānāṃ yathāsthānaṃ niveśanāt| savanāt jananāt| arthasantateḥ arthasamūhasya| sūtrasthānamadhyāyāḥ ṣaṭcatvāriṃśaditi prāgeva saṅkhyānirdeśāt punaḥ ṣaṭcatvāriṃśadadhyāyaṃ sūtrasthānamiti saṅkhyākaraṇaṃ niyamārthaṃ; tena dravadravyānnapānikānāmudakagorasatailādiprakaraṇānāṃ pratyekamadhyāyatvaṃ nirākṛtam||4-12||
vātavyādhikamarśāṃsi sāśmariśca bhagandaraḥ | kuṣṭhamehodaraṃ mūḍho 6 vidradhiḥ parisarpaṇam ||13|| granthivṛddhikṣudraśūkabhagnāśca 7 mukharogikam | hetulakṣaṇanirdeśānnidānānīti ṣoḍaśa ||14||
kāni punastāni ṣoḍaśa nidānānītyāha- vātavyādhikamityādi| mūḍhagarbhādīnāmekadeśena samudāyasūcanaṃ lāghavārtham; evamuttaratrāpi boddhavyam| mūḍhaḥ mūḍhagarbhanidānam| parisarpaṇaṃ visarpanāḍīstanaroganidānam| granthiriti granthyapacyarbudagalagaṇḍanidānam| vṛddhiriti vṛddhyupadaṃśaślīpadanidānam| śūkaḥ śūkadoṣanidānam| nidānaniruktiṃ pratipādayannāha- hetvityādi| hetava iti kārakahetavo balavadvigrahakrodhadivāsvapnādayaḥ; lakṣaṇāni jñāpakahetavaḥ, te ca pūrvarūparūpopaśayasamprāptayaḥ| nirdeśāt vivaraṇāt||13-14||
bhūtacintā rajaḥśuddhirgarbhāvakrāntireva ca | vyākaraṇaṃ ca garbhasya śarīrasya ca yatsmṛtam ||15|| pratyekaṃ marmanirdeśaḥ sirāvarṇanameva ca | sirāvyadho dhamanīnāṃ garbhiṇyā vyākṛtistathā ||16|| nirdiṣṭāni daśaitāni śārīrāṇi maharṣiṇā | vijñānārthaṃ śarīrasya bhiṣajāṃ yogināmapi ||17||
kāni punaḥ śārīrāṇītyāha- bhūtacintetyādi| bhūtacintā sarvabhūtacintāśārīram| rajaḥśuddhiḥ śukraśoṇitaśuddhiśārīram| garbhāvakrāntiriti anenaiva nāmnā prasiddhaḥ, garbhāvakrāntiḥ garbhāntaḥ(nu)praveśa ityarthaḥ| vyākaraṇaṃ ca garbhasya garbhavyākaraṇaṃ śārīraṃ, vyākaraṇaṃ vivaraṇam| śarīrasya ca yat smṛtaṃ śarīrasaṅkhyāvyākaraṇaṃ śārīram| sirāvarṇanaṃ sirāvarṇanavibhaktiśārīram| sirāvyadhaḥ sirāvyadhavidhiśārīram| vyākṛtiśabdo dhamanīgarbhiṇībhyāṃ pratyekaṃ sambadhyate; tena dhamanīvyākṛtiḥ dhamanīvyākaraṇaṃ śārīraṃ, garbhiṇīvyākṛtiḥ garbhiṇīvyākaraṇaṃ śārīram| maharṣiṇeti mahacchabdaḥ pūjāvacanaḥ; tena pūjyena dhanvantariṇā| vijñānārthaṃ viśiṣṭajñānārtham| yogaḥ samādhiḥ, sa vidyate yeṣāṃ te yoginaḥ, teṣām||15-17||
dvivraṇīyo vraṇaḥ sadyo bhagnānāṃ vātarogikam | mahāvātikamarśāṃsi sāśmariśca bhagandaraḥ ||18|| kuṣṭhānāṃ mahatāṃ cāpi maihikaṃ paiḍikaṃ tathā | madhumehacikitsā ca tathā codariṇāmapi ||19|| mūḍhagarbhacikitsā ca vidradhīnāṃ visarpiṇām | granthivṛddhyupadaṃśānāṃ tathā ca kṣudrarogiṇām ||20|| śūkadoṣacikitsā ca tathā ca mukharogiṇām | śophasyānāgatānāṃ ca niṣedho miśrakaṃ tathā ||21|| vājīkaraṃ ca yat kṣīṇe sarvābādhaśamo'pi ca | medhāyuṣkaraṇaṃ cāpi svabhāvavyādhivāraṇam ||22|| nivṛttasantāpakaraṃ kīrtitaṃ ca rasāyanam | snehopayaugikaḥ svedo vamane savirecane ||23|| tayorvyāpaccikitsā ca netrabastivibhāgikaḥ | netrabastivipatsiddhistathā cottarabastikaḥ ||24|| nirūhakramasañjñaśca tathaivāturasañjñakaḥ | dhūmanasyavidhiścāntyaścatvāriṃśaditi 8 smṛtāḥ ||25|| prāyaścittaṃ praśamanaṃ cikitsā śāntikarma ca | paryāyāstasya nirdeśāccikitsāsthānamucyate ||26||
kāni punaścikitsitānītyāha- dvivraṇīya ityādi| vraṇaḥ sadyaḥ sadyovraṇacikitsitam| bhagnānāṃ bhagnacikitsitam| vātarogikaṃ vātavyādhicikitsitam| mahāvātikaṃ mahāvātavyādhicikitsitam| mahatāṃ cāpi mahākuṣṭhacikitsitam| maihikaṃ pramehacikitsitam| paiḍikaṃ pramehapiḍakācikitsitam| visarpiṇāṃ visarpanāḍīstanarogacikitsitam| granthiriti granthyapacyarbudagalagaṇḍacikitsitam| vṛddhyupadaṃśānāṃ vṛddhyupadaṃśaślīpadacikitsitam| anāgatānāṃ niṣedhaḥ anāgatābādhapratiṣedhacikitsitam| miśrakaṃ miśrakacikitsitam| vājīkaraṃ ca yat kṣīṇe kṣīṇabalīyavājīkaraṇacikitsitam| sarvābādhaśamo'pi sarvābādhaśamanīyaṃ 9 rasāyanam| medhāyuṣkaraṇaṃ cāpi medhāyuṣkāmīyaṃ rasāyanam| svabhāvavyādhivāraṇaṃ svabhāvavyādhipratiṣedhanīyaṃ rasāyanam| nivṛttasantāpakaraṃ kīrtitaṃ ca rasāyanaṃ nivṛttasantāpīyaṃ rasāyanam| svedaḥ svedāvacāraṇīyaṃ cikitsitam| vamane savirecane vamanavirecanasādhyopadravacikitsitam| tayorvyāpaccikitsā ca vamanavirecanavyāpaccikitsitam| netrabastivibhāgikaḥ netrabastipramāṇapravibhāgacikitsitam| netrabastivipatsiddhiḥ netrabastivyāpaccikitsitam| tathā cottarabastikaḥ anuvāsanottarabasticikitsitam| nirūhakramasañjñaśca nirūhopakramacikitsitam| tathaivāturasañjñitaḥ āturopadravacikitsitam| dhūmanasyavidhiścāntyaḥ dhūmanasyakavaḍa(la)grahacikitsitam; ante bhavo'ntyaḥ| cikitsitasya paryāyāntaraṃ darśayitumāha- prāyaścittamityādi| ete prāyaścittādayastasya cikitsitasya paryāyāḥ| tasyaivamparyāyavinirdiṣṭasya cikitsitasya nirdeśād vivaraṇāccikitsāsthānaṃ kathyate||18-26||
annasya rakṣā vijñānaṃ sthāvarasyetarasya ca | sarpadaṣṭaviṣajñānaṃ tasyaiva ca cikitsitam ||27|| dundubhermūṣikāṇāṃ ca kīṭānāṃ kalpa eva ca | aṣṭau kalpāḥ samākhyātā viṣabheṣajakalpanāt ||28||
ke punaḥ kalpā ityāha- annasyetyādi| annasya rakṣā annapānarakṣākalpaḥ 10| vijñānaṃ sthāvarasya sthāvaraviṣavijñānīyaḥ kalpaḥ| itarasya ca jaṅgamaviṣavijñānīyaḥ kalpaḥ| tasyaiva ca cikitsitaṃ sarpadaṣṭacikitsākalpaḥ| dundubheḥ dundubhisvanīyaḥ kalpaḥ| mūṣikāṇāṃ ca mūṣikakalpaḥ| kalpaniruktiṃ pratipādayannāha- viṣabheṣajakalpanāditi; viṣauṣadhavijñānāt||27-28||
adhyāyānāṃ śataṃ viṃśamevametadudīritam 11|29|
pūrvapratijñātamupasaṃharannāha- adhyāyānāmityādi| evametaditi anantaroktam|29|-
ataḥ paraṃ svanāmnaiva tantramuttaramucyate ||29|| adhikṛtya kṛtaṃ yasmāttantrametadupadravān | aupadravika ityeṣa tasyāgryatvānnirucyate ||30|| sandhau vartmani śukle ca kṛṣṇe sarvatra dṛṣṭiṣu | saṃvijñānārthamadhyāyā gadānāṃ tu prati prati ||31|| cikitsāpravibhāgīyo vātābhiṣyandavāraṇaḥ | paittasya ślaiṣmikasyāpi raudhirasya tathaiva ca ||32|| lekhyabhedyaniṣedhau ca chedyānāṃ vartmadṛṣṭiṣu | kriyākalpo'bhighātaśca karṇotthāstaccikitsitam ||33|| ghrāṇotthānāṃ ca vijñānaṃ tadgadapratiṣedhanam | pratiśyāyaniṣedhaśca śirogadavivecanam ||34|| cikitsā tadgadānāṃ ca śālākyaṃ tantramucyate |35|
śalyatantraṃ pratipādya taduttaramarthavaśādāgataṃ pratipādayannāha- ataḥ paramiti| ataḥ param uktasthānapañcakādanantaraṃ, svanāmnaiva svasañjñayaiva tantramucyate| kiṃ tadātmīyamasya nāma yenocyate tattantramityāha- uttaratantramiti; na śalyatantrasañjñayā| kutaḥ punaraupadravikādhyāyasyottaratantrasyādau sthitasya ‘aupadravika’ iti nāma kṛtamityāha- adhikṛtyetyādi| adhikṛtya aṅgīkṛtya, upadravān rogān, yasmāttantrametaduttaratantraṃ kṛtam, atastasyottaratantrasyāgryatvāt prathamatvāt, ‘aupadravika’ ityadhyāyo nirucyate niruktyā kathyate; upadravādhikṛtatantrasya prathamatvādadhyāyasya ‘aupadravika’ iti nāma kṛtamityarthaḥ| sandhau vartmanītyādiṣu gatānāṃ gadānāṃ tu prati prati samyagvijñānārthamadhyāyā iti sambandhaḥ| tenāyamarthaḥ- sandhāviti sandhigatarogavijñānīyādhyāyaḥ, vartmanīti vartmagatarogavijñānīyādhyāyaḥ, śukle ceti śuklagatarogavijñānīyādhyāyaḥ, kṛṣṇe iti kṛṣṇagatarogavijñānīyādhyāyaḥ, sarvatreti sarvagatarogavijñānīyādhyāyaḥ dṛṣṭiṣviti dṛṣṭigatarogavijñānīyādhyāyaḥ| paittasyetyādiṣu abhiṣyandavāraṇa iti sambandhaḥ, tena paittasyeti pittābhiṣyandapratiṣedhādhyāyaḥ, śleṣmikasyeti śleṣmābhiṣyandapratiṣedhādhyāyaḥ, raudhirasyeti raktābhiṣyandapratiṣedhādhyāyaḥ| lekhyabhedyaniṣedhau ceti lekhyarogapratiṣedhādhyāyaḥ, bhedyarogapratiṣedhādhyāyaḥ| chedyānāmiti chedyarogapratiṣedhādhyāyaḥ| vartmadṛṣṭiṣviti vartmagatarogapratiṣedhādhyāyaḥ, dṛṣṭigatarogapratiṣedhādhyāyaḥ| abhighātaśceti nayanābhighātapratiṣedhādhyāyaḥ| karṇotthā iti karṇagatarogavijñānīyādhyāyaḥ| taccikitsitamiti karṇagatarogapratiṣedhādhyāyaḥ| ghrāṇotthānāṃ ca vijñānamiti nāsāgatarogavijñānajñānīyadhyāyaḥ| tadgadapratiṣedhanamiti nāsāgatarogapratiṣedhādhyāyaḥ| pratiśyāyaniṣedhaśceti pratiśyāyapratiṣedhādhyāyaḥ| śirogadavivecanamiti śirorogavijñānīyādhyāyaḥ| cikitsā tadgadānāṃ ceti śirorogapratiṣedhādhyāyaḥ||29-34||-
navagrahākṛtijñānaṃ skandasya ca niṣedhanam ||35|| apasmāraśakunyośca revatyāśca punaḥ pṛthak | pūtanāyāstathā'ndhāyāḥ śītapūtanamaṇḍikā ||36|| naigameṣacikitsā ca grahotpattiḥ sayonijā | kumāratantramityetacchārīreṣu ca kīrtitam ||37||
śālākyatantraṃ samāpya kumāratantraṃ darśayannāha- navagrahetyādi| skandasya ca niṣedhanaṃ skandagrahapratiṣedhādhyāyaḥ| apasmāraśakunyośceti skandāpasmārapratiṣedhādhyāyaḥ, śakunipratiṣedhādhyāyaḥ| revatyāśca punaḥ pṛthagiti revatīpratiṣedhādhyāyaḥ| pūtanāyā iti pūtanāpratiṣedhādhyāyaḥ| tathā'ndhāyā ityatrāpi pūtanāśabdaḥ sambadhyate; tena andhapūtanāpratiṣedhādhyāyaḥ| śītapūtaneti śītapūtanāpratiṣedhādhyāyaḥ, maṇḍiketi mukhamaṇḍikāpratiṣedhādhyāyaḥ| naigameṣacikitsā ceti naigameṣapratiṣedhādhyāyaḥ| grahotpattiriti grahotpattyadhyāyaḥ| sayonijeti yonivyāpatpratiṣedhādhyāyaḥ, saśabdaḥ sahārthaḥ| kumāratantramiti atretiśabdaḥ kumāratantraparisamāptau| kimetāvadeva kumāratantramathavā'nyadapyastīti pṛṣṭa āha- śārīreṣu ca kīrtitamiti| kiṃ taccharīreṣūktaṃ? tadyathā- rajaḥśuddhiḥ, garbhāvakrāntirityādi||35-37||
jvarātisāraśoṣāṇāṃ gulmahṛdrogiṇāmapi | pāṇḍūnāṃ raktapittasya mūrcchāyāḥ pānajāśca ye ||38|| tṛṣṇāyāśchardihikkānāṃ niṣedhaḥ śvāsakāsayoḥ | svarabhedacikitsā ca kṛmyudāvartinoḥ pṛthak ||39|| visūcikārocakayormūtrāghātavikṛcchrayoḥ | iti kāyacikitsāyāḥ śeṣamatra prakīrtitam ||40||
kā punaruttaratantre kāyacikitseti darśayannāha- jvaretyādi| niṣedhaḥ pratiṣedhaḥ, sa ca jvarādibhiḥ saha pratyekaṃ sambadhyate; tena jvarapratiṣedho'tīsārapratiṣedha ityādi draṣṭavyam| pānajāśca ya iti madyapānajāśca ye rogāsteṣāṃ pratiṣedhaḥ, etena pānātyayapratiṣedha ityuktam| svarabhedacikitsā ceti svarabhedapratiṣedhaḥ| mūtrāghātavikṛcchrayoriti viśabdaśchandaḥ pūrtaye; tena mūtrāghātapratiṣedhaḥ, mūtrakṛcchrapratiṣedhaḥ| iti kāyacikitsāyāḥ śeṣamatra prakīrtitamiti itiśabdaḥ samāptau; atra uttaratantre, kāyacikitsāyāḥ śeṣaṃ prakīrtitaṃ nirdiṣṭaṃ; śeṣaśabdena śalye'pi nirdiṣṭamiti bodhayati||38-40||
amānuṣaniṣedhaśca tathā''pasmāriko'paraḥ | unmādapratiṣedhaśca bhūtavidyā nirucyate ||41||
kāyacikitsāṃ samāpya bhūtavidyāṃ pratipādayannāha- amānuṣetyādi| amānuṣaniṣedhaḥ amānuṣopasargapratiṣedhaḥ 12| āpasmārikaḥ apasmārapratiṣedhaḥ||41||
rasabhedāḥ svasthavṛttaṃ yuktayastāntrikāśca yāḥ | doṣabhedā iti jñeyā adhyāyāstantrabhūṣaṇāḥ ||42||
tantrabhūṣaṇādhyāyānāha- rasabhedā ityādi| rasabhedāḥ rasabhedavikalpaḥ| itiśabdaḥ samāptau| ete adhyāyāstantrabhūṣaṇāḥ śāstrasyālaṅkaraṇāḥ||42||
śreṣṭhatvāduttaraṃ hyetattantramāhurmaharṣayaḥ | bahvarthasaṅgrahācchreṣṭhamuttaraṃ vā'pi paścimam ||43||
uttaratantrasya niruktiṃ pratipādayannāha- śreṣṭhatvādityādi| śreṣṭhatvāditi etattantraṃ maharṣayaḥ śreṣṭhatvāduttaraṃ bruvanti| kutaḥ punarasya śreṣṭhatvamityāha- bahvarthasaṅgrahācchreṣṭhamiti| śālakyakumārābādhakāyacikitsābhūtavidyātantrabhūṣaṇādhyāyanirdiṣṭānāmarthānāṃ saṅgrahācchreṣṭhamuttaratantram| tasya niruktipakṣāntaraṃ vaktumāha- uttaraṃ vā'pi paścimamiti|- paścimatvādvā idaṃ tantramuttaram| ‘śeṣatvāduttaraṃ hyetat’- iti kecit paṭhanti, pūrvatantraśeṣatvādidaṃ tantramuttaraṃ śraiṣṭhyādveti vyākhyānayanti||43||
śālākyatantraṃ kaumāraṃ cikitsā kāyikī ca yā | bhūtavidyeti catvāri tantre tūttarasañjñite ||44|| vājīkaraṃ cikitsāsu rasāyanavidhistathā | viṣatantraṃ punaḥ kalpāḥ śalyajñānaṃ samantataḥ ||45|| ityaṣṭāṅgamidaṃ tantramādidevaprakāśitam | vidhinā'dhītya yuñjānā bhavanti prāṇadā bhuvi ||46||
aṣṭāṅgasyāyurvedasya vistareṇa pratipāditasya saṅkṣepeṇa tantradvaye'vasthānaṃ niyamayannāha- śālākyatantramityādi| iti catvāri tantrāṇi uttarasañjñake tantre santi| uttaratantre caturṇāṃ tantrāṇāmavasthānaṃ pratipādya pūrve'pi śalyatantre caturṇāṃ tantrāṇāmavasthānaṃ pratipādayannāha- vājīkaramityādi|- vājīkaraṃ tantraṃ cikitsāsu yaduktaṃ, tathā rasāyanavidhiśca yaścikitsāsūktaḥ, tathā viṣatantraṃ kalpāḥ kalpasthānoktaṃ viṣatantram, etattrayaṃ pūrve śalyatantre pratipāditam| śalyajñānaṃ śalyāṅgajñānaṃ, samantataḥ sarvatra| ityaṣṭāṅgamidamityādi ityanena prakāreṇa| ādidevaprakāśitaṃ dhanvantariṇā prakaṭīkṛtam| yuñjānāḥ prayogaṃ kurvāṇāḥ||44-46||
etaddhyavaśyamadhyeyam, adhītya ca karmāpyavaśyamupāsitavyam, ubhayajño hi bhiṣag rājārho bhavati ||47||
etaddhīti etat tantraṃ, hi sphuṭam, avaśyamadhyeyamiti niścayena paṭhanīyam| upāsitavyamiti abhyasanīyam| hi yasmādarthe| rājārhaḥ rājayogyo bhavati rājapūjya ityarthaḥ||47||
bhavanti cātra- yastu kevalaśāstrajñaḥ karmasvapariniṣṭhitaḥ | sa muhyatyāturaṃ prāpya prāpya bhīrurivāhavam ||48|| yastu karmasu niṣṇāto dhārṣṭyācchāstrabahiṣkṛtaḥ | sa satsu pūjāṃ nāpnoti vadhaṃ carcchati 13 rājataḥ ||49|| ubhāvetāvanipuṇāvasamarthau svakarmaṇi | ardhavedadharāvetāvekapakṣāviva dvijau ||50||
bhavanti cātretyādi| karmasvapariniṣṭhita iti karmasu viṣaye aniṣpannaḥ aśikṣita ityarthaḥ, adṛṣṭakarmetyanye| āhavaṃ saṅgrāmam| yastu karmasu niṣṇāta iti yaḥ punaḥ karmasu viṣaye suśikṣitaḥ, śāstrabahiṣkṛtaḥ śāstre ca bahirbhūtaḥ, dhārṣṭyāt prāgalbhyāt, karma karoti, sa rājataḥ rājñaḥ sakāśāt, vadhaṃ carcchati vadhaṃ prāpnoti| ubhāvetāvanipuṇau ubhau dvau, etau imau, anipuṇau aśikṣitau, svakarmaṇi cikitsāyām| ardhavedadharāviti vedaśabdo'tra jñānārthaḥ; tena, ardhajñānadharau śāstrajñaḥ karmajño vā| kāvivaitāvardhavedadharau svakarmaṇyasamarthau? āha- etāvekapakṣāviva dvijāviti|- yathaikapakṣau dvijau pakṣiṇau, etau sarvato gamane'samarthau tadvadityarthaḥ||48-50||
oṣadhyo'mṛtakalpāstu śastrāśaniviṣopamāḥ | bhavantyajñairupahṛtāstasmādetān 14 vivarjayet ||51||
kutaḥ kāraṇācchāstrabahiṣkṛto vadhamṛcchati rājata iti hetuṃ pratipādayannāha- oṣadhya ityādi| amṛtakalpāḥ amṛtatulyāḥ| ajñairupahṛtāḥ auṣadhaviṣayājñaiḥ prayuktāḥ, oṣadherajñānaṃ ca śāstravihīnatvāt| tathācoktaṃ- yastu karmasu niṣṇāto dhārṣṭyācchāstrabahiṣkṛta iti| oṣadhīnāṃ jñānamapi nāmarūpayogabhedāttrividhaṃ; tatra nāmādiṣu madhye yogajñānaṃ pradhānam, idaṃ ca yogajñānaṃ śāstrajñāne sati bhavati| tasmādetān vivarjayediti etāñchāstrajñānabahiṣkṛtān viśeṣeṇa pariharet| dṛṣṭāntatrayopādānaṃ cordhvādhobhayabhāgavyāpannidarśanārthamityeke; saṃśodhanapācanasaṃśamanīyauṣadhavyāpannidarśanārthamityapare, anekakālānekāvasthānatvasūcanārthamityanye| itare tvatra ślokābhyāmanyathā samādhānaṃ dadhati| tathāhi- “athavaitattrayaṃ yadvanmilitaṃ mṛtyukāraṇam| duṣprayuktāstu tāstadvanniyataṃ mṛtyukāraṇam|| aprasiddhaṃ kvacit kiñcidityarthaṃ 15 vyāpya tattrayam| garuḍādhiṣṭhite deśe viṣamapyaviṣaṃ yathā”- iti| anye tu punāroṣadhyo'mṛtakalpāstathā snehādiṣvanabhijño ya ityubhayatra ubhāvapi karmaśāstrānabhijñāvadhikurvate, ‘tasmādetau vivarjayet’- iti ca paṭhanti, etau pūrvoktau kevalaśāstrajñakarmajñau vivarjayediti vyākhyānayanti| eṣa pakṣaḥ pañjikāyāṃ vistareṇāpyādṛtaḥ 16| yadyapyoṣadhiśabdaḥ phalapākānteṣu dravyeṣu vartate, tathā'pyatra samastadravyavācī grahītavyaḥ, kutaḥ? viśeṣasyānupādānāt||51||
snehādiṣvanabhijño yaśchedyādiṣu ca karmasu | sa nihanti janaṃ lobhāt kuvaidyo nṛpadoṣataḥ ||52||
idānīṃ śāstrajñaṃ karmānabhijñamadhikṛtyāha- snehādiṣvityādi| chedyādibhyaḥ snehādīni karmāṇi prāgupayujyanta iti snehādīnāṃ prāgupādānaṃ; kecicchedyādīnāṃ grahaṇaṃ prāk paṭhanti| kuvaidya iti kuśabdaḥ kutsāvacanaḥ, tena śāstrajñasyāpi karmājñānena kutsitatvaṃ pratipādayati| nṛpadoṣata iti rājñāmayaṃ doṣo yena 17 nājñātakarmaṇi pravartayituṃ vaidyānnivārayanti bhūpā iti| kecit kartṛpadaṃ sarvatra bahuvacanāntaṃ paṭhanti ‘snedādiṣvanabhijñā ye’ ityādi||52||
yastūbhayajño matimān sa samartho'rthasādhane | āhave karma nirvoḍhuṃ dvicakraḥ syandano yathā ||53||
idānīṃ śāstrajñakarmajñasya guṇaṃ nidarśayannāha- yastūbhayajña ityādi| ubhayajñaḥ śāstrajñaḥ karmajñaśca| mativān ūhāpohakṣama ityarthaḥ| arthasādhane ārogyakaraṇe| dṛṣṭāntamāha- āhave karmanirvoḍhumityādi|- āhave saṅgrāme, karma nirvoḍhuṃ karma pravartayituṃ, syandanaḥ rathaḥ||53||
atha vatsa! tadetadadhyeyaṃ yathā tathopadhāraya mayā procyamānaṃ- atha śucaye kṛtottarāsaṅgāyāvyākulāyopasthitāyādhyayanakāle śiṣyāya yathāśakti gururupadiśet padaṃ pādaṃ ślokaṃ vā; te ca padapādaślokā bhūyaḥ krameṇānusandheyāḥ, evamekaikaśo ghaṭayedātmanā cānupaṭhet; adrutamavilambitamaviśaṅkitamananunāsikaṃ suvyaktākṣaramapīḍitavarṇamakṣibhruvauṣṭhahastairanabhinītaṃ susaṃskṛtaṃ nātyuccairnātinīcaiśca svaraiḥ paṭhet | na cāntareṇa kaścidvrajet tayoradhīyānayoḥ ||54||
idānīṃ prakṛtamadhyayanaṃ prastauti- atha vatsetyādi| atheti āhnikādyāvaśyakādānantarye, āvaśyakamāhnikaṃ kṛtvetyarthaḥ| śucaye kṛtāhnikatvena pavitrāya| kṛtottarāsaṅgāya gṛhītottarīyavastrāya| avyākulāya ekacittāya| upasthitāya samīpasthitāya, dūrasthitāvantarāyasambhavaḥ; upasthitāya abhivādanānantaraṃ kṛtopasthānāyetyanye| adhyayanakāle prātarādāvanadhyayanavarjite| śiṣyāya upanayanavidhānenāgnisākṣikamanuśiṣṭāya| yathāśakti śiṣyasya śaktyanatikrameṇa| padaṃ pādaṃ ślokaṃ veti anena trividhāṃ grahaṇaśaktiṃ sthāpayati; tena hīnaśaktaye padaṃ, tacca padaṃ svādyantaṃ tyādyantaṃ vā; tathāhi- “śucaye kṛtottarāsaṅgāya” ityādi svādyantaṃ bhavati, upadiśyate iti tyādyantaṃ; madhyamaśaktaye pādaṃ ślokacaturthāṃśam; uttamaśaktaye ślokaṃ catuṣpādaparipūrṇam| te ca padapādaślokā upadiṣṭāḥ, bhūyaḥ punaḥ punaḥ, anukrameṇa, sandheyāḥ sandhānīyāḥ; tathāhi- padena pādaḥ sandhānīyaḥ, padapādābhyāṃ ślokaḥ sandhānīyaḥ| evamekaikaśo ghaṭayet anena prakāreṇa ekamekaṃ śiṣyaṃ prati yojanikāṃ kārayet| ātmanā cānupaṭhet paṭhataḥ śiṣyasya paścādācāryaḥ svayaṃ paṭhet| śiṣyasya sukhapaṭhanārthama 18| kāyamanobhyāṃ śiṣyaṃ niyamya pāṭhe vāci niyantumāha- adrutamityādi|- adrutam asannikṛṣṭavarṇapadapādoccāraṇam| avilambitaṃ nātivisrastam| aśaṅkitaṃ trāsarahitam| ananunāsikaṃ ḍañaṇanamān varjayitvā nāsikoccaritavarjyam| apīḍitavarṇaṃ varṇamapīḍayan| akṣibhruvauṣṭhahastairanabhinītam akṣyādibhirnartaka ivābhinayaṃ na kuryādityarthaḥ| susaṃskṛtam akliṣṭavarṇaśrutikam| nātyuccairnātinīcairiti etenaitaduktaṃ- madhyamena svareṇa paṭhet| na cāntareṇetyādi tayorguruśiṣyayormadhye na kaścidgacchedityarthaḥ| anye tvanyathā paṭhanti vyākhyānayanti ca- śāstramuddiśya tasya sampradānāyāha- atha vatsetyādi|- vatsa suśruta iti gamyate, śāstrapraśne tasyādhikṛtatvāt| kasmai taddeyamityāha- śucaya ityādi||54||
bhavataścātra | śucirguruparo dakṣastandrānidrāvivarjitaḥ | paṭhannetena vidhinā śiṣyaḥ śāstrāntamāpnuyāt ||55||
paṭhataḥ śiṣyasya śāstrāntāvāptihetumāha- bhavataścātretyādi| śuciḥ bāhyābhyantaraśaucayuktaḥ| guruparaḥ gurukāryarataḥ| dakṣaḥ nityābhiyuktaḥ| tandrā ālasyam||55||
vāksauṣṭhave'rthavijñāne prāgalbhye karmanaipuṇe | tadabhyāse ca siddhau ca yatetādhyayanāntagaḥ ||56||
adhyayanāntagaḥ śiṣyaḥ kiṃ kuryādityāha- vāgityādi| vāksauṣṭhave atispaṣṭavāktve| prāgalbhye dhārṣṭye; prāgalbhyānmahato'pi rogān sādhyānutsāhī sādhayati| tadabhyāse karmābhyāse, caśabdāt karmadarśane'pi| siddhau ceti ārabdhābhipretārthasādhanaṃ siddhiḥ; cakāro'trāsādhyānāmanārambhamanuktaṃ samuccinoti||56||
iti suśrutasaṃhitāyāṃ sūtrasthāne'dhyayanasampradānīyo nāma tṛtīyo'dhyāyaḥ ||3||
iti śrīḍalha(hla)ṇaviracitāyāṃ suśrutavyākhyāyāṃ nibandhasaṅgrahākhyāyāṃ sūtrasthāne tṛtīyo'dhyāyaḥ||3||

pāṭhāntarāḥ

  1. 1 ‘prapūjya’ iti pā.
  2. 2 ‘ślokasthānaṃ’ iti pā.
  3. 3 ‘āturakramamiśrakau’ iti pā.
  4. 4 ‘bhūmibhāgo’ iti pā.
  5. 5 ‘sandhānāccarthasantateḥ’ iti pā.| ‘saraṇāccārthasantateḥ’ iti cakrasammataḥ pāṭhaḥ| ‘saraṇaṃ pratītārthagatilabhyamānaṃ, yathā- ‘auṣadhagrahaṇāddravyarasa-guṇa-vīrya-vipākānāmādeśa’ iti, atra, hi auṣadhaṃ rasādīn pratyākhyāya na bhavatīti rasādilābhaḥ’ iti tatkṛtavyākhyā
  6. 6 ‘mūḍhavidradhyaḥ’ iti pā.
  7. 7 granthivṛddhibhagnaśūkakṣudrāśca’ iti pā.
  8. 8 hārāṇacandrastu ‘agryāḥ’ iti paṭhitvā ‘agryāḥ śreṣṭhaḥ, agryatvaṃ tu rukpratīkārarūpamukhyakarmārthakatvāt’ iti vyākhyānayati
  9. 9 ‘sarvopaghātaśamanīyaṃ iti pā.
  10. 10 ‘annapānarakṣāvijñānīyaḥ kalpaḥ’ iti pā.
  11. 11 ‘saviṃśamadhyāyaśata...’ iti pāṭhāntaram
  12. 12 ‘amānuṣābādhapratiṣedhaḥ’ iti pā.
  13. 13 ‘cārhati’ iti pā.
  14. 14 ‘etau’ iti pā.
  15. 15 ‘atyarthaṃ vā'tha’ iti pā.
  16. 16 ‘vistareṇāpahataḥ’ iti pā.
  17. 17 ‘yena nājñātakarmāṇaṃ viśikhāṃ praveśayediti’ iti pā.
  18. 18 sukhalakṣaṇārtham iti pā.