26. pranaṣṭaśalyavijñānīyādhyāyaḥ

Larger type: Suśrutasaṃhitā · indented: Ḍalhaṇa's Nibandhasaṅgraha
athātaḥ pranaṣṭaśalyavijñānīyamadhyāyaṃ 1 vyākhyāsyāmaḥ ||1|| yathovāca bhagavān dhanvantariḥ ||2||
athātaḥ pranaṣṭaśalyetyādi||1-2||
‘śala’ ‘śvala’ āśugamane dhātūḥ; tayorādyasya śalyamiti 2 rūpam ||3||
tatra śalyasya svakīyalakṣaṇabodhārthaṃ niruktiṃ darśayannāha- śaletyādi| ‘śala’ ‘śvala’ āśugamana iti ‘śala’ ‘śvala’ āśugatau dhātūanayorāśugamanamityarthaḥ, tayorādyasya śaladhātoḥ śalyamiti rūpaṃ niṣpadyata ityarthaḥ; ‘śala’ hiṃsāyāṃ dhātuḥ tasya śalyamiti rūpama iti kecit paṭhanti; apare ‘śala’ ‘rujāyām’ iti paṭhanti||3||
taddvividhaṃ śārīramāgantukaṃ ca ||4||
tasya cikitsopayogibhedaṃ darśayannāha- tadavityādi||4||
sarvaśarīrābādhakaraṃ śalyaṃ, tadihopadiśyata ityataḥ 3 śalyaśāstram ||5||
kathaṃ punaḥ śalyaśāstrametaducyata ityāha- sarvaśarīretyādi|- sarvaśarīre yena abādhā bhavati tat śalyaṃ; tadihopadiśyate kathyate'taḥ, śalyaśāstrametadityarthaḥ||5||
tatra 4 śārīraṃ dantaromanakhādi dhātavo'nnamalā doṣāśca duṣṭāḥ; āgantvapi śārīraśalyavyatirekeṇa yāvanto bhāvā duḥkhamutpādayanti ||6||
śārīrāgantukayorbhedamāha- tatretyādi| ādiśabdāt kaiścit śmaśrupūyapakṣmāṇi gṛhyante| dhātavo rasādayaḥ; malā mūtrapurīṣakarṇamalasvedanetraviṭprabhṛtayaḥ, doṣā vātādayaḥ| paramete dhātvannadoṣā duṣṭāḥ santaḥ śalyabhūtāḥ; amumevārthaṃ kecidduṣṭāśceti cakārāt kathayanti| dhātavo'nnamalā ityādyasamastānāṃ pṛthagupādānaṃ yat kṛtaṃ tadupadhātugrahaṇārtham| āgantuśalyaṃ pratipādayannāha- āgantvapītyādi| bhāvā iti padārthātṛṇakāṣṭhapāṣāṇalohaloṣṭraprabhṛtayaḥ||6||
adhikāro hi lohaveṇuvṛkṣatṛṇaśṛṅgāsthimayeṣu; tatrāpi viśeṣato loheṣveva 5, viśasanārthopapannatvāllohasya; lohānāmapi durvāratvādaṇumukhatvāddūraprayojanakaratvācca śara evādhikṛtaḥ | sa ca dvividhaḥ karṇī 6, ślakṣṇaśca; prāyeṇa vividhavṛkṣapatrapuṣpaphalatulyākṛtayo vyākhyātāḥ, vyālamṛgapakṣivakrasadṛśāśca ||7||
tatrāpi 7 prasiddhaśalyabhedān darśayitumāha- adhikāro hītyādi| adhikāro yogyatvaṃ śalyatvena lohādiṣu| lohādibhirmayaśabdaḥ pratyekaṃ sambadhyate| teṣāṃ madhye lauhasya prādhānyaṃ darśayannāha- tatrāpīti; teṣāmapi madhye| viśeṣata atiśayena| loheṣveveti ‘adhikāraḥ’ ityanuvartate| kathaṃ punarloheṣvevādhikāra ityatra hetumāha- viśasanārthopapannatvāllohasyeti; māraṇārthuyuktatvāllohasyetyarthaḥ| loheṣvapi kuntādibhedenānekaprakāreṣu śarasyaiva prādhānyaṃ darśayannāha- lohānāmityādi|- lohādīnāmapi kuntādīnāmapi madhya ityarthaḥ| śaraḥ kāṇḍaḥ, adhikṛta iti yogya ityarthaḥ| anye tu ‘durvāratvāt’ ityatra ‘nirvāhitvāt 8 ’ iti paṭhanti, vyākhyānayanti ca- deśāddeśāntaraprāpaṇaśīlatvādityarthaḥ; anye tu ‘nirvāsitvāt’ iti paṭhanti, tatrāpi sa evārthaḥ| tasya śarasyāpaharaṇopayogibhedaṃ darśayannāha- karṇītyādi|- karṇīti karṇayuktaḥ, ślakṣṇaḥ akarṇa ityarthaḥ| ‘karṇavāna’ ityanye paṭhanti, tatrāpi sa evārthaḥ| tadākṛtīnāmānantyena darśayitumaśakyatvāt saṅkṣepeṇa sadṛśanānāvidhavastvākṛtisārūpyeṇa darśayannāha- prāyeṇetyādi| prāyeṇeti bāhulyenetyarthaḥ| vividhavṛkṣapatrākṛtayaḥ pippalapatrakaravīrapatrādyākārāḥ, puṣpākṛtayo mālatīkumudotpalapatrādyākārāḥ, phalākṛtaya elādyākārāḥ| siṃhavyāghrādimukhasadṛśāḥ sarpaphaṇākārā vā; mṛgavaktrasadṛśāḥ śrugālamārjārādimukhasamānāḥ; pakṣivaktrasadṛśāḥ kākakaṅkādivaktrasadṛśāḥ 9||7||
sarvaśalyānāṃ 10 tu mahatāmaṇūnāṃ vā pañcavidho gativiśeṣa ūrdhvamadho'rvācīnastiryagṛjuriti ||8||
śarāṇāmāharaṇopayogigatibhedān darśayitumāha- sarvaśalyānāmityādi| tatra, ūrdhvagativiśeṣo'dhastādāgatasya śarasya, adhogativiśeṣa upariṣṭādāgatasya śarasya, arvācīnagativiśeṣaḥ paścādāgatasya śarasya, tiryaggativiśeṣaḥ pārśvābhyāmāgatasya śarasya, ṛjugativiśeṣo'gradeśādāgatasya śarasya| anye tu vyatyayena pañcagatipāṭhaṃ paṭhanti, kiñcidanyathā vyākhyānayanti; taccāsmābhirvistarabhayānna likhitam| anye tu ‘śarīre sarvaśalyānāṃ’ ityādipāṭhaṃ paṭhanti||8||
tāni 11 vegakṣayāt pratighātādvā tvagādiṣu vraṇavastuṣvatiṣṭhante, dhamanīsroto'sthivivarapeśīprabhṛtiṣu vā śarīrapradeśeṣu ||9||
yathā śalyāni śarīre sthitiṃ kurvanti tathā hetuṃ darśayannāha- tānītyādi| tāni śalyāni marmāvaraṇeṣu sannāhādiṣu pratighātādveganivṛtterityarthaḥ| tvagādiṣvityatrādiśabdānmāṃsasirāsnāyusandhikoṣṭhāsthimarmāṇi gṛhyante| avatiṣṭhanta iti ‘śalyāni’ iti śeṣaḥ| śalyāvasthāne tvagādibhyo'dhikamapi sthānaṃ sambhavatīti pakṣāntaramāha- dhamanītyādi| dhamanyādibhistribhiḥ saha vivaraśabdaḥ pratyekamabhisambadhyate; vivaraṃ chidraṃ, peśī māṃsakhaṇḍaḥ, vāśabdena pakṣāntaraṃ sūcayati| śarīrapradeśeṣviti dhamanyādaya eva śarīrapradeśāsteṣvityarthaḥ| avatiṣṭhante śalyānīti sambadhyate||9||
tatra śalyalakṣaṇamucyamānamupadhāraya | taddvidhaṃ sāmānyaṃ vaiśeṣikaṃ ca | śyāvaṃ piḍakācitaṃ śophavedanāvantaṃ muhurmuhuḥ śoṇitāsrāviṇaṃ budbudavadunnataṃ mṛdumāṃsaṃ ca vraṇaṃ jānīyāt saśalyo'yamiti; sāmānyametallakṣaṇamuktam | vaiśeṣikaṃ tu- tvaggate vivarṇaḥ śopho bhavatyāyataḥ kaṭhinaśca; māṃsagate śophābhi(ti)vṛddhiḥ śalyamārgānupasaṃrohaḥ pīḍanāsahiṣṇutā coṣapākau ca; peśyantarasthe'pyetadeva coṣaśophavarjaṃ; sirāgate sirādhmānaṃ sirāśūlaṃ sirāśophaśca; snāyugate snāyujālotkṣepaṇaṃ saṃrambhaścogrā ruk ca; srotogate srotasāṃ svakarmaguṇahāniḥ; dhamanīsthe saphenaṃ raktamīrayannanilaḥ saśabdo nirgacchatyaṅgamardaḥ pipāsā hṛllāsaśca; asthigate vividhavedanāprādurbhāvaḥ śophaśca; asthivivaragate'sthipūrṇatā'sthitodaḥ saṃharṣo balavāṃśca; sandhigate'sthivacceṣṭoparamaśca; koṣṭhagata āṭopānāhau mūtrapurīṣāhāradarśanaṃ ca vraṇamukhāt; marmagate marmaviddhavacceṣṭate | sūkṣmagatiṣu śalyeṣvetānyeva lakṣaṇānyaspaṣṭāni bhavanti ||10||
tvagādiśalyānāṃ lakṣaṇāni nirdiśannāha- tatretyādi| tatra teṣu tvagādiṣvityarthaḥ| lakṣaṇaṃ cihnam| upadhāraya śṛṇu| tatra prathamaṃ sāmānyalakṣaṇamāha- śyāvamityādi| piḍakācitamiti piḍakāvyāptam|| sāmānyamabhidhāya vaiśeṣikaṃ lakṣaṇamāha- vaiśeṣikamityādi| coṣaḥ cūṣyata iva vedanāviśeṣaḥ, pipāsetyanye| coṣaśophavarjaṃ pākābhāvāt| snāyugata ityādi| snāyujālotkṣepaṇaṃ snāyusamūhasyordhvaṃ nayanaṃ, saṃrambhaḥ śvayathuḥ| srotasāṃ svakarmaguṇahāniriti rasādivahānāṃ srotasāṃ rasādivahanādikarma, guṇāḥ punareṣāṃ vātādivahānāmaruṇapītasitaraktādayo varṇāḥ, teṣāṃ hānirityarthaḥ| dhamanīstha ityādi| aṅgamardaḥ sphuṭanikā, hṛllāsaḥ asakṛtṣṭhīvanam| saṃharṣa iti mārutopadravo romāñcaprāyo vedanāviśeṣaḥ ‘saṃharṣaḥ saṅghaṭanam’ ityanye| ceṣṭoparama 12 iti ākuñcanaprasāraṇādihāniḥ| koṣṭhagate ityādi| āṭopaḥ satodo vātasaṅkṣobhaḥ, ānāho vātamūtrapurīṣādinirodhaḥ| marmaviddhavat ceṣṭate iti sirādimarmaviddhe yāni liṅgāni bhavanti tānītyarthaḥ; ceṣṭate ceṣṭāṃ kurute| sthūlaśalyānāṃ lakṣaṇamabhidhāya sūkṣmaśalyalakṣaṇamāha- sūkṣmagatiṣu śalyeṣviti| aspaṣṭāni iti asphuṭānītyarthaḥ||10||
mahāntyalpāni vā śuddhadehānāmanulomasanniviṣṭāni rohanti viśeṣataḥ kaṇṭhasrotaḥsirātvakpeśyasthivivareṣaḥ | doṣaprakopavyāyāmābhighātājīrṇebhyaḥ 13 pracalitāni punarbādhante ||11||
idānīṃ śalyapranaṣṭasya hetuṃ darśayannāha- mahāntītyādi| śuddhadehānāmiti vātādyadūṣitadehānāṃ pākābhāvādrohantītyarthaḥ| anulomasanniviṣṭānīti romamānukūlyena praviṣṭānītyarthaḥ| viśeṣataḥ ityatiśayena, kaṇṭhādiṣu praviṣṭāni śalyāni ‘rohanti' iti śeṣaḥ| kecit ‘mahānti’ ityatra sthāne ‘mṛdūnyalpāni’ iti pāṭhaṃ paṭhanti| yadi rūḍhānyapyadoṣakarāṇi tat kiṃ teṣāṃ vijñānenāharaṇena cetyāha- doṣaprakopetyādi||11||
tatra, tvakpranaṣṭe snigdhasvinnāyāṃ mṛnmāṣayavagodhūmagomayamṛditāyāṃ tvaci yatra saṃrambho vedanā vā bhavati tatra śalyaṃ vijānīyāt, styānaghṛtamṛccandanakalkairvā pradigdhāyāṃ śalyoṣmaṇā''śu visarati ghṛtamupaśuṣyati cālepo yatra tatra śalyaṃ vijānīyāt; māṃsapranaṣṭe snehasvedādibhiḥ kriyāviśeṣairaviruddhairāturamupapādayet, karśitasya tu śithilībhūtamanavabaddhaṃ kṣubhyamāṇaṃ yatra saṃrambhaṃ vedanāṃ vā janayati tatra śalyaṃ vijānīyāt; koṣṭhāsthisandhipeśīvivareṣvavasthitamevameva parīkṣeta; sirādhamanīsrotaḥsnāyupranaṣṭe khaṇḍacakrasaṃyukte yāne vyādhitamāropyāśu viṣame'dhvani yāyāt yatra saṃrambho vedanā vā bhavati tatra śalyaṃ vijānīyāt; asthipranaṣṭe snehasvedopapannānyasthīni bandhanapīḍanābhyāṃ bhṛśamupācaret, yatra saṃrambho vedanā bhavati tatra śalyaṃ vijānīyāt; sandhipranaṣṭe snehasvedopapannān sandhīn prasaraṇākuñcanabandhanapīḍanaiḥ bhṛśamupācaret, yatra saṃrambho vedanā vā bhavati tatra śalyaṃ vijānīyāt, sandhipranaṣṭe snehasvedopapannān sandhīn prasaraṇākuñcanabandhanapīḍanairbhṛśamupācaret; yatra saṃrambho vedanā vā bhavati tatra śalyaṃ vijānīyāt, marmapranaṣṭe tvananyabhāvānmarmaṇāmuktaṃ parīkṣaṇaṃ bhavati ||12||
tvagādipraviṣṭānāṃ vijñānopāyaṃ darśayannāha- tatretyādi| saṃrambho rāgaśothābhisambhavaḥ| āśu visaratīti śīghraṃ vilīyate| māṃsetyādi| kriyāviśeṣaiḥ sahāturamupapādayet yojayedityarthaḥ| karśitasya āturasyetyarthaḥ| śithilībhūtamanavabaddhaṃ kṣubhyamāṇaṃ ‘śalyaṃ’ iti śeṣaḥ, kṣubhyamāṇamiti caladityarthaḥ| evameveti pūrvoktanyāyenetyarthaḥ| khaṇḍacakrasaṃyukte yāna iti khaṇḍitacakrasamanvite ratha ityarthaḥ| āropyeti ārohyetyarthaḥ, viṣame'dhvani nimnonnatamārge ityarthaḥ| snehasvedopapannāni snehasvedayuktānītyarthaḥ| marmapranaṣṭe ityādi marmāṇi tvagādiṣvaṣṭasu vraṇavastuṣveva bhavanti, nānyatra bhavantityananyabhāvānmarmaṇāṃ pranaṣṭaśalye tvagādyuktameva parīkṣaṇaṃ kartavyamityarthaḥ||12||
sāmānyalakṣamapi ca hastiskandhāśvapṛṣṭhaparvatadrumārohaṇadhanurvyāyāmadrutayānaniyuddhādhvagamanalaṅghanaplavanaprataraṇa- vyāyāmairjṛmbhodgārakāsakṣavathuṣṭhīvanahasanaprāṇāyāmairvātamūtrapurīṣaśukrotsargairvā yatra saṃrambho vedanā vā bhavati tatra śalyaṃ vijānīyāt ||13||
sāmānyavijñānopāyamapi darśayannāha- sāmānyalakṣaṇamityādi| aṣṭasvapi tvagādivraṇavastuṣvavasthitaśalyasya lakṣaṇaṃ sāmānyalakṣaṇam| hastiskandhādibhiḥ sahārohaṇaśabdaḥ pratyekaṃ sambadhyate| dhanurvyāyāmaḥ iti dhanurākarṣaṇajanitaśramaḥ, drutayānamiti śīghragamanaṃ, niyuddhaṃ bāhuyuddhaṃ, laṅghanamiti kuḍyādīnāmutplutyātikramaṇaṃ, plavanaṃ utpatanaṃ, prataraṇaṃ nadyādau, vyāyāmaḥ śarīrāyāsajanakaṃ karma| jṛmbheti pītaikamārutocchvāsasya vyāttamukhena parimokṣaṇaṃ, udgāreti udgatasya vāyorudgiraṇamudgāraḥ, kāseti doṣaduṣṭodānānugataprāṇavāyornirgamanaṃ bhinnakāṃsyadhvanikaṃ kāsaḥ, kṣavathuriti ūrdhvasroto'vasthitaprāṇodānayorākulitayornāsāvivarato nirgamanaṃ kṣavathuḥ, ṣṭhīvanaṃ kaphādesthūtkaraṇaṃ, hasanaṃ hāso vikṛtāṅgavacaḥkṛtyajātasya hāsyarasasya sthāyībhāvo'ṅgakapolanāsauṣṭhaspandanalakṣaṇaḥ, prāṇāyāmeti prāṇavāyorāyamanamavarodhanaṃ prāṇāyāmaḥ, utsargaśabdo vātādibhiḥ saha pratyekaṃ sambadhyate, utsargaḥ pramocanam| kecid ‘yatra saṃrambho vedanā vā’ ityatra’ sthāne ‘utsargervā yatra todādayastatra śalyaṃ vijānīyāt’ iti pāṭhaṃ paṭhanti, vyākhyānayanti ca- ādiśabdāt pākarāgaśothādayaḥ| śyāvaṃ piḍakācitamityādīni pūrvoktasāmānyalakṣaṇāni sannikṛṣṭāni; etāni punarhastiskandhārohaṇādīni viprakṛṣṭāni; yata etaireva śyāvaṃ piḍakācitamityādi lakṣayitavyam; ityanayoḥ sāmānyalakṣaṇapāṭhayorna paunaruktyam||13||
bhavanti cātra- yasmiṃstodādayo deśe suptatā gurutā'pi ca | ghaṭṭate 14 bahuśo yatra śūyate rujyate'pi ca ||14|| āturaścāpi yaṃ deśamabhīkṣṇaṃ parirakṣati | saṃvāhyamāno bahuśastatra śalyaṃ vinirdiśet ||15||
pranaṣṭaśalyavijñānopāyamuddiśyāparāṇyapi rājārṣiḥ punarliṅgāni niścayārthamāha- yasminnityādi| yasmin deśe śarīrāvayave| todādayo ‘bhavanti’ ityadhyāhāraḥ| ādigrahaṇād rāgapākādayaḥ| suptatā sparśanānabhijñatvam| ghaṭṭate bahuśo yatreti yasmin pradeśe bahuśo vāraṃvāraṃ puruṣaḥ svayameva ghaṭṭate cālayati| tudyate'pi cetyatra pīḍāyā atiśayakhyāpanaṃ na punaruktiḥ| āturaścāpi yaṃ deśamityādi| āturo yaṃ deśamabhīkṣṇamanavarataṃ rakṣati, kiṃviśiṣṭaḥ? saṃvāhyamāno mṛdyamānaḥ, kathaṃ bahuśo vāraṃvāraṃ; etena yadā yadā''turo mṛdyate tadā tadā taṃ deśaṃ rakṣatītyarthaḥ||14-15||
alpābādhamaśūnaṃ ca nīrujaṃ nirupadravam | prasannaṃ mṛduparyantaṃ nirāghaṭṭamanunnatam ||16|| eṣaṇyā sarvato dṛṣṭvā yathāmārgaṃ cikitsakaḥ | prasārākuñcanānnūnaṃ niḥśalyamiti nirdiśet ||17||
niḥśalyasya lakṣaṇaṃ darśayannāha- alpābādhamityādi| alpābādham alpaduḥkham| nīrujaṃ nirgataśūlādivedanam| mṛduparyantaṃ mṛdvantam, nirāghaṭṭaṃ niścalam| eṣaṇetyādi| cikitsako vaidhaḥ, niḥśalyamiti nirdiśet kathayet; kiṃ kṛtvā? dṛṣṭvā, kayā eṣaṇyā lohādiśalākayā, sarvataḥ sarvatra, kathaṃ? yathāmārgaṃ mārgānatikrameṇa; kathaṃ kathayet nūnaṃ niścitaṃ, kasmāt? prasāraṇādākuñcanācca alpāpi yadi bādhā na bhavatītyarthaḥ| ‘alpabādhaṃ’ ityatra ‘alpatāpaṃ ityanye paṭhanti,| kecita ‘anunnatam’ iti na paṭhanti, aśūnamityanenaiva gatārthatvāt||16-17||
asthyātmakaṃ bhajyate tu śalyamantaśca śīryate | prāyo nirbhujyate śārṅgamāyasaṃ ceti niścayaḥ ||18||
āharaṇopayoginīṃ hetubhedenāntaḥ sthaśalyāvasthāṃ darśayannāha- asthyātmakamityādi| asthyātmakam asthijaṃ; bhajyata iti svayaṃ dvidhā tridhā vā bhavatītyarthaḥ| etenaivāsyāharaṇe'vayavāntaraṃ vicāryāharaṇaṃ 15 kartavyamityabhiprāyaḥ| śīryate 16 iti śaṭatītyarthaḥ| nanu, ‘keśāsthiveṇudārupalāni tu na viśīryante’ ityagre vakṣyati, atra tu ‘antaśca śīryate’ iti kathayati, tatkathaṃ na virodhaḥ? ucyate antaśca śīryata iti cakāro viṣayabhedapratipādanārthaṃ; tena keṣāñcidevāsthanāṃ śīrṇatvaṃ na sarveṣāmiti nāsti virodhaḥ| nirbhujyate iti kuṭilībhavati| śārṅgamiti śṛṅgamayam| āyasaṃ ceti lohamayamapi nirbhujyata ityarthaḥ||18||
vārkṣavaiṇavatārṇāni nirhriyante tu no yadi | pacanti raktaṃ māṃsaṃ ca kṣiprametāni dehinām ||19||
vārkṣādīnāṃ viśalyaghne marmaṇi pākāt svayaṃ patitānāmavaśyamanirharaṇīyatvaṃ 17 darśayannāha- vārkṣetyādi|- vārkṣyaṃ vṛkṣamayaṃ, vaiṇavaṃ veṇumayaṃ, tārṇaṃ tṛṇamayam| nirhriyante tu no yadīti anirharaṇaṃ ca viśalyaprāṇaharapradeśe boddhavyam| pacanti raktaṃ māṃsaṃ cetyādinā vārkṣādīni śalyāni pākāt svayaṃ patantītyuktaṃ bhavati||19||
kānakaṃ rājataṃ tāmraṃ raitikaṃ trapu sīsakam | cirasthānādvilīyante pittatejaḥpratāpanāt 18||20||
viśalyaprāṇaharādiṣu pradeśeṣu kānakādīnāmanāharaṇe'doṣaṃ darśayannāha- kānakamityādi| raitikamiti rītiḥ pittalabhedaḥ, tanmayaṃ raitikam| kecidatra raitikamiti padaṃ vihāya kṛṣṇāyastrapusīsakam’ iti paṭhanti||20||
svabhāvaśītā mṛdavo ye cānye'pīdṛśā matāḥ | dravībhūtāḥ śarīre'sminnekatvaṃ yānti dhātubhiḥ ||21||
anyeṣāmapi kāṃsyaprabhṛtīnāṃ kānakādidharmaṃ darśayannāha- svabhāvetyādi||21||
viṣāṇadantakeśāsthiveṇudārupalāni tu | śalyāni na viśīryante śarīre mṛnmayāni 19 ca ||22||
apareṣāṃ cirakālasaṃsthitāvapi na śarīradhātubhirekatvamiti darśayannāha- viṣāṇetyādi|- viṣāṇaṃ śṛṅgaṃ, dāru kāṣṭhaṃ, upalaḥ pāṣāṇaḥ, na viśīryanta iti na śaṭantītyarthaḥ| mṛnmayāni mṛttikāmayāni||22||
dvividhaṃ pañcagatimattvagādivraṇavastuṣu 20| yo vetti viṣṭitaṃ śalyaṃ sa rājñaḥ kartumarhati ||23||
adhyāyapiṇḍārthajñānena vaidyastuti darśayannāha- dvividhamityādi|- dvividhaṃ dviprakāraṃ karṇī ślakṣṇaśceti; anye śarīrāgantubhedena dvaividhyaṃ manyante| pañcagatimaditi ūrdhvādho'rvācīnatiryagṛjugatikam| tvagādivraṇavastuṣviti tvagādivraṇavastuṣvaṣṭāsu viṣṭitaṃ vividhaprakāraṃ sthitam| rājagrahaṇaṃ pradhānasaṅgrahārtham| kartumiti pratīkāraṃ kartumityarthaḥ, arhati yogyo bhavati| ‘yo vettyadhiṣṭhitaṃ śalyaṃ’ iti kecit paṭhanti||23||
iti suśrutasaṃhitāyāṃ sūtrasthāne pranaṣṭaśalyavijñānīyo nāma ṣaḍviṃśatitamo'dhyāyaḥ ||26||
iti śrīḍalha(hla)ṇaviracitāyāṃ suśrutavyākhyāyāṃ nibandhasaṅgrahākhyāyāṃ sūtrasthāne ṣaḍviṃśatitamo'dhyāyaḥ||26||

pāṭhāntarāḥ

  1. 1 ‘pūrvādhyāye'ntaḥśalyam’ ityuktam, atasteṣāmantaḥ sthitaśalyānāṃ jñānārthaṃ pranaṣṭaśalyavijñānīyo'bhidhīyate| pranaṣṭamāpātato'nupalabhyamānam’ iti cakraḥ
  2. 2 ‘tatra śalyanirūpaṇameva darśayitumudyato niruktyā śalyarūpamāha- śala hiṃsāyāmityādi| atra śaladhātoścaurādikaṇijantāt ‘erac’ (pā. a. 3/3/56) ityacā ‘śala’ iti rūpaṃ, tena śalanaṃ hiṃsanaṃ śalaḥ| tathā ca śalasya hiṃsāyā nimittaṃ saṃyogo yasya tat śalyam| yatpratyayāt śalyamiti rūpasiddhiḥ| asya dvayī pravṛttiḥ| ekā niruktyā śalyaṃ sarvavyādhīnāha, yaduktaṃ- ‘yatkiñcidābādhakaraṃ tatsarvaṃ śalyasañjñitam’ iti| aparā tu rūḍhyā śarādau vartate| tatra niruktyarthameva parigṛhyāha- taddvividhamityādi|’ iti cakraḥ| ‘śalati ‘śala’ gatau (bhvā. 843) adhnyāditvāt (u. 4/ 112) yaḥ’ iti amaravyākhyāyāṃ bhānudīkṣitaḥ| ‘śala’ hiṃsāyāṃ dhātuḥ, tasya yatpratyayasya śalyamiti rūpaṃ bhavati’ iti tāḍapatrapustake pāṭhaḥ
  3. 3 ‘ityataḥ śalyaśāstramiti asmiñchāstre niruktyarthameva śalyasya gṛhītvā sarvābādhaviṣayatayā upadeśa iti bhāvaḥ’ iti cakraḥ
  4. 4 ‘tatretyādinā śārīraśalyavivaraṇe dantanakharomādīnāmādau grahaṇaṃ dantādiṣu rūḍhyarthaśalyaśabdasyāpi yogāt| tathāhi- dantaścalitaḥ śārīraṃ śalyam, anyagātrapraviṣṭaṃ mukhyaṃ śalyaṃ ca bhavati| evamuktarūpo nakhaḥ| tathā akṣipratipakṣmaroma śārīraṃ śalyam, anyatra śarīrapradeśe vraṇāntargataṃ mukhyaṃ ca śalyamiti| annaṃ duṣṭaṃ śalyameva ābādhakaratvāt| dhātvādayo'pi duṣṭāḥ śalyam| āgantuśalyodāharaṇe śārīravyatirekeṇeti mānasaśokādiśalyasyāpi grahaṇārtham’ iti cakraḥ
  5. 5 ‘lohamayeṣveva’ iti pā.
  6. 6 ‘karṇavān’ iti pā.
  7. 7 ‘mukhyaśalyaśabdaviṣayaṃ cikitsābhedārthaṃ pṛthakkurvannāha- adhikāro hītyādi’ iti cakraḥ
  8. 8 ‘nirvāhitvāt śarīrapraveśanīyatvāt| ‘nirvāsitvāt’ iti pāṭhāntare kālāntarāvasthāyitvādityarthaḥ| dūraprayojanakaratvaṃ dūre sthitena dhātvavagāhakena śareṇa vedanāniṣpādanādityarthaḥ’ iti cakraḥ
  9. 9 ‘phalākṛtaya iti śarasya apravṛddhaphalādisādṛśyamityarthaḥ| vyālamṛgapakṣimukhetyanena uddhṛtadaṃṣṭrākṛtitā śarasyocyate’ iti cakraḥ
  10. 10 ‘śarīre sarvaśalyānāṃ gatayaḥ pañcadhā smṛtāḥ| ṛjvāgatamavāñcīnaṃ tirya gūrdhvamadhogatam’ iti tāḍapatrapustake pāṭhaḥ
  11. 11 ‘tāni yadā vegakṣayāt ...... śarīrapradeśeṣu, tatra śalyalakṣaṇamucyamānamupadhāraya’ iti hārāṇacandrasammataḥ pāṭhaḥ| pratighātāditi asthyādinā vegapratibandhāt| vegakṣayastu svata eva| peśīśabdena peśyormadhyam, ata eva vraṇavastugṛhītamāṃsādasya bhedaḥ| prabhṛtigrahaṇāt sirābhyantaragrahaṇam|’ iti cakraḥ
  12. 12 ‘ceṣṭoparamaścalasandhiṣu jñeyaḥ’ iti cakraḥ
  13. 13 ‘kālāntarakope hetumāha- doṣetyādi| etadeva ca kālāntarakopitvamanviṣyāharaṇe iha vaktavye kāraṇaṃ jñeyam’ iti cakraḥ
  14. 14 ‘ghaṭṭite’ iti pā.
  15. 15 ‘vidāryāharaṇaṃ’ iti pā.
  16. 16 ‘śīryate kaṇaśaḥ sphuṭyate’ iti hārāṇacandraḥ| ‘bhidyata iti vidīrṇaṃ bhavati, śīryate iti naikāvayavaṃ bhavati| yattu viṣāṇetyādi asthyātmakaṃ na viśīryate iti vaktavyaṃ, tatra kṣayaṃ na yātītyarthabhedānna virodhaḥ| nirbhujyata iti kubjaṃ bhavati iti’ cakraḥ
  17. 17 ‘patanārthaṃ’ iti pā.
  18. 18 ‘pittatejaḥ jaṭharāgnirūpapittatejaḥsahakṛto dohoṣmā’ iti cakraḥ
  19. 19 ‘anena ca naṣṭaśalyāvasthākathanena asthyātmakamavayavāntaramanviṣyāhartavyaṃ, śārṅgādi haṭhātkṛtvā hartavyaṃ, vārkṣādi śīghramāhartavyaṃ, kānakādīnāṃ pramādabhayādanāharaṇe'pi na doṣa iti prayojanamuktam’ iti cakraḥ
  20. 20 ‘pañcagatikaṃ’ iti pā.