27. śalyāpanayanīyādhyāyaḥ

Larger type: Suśrutasaṃhitā · indented: Ḍalhaṇa's Nibandhasaṅgraha
athātaḥ śalyāpanayanīyamadhyāyaṃ 1 vyākhyāsyāmaḥ ||1|| yathovāca bhagavān dhanvantariḥ ||2|| śalyaṃ dvividhamavabaddhamanavabaddhaṃ ca ||3||
avabaddhamanavabaddhaṃ ceti tatrāvabaddhaṃ viśeṣeṇā''saktam; anye tu “asthyādipraviṣṭamavabaddham 2, itaradanavabaddham” iti manyante||1-3||
tatra samāsenānavabaddhaśalyoddharaṇārthaṃ pañcadaśa 3 hetūn vakṣyāmaḥ | tadyathā- svabhāvaḥ, pācanaṃ, bhedanaṃ, dāraṇaṃ, pīḍanaṃ, pramārjanaṃ, nirdhmāpanaṃ, vamanaṃ, virecanaṃ, prakṣālanaṃ, pratimarśaḥ, pravāhaṇam, ācūṣaṇam, ayaskānto, harṣaśceti ||4||
tatrānavabaddhasyaiva prathamamaṅgīkṛtasya parisaṅkhyāya hetūn pariharaṇe darśayannāha- tatretyādi| tatreti tayormadhye| svabhāvaḥ prakṛtiḥ; pācanamiti apakvaśalyasya pācanadravyaiḥ pākavidhānaṃ; bhedanamiti vṛddhipatrādibhiḥ śastraiḥ sphoṭanaṃ; dāraṇamiti cirabilvādibhirmiśrakoktairauṣadhairvidāraṇaṃ; pīḍanamiti ‘dravyāṇāṃ picchilānāṃ’(sū. a.37) ityādimiśrakoktairdravyaiḥ kṛtvā pīḍyate yat; pramārjanamiti bālavastrābhiḥ proñchanaṃ; nirdhmāpanamiti pradhamanam, etaduktaṃ bhavati pippalīkaṭphalādicūrṇasya nāḍyā nāsāntaḥprāpaṇaṃ; pratimarśaḥ aṅgulyādigharṣaṇaṃ; pravāhaṇaṃ vi(ni)kunthanam; ācūṣaṇaṃ mukhaśṛṅgaiḥ kṛtvā yaccūṣyate; ayaskāntaḥ pāṣāṇaviśeṣaḥ, yadyapyayaskānta iti sāmānyenopāttastathā'pyatra karṣako grāhyaḥ; harṣastuṣṭiḥ||4||
tatrāśrukṣavathūdgārakāsamūtrapurīṣānilaiḥ svabhāvabalapravṛttairnayanādibhyaḥ patati | māṃsāvagāḍhaṃ śalyamavidahyamānaṃ pācayitvā prakothāttasya pūyaśoṇitavegādgauravādvā patati | pakvamabhidyamānaṃ bhedayeddārayedvā | bhinnamanirasyamānaṃ pīḍanīyaiḥ pīḍayet pāṇibhirvā | aṇūnyakṣaśalyāni 4 pariṣecanādhmāpanairbālavastrapāṇibhiḥ 5 pramārjayet | āhāraśeṣaśleṣmahīnāṇuśalyāni 6 śvasanotkāsanapradhamanairnirdhamet | annaśalyāni vamanāṅgulipratimarśaprabhṛtibhiḥ | virecanaiḥ pakvāśayagatāni | vraṇadoṣāśayagatāni prakṣālanaiḥ | vātamūtrapurīṣagarbhasaṅgeṣu pravāhaṇamuktam 7| mārutodakasaviṣarudhiraduṣṭastanyeṣvācūṣaṇamāsyena viṣāṇairvā | anulomamanavabaddhamakarṇamanalpavraṇamukhamayaskāntena | hṛdyavasthitamanekakāraṇotpannaṃ śokaśalyaṃ harṣeṇeti ||5||
svabhāvādihetorviṣayamāha- tatrāśrukṣavathūdgāretyādi| tatra teṣāṃ pañcadaśānāṃ madhye| etairaśruprabhṛtibhiḥ svabhāvabalaṃ svabhāvaśaktiḥ, tataḥ pravṛttairāgatairhetubhirnayanādibhyaḥ śarīrapradeśebhyo rajaḥprabhṛti śalyaṃ patatītyarthaḥ| pācanaviṣayamāha- māṃsāvagāḍhamityādi| avagāḍham abhyantaragatam| avidahyamānam apacyamānam| prakothāttasyeti pūtibhāvānmāṃsasyetyarthaḥ| bhedanadāraṇayorviṣayamāha- pakvamityādi| pīḍanaviṣayamāha- bhinnamityādi| anirasyamānam aniṣkrāmantam| pramārjanaviṣayamāha- aṇūnītyādi| akṣāṇi indriyāṇi| pariṣecanaṃ dhārābhiṣecanam| ādhmāpanam akṣiṣu mukhamārutasya prāpaṇam| nirdhmāpanaviṣayamāha- āhāraśeṣatyādi|- bhuñjānasya nāsāntarādisthitamannamāhāraśeṣaḥ| hīnānāṃ patitānāṃ bhraṣṭānāṃ śalyānāmalpāvayavā hīnāṇuśalyānyucyante| śvasanaṃ śvāsaḥ, utkāsa utkṛṣṭaṃ kāsanam| nirdhamet niṣkāsayet| vamanapratimarśayorviṣayamāha- annaśalyānītyādi| annaśalyaṃ vamanena patati, aṅgulipratimarśena ca; aṅgulipratimarśaḥ aṅgulyādigharṣaṇam| virecanaviṣayaṃ darśayannāha- virecanaiḥ pakvāśayagatānīti|- pakvāśayagatāni ‘śalyāni’ iti śeṣaḥ| prakṣālanaviṣayamāha- vraṇetyādi| vraṇadoṣaḥ pūyaḥ, sa eva śalyaṃ, vraṇāśayagatānyanyānyapi śalyānītyarthaḥ| pravāhaṇaviṣayamāha- vātetyādi| saṅgaḥ apravṛttiḥ| cūṣaṇaviṣayamāha- mārutetyādi| ayaskāntaviṣayamāha- anulomamityādi| harṣaviṣayamāha- hṛdyavasthitamityādi| kecidanavabaddhaśalyaharaṇamadhye bhedanadāraṇapīḍanavamanavirecanaprakṣālanāni na manyante, teṣāṃ mate bhedanadāraṇayoravabaddhaśalyaviṣayatvaṃ, pīḍanādīnāṃ caturṇāṃ yathāsambhavamukteṣvevāntarbhāvaḥ||5||
sarvaśalyānāṃ tu mahatāmaṇūnāṃ vā dvāvevāharaṇahetū bhavataḥ- pratilomo'nulomaśca 8||6||
pañcagatīnāṃ śalyānāmapi sarveṣāmamārgamārgabhedena dvividhamāharaṇaṃ darśayannāha- sarvaśalyānāmityādi| praveśamārgeṇaivāharaṇaṃ pratilomaṃ, tadviparītaṃ cānulomam||6||
tatra pratilomamarvācīnamānayet 9, anulomaṃ parācīnam ||7||
pratilomānulomāharaṇayorviṣayamāha- tatretyādi| tatreti tayormadhye| arvācīnamiti nātidūrapraveśāt, niviṣṭaśalyadvārāpekṣayā kāyasya pūrvārdhasthitaṃ śalyamārvācīnamucyate| tattu śalyaṃ pratilomamānayet| ko'rthaḥ? pāścātye'rvācīnadeśe ānayet, praveśamārgeṇaivānayet; anulomena parārdhena nirhriyamāṇamaviddhamapi bahutaraṃ pradeśaṃ vedhayet; tatra maraṇamupadravā vā bhavanti| anulomamityādi| parācīnamiti dūrapraviṣṭaṃ; kāyasya parārdhanirgataṃ śalyamucyate| tacchalyamanulomamānayet| ko'rthaḥ? agretane parācīne pradeśe ānayet||7||
uttuṇḍitaṃ 10 chittvā nirghātayecchedanīyamukham ||8||
yadā tvanativegācchalyamagretanapradeśena nirgatamuttuṇḍitamukhaṃ ca bhavati tadā tasya śalyasya chedanīyamukhasya chedyapradeśajaṭitasya parācīnānulomaharaṇe kīdṛśaṃ vidhānamiti darśayannāha- uttuṇḍitamityādi| uttuṇḍitamūrdhvaṃ niḥsaranmukhamiva| nirghātayediti itastataścālayeddhastena mudgarādinā vā; tataścānulomamāharet| chedanīyamukhamiti kaṇṭakakharjūrīpatraprabhṛtikam, etenottuṇḍitaṃ chedanīyamukhaṃ parānnirgatamukhaṃ chedyapradeśajaṭitaṃ ca śalyaṃ parācīnānulomāharaṇaviṣaya ityuktaṃ bhavati||8||
chedanīyamukhānyapi kukṣivakṣaḥkakṣāvaṅkṣaṇaparśukāntarapatitāni ca hastaśakyaṃ yathāmārgeṇa hastenaivāpahartuṃ prayateta ||9||
kiṃ chedanīyamukhasya sarvatrāyaṃ vidhirnetyāha- chedanīyetyādi| vakṣa iti hṛdayam| hastenāhartuṃ yacchakyate śalyaṃ tat hastaśakyam| yathāmārgeṇeti praveśamārgeṇetyarthaḥ| hastenaiveti hastenaivoddharet, na kadācinmudgarādibhiścālayet| prayateta prayatnaṃ kurvīta| anye tu ‘acchedanīyamukhāni 11 tu’ ityādi pāṭhaṃ paṭhanti, vyākhyānayanti ca- na kevalamanuttuṇḍitānyanirghātyamukhānyapīti samuccīyate tuśabdena, tāni kukṣyādipatitāni sarvāṇyevācchedyatvādanirghātyāharaṇīyāni 12| etenaitaduktaṃ bhavati- parācīnānāmapi śalyānāmanulomamāharaṇīyānāmapi pratilomamevāharaṇaṃ kartavyam, anulomāharaṇe kukṣyādiṣu mahān chedānubandho bhavet| parśukāntarapatitāni cetyasyāgre, “anuttuṇḍitaśalyāni chedanīyamukhāni ca| anirghātyāni jānīyādbhūyaśchedānubandhataḥ”- iti bhojasaṃhitoktaṃ kecit pāṭhaṃ paṭhanti, sa ca pramādapāṭhaḥ, nibandheṣvadarśanāt||9||
hastenaivāpahartumaśakyaṃ 13 viśasya 14 śastreṇa yantreṇāpaharet 15||10||
hastenāpahartumaśakye śalye kiṃ vidhānamiti darśayati- hastenetyādi| viśasya chittvā śastreṇetyarthaḥ| kecit ‘hastena cāhartumaśakye aviśasya yantreṇāpaharet’ iti pāṭhaṃ manyante| teṣāṃ mate aviśasya acchittvetyarthaḥ, hastena ceti cakāreṇa yantrāharaṇāśakyasya śalyasya viśasyetyupalabhyate||10||
bhavati cātra- śītalena jalenainaṃ mūrcchantamavasecayet | saṃrakṣedasya 16 marmāṇi muhurāśvāsayecca tam ||11||
śalyāharaṇe upadravacikitsāsūtraṃ nirdiśannāha- śītalenetyādi| enamiti śalyāturam| avasecayediti siñcedityarthaḥ| āśvāsayediti kṣīratarpaṇādidānena| bāhulyenāmuṃ pāṭhaṃ kecinna paṭhanti| gayadāsena tu paṭhitvā'yaṃ pāṭho'trāntare vyākhyātaḥ, yuktaścāyaṃ, tasmāt paṭhanīya eva||11||
tataḥ śalyamuddhṛtya nirlohitaṃ vraṇaṃ kṛtvā svedārhamagnighṛtaprabhṛtibhiḥ 17 saṃsvedyāvadahya pradihya sarpirmadhubhyāṃ baddhvā''cārikamupadiśet | (sirāsnāyuvilagnaṃ śalākādibhirvimocyāpanayet; śvayathugrastavāraṅgaṃ samavapīḍya śvayathuṃ; durbalavāraṅgaṃ kuśādibhirbaddhvā|) ||12||
hṛte śalye paścātkarma darśayannāha- tata ityādi| nirlohitamiti arudhiravantam 18| saṃsvedyeti atiniḥsṛtaśoṇitamavedanaṃ sukhoṣṇena ghṛtena, taditaramagninā saṃsvedyeti sambandhaḥ| avadahyeti agnikṛtyān vraṇān dagdhvetyarthaḥ| pradihyeti lepayitvā, asvedyamatisrutaśoṇitaṃ ca| atra kecit ‘avadahya’ iti na paṭhanti, ‘pradihya’ ityasya sthāne ‘tarpayitvā’ iti paṭhanti| atra kecidgaḍḍurikāpravāheṇa bhojoktaṃ ‘sirāsnāyuvilagnaṃ śalākābhirvimocyāpanayet, śvayathugrastavāraṅgaṃ samavapīḍya śvayathuṃ, durbalavāraṅgaṃ kuśādibhirbaddhvā’ iti pāṭhaṃ paṭhanti, pravāhapaṭhitā vyākhyānayanti ca- vāraṅgaṃ śastranālam, avapīḍya śvayathumapanayediti sambandhaḥ; kuśādibhiḥ badhvā ‘apanayet’ ityatrāpi yojyate; kuśā vaṃśavetrādikambī| ayaṃ ca vidhistantrāntarādavaseyo na suśrutasaṃhitāyāmasti, tantrāntaradarśanālasaistvatraivānīya likhita ityatra na paṭhanīya eva||12||
hṛdayamabhito 19 vartamānaṃ śalyaṃ śītajalādibhirudvejitasyāpaharedyathāmārgaṃ; durupaharamanyato'pabādhyamānaṃ pāṭayitvoddharet ||13||
vakṣaḥpatiteṣu viśeṣavidhimāha- hṛdayamityādi| hṛdayamabhito vartamānamiti hṛdayasamīpe sthitamityarthaḥ| udvejitasya udvignahṛdayasya, śītajalādudvejanaṃ ca klamaparihārāya| yathāmārgamiti yenaiva mārgeṇa praviṣṭaṃ tenaivāpaharedityarthaḥ| tenāśakye upāyāntaraṃ darśayannāha- durupaharamityādi| duḥkhenopahriyate taddurupaharam| anyata iti anyasminnapi pradeśe| apabādhyamānamiti marmapīḍākaraṃ, ‘śalyaṃ’ iti śeṣaḥ| pāṭayitveti dārayitvetyarthaḥ||13||
asthivivarapraviṣṭamasthividaṣṭaṃ vā'vagṛhya pādābhyāṃ yantreṇāpaharet, aśakyamevaṃ vā balavadbhiḥ suparigṛhītasya yantreṇa grāhayitvā śalyavāraṅgaṃ 20 pravibhujya dhanurguṇairbaddhvaikataścāsya pañcāṅgyāmupasaṃyatasyāśvasyavaktrakavike 21 badhnīyāt, athainaṃ kaśayā tāḍayedyathonnāmayañ śiro vegena śalyamuddharati; dṛḍhāṃ vā vṛkṣaśākhāmavanamya tasyāṃ pūrvavadbaddhvoddharet ||14||
avabaddhaśalyasya hastenāpahartumaśakyasya nirharaṇopāyaṃ darśayannāha- asthītyādi| asthivivarapraviṣṭamiti asthicchidrāntargatam| vidaṣṭamiti atyāsaktam| suparigṛhītasya āturasyetyarthaḥ| pravibhujya vakrīkṛtya| dhanurguṇairiti murvārkasūtramayaiḥ| ekata ekasmin pradeśe| asyeti śalyavato narasya| pañcāṅgyāmiti bandhaviśeṣe| upasaṃyatasya baddhasya| aśvasya ghoṭakasya, vaktraṃ mukhaṃ, tatra kavikā kaṭakaṃ, tatra badhnīyāt śalyamiti sambandhaḥ| enam aśvaṃ, kaśayā saṭṭayā, unnāmayanniti uccaiḥ kurvan| pakṣāntaramāha- dṛḍhāṃ vā vṛkṣaśākhāmityādi| avanamya namayitvā, tasyāmiti vṛkṣaśākhāyām| anye tu ‘dṛḍhāṃ’ ityasya sthāne ‘pañcāṅgī’ iti manyante; tatra pañcāṅgīṃ pañcabhiḥ śākhāntarairyutāṃ śākhāṃ vadanti| apare tu pañcāṅgīṃ plakṣāśvatthodumbaranyagrodhavetasānāmiti kathayanti| anye tvevaṃ paṭhanti ‘aśakyamevaṃ vā balavadbhiḥ suparigṛhītasya yantreṇa grāhayitvā śalyavāraṅgaṃ pravibhujya dhanurguṇairbaddhvaikato'śvavaktrakavike badhnīyāt, athainaṃ kaśayā tāḍayedyathonnāmayañchiro vegena śalyamuddharati, nāmitāyāṃ pañcāṅgyāṃ vṛkṣaśākhāyāṃ vā pūrvavadbaddhvoddharet’ iti||14||
adeśottuṇḍitamaṣṭhīlāśmamudgarāṇāmanyatamasya 22 prahāreṇa vicālya yathāmārgameva yantreṇa ||15||
kukṣyādyacchedanīyapradeśottuṇḍitānāmasthyādividaṣṭānāṃ yathāmārgāpaharaṇopāyaṃ darśayannāha- adeśetyādi| yathāmārgameva yantreṇeti ‘apaharet’ iti śeṣaḥ| ‘asthideśottuṇḍitaṃ’ ityanye paṭhanti||15||
vimṛditakarṇāni 23 karṇavantyanābādhakaradeśottuṇḍitāni purastādeva ||16||
karṇavatāmāharaṇaṃ ca darśayannāha- vimṛditetyādi| karṇavadyacchalyaṃ tadanābādhakarapradeśottuṇḍitaṃ yadā bhavati tadā vimṛditakarṇikaṃ kṛtvā, ko'rthaḥ? saṅkucitakarṇikaṃ kṛtvā, purastādeva ko'rthaḥ? agretane pradeśe eva, ‘ākarṣayet’ iti śeṣaḥ||16||
jātuṣe kaṇṭhāsakte kaṇṭhe nāḍīṃ praveśyāgnitaptāṃ ca śalākāṃ, tayā'vagṛhya śītābhiradbhiḥ pariṣicya sthirībhūtaṃ śalyamuddharet ||17||
jātuṣaśalyasya vidhānaṃ darśayannāha- jātuṣa ityādi| jātuṣe lākṣāmaye| kaṇṭhāsakte galalagne| nāḍīmiti tāmrādiracitanalikāṃ, sthirībhūtāmutpannagāḍhatām| śiśavo jātuṣaiḥ śalyaiḥ krīḍanti, te yadā pramādānnigilanti tadā'yaṃ vidhirveditavyaḥ| anye tu jātuṣāṇi sirādiṣveva gha(ja)ṭitāni manyante||17||
ajātuṣaṃ tu jatumadhūcchiṣṭapraliptayā śalākayā pūrvakalpenetyeke ||18||
ajātuṣe kaṇṭhāsakte vidhimāha- ajātuṣamityādi| jatu lākṣā, madhūcchiṣṭaṃ sikthakam, pūrvakalpeneti śītodakasthirībhūtamityarthaḥ||18||
asthiśalyamanyadvā tiryakkaṇṭhāsaktamavekṣya keśoṇḍukaṃ 24 dṛḍhaikadīrghasūtrabaddhaṃ dravabhaktopahitaṃ pāyayedākaṇṭhāt pūrṇakoṣṭhaṃ ca vāmayet, vamataśca śalyaikadeśasaktaṃ jñātvā sūtraṃ sahasā tvākṣipet; mṛdunā vā dantadhāvanakūrcakenāpaharet praṇudedvā'ntaḥ | kṣatakaṇṭhāya ca madhusarpiṣī leḍhuṃ prayacchettriphalācūrṇaṃ vā madhuśarkarāmiśram ||19||
asthyādiśalyasyātyantaṃ kaṇṭhāsaktasyāharaṇamuddiśannāha- asthiśalyamityādi| keśoṇḍukaṃ bālakṛtaṃ biṭukam| upahitaṃ sahitam| sahasā tvākṣipediti śalyanirgamanārtham| dantadhāvanakūrcakeneti dantadhāvanānāṃ karañjakādīnāṃ kuṭṭitāgraṃ kūrcakaṃ, tenāpaharedityarthaḥ| praṇudedvā'ntariti bahiranirgacchadantaḥ praṇudet praveśayedityarthaḥ| ‘keśondukaṃ’ ityādi kecit pāṭhaṃ paṭhanti| āhṛtakaṇṭhaśalyasya paścātkarma darśayannāha- kṣatakaṇṭhāyetyādi||19||
udakapūrṇodaramavākśirasamavapīḍayeddhunīyādvāmayedvā bhasmarāśau vā nikhanedāmukhāt ||20||
udakaṃ yadā'ntarniviṣṭaṃ jalamṛtādīnāmudare bhavati tadā tasyāpaharaṇopāyaṃ darśayannāha- udaketyādi| avākśirasamadhomukhīkṛtam, avapīḍayedudaraṃ, dhunīyāt kampayet, vāmayet gharṣaṇairavākśirasameva, nikhanet praveśayet, āmukhāditi mukhaparyantam||20||
grāsaśalye tu kaṇṭhāsakte niḥśaṅkamanavabuddhaṃ skandhe muṣṭinā'bhihanyāt, snehaṃ madyaṃ pānīyaṃ 25 vā pāyayet ||21||
kaṇṭhāsaktagrāsāharaṇopāyamāha- grāsaśalye ityādi| anavabuddhamiti ajñātaṃ yathā bhavati| abhihanyāditi prahāraṃ dadyādityarthaḥ||21||
bāhurajjulatāpāśaiḥ 26 kaṇṭhapīḍanādvāyuḥ prakupitaḥ śleṣmāṇaṃ kopayitvā sroto niruṇaddhi, lālāsrāvaṃ phenāgamanaṃ sañjñānāśaṃ cāpādayati; tamabhyajya saṃsvedya śirovirecanaṃ tasmai tīkṣṇaṃ vidadhyādrasaṃ ca vātaghnaṃ dadyāditi ||22||
bāhurajjavādipīḍitakaṇṭhaprakupitavāyuśleṣmāpaharaṇopāyamāha- bāhvityādi| pāśaśabdo bāhvādibhiḥ saha pratyekaṃ sambadhyate| kecidamuṃ pāṭhaṃ na paṭhanti||22||
bhavanti cātra- śalyākṛtiviśeṣāṃśca sthānānyāvekṣya buddhimān | tathā yantrapṛthaktvaṃ ca samyak śalyamathāharet ||23|| karṇavanti tu śalyāni duḥkhāhāryāṇi 27 yāni ca | ādadīta bhiṣak tasmāttāni yuktyā samāhitaḥ ||24|| etairupāyaiḥ śalyaṃ tu naiva niryātyate 28 yadi | matyā nipuṇayā vaidyo yantrayogaiśca nirharet ||25|| śothapākau rujaścogrāḥ kuryācchalyamanāhṛtam | vaikalyaṃ maraṇaṃ cāpi tasmādyatnādvinirharet ||26||
śalyākṛtīnāmānantyādanuktamapi kartavyaṃ darśayannāha- śalyākṛtītyādi| sthānāni śiro'kṣikarṇanāsāhṛdayādīni| karṇavatāṃ durāharatvaṃ darśayannāha- karṇavantītyādi| ādadīteti saṅgṛhṇīyādityarthaḥ| yuktyeti yogena, na tu hīnayogātiyogamithyāyogaiḥ| samāhitaḥ sāvadhānaḥ| avaśyaṃ nirharaṇīyasya śalyasyoktaiḥ prakārairanāharaṇe'nuktopāyamanuktayantrakaraṇasūtramuddiśannāha- etairityādi| naiva niryātyate yadīti naiva niṣkāsyate yadītyarthaḥ| matyā nipuṇayā vaidya iti matyā nipuṇayā svakarmaṇi pravīṇayā buddhyā yuktaḥ| yantrayogaiśca nirharediti yogaiḥ saṃyogaiḥ, yogaiśceti cakārādanuktaguṇādibandhanādi samuccīyate| śalyasyānāharaṇe doṣaṃ darśayannāha- śothapākāvityādi| amuṃ ślokaṃ kecidatra na paṭhanti, nyāyacandrikāyāṃ tu paṭhitatvādavaśyaṃ paṭhanīya eva||23-26||
iti suśrutasaṃhitāyāṃ sūtrasthāne śalyāpanayanīyo nāma saptaviṃśatitamo'dhyāyaḥ ||27||
iti śrīḍalha(hla)ṇaviracitāyāṃ nibandhasaṅgrahākhyāyāṃ suśrutavyākhyāyāṃ sūtrasthāne saptaviṃśatitamo'dhyāyaḥ||27||

pāṭhāntarāḥ

  1. 1 ‘pūrvādhyāyoktavidhinā jñātasya śalyasya nirharaṇārthaṃ śalyāpanayanīyo'bhidhīyate’ iti cakraḥ
  2. 2 ‘asthyādikhadaṣṭaṃ’ iti pā.
  3. 3 tāḍapatrapustake ‘nava hetūn vakṣyāmaḥ’ iti paṭhyate, tatra bhedanadāraṇapīḍanavamanavirecanaprakṣālanāni na paṭhyante| eṣāṃ vyākhyānagranthe (5 sūtre)'pi bhedanadāraṇapīḍanavamanavirecanaprakṣālanānāṃ vyākhyānaṃ na paṭhyate tāḍapatrapustake| ‘bhedanadāraṇapīḍanavamanavirecanaprakṣālanāni pratikṣipyāvaśiṣṭāni ye paṭhanti teṣāṃ bhedanadāraṇe pācanottarakarmatayā pācane, pīḍanaṃ pramārjane, vamanaṃ pratimarśe, virecanaṃ pravāhaṇaṃ prakṣālanaṃ ca pariṣeke (pramārjane)'ntarmāvanīyam’ iti cakraḥ
  4. 4 ‘akṣiśalyāni akṣigataśalyāni| pravāhaṇam adhaḥpreraṇam’ iti cakraḥ
  5. 5 ‘pariṣecanopadhamanaiḥ’ iti tāḍapatrapustake pāṭhaḥ
  6. 6 ‘āhāraśeṣaṃ kaṇṭhagataṃ śleṣasiṅghāṇakaṃ niśvāsotkāsanābhyāṃ nirdhamet, etannirdhamanaṃ nāma| annaśalyāni vamanāṅgulisparśanaprabhṛtibhiḥ prabhṛjyoddharet, eṣa pratimarśo nāma’ iti tāḍapatrapustake pāṭhaḥ
  7. 7 ‘virecanairvā pravāhaṇenoddharet, etatpravāhaṇaṃ nāma’ iti tāḍapatrapustake pāṭhaḥ
  8. 8 ‘yathā śalyaṃ praviṣṭaṃ tenāhriyamāṇaṃ pratilomaṃ, parāmukhenāhriyamāṇamanulomam| pratilomaviṣayo'rvācīnaṃ nātidūrapraviṣṭaṃ, tatpraveśamārgeṇaivāharaṇīyam, evaṃ ca pratilomāharaṇaṃ bhavati| parācīnaṃ tu parānirgatamukhaṃ tanmukhenaivāhartavyaṃ, tathā cānulomaṃ bhavati, tasya punaḥ praveśamārgeṇānayanena sthūlaśalyāgreṇa punarbahudeśaghaṭṭanaṃ bhavatītyabhiprāyaḥ| anirgatamukhamapi yathā'nulomaṃ parācīnamāhriyate tadāha- uttuṇḍitamityādi| chedanīyamukhaṃ chedanārhadeśamukham| etacca chedayitvā''haraṇaṃ karṇavataḥ śalyasya jñeyam| taddhi praveśamārgeṇāhriyamāṇaṃ bahuśarīrapradeśaṃ karṇāvaṣṭabdhaṃ hinasti, tena parāgbhāgameva stokaṃ chedayitvā nirhriyate, tena karṇavataḥ śalyasyālpopaghātena nirgamo bhavati| yāni tvakarṇavanti parānirgatamukhāni tāni chedanīyamukhānyapi praveśamārgeṇaiva pratilomaṃ hartavyāni’ iti cakraḥ
  9. 9 ‘nahyarvācīnaṃ nāmottuṇḍitaṃ kvacidapi pratilomamāhartuṃ yujyate, nāpi cātidīrghaṃ tadanulomaṃ chedānubandhena saṅgharṣaprakarṣeṇa cāśaṅkitatvāt, tadidamucyate uttuṇḍitamiti| uttuṇḍitamudgatakaṇṭakācitamukhaṃ, chidyate'neneti kṛtyalyuṭorbāhulyācchedanīyaṃ dhārā mukhe yasyeti chedanīyamukhaṃ, tātparyādarvācīnaṃ śalyaṃ chittvā nirghātayedānulomyenāharaṇārthaṃ parācīnaṃ kartumiti śeṣaḥ| atra chittveti śalyadairghyapariṇāhasaṅgharṣakṛtopatāpaśaṅkājihāsārthamidaṃ chedanaṃ tāvatyaṃśe kartavyaṃ yāvatyaṃśe chinne sukhaṃ śalyaṃ parācīnaṃ bhavitumarhatīti sudhiyo manyante| na ca vidhirayaṃ sarvatra sāmprataṃ bhavatītyata āha- chedanīyetyādi| apiśabdaḥ pūrvapakṣavyāvṛttyarthaḥ| hastaśakyamiti kriyāviśeṣaṇaṃ| kukṣyādyantarapatitāni kukṣyādimadhyapatitāni kukṣyādiṣvarvācīnānīti yāvat, cakārāduttuṇḍitāni śalyāni chedanīyamukhāni dhārāmukhānyapi, yathāmārgaṃ pratilomaṃ hastenaivāpahartuṃ yateteti samanvayaḥ’ iti hārāṇacandraḥ| ‘apanayet’ iti pā.
  10. 10 ‘uttuṇḍitaṃ śalyaṃ budbudavadabhimukhībhūtam’ iti aruṇadattaḥ
  11. 11 ‘karṇavato'pyacchedyamukhasya pratilomaṃ praveśamārgeṇaivāharaṇamāha- acchedanīyamukhānyapītyādi| eteṣāṃ mukhacchede mahatī vyāpanmaraṇaṃ vā bhavati| tena praveśamārgeṇaiva karṇamardanaṃ kṛtvā yantreṇa vā karṇaṃ yantrayitvā chedanīyaṃ| pracchedanaṃ ca kṛtvā pratilomameva haraṇamatretyarthaḥ’ iti cakraḥ
  12. 12 ‘…chedanirghātyāharaṇīyāni’ iti pā.
  13. 13 ‘śalyāpaharaṇaṃ hastenaiva yathāyogyatayā prāyaḥ kartavyaṃ, tenāśakye yantreṇetyāha- hastenetyādi| viśasyeti yantrapraveśanirodhakaṃ pradeśaṃ śastreṇa chittvā’ iti cakraḥ
  14. 14 ‘vimṛṣya śastreṇa vā’ iti pā.
  15. 15 ‘athāharet karaprāpyaṃ kareṇaivetarat punaḥ| dṛśyaṃ siṃhāhimakaravarmikarkaṭakānanaiḥ|| adṛśyaṃ vraṇasaṃsthānādgrahītuṃ śakyate yataḥ| kaṅkabhṛṅgāhvakuraraśarārivāyasānanaiḥ|| adṛśyaṃ vraṇasaṃsthānādgrahītuṃ śakyate yataḥ| kaṅkabhṛṅgāhvakuraraśarārivāyasānanaiḥ|| sandaṃśābhyāṃ tvagādisthaṃ tālābhyāṃ suśiraṃ haret| suśirasthaṃ tu nalakaiḥ śeṣaṃ śeṣairyathāyatham’ (vā. sū. a. 28)
  16. 16 ‘marmasaṃrakṣaṇaṃ pānīyaghṛtābhyaṅgatarpaṇādinā’ iti cakraḥ
  17. 17 ‘svedārhaṃ saṃsvedya, agninā avadahya, ghṛtena tarpayitveti yojyam| atrātisrutaraktā ghṛtatarpaṇīyāḥ| tatra bhojaḥ- “agnikṛtyā vraṇā ye tu teṣvagnimavacārayet| svedayetsaktupiṇḍībhiḥ svedakṛtyān samantataḥ|| tarpayettarpaṇīyāṃśca sukhoṣṇena ca sarpiṣā’ iti
  18. 18 ‘rudhiravarjitam’ iti pā.
  19. 19 ‘hṛdayabhita iti hṛdayasamīpe pārśve ityarthaḥ| hṛdayodvejanaṃ ca śalyakāryapīḍāparijñānārthamityeke| hṛdayodvejanena līnasya yantrasya sambandho na bhavatītyarthaḥ| yathāmārgeṇa durupaharaṃ chedena mukhaṃ viśālaṃ kṛtvā haraṇīyam| tatra tathā chedanaṃ kartavyaṃ yathā sirādikṣaṇanenānyadeśāpabādho na bhavati’ iti cakraḥ
  20. 20 ‘vāraṅgaṃ śastrādimayasya śalyasya śikhākāraṃ’ ityaruṇadattaḥ| ‘vāraṅgaṃ śastramastake śikhākāro'vayavaḥ’ iti hemādriḥ
  21. 21 ‘pañcāṅgyā pañcānāmaṅgānāṃ caturṇāṃ pādānāṃ mukhasahitānāṃ samāhāraḥ pañcāṅgī bandhaviśeṣaḥ, tayā pañcāṅgyā baddhasya’ iti aruṇadattaḥ
  22. 22 ‘adeśottuṇḍitamiti pakṣe acchedanīyadeśottuṇḍitamityarthaḥ| asthideśottuṇḍitamityanye| tatrāsthirotho'sthyuttuṇḍitatvam’ iti cakraḥ
  23. 23 ‘vimṛditakarṇāni karṇavantītyacchedanīyamukhapatitāni| chedanīyamukhe tu deśe karṇavatāmanulomameva chedayitvā''haraṇamāha- anābādhākaretyādi’ iti cakraḥ
  24. 24 ‘keśānāṃ samūhaḥ keśondukam’ iti aruṇadattaḥ| ‘keśondukaḥ keśapuñjaḥ’ iti hemādriḥ| ‘uṇḍukaṃ nāma viśeṣeṇa prasādakiṭṭataḥ pariṇāmimalāśrayaḥ sthūlakṣudrāntrayorantarālastho golaḥ, vakṣyati ca- ‘uṇḍukasthaṃ vibhajate malaṃ maladharā kalā’ iti, tathā ca keśo'yamuṇḍukamiveti keśoṇḍukaṃ ‘paruṣavyāghraḥ’ iti vat| ‘upamitaṃ vyāghrādibhiḥ sāmānyaprayoge’ iti pūrvanipātaḥ ‘keśaguḍaka’ iti niṣkarṣaḥ’ iti hārāṇacandraḥ
  25. 25 ‘snehaṃ sukhodakaṃ vā’ iti tāḍapatrapustake pāṭhaḥ
  26. 26 ‘pāśaśalye tu’ iti pā.
  27. 27 ‘duḥkhānyāharaṇe viduḥ’ iti pā.
  28. 28 ‘nirhāryate’ iti pā.