Trividha karma in surgical practice- a conceptual study
Journal name: World Journal of Pharmaceutical Research
Original article title: Trividha karma in surgical practice- a conceptual study
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Dr. Vaibhavi Anupam Alman and Dr. Neha Kishore Mayekar
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Trividha karma in surgical practice- a conceptual study
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr202216-26081
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Summary of article contents:
Introduction
Ayurveda is an ancient system of medicine that emphasizes harmonious living with nature. Within this framework, various treatment methods are documented, among which Shastra Chikitsa stands out as pivotal in surgical practice. A vital aspect of surgical practice in Ayurveda, as described by Acharya Sushruta, is the concept of Trividha Karma, which encompasses three stages: Purva Karma (pre-operative management), Pradhan Karma (the main surgical procedure), and Paschat Karma (post-operative care). This concept is essential for ensuring a systematic approach to surgical procedures and is foundational to successful surgical outcomes.
Pre-Operative Management: Purva Karma
Purva Karma refers to the preparatory processes undertaken before surgery. It includes a comprehensive assessment of the patient’s condition, ensuring proper examination and evaluation to rule out any underlying complications. Acharya Sushruta emphasized the importance of patient examination, including various diagnostic techniques, dietary management, and ensuring the patient’s vital functions are stable before the procedure. Important preparations also involve ensuring that all necessary surgical instruments are available, and the operation theatre is appropriately sterilized. This holistic approach to pre-operative care is essential for minimizing risks associated with surgical interventions.
Main Surgical Procedure: Pradhan Karma
Pradhan Karma signifies the actual surgical operation, which involves applying the eight key surgical techniques outlined by Sushruta. These techniques include Chhedhana (excision), Bhedhana (incision), and others tailored to address various medical conditions. For instance, Chhedhana is indicated for surgeries related to fistulas or keloids, while Bhedhana is primarily used for abscesses. The mastery of these techniques is crucial for the surgeon to perform effective surgical interventions. The emphasis on preparation and knowledge of surgical methods underscores the importance of skilled practice in achieving successful patient outcomes.
Post-Operative Care: Paschat Karma
Paschat Karma focuses on the care provided after the surgical procedure has been completed. This phase involves meticulous monitoring of the patient’s recovery, including wound care and the management of post-operative pain. Sushruta advised on bandaging techniques and the timing for changing dressings, stressing the importance of hygiene and proper care to promote healing. Nutritional management is also vital at this stage, with specific dietary recommendations to aid recovery. The avoidance of certain substances, such as alcohol, is emphasized to prevent complications and ensure a smooth healing process.
Conclusion
The Trividha Karma framework as articulated by Acharya Sushruta provides a comprehensive guideline for managing surgical procedures in Ayurveda. By meticulously addressing the pre-operative, operative, and post-operative phases, healthcare practitioners can significantly enhance patient care and outcomes. This systematic approach is not only beneficial for students studying surgery but also serves as a reminder of the timeless wisdom contained within Ayurvedic practice. Adhering to the principles laid out by Sushruta can lead to successful surgeries while minimizing complications, demonstrating the relevance of ancient practices in modern healthcare.
FAQ section (important questions/answers):
What is Trividha Karma in Ayurvedic surgical practice?
Trividha Karma consists of three stages: Purva Karma (pre-operative care), Pradhan Karma (surgical procedure), and Paschat Karma (post-operative care), essential for ensuring successful surgeries.
What does Purva Karma entail before surgery?
Purva Karma involves patient assessment, necessary examinations, preparation of instruments, dietary advice, and ensuring the patient’s vital signs are stable before surgery.
What are the components of Pradhan Karma?
Pradhan Karma involves various surgical techniques like chhedana (excision) and bhedana (incision), where the surgeon performs the actual surgical procedure.
What care is required during Paschat Karma post-surgery?
After surgery, Paschat Karma focuses on meticulous wound care, monitoring recovery, dietary restrictions, and ensuring appropriate healing practices are followed for optimal recovery.
Who is considered the father of surgery in Ayurveda?
Acharya Sushruta is regarded as the father of surgery in Ayurveda, known for his comprehensive surgical practices detailed in the Sushruta Samhita.
Why is Trividha Karma important in surgical practice?
Trividha Karma ensures systematic management before, during, and after surgery, thereby enhancing patient safety and reducing complications.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Trividha karma in surgical practice- a conceptual study”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Karma (Karman):
Karma in Ayurveda refers to actions or processes that contribute to healing, deeply rooted in the holistic principles of life. In the context of surgical practice, it encompasses pre-operative (Purva karma), operative (Pradhan Karma), and post-operative (Paschat Karma) measures, all aimed at ensuring patient well-being and successful surgical outcomes.
2) Shastra (Sastra):
Shastras refer collectively to the texts of knowledge that guide various disciplines in Ayurveda. These texts are crucial for practitioners to access foundational knowledge on surgical procedures, principles, and patient care, enhancing the effectiveness of their practice.
3) Pradhan:
Pradhan translates to 'main' or 'primary' and in the context of surgery refers to the main operation procedure. This part is crucial in the Trividha Karma framework, focusing on the execution of surgical techniques like excision or suturing, which are vital for treating various medical conditions.
4) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine from India that emphasizes balance in the body, mind, and spirit for optimal health. With a comprehensive approach to diagnosis and treatment, Ayurveda integrates various practices, including surgery through Shalya Tantra, to promote healing and well-being.
5) Paschat-karma:
Paschat-karma refers to post-operative care in Ayurvedic surgical practice. It involves meticulous management of the patient’s recovery after surgery, including wound care and dietary recommendations, crucial for preventing complications and promoting healing, highlighting the holistic approach Ayurveda takes in surgical recovery.
6) Tantra (Tantrism, Tamtra):
Tantra is often associated with a system of principles and practices within Ayurveda, particularly in surgical disciplines. It refers to a branch that deals with specific tasks, including surgical techniques and instruments, ensuring that procedures are conducted according to established standards and traditions enhancing efficacy.
7) Yantra (Yamtra):
Yantra means 'instrument' or 'device' in Ayurveda, particularly in surgical contexts. It refers to the various tools and equipment used in surgical procedures, emphasizing the importance of proper instruments in successful operations. Knowledge of Yantra is essential for a surgeon in ensuring precision and safety.
8) Shalya (Salya):
Shalya translates to 'surgery' and represents one of the eight branches of Ayurveda. It focuses on surgical procedures, understanding diseases, and their surgical interventions, highlighting the importance of surgical knowledge in promoting health and managing diseases effectively.
9) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is a state in India known for its rich cultural heritage and history. In the context of this study, it serves as the geographical background of the authors, emphasizing the regional practices of Ayurvedic surgery prevalent in that area, contributing to the overall understanding of Ayurvedic principles.
10) Samhita:
Samhita refers to a collection or compilation of verses or knowledge in Sanskrit. In Ayurvedic literature, it often denotes classical texts like Sushruta Samhita, which serve as fundamental sources of surgical knowledge, techniques, and practices, guiding practitioners in their medical interventions.
11) Lekhana:
Lekhana refers to the surgical process of scraping and is one of the eight essential procedures outlined in Sushruta Samhita. It is vital for treating conditions like uvulitis and addresses tissue management, highlighting the significance of specific surgical techniques in addressing various health issues.
12) Disease:
Diseases in Ayurveda are viewed as imbalances in the body's doshas. Understanding this concept is essential for Ayurvedic practitioners, guiding them in creating tailored treatment plans that address both the symptoms and underlying causes of health issues.
13) Esana (Eshana):
Eshana means probing and is a specific surgical technique utilized to detect foreign bodies or assess wounds. It illustrates the detailed surgical practices outlined in Ayurveda, emphasizing diagnostic precision before administering treatment to ensure effective patient care.
14) Vrana:
Vrana translates to 'wound' in Ayurveda and is a crucial focus in surgical practices. Understanding the types and healing processes of wounds directly impacts the chosen management strategies, demonstrating the need for comprehensive knowledge in treating surgical complications.
15) Diet:
Diet in Ayurveda is essential for maintaining balance and facilitating healing. Specific dietary recommendations are given pre and post-surgery to promote recovery, with an emphasis on the quality of foods consumed, aligning dietary practices with holistic health principles.
16) Post:
Post refers to the phase following an event. In medical procedures, particularly surgery, post-operative care is vital. It includes monitoring recovery and managing pain or complications to ensure optimal healing and prevent adverse outcomes.
17) Sushruta-samhita (Susruta-samhita):
Sushruta-samhita is one of the ancient texts of Ayurveda, credited to Acharya Sushruta, the father of surgery. It serves as a foundational source of surgical techniques, principles, and ethics, guiding practitioners in effective surgical interventions and patient care.
18) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra is a branch of Ayurvedic practice focused specifically on surgery. It involves not only surgical techniques but also a comprehensive understanding of patient care, emphasizing the importance of surgical intervention within the broader Ayurvedic healthcare system.
19) Mudhagarbha (Mudha-garbha):
Mudhagarbha refers to an obstructed fetus in Ayurveda. Understanding conditions like Mudhagarbha is crucial in surgical practices related to obstetrics, illustrating the profound connection between Ayurvedic medical knowledge and surgical interventions required for managing complications.
20) Purvakarma (Purva-karman, Purvakarman):
Purvakarma represents the pre-operative phase in Ayurvedic surgery, focusing on patient preparation and assessment before surgical intervention. This vital stage determines the surgical approach's success and emphasizes the importance of thorough pre-operative procedures.
21) Ratnagiri (Ratna-giri):
Ratnagiri is a coastal district in Maharashtra, India. It serves as the location context for the authors of this study and may influence regional practices and perspectives in Ayurvedic surgery, contributing to the cultural context of medical methodologies discussed.
22) Vidradhi:
Vidradhi translates to 'abscess' in Ayurveda and is a condition that may require surgical intervention. Understanding its characteristics and proper management is critical for practitioners, influencing decisions on necessary surgical techniques and overall patient care.
23) Pariksha (Pariksa):
Pariksha means 'examination' in Sanskrit, highlighting the importance of assessment in Ayurvedic practices. Thorough examination processes are emphasized to ensure accurate diagnoses and effective treatment plans, aligning with the holistic approach integral to Ayurveda.
24) Medicine:
Medicine in Ayurveda encompasses the holistic system of healing, not only focusing on surgical interventions but integrating herbal remedies, lifestyle changes, and dietary adjustments. It reflects the comprehensive nature of Ayurvedic healing practices aimed at restoring balance and health.
25) Dressing:
Dressing refers to the application of protective coverings on wounds post-surgery. Proper dressing techniques are vital in preventing infections and promoting healing, underscoring the importance of meticulous postoperative care in Ayurvedic surgical practices.
26) Incision:
Incision refers to the surgical act of cutting into the body. It is a fundamental component of various surgical procedures outlined in Ayurveda, emphasizing the need for precise techniques to minimize complications and enhance recovery.
27) Vedhana:
Vedhana refers to the procedure of puncturing, often used in Ayurveda for therapeutic purposes like bloodletting. Understanding Vedhana is essential for practitioners to employ this technique safely and effectively when needed in various medical treatments.
28) Dravya:
Dravya means 'material' or 'substance' and is used in Ayurvedic medicine to denote various healing agents, including herbs, minerals, and formulated preparations. Understanding Dravya selection is essential for effective treatment in both surgical and Ayurvedic practices.
29) Vaidya:
Vaidya refers to a physician or healer in Ayurveda. Their knowledge and expertise in diagnosing, treating, and managing patients are essential, integrating surgical techniques with a holistic understanding of health and wellness in practice.
30) Purva:
Purva means 'prior' or 'pre.' In surgical practice, Purva-karma refers to essential preoperative steps that prepare the patient both physically and mentally, ensuring safety and readiness for the surgical procedure.
31) Arshas (Arsa, Arsas, Arsha):
Arshas refers to hemorrhoids in Ayurvedic terminology. Understanding the conditions associated with Arshas is critical for practitioners in determining appropriate surgical interventions, emphasizing the surgical knowledge present in ancient Ayurvedic texts.
32) Study (Studying):
Studying refers to the pursuit of knowledge, particularly in the context of Ayurvedic practices. Continuous education for practitioners is essential to stay abreast of surgical techniques, treatment protocols, and holistic healing methodologies to deliver effective patient care.
33) Antra Vriddhi:
Antra Vriddhi refers to hernias in Ayurvedic terminology. Understanding this condition is essential for surgical practitioners, as it often requires specific surgical interventions, demonstrating the relevance of traditional knowledge in addressing contemporary medical challenges.
34) Bitter gourd:
Bitter gourd (Karela) is a vegetable recognized in Ayurveda for its medicinal properties, especially in managing diabetes and digestive health. Its therapeutic benefits highlight Ayurveda's emphasis on diet as a crucial aspect of treatment and health maintenance.
35) Pradhana-karma:
Pradhana-karma refers to the main surgical procedures carried out in the operative phase. This critical aspect of the Trividha Karma framework emphasizes the importance of precision and defined techniques to ensure effective surgical outcomes.
36) Agantujavrana (Agantuja-vrana):
Agantuja-vrana refers to wounds caused by external factors, such as injuries or trauma. Understanding these wounds is crucial for Ayurvedic practitioners to apply appropriate treatment protocols and surgical interventions effectively.
37) Antravriddhi (Antravrddhi, Antra-vriddhi, Amtravriddhi):
Antra-vriddhi translates to 'internal growths' or hernias in Ayurvedic practice. Recognizing and addressing this condition through surgical intervention is essential, showcasing the integration of classical knowledge into modern therapeutic practices.
38) Yashtimadhu (Yastimadhu, Yashti-madhu):
Yashtimadhu (Licorice) is an herb used in Ayurveda renowned for its soothing properties, particularly in gastrointestinal health. Its application in managing postoperative pain highlights the role of herbal medicine in complementing surgical care.
39) Worshipping (Worshiping):
Worshipping in the context of surgery reflects the cultural practices surrounding medical procedures in Ayurveda. It signifies the importance of spiritual rituals performed to seek blessings for successful outcomes and the holistic integration of spirituality in health care.
40) Bhagandara (Bhagamdara):
Bhagandara refers to a specific condition known as fistula-in-ano in Ayurvedic terms. Understanding this condition is critical for performing appropriate surgical procedures and showcases Ayurveda's detailed documentation of various medical conditions.
41) Nimbapatra (Nimba-patra):
Nimbapatra (Neem leaves) are well-regarded in Ayurveda for their medicinal properties, particularly in wound healing and purifying blood. Their use illustrates the integration of herbal knowledge in managing surgical care and post-operative wellness.
42) Discussion:
Discussion in the context of academic writing refers to the analysis and interpretation of researched content. In Ayurveda, it underscores the importance of critically examining concepts like Trividha Karma for enhancing understanding and improving surgical practices.
43) Samtarpana (Santarpana):
Santarpana refers to nourishment or supportive therapy in Ayurveda. It emphasizes the importance of providing the body with essential nutrients, especially during recovery post-surgery, aligning with Ayurvedic principles of maintaining balance and health.
44) Mukharoga (Mukha-roga):
Mukharoga refers to oral diseases in Ayurveda. Understanding these conditions allows practitioners to identify and treat associated complications, showcasing the holistic nature of Ayurvedic treatment, including responding to intraoperative and postoperative health concerns.
45) Shadvidha (Sadvidha, Shash-vidha):
Shadvidha pertains to the six types of examination methods in Ayurveda. These methods are integral for accurate diagnosis and treatment planning, underscoring the comprehensive approach required in Ayurvedic practices to ensure effective health management.
46) Trembling (Tremble, Trembled):
Trembling can indicate anxiety or fear, particularly related to surgical procedures. Understanding patient psychology is essential for Ayurvedic practitioners to support their mental well-being, emphasizing the significance of holistic care that includes emotional and psychological aspects.
47) Pradhana:
Pradhana means 'chief' or 'primary.' In surgical language, it relates to the main procedure, which is vital for achieving desired health outcomes. Understanding its significance is crucial for Ayurvedic surgeons in executing complex surgical interventions.
48) Rasayana (Rasa-ayana):
Rasayana refers to rejuvenation therapy in Ayurveda. It focuses on promoting longevity and vitality, highlighting the complementary role of preventive care alongside surgical interventions in maintaining overall health and wellness.
49) Agantuja (Agantu-ja):
Agantuja pertains to conditions resulting from external causes, such as accidents or injuries. Understanding this concept is crucial for Ayurvedic practitioners to develop effective treatment protocols that may include surgical intervention and post-surgical care.
50) Sharkara (Sarkara):
Sharkara, or sugar, is acknowledged in Ayurveda for its various health benefits. It plays a role in dietary recommendations for patients, illustrating the importance of nutrition in recovery and healing processes within the Ayurvedic framework.
51) Sweating (Sweat):
Sweating can indicate various physiological responses, including anxiety or a body's reaction to pain. In the context of Ayurveda, understanding these responses is essential to address patient comfort and provide holistic care during surgical procedures.
52) Bhedana:
Bhedana refers to the surgical procedure of incision, an essential technique for initiating treatment in various abscesses and conditions. This practice emphasizes the importance of precise surgical actions required for effective interventions within Ayurvedic surgery.
53) Jangala (Jamgala):
Jangala refers to specific regions or terrains impacting health in Ayurveda. Understanding environmental factors can guide practitioners in making effective treatment decisions, emphasizing the integration of geographic and contextual health considerations into therapeutic practices.
54) Jalauka:
Jalauka (leeches) are utilized in Ayurvedic practices for their therapeutic bloodletting capabilities. Their application showcases the innovative techniques rooted in Ayurveda that provide alternatives for managing various medical conditions, especially in surgical contexts.
55) Apathya:
Apathya signifies food or behavior contraindicated to promote health. Recognizing Apathya is crucial for practitioners in advising patients accordingly, especially in postoperative scenarios, ensuring dietary practices align with Ayurvedic healing principles.
56) Ashmari (Asmari):
Ashmari refers to kidney stones in Ayurveda. Understanding such conditions is vital for practitioners since they may necessitate specific surgical interventions, showcasing Ayurveda's extensive documentation of various ailments and their corresponding treatments.
57) Salaka (Shalaka):
Shalaka refers to specific surgical instruments in Ayurveda used for various procedures. Knowledge of Shalaka is essential for practitioners to ensure the right tools are utilized, enhancing procedural efficacy and ensuring patient safety during operations.
58) Vriddhi (Vrddhi):
Vriddhi translates to 'growth' or 'increase' and is often used in diagnosing conditions related to abnormal growths, such as tumors or hernias. Understanding Vriddhi is crucial for surgical practitioners to address these conditions effectively.
59) Leprosy:
Leprosy, known as Kushta in Ayurveda, is a chronic infectious disease. Understanding this condition helps practitioners in managing its complexities and necessitates specific considerations within surgical and holistic care approaches in Ayurvedic practice.
60) Bandha (Bamdha):
Bandha refers to tying or bandaging in Ayurvedic surgical practices. This concept emphasizes the importance of proper dressing techniques in wound care post-surgery, focusing on prevention of infection and support for healing processes.
61) Pathya:
Pathya signifies wholesome foods or practices beneficial for health. In Ayurveda, it represents the dietary guidelines that support healing, particularly post-surgical recovery, reinforcing the holistic approach towards nutrition and lifestyle in promoting well-being.
62) Nashik:
Nashik is a city in Maharashtra, India. Its cultural and historical context may influence local Ayurvedic practices, reflecting the integration of regional traditions and methodologies in the broader understanding of Ayurvedic medicine and surgery.
63) Vilepi:
Vilepi refers to a specific paste or application used in Ayurvedic treatments to aid healing. Its application underscores the role of traditional remedies in patient care, reflecting the synergetic relationship between herbal medicine and surgical interventions.
64) Satra (Shatra, Satranilaya):
Shatra refers to injuries or wounds in the context of Ayurveda. Understanding this concept is essential for effective treatment planning during surgical procedures, emphasizing the focus on careful patient management to ensure optimal healing.
65) Mandal:
Mandal relates to specific regions of the body or health impacts stemming from environmental factors. Understanding Mandal is vital for practitioners in assessing patient health within varied geographical and environmental contexts.
66) Bitter:
Bitter refers to the taste profile of certain herbs and foods significant in Ayurveda. Bitter flavors are considered essential for balancing bodily doshas and promoting digestion, illustrating the dietary philosophies integral to Ayurvedic practice.
67) Nature:
Nature plays a central role in Ayurvedic philosophy, emphasizing the connection between individuals and their environment. This relationship is essential for maintaining health and balancing doshas, reinforcing the need for practitioners to consider natural elements in treatment plans.
68) Summer:
Summer is a season that significantly influences Ayurvedic health practices and dietary recommendations. Practitioners must adjust treatments and lifestyle advice according to the seasonal changes to maintain balance and health within the body.
69) Seat (Seated):
Seated refers to the position of the patient during surgeries or examinations. Proper positioning is critical in surgical settings to ensure safety and comfort, reflecting the meticulous care given during Ayurvedic procedures.
70) Carman (Carma):
Charma refers to skin in Ayurveda. Understanding skin conditions is vital for practitioners, especially in surgical contexts, where skin integrity and its healing processes must be prioritized in treatment planning.
71) Pulse:
Pulse examines the heart rate and rhythm, regarded as an essential diagnostic tool in Ayurveda. Understanding pulse characteristics aids practitioners in assessing health status and making informed treatment decisions.
72) Civan:
Seevan denotes the suturing process in surgical interventions. This technique is essential for wound closure and healing, underscoring the skill required in executing proper surgical procedures and enhancing patient recovery.
73) Danta (Damta):
Danta refers to teeth in Ayurveda. Understanding dental conditions and their surgical management is important, as oral health directly affects overall well-being, necessitating comprehensive approaches in Ayurvedic care.
74) Tithi:
Tithi refers to the lunar day in the Hindu calendar, significant in determining auspicious timings for surgeries and rituals in Ayurvedic practice. Understanding Tithi is important for aligning surgical procedures with favorable cosmic energies.
75) Vidhi:
Vidhi refers to 'method' or 'procedure' within Ayurveda. It encompasses documented techniques for performing various medical practices, ensuring that treatments are carried out systematically and effectively, adhering to traditional guidelines.
[Note: The above list is limited to 75. Total glossary definitions available: 103]
Other Science Concepts:
Discover the significance of concepts within the article: ‘Trividha karma in surgical practice- a conceptual study’. Further sources in the context of Science might help you critically compare this page with similair documents:
Sushruta-samhita, Shastrakarma, Shalyatantra, Paschat-karma, Purvakarma, Importance of diet, Post-operative care, Trividha Karma, Pradhan Karma, Ayurvedic classic, Patient Examination, Suturing technique, Pre-operative management, Bandaging technique.
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