A short review on different techniques of sivankarma in ayurveda

| Posted in: Science

Journal name: World Journal of Pharmaceutical Research
Original article title: A short review on different techniques of sivankarma in ayurveda
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.
This page presents a generated summary with additional references; See source (below) for actual content.

Original source:

This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.

Author:

Dr. Awasthi Suhas and Dr. Bendre Deepika


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: A short review on different techniques of sivankarma in ayurveda

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20235-27617

Copyright (license): WJPR: All rights reserved


Download the PDF file of the original publication


Summary of article contents:

Introduction

Ayurveda, the ancient Indian system of medicine, is renowned for its comprehensive approach to healing and surgery, with significant contributions from prominent figures such as Acharya Sushruta, regarded as the "father of surgery." The text discusses a specific aspect of Ayurvedic surgical practices known as 'Sivana Karma' or suturing, explaining its importance in modern surgical techniques. This review article aims to explore the concepts and methodologies surrounding suturing within Ayurvedic tradition and how these align with contemporary practices.

The Significance of Suturing (Sivana Karma)

Sivana Karma, or suturing, is highlighted as a critical procedure in surgical practices that directly influences the success of surgical interventions. Acharya Sushruta elaborated on different methods of suturing within his classical texts, differentiating between ancient and modern techniques. He emphasized that proper suturing is essential for wound approximation and healing; incorrect techniques could lead to complications such as delayed healing, infection, and excessive scarring. Hence, precise suturing techniques are vital for optimal postoperative recovery.

Methods of Wound Closure

Sushruta Samhita describes four distinct methods of suturing, each tailored to specific types of wounds: Vellitaka (continuous type), Gophanika (interlocking type), Tunnasevani (zigzag or subcuticular), and Riju granthi (straight and interrupted type). Each technique serves a purpose, whether for maintaining the alignment of the wound edges or reducing tension, which can hinder healing. Understanding these techniques provides insights into the evolution and intricacies of surgical practices over time.

Considerations for Suturing

Before performing suturing, several considerations must be taken into account. The wound should be thoroughly cleaned to reduce the risk of infection. Acharya Sushruta insisted on removing foreign materials and ensuring hemostasis to create an optimal healing environment. The acceptance of the principles laid out by Ayurveda demonstrates an intrinsic understanding of wound healing, involving meticulous preparation before suturing, which is echoed in modern surgical practices as well.

Conclusion

The ancient principles of suturing articulated by Sushruta represent a profound understanding of surgical techniques that continue to resonate in modern medicine. This review illustrates that Ayurveda not only incorporated extensive knowledge regarding the various suturing techniques and materials but also established foundational concepts that modern-day surgeries still employ. The relationship between ancient wisdom and contemporary practices underscores the enduring relevance of Ayurveda in modern healthcare, highlighting the need for a continued dialogue between traditional and modern medical systems.

FAQ section (important questions/answers):

What is Sivana Karma in Ayurveda?

Sivana Karma, also known as suturing, is a crucial surgical procedure in Ayurveda aimed at closing wounds and facilitating healing. Established by Acharya Sushruta, it emphasizes proper tissue approximation to ensure successful wounds closure.

What are the types of suturing techniques described?

Four types of suturing techniques mentioned in Ayurvedic texts include Vellitaka (continuous), Gophanika (interlocking), Tunnasevani (zigzag), and Riju granthi (straight interrupted). Each technique is used based on the wound shape and healing needs.

What materials were used for suturing in ancient Ayurveda?

Ancient Ayurvedic texts describe various suturing materials including threads from plants, animal tendons, and even live ants for stapling. Materials were chosen based on absorbability and suitability for different surgical needs.

What are the contraindications for suturing wounds?

Contraindications for suturing include contaminated wounds, diabetic ulcers, and gangrenous tissues. Suturing should only be performed when the wound environment is clean and healthy to avoid complications and infections.

What are the benefits of suturing a wound?

Suturing offers significant benefits including preventing hemorrhage, minimizing contamination, promoting healing, and reducing scar formation. It also aids in relieving pain during the healing process.

What complications can arise from improper suturing?

Improper suturing can lead to complications like wound dehiscence or tension sutures, resulting in pain. It is essential to place sutures accurately relative to the wound margins to prevent such issues.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “A short review on different techniques of sivankarma in ayurveda”. 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):
In the context of Ayurveda, 'Karma' refers to actions or procedures. It embodies the philosophical principles underlying Ayurvedic practices, wherein each Karma is performed with the intent of healing and balancing the body's doshas. The surgical procedures outlined in Ayurveda, including suturing, are essential to restoring health.

2) Bleeding:
The phrase 'The Bleeding' highlights the critical nature of managing blood loss during surgical procedures. Controlling bleeding is integral to successful surgeries, and Ayurvedic texts discuss methods such as ligation and suturing to prevent excessive blood loss and ensure proper healing.

3) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine focused on holistic healing and maintaining wellness. It integrates healing practices, herbal remedies, and surgical techniques, as mentioned in texts like Sushruta Samhita. Its principles emphasize balance among the body's doshas (Vata, Pitta, Kapha) for optimal health.

4) Blood:
Blood plays a vital role in wound healing and overall health within Ayurvedic practices. It is considered essential for nourishment and healing of tissues. The balance of blood, as well as its quality, significantly impacts recovery following surgical procedures, making its management a priority in treatments.

5) Samhita:
Samhita refers to a compendium of classical texts in Ayurveda that compile knowledge on various aspects of health, surgery, and treatment. The Sushruta Samhita specifically documents ancient surgical practices and principles, providing a foundation for understanding and performing Ayurvedic medicine effectively.

6) Sevana:
Sevana refers to the technique of suturing in Ayurveda, which is critical for wound closure. It is a method that approximates the edges of a wound to facilitate healing. Proper Sevana techniques are essential to ensure that wounds heal effectively and minimize the risk of complications.

7) Sushruta-samhita (Susruta-samhita):
The Sushruta Samhita is a foundational text in Ayurvedic surgery, attributed to the ancient surgeon Sushruta. It details surgical techniques, including suturing methods and wound management. This text serves as a crucial resource for understanding historical surgical practices and their relevance in modern medicine.

8) Ashtavidha (Astavidha, Ashtan-vidha):
Ashtavidha refers to the 'eight types' of surgical procedures described in Ayurveda. It outlines various techniques, including excision and suturing. This classification provides a structured approach to understanding different surgical interventions that can be applied in both ancient and modern medical practices.

9) Vitiation (Vitiated):
Vitiated refers to the disturbance or imbalance of the doshas (Vata, Pitta, Kapha) in the body that affects health. In Ayurveda, identifying vitiated conditions is essential for diagnosing diseases and determining appropriate treatments, including surgical interventions that aim to restore balance.

10) Shastra (Sastra):
Shastra translates to 'scripture' or 'treatise' in Sanskrit. In the context of Ayurveda, it signifies the authoritative texts that encompass knowledge and principles governing medicine and surgery. Shastra forms the basis for training practitioners and preserving ancient wisdom, particularly in surgical techniques.

11) Science (Scientific):
Science in the context of Ayurveda suggests an empirical approach to understanding health and healing. Ayurveda combines traditional knowledge with a systematic analysis of body functions, diseases, and remedies, establishing itself as a holistic science that seeks to understand life through various methodologies.

12) Shalya (Salya):
Shalya refers to 'surgery' in Ayurveda. It embodies the surgical branch of Ayurvedic practice that encompasses a variety of procedures, including the management of wounds and injuries. Shalya is fundamental in treating surgical diseases and emphasizes the importance of surgical techniques outlined by ancient sages.

13) Vrana:
Vrana means 'wound' in Sanskrit. Understanding Vrana is vital in Ayurveda since it focuses on wound healing principles and practices. Proper management of Vrana through techniques like Sevana (suturing) is essential for promoting healing and avoiding complications, reflecting traditional knowledge in modern contexts.

14) Disease:
Diseases in Ayurveda are seen as manifestations of imbalance within the body. Understanding various diseases, their causes, and effects is crucial in guiding treatment approaches. This holistic view encompasses both medical and surgical interventions, where addressing root causes leads to comprehensive healing.

15) Indian:
Indian refers to the cultural context from which Ayurveda originates. It signifies the rich heritage of traditional medicine that encompasses a blend of spiritual, physical, and holistic approaches to health. The Indian roots of Ayurveda have shaped its practices and theoretical frameworks over centuries.

16) Hair:
Hairs, particularly in the context of suturing, signify the natural materials accessible for wound closure. The historical mention of various types of hair, including horse hair, underlines the resourcefulness of ancient practitioners in employing available resources for effective surgical practices.

17) Pain:
Pain management is crucial in both Ayurvedic and modern medical practices. In Ayurveda, understanding the source and nature of pain helps in determining appropriate therapeutic interventions. Effective suturing and wound management aim to reduce postoperative pain and promote smoother healing after surgery.

18) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalyatantra is synonymous with Shalya-tantra, representing the surgery branch of Ayurveda. It encompasses surgical techniques, tools, and treatments for injuries and ailments, illustrating the comprehensive approach taken in ancient Indian medicine. This discipline lays the groundwork for modern surgical practices with its historical insights.

19) Tantra (Tantrism, Tamtra):
Tantra signifies a system or method in Sanskrit. In Ayurveda, it relates to the methodologies applied in medical treatments, including surgical practices. Tantra encompasses the philosophical and practical frameworks guiding practitioners in their approach to healing and patient care.

20) Repair:
Repair in Ayurveda refers to the process of healing and restoring tissues following injury or surgery. Techniques like Sevana (suturing) are essential for effective repair, allowing for proper healing of wounds while minimizing complications and promoting optimal recovery for the patient.

21) Sutra:
Sutra means 'aphorism' or 'thread' in Sanskrit. In Ayurveda, it represents concise principles or guidelines about medical practice and surgery. The sutras provide a foundational understanding of various treatments, making them essential tools for practitioners in guiding their therapeutic approaches.

22) Table:
Table is utilized to summarize and present information systematically. In the context of medical literature, it highlights different types of Suturing techniques and compares ancient practices to modern methods. This structured presentation aids in understanding and referencing critical concepts within Ayurvedic surgery.

23) Veda:
Veda refers to the ancient scriptures of India, from which Ayurveda derives its foundational knowledge. The Vedas encompass various aspects of life, philosophy, and healing practices, laying the groundwork for Ayurveda's principles and techniques in understanding health and wellness.

24) Agni:
Agni translates to 'fire' and symbolizes metabolic processes in Ayurveda. It represents the transformative energy that governs digestion, metabolism, and overall health. Maintaining proper Agni is crucial for preventing diseases, and it plays a significant role in wound healing and recovery.

25) Tinospora cordifolia:
Tinospora cordifolia, also known as Guduchi, is a medicinal plant used in Ayurveda for its healing properties. It is recognized for its immune-boosting and anti-inflammatory benefits, making it relevant in managing wounds and supporting overall recovery during and after surgical interventions.

26) Cauterisation (Cauterization):
Cauterization refers to a medical procedure used to burn tissue to stop bleeding or prevent infection. In Ayurveda, it is one of the techniques described for treating wounds to promote healing. It highlights the understanding of controlling wounds and managing complications effectively.

27) Atharvaveda (Atharva-Veda):
The Atharva-Veda is one of the four Vedas in Hindu tradition, containing hymns and incantations for everyday life. Its relevance to Ayurveda stems from its emphasis on health, diseases, and healing practices, contributing to the holistic understanding of medicine in ancient Indian culture.

28) Inflammation:
Inflammation is a biological response to injury or infection, characterized by redness, swelling, and pain. In Ayurveda, understanding inflammation's role in wound healing is crucial, as it affects recovery. Proper management through surgical and medicinal approaches can mitigate inflammation and promote healing.

29) Observation:
Observation in the context of medicine involves attentively watching and assessing patients' conditions, which is crucial for effective diagnosis and treatment. In Ayurveda, observation aids practitioners in tailoring interventions to individuals, ensuring that therapy aligns with their unique health profiles and needs.

30) Tunnasevani (Tunna-sevani):
Tunnasevani refers to a specific zigzag suturing technique described in Ayurvedic texts. It mimics methods akin to sewing torn garments and is employed in cases where a secure closure is needed. This technique illustrates the detailed surgical methodologies developed historically for effective wound closure.

31) Sadyovrana:
Sadyo-vrana denotes a type of wound in Ayurveda that requires immediate attention and suturing. Its classification emphasizes the urgency of intervention in surgical cases to minimize complications, promoting the importance of timely and appropriate surgical procedures in healthcare.

32) Discussion:
Discussion encompasses the exchange of ideas and evaluations among practitioners regarding treatment practices and case studies. In Ayurveda, discussion fosters collaboration and shared understanding, enhancing the collective knowledge of medical approaches and ensuring the refinement of surgical techniques over time.

33) Siddhanta (Siddha-anta, Siddhamta):
Siddhanta, a singular form of Siddhantas, emphasizes a core principle or doctrine within Ayurvedic teachings. Understanding Siddhanta is essential for practitioners, as it offers a philosophical framework for making informed decisions regarding patient care, treatment, and surgical interventions.

34) Knowledge:
Knowledge in the context of Ayurveda refers to the accumulated understanding of health, disease, and healing practices. It encompasses both theoretical insights and practical applications, empowering practitioners to deliver effective and holistic care to patients through informed decision-making and expertise.

35) Upakrama:
Upakrama represents a specific treatment or action taken to address a health concern in Ayurveda. This term indicates a targeted approach to healing, ensuring that practitioners apply appropriate therapeutic measures based on individual patient assessments and the established principles outlined in ancient texts.

36) Vagbhata:
Vagbhata was an ancient Indian physician and author of significant Ayurvedic texts. His contributions to surgical practices and medical knowledge have been influential. Vagbhata's teachings continue to provide insight into the principles and techniques vital for practitioners of Ayurveda and its application in modern medicine.

37) Incision:
Incision refers to a surgical cut made to access tissues or organs during a procedure. It is an integral component of surgeries, requiring careful consideration for effective healing. The techniques and principles guiding incisions in Ayurveda reflect a deep understanding of surgical methodologies.

38) Chedana:
Chedana translates to 'excision' or the act of cutting, symbolizing one of the fundamental surgical procedures in Ayurveda. It belongs to the Ashtavidha Shastrakarma and emphasizes the importance of precise surgical actions in managing ailments and performing necessary interventions.

39) Bhedana:
Bhedana refers to 'incision' within the context of Ayurvedic surgical practices. It is one of the eight types of shastrakarma, showcasing the systematic approach of ancient medicine in addressing health issues through surgical interventions tailored to the specific condition of the patient.

40) Lekhana:
Lekhana means 'scraping' in Sanskrit. In Ayurvedic surgery, it is utilized to remove unwanted tissue or debris from a wound, aiding in preparation for healing. This technique highlights the ancient understanding of wound management and the importance of careful, systematic treatment methods.

41) Vedhana:
Vedhana translates to 'puncture' and is one of the surgical procedures discussed in Ayurveda. It involves creating a hole or opening, often to relieve pressure or fluids. The usage of Vedhana reflects the multifaceted approaches in Ayurvedic medicine to address various health conditions.

42) Granthi (Gramthi):
Granthi refers to 'knot' or a localized mass in Ayurvedic terminology. It denotes structures or conditions requiring surgical intervention, illustrating the comprehensive nature of Ayurvedic practice, where both pathology and the corresponding surgeries are examined to ensure effective treatment.

43) Account:
Account here signifies the detailed descriptions and methodologies documented in ancient texts. In Ayurveda, accounts provide practitioners with comprehensible guidelines for medical procedures, enhancing the understanding and execution of medical/surgical treatments based on historical practices.

44) Itching:
Itching is a common symptom that can arise from various conditions, including wounds. In Ayurveda, understanding the causes and treatments for itching is essential for effective skin and wound management, ensuring that healing processes remain unaffected and patient comfort is prioritized.

45) Insect:
Insect highlights the unique historical practices within Ayurveda, particularly the innovative use of insects for suturing techniques. These methods illustrate the ingenuity of ancient surgeons in utilizing available natural resources to effectively manage wounds and enhance healing outcomes.

46) Bhasma (Bhasman):
Bhasma is a general term for ashes in Ayurveda, specifically those derived from therapeutic substances. In surgical contexts, Bhasma serves as a cauterizing agent, emphasizing the significance of traditional knowledge in amalgamating chemical properties for effective wound management and recovery.

47) Dahana:
Dahana translates to 'burning' and refers to techniques utilized for cauterization in surgery. This practice is essential for controlling bleeding and promoting healing, demonstrating the understanding of thermal treatments in mitigating complications and enhancing recovery after surgical procedures.

48) Esana (Eshana):
Eshana means 'probing' in Sanskrit. This technique refers to examining wounds or body cavities to assess their conditions. In Ayurveda, Eshana is crucial for diagnosing issues and determining the best course of action for treatment, showcasing the thoroughness of Ayurvedic practice.

49) Animal:
Animal refers to the sources of various materials used in Ayurvedic surgeries, such as animal-derived sutures. Understanding the relevance of animal products emphasizes the traditional practices and considerations surrounding the materials employed in ancient surgical methods, linking it to the natural world.

50) Cotton:
Cotton is a natural fiber utilized for suturing in Ayurvedic surgical practices. Its historical significance is underscored due to its absorbability and biocompatibility, reflecting the ancient understanding of incorporating safe and effective materials for wound closure and healing.

51) Civan:
Seevan, synonymous with Sevana, specifically refers to the suturing technique vital for wound closure in Ayurveda. Its successful application is key to achieving effective healing and reducing post-surgical complications, emphasizing the importance of skilled suturing in surgical outcomes.

52) Pitta:
Pitta is one of the three doshas in Ayurveda, representing the energy of transformation and metabolism. Imbalances in Pitta can lead to conditions affecting healing processes, making its management essential in surgical practices to ensure optimal recovery and prevent complications.

53) Kapha:
Kapha is another dosha in Ayurveda, associated with structure and stability. An imbalance in Kapha can lead to complications like swelling or infections in wounds. Understanding Kapha's role helps practitioners anticipate healing issues and tailor treatments to maintain balance post-surgery.

54) Rakta:
Rakta refers to 'blood' in Ayurveda and represents nourishment and healing. Proper management of Rakta is crucial during surgeries, as it impacts the healing process. Understanding its significance aids in ensuring effective wound closure and recovery after surgical interventions.

55) Snayu:
Snayu translates to 'tendons' or 'ligaments' in Ayurveda. It is significant in surgical procedures, particularly in suturing techniques, where understanding the roles of Snayu is essential for ensuring proper healing of musculoskeletal injuries and maintaining functional integrity post-surgery.

56) India:
India signifies the cultural and historical context where Ayurveda developed. The rich traditions and knowledge systems in India have shaped Ayurvedic practices, emphasizing holistic healthcare and the balance between mind, body, and spirit as foundational tenets of its medicine.

57) Horse:
Horse refers to the usage of horse hair as a suture material in ancient Ayurvedic surgeries. Its strength and durability made it a popular choice for wound closure, illustrating the innovative materials derived from the animal kingdom utilized by ancient practitioners.

58) Ulcer:
Ulcer in Ayurveda typically relates to an open wound that requires specific management. Understanding the characteristics of ulcers guides practitioners in choosing appropriate treatments and interventions, including surgical options for effective healing and recovery.

59) Field:
Field refers to the area of medicine or surgery within which practitioners operate. In Ayurvedic contexts, it encompasses various disciplines, techniques, and practices aimed at addressing health conditions, highlighting the breadth and depth of Ayurvedic practices in healing methodologies.

60) Burning (Burn, Burned, Burnt):
Burn signifies a type of injury that requires immediate care and intervention. In Ayurvedic texts, the management of burns emphasizes methods to prevent complications and promote healing, reflecting the holistic approach taken in treating various types of injuries.

61) Vata:
Vata is one of the three doshas in Ayurveda, associated with movement and communication. An imbalance in Vata can lead to complications in healing, making its management crucial in surgical settings. Understanding Vata aids practitioners in promoting effective recovery and minimizing disruptions.

62) Riju (Rju):
Riju means 'straight' in the context of suturing techniques (Riju Granthi). This refers to a suturing method where the suture is passed straight through the wound edges, demonstrating the various methods within Ayurveda aimed at providing effective closure and promoting optimal healing.

63) Flax:
Flax is a natural plant fiber historically used as a suture material in Ayurvedic practices. Its application illustrates the traditional knowledge base about utilizing plant products for various medical purposes, including wound closure, emphasizing the ingenuity of ancient surgical techniques.

64) Silk:
Silk is another material referenced in Ayurveda that has been used in suturing methods. Its unique properties, like flexibility and strength, make it a desirable choice for wound closure, representing a blend of natural resources and sophisticated understanding in ancient medicinal practices.

65) Tear:
Tear, in the context of surgical practice, often refers to unintended damage during suturing. Proper technique and attention during the suturing process are critical to prevent tearing of tissues, ensuring effective wound closure and minimizing complications during recovery.

66) Pur:
Poor refers to inadequate conditions that affect healing processes, such as poor blood circulation or insufficient wound care. Understanding poor conditions allows practitioners to address and modify treatment plans, ensuring optimal recovery following surgical procedures and minimizing complications.

Other Science Concepts:

[back to top]

Discover the significance of concepts within the article: ‘A short review on different techniques of sivankarma in ayurveda’. Further sources in the context of Science might help you critically compare this page with similair documents:

Sushruta-samhita, Shalyatantra, Wound healing, Acharya Sushruta, Sivana Karma, Wound closure, Suture material.

Let's grow together!

I humbly request your help to keep doing what I do best: provide the world with unbiased sources, definitions and images. Your donation direclty influences the quality and quantity of knowledge, wisdom and spiritual insight the world is exposed to.

Let's make the world a better place together!

Like what you read? Help to become even better: