अवारणीयाध्यायः
अथातोऽवारणीयमध्यायं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||
"Now, I shall explain the chapter on 'Averting Unfavorable Prognoses."
"As spoken by the revered Dhanvantari."
This marks the beginning of a new chapter in the Sushruta Samhita, focusing on methods and strategies to avert unfavorable prognoses and improve health outcomes.
उपद्रवैस्तु ये जुष्टा व्याधयो यान्त्यवार्यताम् |
रसायनाद्विना वत्स! तान् शृण्वेकमना मम ||३||
"Diseases accompanied by complications become incurable, except through rejuvenation therapy, my child! Listen to them attentively."
This Shloka emphasizes that diseases with complications are difficult to cure without the aid of rejuvenation therapies. The speaker urges attentive listening to understand these conditions better.
वातव्याधिः प्रमेहश्च कुष्ठमर्शो भगन्दरम् |
अश्मरी मूढगर्भश्च तथैवोदरमष्टमम् ||४||
अष्टावेते प्रकृत्यैव दुश्चिकित्स्या महागदाः |५|
"Diseases such as rheumatic conditions, diabetes, leprosy, hemorrhoids, fistula, stones, obstructed labor, and ascites are naturally difficult to cure, and are considered major ailments."
These Shlokas list eight major diseases that are inherently challenging to treat. Recognizing and understanding these conditions is crucial for effective medical intervention.
प्राणमांसक्षयः शोषस्तृष्णा च्छर्दिर्ज्वरस्तथा ||५||
अतीसारश्च मूर्च्छा च हिक्का श्वासस्तथैव च |
एतैरुपद्रवैर्जुष्टान् सर्वानेव विवर्जयेत् ||६||
"Conditions such as loss of vitality and muscle, emaciation, excessive thirst, vomiting, fever, diarrhea, fainting, hiccups, and breathlessness, when accompanied by complications, should be completely avoided."
These Shlokas describe various conditions that, when accompanied by complications, are difficult to manage and should be avoided to ensure better health outcomes.
शूनं सुप्तत्वचं भग्नं कम्पाध्माननिपीडितम् |
नरं रुजार्तमन्तश्च वातव्याधिर्विनाशयेत् ||७||
"A person suffering from numbness, insensitivity of the skin, fractures, tremors, distension, and intense internal pain due to rheumatic conditions will be destroyed by these ailments."
This Shloka emphasizes the severity of rheumatic conditions and their potential to cause significant harm to individuals experiencing these symptoms.
यथोक्तोपद्रवाविष्टमतिप्रस्रुतमेव वा |
पिडकापीडितं गाढं प्रमेहो हन्ति मानवम् ||८||
"A person afflicted with complications as mentioned earlier, or excessive discharge, or severe pustules, will be destroyed by diabetes."
This Shloka highlights the severity of diabetes and the potential complications that can arise, leading to significant harm or death.
प्रभिन्नप्रस्रुताङ्गं च रक्तनेत्रं हतस्वरम् |
पञ्चकर्मगुणातीतं कुष्ठं हन्तीह कुष्ठिनम् ||९||
"A person with ruptured and discharging body parts, bloodshot eyes, and a hoarse voice, whose condition is beyond the efficacy of the five therapeutic measures (Panchakarma), will be destroyed by leprosy."
This Shloka describes the severe symptoms and condition of a person afflicted with leprosy, emphasizing the difficulty in treating such advanced cases.
तृष्णारोचकशूलार्तमतिप्रस्रुतशोणितम् |
शोफातीसारसंयुक्तमर्शोव्याधिर्विनाशयेत् ||१०||
"A person suffering from excessive thirst, loss of taste, pain, excessive bleeding, swelling, and diarrhea will be destroyed by hemorrhoidal disease."
This Shloka highlights the severe symptoms associated with hemorrhoidal disease, emphasizing the potential complications that can lead to significant harm.
प्रशूननाभिवृषणं रुद्धमूत्रं रुगन्वितम् |
अश्मरी क्षपयत्याशु सिकता शर्करान्विता ||१२||
"A person with swollen navel and scrotum, obstructed urine, and pain, will be quickly destroyed by a stone or gravel in the urinary system."
This Shloka highlights the severe symptoms and complications of having stones or gravel in the urinary system, emphasizing the critical nature of this condition.
गर्भकोषपरासङ्गो मक्कल्लो योनिसंवृतिः |
हन्यात् स्त्रियं मूढगर्भे यथोक्ताश्चाप्युपद्रवाः ||१३||
"Compression of the womb, hard swelling, and obstruction of the vaginal passage, will lead to the death of a woman with obstructed labor, along with the complications mentioned earlier."
This Shloka highlights the severe symptoms and complications associated with obstructed labor, emphasizing the critical nature of this condition.
पार्श्वभङ्गान्नविद्वेषशोफातीसारपीडितम् |
विरिक्तं पूर्यमाणं च वर्जयेदुदरार्दितम् ||१४||
"A person suffering from flank pain, loss of appetite, swelling, and diarrhea, and experiencing fullness or distention, should be avoided if afflicted with ascites."
This Shloka highlights the severe symptoms and complications associated with ascites, emphasizing the critical nature of this condition.
यस्ताम्यति विसञ्ज्ञश्च शेते निपतितोऽपि वा |
शीतार्दितोऽन्तरुष्णश्च ज्वरेण म्रियते नरः ||१५||
यो हृष्टरोमा रक्ताक्षो हृदि सङ्घातशूलवान् |
नित्यं वक्त्रेण चोच्छ्वस्यात्तं ज्वरो हन्ति मानवम् ||१६||
हिक्काश्वासपिपासार्तं मूढं विभ्रान्तलोचनम् |
सन्ततोच्छ्वासिनं क्षीणं नरं क्षपयति ज्वरः ||१७||
आविलाक्षं प्रताम्यन्तं निद्रायुक्तमतीव च |
क्षीणशोणितमांसं च नरं नाशयति ज्वरः ||१८||
"A person who faints, lies down senseless, or falls, suffers from coldness outside but feels heat inside, will be destroyed by fever. A person with erect hair, bloodshot eyes, and heart pain, who constantly breathes through the mouth, will be destroyed by fever. A person suffering from hiccups, breathlessness, excessive thirst, confusion, and restless eyes, who constantly breathes and is emaciated, will be destroyed by fever. A person with turbid eyes, who faints frequently, is extremely sleepy, and has reduced blood and muscle mass, will be destroyed by fever."
These Shlokas highlight the severe symptoms and complications associated with fever, emphasizing the critical nature of this condition.
श्वासशूलपिपासार्तं क्षीणं ज्वरनिपीडितम् |
विशेषेण नरं वृद्धमतीसारो विनाशयेत् ||१९||
"A person suffering from breathlessness, pain, excessive thirst, emaciation, and affliction by fever, especially if elderly, will be quickly destroyed by severe diarrhea."
This Shloka emphasizes the severe symptoms and complications associated with fever and severe diarrhea, particularly in elderly individuals, highlighting the critical nature of this condition.
शुक्लाक्षमन्नद्वेष्टारमूर्ध्वश्वासनिपीडितम् |
कृच्छ्रेण बहु मेहन्तं यक्ष्मा हन्तीह मानवम् ||२०||
"A person with white eyes, a dislike for food, breathlessness, and straining to urinate frequently, will be destroyed by tuberculosis."
This Shloka highlights the severe symptoms and complications associated with tuberculosis, emphasizing the critical nature of this condition.
श्वासशूलपिपासान्नविद्वेषग्रन्थिमूढताः |
भवन्ति दुर्बलत्वं च गुल्मिनो मृत्युमेष्यतः ||२१||
"Breathlessness, pain, excessive thirst, loss of appetite, nodules, and confusion, leading to weakness, indicate that a person with tumors (gulma) is nearing death."
This Shloka emphasizes the severe symptoms and complications associated with tumors, highlighting the critical nature of this condition.
आध्मातं बद्धनिष्यन्दं छर्दिहिक्कातृडन्वितम् |
रुजाश्वाससमाविष्टं विद्रधिर्नाशयेन्नरम् ||२२||
"A person suffering from distension, obstructed discharge, vomiting, hiccups, and excessive thirst, along with pain and breathlessness, will be destroyed by abscess (Vidradhi)."
This Shloka highlights the severe symptoms and complications associated with abscesses, emphasizing the critical nature of this condition.
पाण्डुदन्तनखो यश्च पाण्डुनेत्रश्च मानवः |
पाण्डुसङ्घातदर्शी च पाण्डुरोगी विनश्यति ||२३||
"A person with pale teeth, nails, and eyes, and who sees yellowish or pale discolorations, will be destroyed by anemia (Pandu Roga)."
This Shloka highlights the severe symptoms and complications associated with anemia, emphasizing the critical nature of this condition.
लोहितं छर्दयेद्यस्तु बहुशो लोहितेक्षणः |
रक्तानां च दिशां द्रष्टा रक्तपित्ती विनश्यति ||२४||
"A person who frequently vomits blood, has bloodshot eyes, and sees red discolorations, will be destroyed by hemorrhagic disorders (Rakta Pitti)."
This Shloka highlights the severe symptoms and complications associated with hemorrhagic disorders, emphasizing the critical nature of this condition.
अवाङ्मुखस्तून्मुखो वा क्षीणमांसबलो नरः |
जागरिष्णुरसन्देहमुन्मादेन विनश्यति ||२५||
"A person who looks downward or upward, with reduced muscle mass and strength, and who stays awake without doubt, will be destroyed by insanity (Unmada)."
This Shloka highlights the severe symptoms and complications associated with insanity, emphasizing the critical nature of this condition.
बहुशोऽपस्मरन्तं तु प्रक्षीणं चलितभ्रुवम् |
नेत्राभ्यां च विकुर्वाणमपस्मारो विनाशयेत् ||२६||
"A person who frequently has seizures, is emaciated, with trembling eyebrows, and twitching eyes, will be destroyed by epilepsy (Apasmara)."
This Shloka highlights the severe symptoms and complications associated with epilepsy, emphasizing the critical nature of this condition.
इति सुश्रुतसंहितायां सूत्रस्थानेऽवारणीयो नाम त्रयस्त्रिंशत्तमोऽध्यायः ||३३||
"Thus ends the thirty-third chapter named 'Averting Unfavorable Prognoses' in the Sushruta Samhita's Sutra Sthana."
We have concluded another insightful chapter from the Sushruta Samhita, which provided valuable information on recognizing and managing critical health conditions.