योग्यासूत्रीयाध्यायः
अथातो योग्यासूत्रीयमध्यायं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||
"Now, we shall expound the chapter on suitable sutures."
"Thus said the venerable Dhanvantari."
This introduction sets the stage for discussing the various types of sutures and their appropriate uses, following the teachings of the revered Dhanvantari.
अधिगतसर्वशास्त्रार्थमपि शिष्यं योग्यां कारयेत् |
स्नेहादिषु छेद्यादिषु च कर्मपथमुपदिशेत् |
सुबहुश्रुतोऽप्यकृतयोग्यः कर्मस्वयोग्यो भवति ||३||
"Even a student who has mastered all the scriptures should be made proficient in practical skills. One should instruct them in procedures involving oil and cutting. A well-read but untrained individual is not suitable for practical tasks."
This shloka emphasizes the importance of practical training in addition to theoretical knowledge. It highlights that a student, no matter how well-read, must be trained in the actual procedures to be truly effective in their practice.
तत्र, पुष्पफलालाबूकालिन्दकत्रपुसै(सो)र्वारुकर्कारुकप्रभृतिषु छेद्यविशेषान् दर्शयेत्, उत्कर्तनापकर्तनानि चोपदिशेत्; दृतिबस्तिप्रसेवकप्रभृतिषूदकपङ्कपूर्णेषु भेद्ययोग्यां; सरोम्णि चर्मण्यातते लेख्यस्य; मृतपशुसिरासूत्पलनालेषु च वेध्यस्य; घुणोपहतकाष्ठवेणुनलनालीशुष्कालाबूमुखेष्वेष्यस्य; पनसबिम्बीबिल्वफलमज्जमृतपशुदन्तेष्वाहार्यस्य; मधूच्छिष्टोपलिप्ते शाल्मलीफलके विस्राव्यस्य; सूक्ष्मघनवस्त्रान्तयोर्मृदुचर्मान्तयोश्च सीव्यस्य; पुस्तमयपुरुषाङ्गप्रत्यङ्गविशेषेषु बन्धनयोग्यां; मृदुषु मांसखण्डेष्वग्निक्षारयोग्यां; मृदुचर्ममांसपेशीषूत्पलनालेषु च कर्णसन्धिबन्धयोग्याम्; उदकपूर्णघटपार्श्वस्रोतस्यलाबूमुखादिषु च नेत्रप्रणिधानबस्तिव्रणबस्तिपीडनयोग्यामिति ||४||
"One should demonstrate specific cutting techniques on flowers, fruits, gourds, and similar items, and teach the methods of incisions and excisions. Techniques for puncturing should be practiced on bladders, jars filled with water or mud. Linear incisions should be practiced on hairy skin and stretched leather. Puncturing should be practiced on the veins and stems of dead animals and lotus stalks. Probing should be practiced on worm-eaten wood, bamboo, reeds, and dried gourds. Extracting should be practiced on the pulp of jackfruit, bimbi, bilva fruit, and the teeth of dead animals. Bloodletting should be practiced on Salmali wood smeared with honey. Suturing should be practiced on fine cloth or soft leather. Bandaging techniques should be practiced on model limbs of human figures. Cauterization with fire and alkali should be practiced on soft meat pieces. Suturing ear cartilage should be practiced on the flesh, muscles, and lotus stalks. Bladder techniques should be practiced on water-filled pots, channels, and dried gourds."
This shloka provides guidance on practicing various surgical techniques using different materials to simulate human tissues. It emphasizes the importance of hands-on training to develop proficiency in cutting, puncturing, probing, extracting, bloodletting, suturing, bandaging, and cauterization.
भवतश्चात्र-
एवमादिषु मेधावी योग्यार्हेषु यथाविधि |
द्रव्येषु योग्यां कुर्वाणो न प्रमुह्यति कर्मसु ||५||
"Therefore, the intelligent practitioner, performing suitable procedures on the appropriate materials in the proper manner, does not falter in their tasks."
This shloka emphasizes the importance of practical training and skillful execution. It suggests that a knowledgeable and diligent practitioner who practices on suitable materials as instructed will perform their tasks competently and without hesitation.
तस्मात् कौशलमन्विच्छन् शस्त्रक्षाराग्निकर्मसु |
यस्य यत्रेह साधर्म्यं तत्र योग्यां समाचरेत् ||६||
"Therefore, one who seeks proficiency in the use of surgical instruments, alkali, and fire should practice on suitable materials that closely resemble the conditions of actual procedures."
This shloka emphasizes the importance of practicing on appropriate materials to gain proficiency in the use of surgical instruments, alkali, and fire. It highlights the necessity of simulating real-life conditions to develop the skills needed for successful surgical procedures.
इति सुश्रुतसंहितायां सूत्रस्थाने योग्यासूत्रीयो नाम नवमोऽध्यायः ||९||
"Thus ends the ninth chapter named 'Yogyasutriya' in the Sutra Sthana section of the Sushruta Samhita."
This verse signifies the conclusion of the ninth chapter called 'Yogyasutriya' in the Sutra Sthana section of the Sushruta Samhita, which discusses the suitable materials and methods for surgical practice.