अथातोयोग्यासूत्रीयमध्यायं व्याख्यास्यामः, यथोवाच भगवान् धन्वन्तरिः ॥१॥
Now we shall discuss the Chapter which treats of practical instructions in surgical operations (Yogyasutra ).
1 अधिगतसर्व्वशास्त्रार्थमपि शिष्यं योग्यां कारयेत् । स्नेहादिषु छेद्यादिषु च कर्म्मपथमुपदिशेत् । सुबुहुश्रुतोप्यकृतयोग्यः कर्म्मस्वयोग्यो भवति ॥२॥
तत्र, पुष्पफलालाबूकालिन्दकत्रपुसैर्व्वारुककर्कारुकप्रभृतिषु छेद्यविशेषान् दर्शयेदुत्कर्त्तनापकिर्त्तनानि चोपदिशेत्, दृतिवस्तिप्रसेवकप्रभृतिषूदकपङ्कपूर्णेषु भेद्ययोग्याम्, सरोणि चर्मण्यातते लेख्यस्य, मृतपशुशिरासूत्पलनालेषु च वेध्यस्य | घुणोपहतकाष्ठवेणुनलनालीशुष्कालाबूमुखेष्वेष्यस्य, पनसबिम्बीबिल्वफलमञ्जमृतपशुदन्तेष्वाहार्य्यस्य, मधूच्छिष्टोपलिप्ते शाल्मलीफलके विसाव्यस्य, सूक्ष्मघनवस्त्रान्तयोर्मृदुचर्म्मान्तयोश्च सीव्यस्य, पुस्तमयपुरुषाङ्गप्रत्यङ्गविशेषेषु बन्धनयोग्याम्, मृदुमांसपेशीषूत्पलनालेषु च कर्णसन्धिबन्धयोग्याम्, मृदुषु मांसखण्डेष्वग्निक्षारयोग्याम्, उदकपूर्णघटपार्वस्रोतस्यलाबूमुखादिषु च नेत्रप्रणिधानबस्तिव्रणबस्तिपीडनयोग्यामिति ॥३॥
The preceptor should see his disciple attends the practice of surgery even if he has already throughly mastered the several branches of the science of Medicine, or has perused it in its entirely. In all acts
connected with surgical operations of incision, etc. and injection of oil, etc. the pupil should be fully instructed as regards the channels along or into which the operations or applications are to be made (Karma-Patha). A pupil, otherwise well read, but uninitiated into the practice (of medicine or surgery) is not competent (to take in hand the medical or Surgical treatment of a disease). The art of making specific forms of incision should be taught by making cuts in the body of a Puspaphala (a kind of gourd), Alabu, watermelon, cucumber, Ervaruka and Karkaruka. The art of making cuts either in the upward or downward direction should be similarly taught. The art of making excisions should be practically demonstrated by making openings in the body of a full water-bag, or in the bladder of a dead animal, or in the side of a leather pouch full of slime or water. The art of scraping should be instructed on a piece of skin on which the hair has been allowed to remain. The art of venesection (Vedhya) should be taught on the vein of a dead animal, or with the help of a lotus stem. The art of probing and stuffing should be taught on worm (Ghuna) eaten wood, or on the reed of a bamboo, or on the mouth of a dried Alabu (gourd). The art of extracting should be taught by withdrawing seeds from the kernel of a Bimbi, Bilva or Jack fruit, as well as by extracting teeth from the jaws of a dead animal. The act of secreting or evacuating should be taught on the surface of a Salmali wood covered over with a coat of bee’s wax, and suturing on pieces of cloth, skin or hide. Similarly the art of bandaging or ligaturing should be practically learned by tying bandages round the specific limbs and members of a full-sized doll made of stuffed linen. The art of tying up a Karnasandhi (severed ear-lobe) should be practically demonstrated on a soft severed muscle or on flesh, or with the stem of a lotus lily. The art of cauterising, or applying alkaline preparations (caustics) should be demonstrated on a piece of soft flesh; and lastly the art of inserting syringes and injecting enemas into the region of the bladder or into an ulcerated channel, should be taught (by asking the pupil) to insert a tube into a lateral fissure of a pitcher, full of water, or into the mouth of a gourd (Alabu). 2-3
एवमादिषु मेधावी योग्यार्हेषु यथाविधि । द्रव्येषु योग्यां कुर्व्वाणो न प्रमुह्यति कर्म्मसु ॥ ४ ॥ तस्मात् कौशलमन्विच्छन् शस्त्रक्षाराग्निकर्म्मसु । यस्य यत्रेह साधर्म्यं तत्र योग्यां समाचरेत् ॥ ५ ॥
Authoritative verses on the subject: An intelligent physician who has tried his prentice hand in surgery (on such articles of experiment as, gourds, etc., or has learnt the art with the help of things as stated above), or has been instructed in the art of cauterisation or blistering (application of alkali) by experimenting on things which are most akin, or similar to the parts or members of the human body they are usually applied to, will never lose his presence of mind in his professional practice. 4-5
इति सुश्रुतसंहितायां सूत्रस्थाने योग्यासूत्रीयो नाम नवमोऽध्यायः ॥९॥
Thus ends the ninth chapter of the Sutrasthana in the Susruta Samhita which treats of Instructions in Surgical operations.