Samhita Adhyayan — 3 संहिता अध्ययन ३

Study of the classical texts, third part · Third (Final) Professional (Tritiya Varsha) · AyUG-SA3

Papers

• Paper I — Samhita Adhyayan 3

Units in this subject

Study notes

The treatment half — Chikitsasthana, Kalpasthana and Siddhisthana. This is where the clinical subjects of the fourth year are anchored, and reading it in the original is the difference between quoting Charaka and quoting a textbook that quotes Charaka.

Chikitsasthana — 30 chapters

• Chapter 1 Rasayana, in four pada. Pada 3 names the medhya rasayana, with Mandukaparni first. Chapter 2 Vajikarana, in four pada.
• Chapter 3 Jwara — the longest and most examined chapter in the whole text.
• Then in order: Raktapitta, Gulma, Prameha, Kushtha, Rajayakshma, Unmada, Apasmara, Kshatakshina, Shwayathu, Udara, Arsha, Grahani, Pandu, Hikka-shwasa, Kasa, Atisara, Chhardi, Visarpa, Trishna, Visha, Madatyaya, Dwivraniya, Trimarmiya, Urustambha, Vatavyadhi, Vatarakta, Yonivyapat.
• Dridhabala wrote chapters 14 to 30 of this sthana — the last seventeen.

Kalpasthana — 12 chapters

• The pharmaceutics of shodhana dravya: Madanaphala first, then Jimutaka, Ikshvaku, Dhamargava, Vatsaka, Krutavedhana for vamana; then Shyama-Trivrit, Chaturangula, Tilvaka, Sudha, Saptala-Shankhini, Danti-Dravanti for virechana.
• Madanaphala is described first and most fully because it is held to be the safest emetic.
• Entirely Dridhabala's work.

Siddhisthana — 12 chapters

• Panchakarma in detail: Kalpana siddhi, Panchakarmiya, Basti, Vamana-virechana vyapad, Netra basti vyapad, Basti siddhi, Phala matra, Uttara basti.
• Vyapad — the complications of each procedure — are concentrated here and are heavily examined.
• Also Dridhabala's.

Rasayana and Vajikarana chapters

• Chikitsasthana 1 Rasayana, in four pada: Abhayamalakiya, Pranakamiya, Karaprachitiya, Ayurvedasamutthaniya.
• Karaprachitiya names the medhya rasayana — Mandukaparni, Yashtimadhu, Guduchi, Shankhapushpi, in that order.
• Kutipraveshika (indoor, elaborate) and Vatatapika (outdoor, simpler) rasayana methods.
• Chikitsasthana 2 Vajikarana, also in four pada.

Vyapad and their management

• Siddhisthana concentrates the complications: vamana vyapad, virechana vyapad, basti vyapad, netra-basti vyapad.
• For each: the cause, the presentation and the specific management.
• This is where the highest marks are, because most candidates prepare the procedures and neglect what goes wrong.

Where the texts disagree

• The Uttara tantra is generally held to be a later addition to Sushruta's original six sthana; most examiners expect the student to say so.
• Sushruta's panchakarma counts raktamokshana among the five and merges the two basti; Charaka counts the two basti separately and omits raktamokshana.
• Sushruta treats rakta almost as a fourth dosha; Charaka does not.
• Sushruta's anatomy is based on dissection and his counts differ from Charaka's throughout.

Commonly confused

• Sutrasthana 38 (the ganas) and Sutrasthana 46 (Annapana Vidhi) - the two long chapters.
• Yantra (blunt, 101) and Shastra (sharp, 20).
• Sushruta's five karma and Charaka's five - they are not the same five.

Practise it, and prove it