Sushruta's 7 Sorts of Therapies Sapta Upakrama

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By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Sapta Upakramas are the remedies utilized in historical days for surgical interventions and procedures particularly for therapy of acute /power wounds, their problems and to stop their relapse. Their utility will be prolonged in skillful methods to deal with different systemic illnesses additionally with adjustments in therapy designing.

Sapta Upakramas are 7 sorts of remedies that are defined in Sushruta Samhita, ‘Amapakvaishaniyam Adhyayam’ Sutra sthana 17^th chapter, Verses 54. Sapta = seven, Upakrama = remedies.
Grasp Sushruta has simply talked about the names of those 7 sorts of therapy with out explaining them intimately. The verse which highlights the names of those 7 specialised remedies is the final verse of this chapter. So we get a query, what is likely to be the scientific or surgical utility of the procedures which aren’t detailed within the texts?
Learn – Shashti Upakrama That means, Classification, Medical Significance

Magnification of seven Upakramas – Grasp Sushruta has simply given a synopsis of those remedies in Sutra Sthana, a bit of treatises whereby issues have to be stated in nutshell. He additionally had a magnified model of those 7 remedies and known as it as ‘Shashti Upakrama’ i.e. ’60 sorts of remedies’. So exactly, Sushruta has hidden ‘60 treasured therapy procedures’ inside the core of seven remedies solely to current them in a magnified means within the later context. Sushruta has defined these 60 varieties of specialised remedies within the first chapter of Chikitsa Sthana part which primarily offers with therapy elements of many illnesses.
Learn – Charaka Vrana Chikitsa – twenty fifth Chapter – Wounds, Ulcers

Sapta Upakrama

Grasp Sushruta has defined the chronology wherein these 7 remedies needs to be administered. They’re –

Vimlapana
Avasechana
Upanaha
Patana Kriya
Shodhana
Ropana
Vaikrutapaha

Sanskrit Verses

Shashti Upakrama in Sapta Upakrama

Completely different sorts of remedies talked about in shashti upakrama have been included below sapta upakrama. Apparently the 60 remedies defined in chikitsa sthana are additionally talked about in a chronology. The inclusions of fragments of 60 remedies below every therapy of sapta upakrama themselves outline every of the 7 remedies and what, how and when these remedies shall be carried out. In both case the chronology shall be maintained. All remedies and included sub remedies will not be wanted in all circumstances of wound therapy. They’re selective and conditional and apply to the stage of wound we’re coping with.
Learn – 4 Sorts Of Swedana As Per Sushruta And Vagbhata

1. Vimlapana

Vimlapana means to melt or inflicting to wither / languish. From the checklist of 60 remedies the beneath talked about 6 remedies are included below Vimlapana. They’re used to make the wound tender.

Sl No	Title of the Upakrama (therapy)	That means
1	Apatarpana	fasting
2	Alepa	utility of medicinal pastes
3	Parisheka	showering of medicinal fluids
4	Abhyanga	oil therapeutic massage
5	Sweda	fomentation or sudation
6	Vimlapana	mild urgent / cleaning measures

2. Avasechana

Avasechana means to expel the doshas. From the checklist of 60 remedies the beneath talked about 4 remedies are included below Avasechana.

Sl No	Title of the Upakrama (therapy)	That means
1	Visravana	drainage
2	Sneha	inducing oiliness
3	Vamana	therapeutic emesis
4	Virechana	therapeutic purgation

3. Upanaha

Upanaha means making use of a poultice. It’s a sort of sudation remedy. From the checklist of 60 remedies the beneath talked about 2 remedies are included below Upanaha.

Sl No	Title of the Upakrama (therapy)	That means
1	Upanaha	poultices
2	Pachana	serving to the pus to type correctly in order to empty it out

4. Patana Kriya

Patana means tearing, slipping, dividing or making incision. Kriya is the strategy wherein that is carried out. From the checklist of 60 remedies the beneath talked about 9 remedies are included below Patana Kriya.

Sl No	Title of the Upakrama (therapy)	That means
13	Chedana	excision
14	Bhedana	incision
15	Darana	splitting / tearing
16	Lekhana	Scraping
17	Eshana	Probing
18	Aaharana	Extraction
19	Vyadhana	Puncturing
20	Vidravana	Liquefaction
21	Seevana	Suturing

Learn – Sushruta’s 8 Sorts Of Surgical Procedures – Astavidha Shastra Karma

5 & 6. Shodhana and Ropana

Shodhana means cleaning. Ropana means therapeutic. From the checklist of 60 remedies the beneath talked about 13 remedies are included below Shodhana and Ropana.

Sl No	Title of the Upakrama (therapy)	That means
1	Sandhana	Unification, union of fractures
2	Peedana	Compression
3	Shonita sthapana	Checking the bleeding, enabling correct circulation
4	Nirvapana	Software and showering of chilly efficiency medicines
5	Utkaarika	Software of heat semi-solid vata assuaging medicinal pastes to deal with wound irritation and necrosis of wounds
6	Kashaya	Administering natural decoctions
7	Varti	Software / inserting suppositories
8	Kalka	Natural Paste Software
9	Sarpi	Use of medicated ghee
10	Taila	Use of medicated oils
11	Rasakriya	Administration of semi-solid medicinal extracts
12	Avachurnana	Sprinkling of natural powders
13	Vrana Dhupana	Fumigation of wounds

Learn – Harm, Wound care Ayurvedic Cures, Medicines

7. Vaikrutapaha

Vaikrutapaha means eradicating the deformities or undesired adjustments which have occurred as problems or sequels of wounds. From the checklist of 60 remedies the beneath talked about 26 remedies are included below Vaikrutapaha.

Sl No	Title of the Upakrama (therapy)	That means
1	Utsadana	Elevation of wounds – therapy of wounds with some herbs to enhance granulation tissue in order to lift the ground of the wound
2	Avasadana	Despair of wounds – elimination of unhealthy, pointless, hyper-granulation tissue from ground of the wound which could delay therapeutic of wounds
3	Mrudu Karma	Softening the sides of the injuries
4	Daruna Karma	Hardening the margins of the injuries (some wounds have much less tensile energy in order that the wound margin simply separate inflicting early dehiscence and wound therapeutic delayed. To keep away from very long time wound therapeutic, daruna karma is completed)
5	Kshara Karma	Software of alkalis
6	Agni Karma	Fireplace cauterization
7	Krshna Karma	Inducing black coloration (hypo-pigmentation space made regular like surrounding tissue)
8	Pandu Karma	Inducing white coloration (hyper-pigmentation space made regular like surrounding tissue)
9	Pratisaarana	Tablets made up of tough powder of medicinal herbs is rubbed on tender shiny pores and skin (after wound therapeutic) in order to make the pores and skin floor tough, similar to the conventional pores and skin
10	Roma Sanjanana	Therapies and medicines (measures) enabling progress of hairs
11	Loma Apaharana	Therapies and medicines (measures) enabling elimination of pointless hairs
12	Vasti Karma	Medicinal Enemas
13	Uttara Vasti Karma	Enemas given by urinary and genital passages
14	Bandha	Bandages
15	Patra Daana	Overlaying the injuries with leaves
16	Krimighna	Disinfectants
17	Brmhana	Bulk selling and strengthening remedies
18	Vishagna	Anti-toxins, remedies and medicines which nullify or neutralize the impact of poisons and toxins
19	Shiro virechana	Nasal instillation of medicines
20	Nasya	Nasal instillation of remedy / Errhines
21	Kavala dharana	Rinsing of mouth with medicinal liquids
22	Dhooma	Fumigation
23	Madhu sarpi	Administration of honey and ghee
24	Yantra	Instrumentation
25	Aahara	Dietetic routine
26	Rakshaa vidhana	Sterilization (the surgical ward, devices and so forth needs to be sterilized by fumigating with Guggulu (Commiphora mukul) and so forth herbs and Mantra uccharana (uttering or reciting holy hymns) to kill the small pathogenic organisms)