Sushruta

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Sushruta
Susruta. Pen drawing. Wellcome V0006619.jpg
Sketch of Sushruta
Bornc. mid 1st millennium BCE
Known forAuthor of Sushruta Samhita
Academic background
Academic work
Discipline
InstitutionsBanaras University[2]
Notable works
  • early Rhinoplasty (cheek)
  • classification of burns into four degrees *explaining the effect of heat stroke, frostbite, and lightning injuries
  • introducing mock surgeries on inanimate objects .
  • A code of ethics for teachers as well as students.
  • Classification of eye diseases to 76 categories
  • Introduction of wine to dull the pain of surgical incisions.
  • Classifiying types of bone dislocations[citation needed]

Sushruta, or Suśruta (Sanskrit: सुश्रुत, IAST: Suśruta, lit.'well heard'[3]) was an ancient Indian physician. The Sushruta Samhita (Sushruta's Compendium), a treatise ascribed to him, is one of the most important surviving ancient treatises on medicine and is considered a foundational text of Ayurveda.[4] The treatise addresses all aspects of general medicine, but the impressive chapters on surgery have led to the false impression that this is its main topic. The translator G. D. Singhal dubbed Suśruta "the father of surgery" on account of these detailed accounts of surgery.[5][6][7][8]

The Compendium of Suśruta locates its author in Varanasi, India.

Date[edit]

The early scholar Rudolf Hoernle proposed that some concepts from the Suśruta-saṃhitā could be found in the Śatapatha-Brāhmaṇa, which he dates to the 600 BCE,[9] and this dating is still often repeated. However, during the last century, scholarship on the history of Indian medical literature has advanced substantially, and firm evidence has accumulated that the Suśruta-saṃhitā is a work of several historical layers. Its composition may have begun in the last centuries BCE and it was completed in its present form by another author who redacted its first five chapters and added the long, final chapter, the "Uttaratantra". It is likely that the Suśruta-saṃhitā was known to the scholar Dṛḍhabala [Wikidata] (fl. 300–500 CE), which gives the latest date for the version of the work that has come down to us today.[10] It has also become clear through historical research that there are several ancient authors called "Suśruta" who might be conflated.[10]

Citations[edit]

According to Bhishagratna, an influential translator who published in 1907, the Mahabharata, an ancient Indian epic text, represents a Suśrut as one of the sons of the ancient sage Vishvamitra.[11] Bhisagratna also asserted that Sushruta was the name of the clan to which Vishvamitra belonged.[11] In the century since Bhishagratna, our knowledge of Suśruta and the Suśrutasaṃhitā has been transformed by newer discoveries and scholarship, most of which has been surveyed in volume IA of Meulenbeld's History of Indian Medical Literature (5 vols, 1999–2002).[12]

The name Suśruta appears in later literature in the treatise on medicinal garlic that is included in the Bower Manuscripts (sixth century CE),[13] where Suśruta is listed as one of the ten sages residing in the Himalayas.[13]

Followers[edit]

Sushruta attracted a number of disciples who were known as Saushrutas and were required to study for six years before they even began hands-on training in surgery. Before starting their training, they had to take a solemn oath to devote themselves to healing and to do no harm to others;which can be compared to Hippocratic Oath. After the students had been accepted by Sushruta, he would instruct them in surgical procedures by having them practice cutting on vegetables or dead animals to perfect the length and depth of an incision. Once students had proven themselves capable with vegetation, animal corpses, or with soft or rotting wood – and had carefully observed actual procedures on patients – they were then allowed to perform their own surgeries. These students were trained by their master in every aspect of the medical arts, including anatomy.[14][15]

Sushruta on medicine and physicians[edit]

Ancient poster by Shushruta, given in Sushruta Samhita showing surgical instruments, in which most of them still continue to exist today.

Sushruta wrote the Sushruta Samhita as an instruction manual for physicians to treat their patients holistically. Disease, he claimed (following the precepts of Charaka), was caused by imbalance in the body, and it was the physician's duty to help others maintain balance or to restore it if it had been lost. To this end, anyone who was engaged in the practice of medicine had to be balanced themselves. Sushruta describes the ideal medical practitioner, focusing on a nurse, in this way:

That person alone is fit to nurse, or to attend the bedside of a patient, who is cool-headed and pleasant in his demeanor, does not speak ill of anyone, is strong and attentive to the requirements of the sick, and strictly and indefatigably follows the instructions of the physician. (I.34)[16]

Legacy[edit]

The highlight of Sushruta's surgical magnificence was the surgery of nasal reconstruction or rhinoplasty (repairing the disfigured nose with a flap of skin from the forehead) that he used to reconstruct noses that were amputated as a punishment for crime. The technique is practised almost unchanged to this day, the pedicled forehead flap being named the Indian flap. This knowledge of plastic surgery existed in India up to the late 18th century as can be seen from reports in the Gentleman's Magazine, London, October 1794.[17]

See also[edit]

References[edit]

  1. ^ Compendium of Suśruta
  2. ^ Bath, Khushbir; Aggarwal, Sourabh; Sharma, Vishal (2019). "Sushruta: Father of plastic surgery in Benares". Journal of Medical Biography. 27 (1): 2–3. doi:10.1177/0967772016643463. PMID 27885151. S2CID 6074657.
  3. ^ Monier-Williams, Monier (1899). A Sanskrit-English Dictionary. Oxford: Clarendon Press. p. 1237.
  4. ^ Wujastyk, Dominik (2003). The roots of Ayurveda selections from sanskrit medical writings. London; New York: Penguin Books. ISBN 978-0-14-044824-5. OCLC 708372480.
  5. ^ Susruta; Singh, K. P; Singh, L. M; Singhal, G. D; Udupa, K. N (1972). Susruta-samhita (in Sanskrit). Allahabad: G.D. Singhal : Exclusively distributed by Bharata Manisha, Varanasi. OCLC 956916023.
  6. ^ Singhal, G. D. (1972). Diagnostic considerations in ancient Indian surgery: (based on Nidāna-Sthāna of Suśruta Saṁhitā). Varanasi: Singhal Publications.
  7. ^ Champaneria, Manish C.; Workman, Adrienne D.; Gupta, Subhas C. (July 2014). "Sushruta: father of plastic surgery". Annals of Plastic Surgery. 73 (1): 2–7. doi:10.1097/SAP.0b013e31827ae9f5. ISSN 1536-3708. PMID 23788147.
  8. ^ Kansupada, K. B.; Sassani, J. W. (1997). "Sushruta: the father of Indian surgery and ophthalmology". Documenta Ophthalmologica. Advances in Ophthalmology. 93 (1–2): 159–167. doi:10.1007/BF02569056. ISSN 0012-4486. PMID 9476614. S2CID 9045799.
  9. ^ Hoernle, A. F. Rudolf (1907). Studies in the Medicine of Ancient India: Osteology or the Bones of the Human Body. Oxford: Clarendon Press. p. 8.
  10. ^ a b Meulenbeld, Gerrit Jan (2002). A History of Indian Medical Literature. Vol. IA. Groningen: Brill. pp. 333–357. ISBN 9789069801247.
  11. ^ a b Bhishagratna, Kunjalal (1907). An English Translation of the Sushruta Samhita, based on Original Sanskrit Text. Calcutta: Calcutta. pp. ii (introduction).
  12. ^ Meulenbeld, G. Jan (1999). A history of Indian medical literature. Groningen: Egbert Forsten. ISBN 978-90-6980-124-7. OCLC 702182403.
  13. ^ a b Wujastyk, Dominik (2003). The Roots of Ayurveda. London etc.: Penguin. pp. 149–160. ISBN 978-0140448245.
  14. ^ "Sushruta". World History Encyclopedia. Retrieved 15 May 2021.
  15. ^ HS Shukla, M Tewari. "Sushruta:'The Father of Indian Surgery'". Indian Journal of Surgery. 67: 2.
  16. ^ Lal Bhishagratna, Kaviraj Kunja (1907–1916). THE SUSHRUTA SAMHITA (PDF).
  17. ^ McDowell, F (1977). "The sourcebook of plastic surgery". Head & Neck Surgery. Williams and Wilkins Company. 1 (3): 281–282. doi:10.1002/hed.2890010313.

External links[edit]