Management of Pranashta Shalya with a special reference to its direction (i.e. Shalyagati) -A case study.
Keywords:
Nirharan, Pranashta Shalya, Lakshana, Chikitsa, Adhyaya, Ashtang Ayurveda, Shalyatantra, Sutrasthana,Abstract
In this article we will exclusively deal with Shalya Nirharan i.e. removal / extraction/ treatment/ management of anything disturbing physical and mental status of body.
Pranashta Shalya - Foreign body.
This foreign body gets embedded in human body by a various ways, such as any trauma causing insertion of sharp object e.g. Thorn, twig or any metal screw, etc. If they have been removed completely then body will start healing that traumatic wound completely. If that wound is not completely healed then body gives some specific signals of its (Pranashta Shalya) identification and we as a surgeon should emphasize it otherwise that unhealed wound will land up into a gangrenous part.
In Modern surgery it’s still a challenge for detection and excavation of retained foreign body. Due to lack of modern diagnostic tools in ancient period removal of retained foreign body could have been more challenging. Acharya Sushruta has described accurate and precise lakshana along with Chikitsa of retained foreign body by the name of Pranashta Shalya in a separate chapter of Sutrasthana which helps surgeon of past and even today to overcome this difficulty. In this article more attention is given on “ShalyaGati”. As it says that without doing any diagnostic procedure such as X-ray, USG, CT-scan, etc. we can still get to know the direction and location of Pranashta Shalya.
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