Leech and Siravedha

What is the importance of this topic ?

Blood-letting is the basic & prime line of treatment of all surgical disorders .
Leech & Siravedha are bifocals ; ways of blood-letting. There are some similarities & some specialties of both.
A. Leech =1.Leech means only Hirudo-medicinalis or non-toxic leech ;that is Kapila; pingala ;etc. Leech is a slimy & live Para-surgical sharp instrument.Leech is the local way of blood-letting .
2.
Leech is mainly a ‘pittaghana’.
3.
Consistency of leech is up to nearly about 60 cms. Means skin &muscular level of the organ .
4.
It is not true that leech sucks only impure blood like a myth about swan ; never told by god-father of surgery an authentic surgeon –sushrut .Leech have a sucking capacity is up to only capillaries or venous circulation and Vagbhat said so many years ago that ‘agre sravati dushatsram ‘ Leech have no knowledge what is vein & what is artery.So ;surgeon must know site of leech application .Otherwise there must be a complication .
5.
Leech is live ;capacity of sucking is only 1 to 2 gram of blood .It is improper quantityof ‘bloodletting ‘. Sometimes ;leech can suck more than capacity because leech is live .So ;to avoid complications ; surgeon must know when ;where ;how ; leech application can be done & can be removed properly .
6.
Leech incision is inverted Y-shaped ;tiny ;out of 8 ; 3 types of surgery can be done with the help of leech ; namely –incision ;to puncture ; drainage . Other than leech can do sandhan or plastic surgery or like a natural suture .
7.
Leech is the best number one parasurgical sharp instrument .There is one indication –‘shishunam … ‘ So ; leech surgery can be done in all surgical disorders through bloodletting ; through effect on circulation .
B. Siravedha – 1. Siravedha means venepuncture
2.
It is the surgical way of bloodletting
3.
Out of 8 ; 2 type of surgery can be done in siravedha ; that is vedhan & visravan.
4.
Consistency is whole body
5.
Siravedha is tridoshghana
Vedana means not only pain but also disease . Blood is root cause of surgical disorders .Siravedha is anti-vedana .6.Magine of siravedha is vast . It is sarvang .
At last Leech & Siravedha are the hands of Surgeon .
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