A GLIMPSE ON SIRAVYADHA – THE WONDER TOOL OF SHALYATANTRA: A REVIEW

Abstract

Siravyadha is an important treatment modality explained in the classics of Ayurveda. Acharya Vagbhata in Ashtanga Hridaya has mentioned Asravisruti or bloodletting as one among the Panchakarmas or 5 purificatory measures. Siravyadha proves its benefits ranging from Vatavyadhis to numerous diseases of surgical importance. This treatment modality was once considered at the zenith, but later ages showed its decline due to various reasons. All the classics are keenly examined for the perfect understanding of deeper elements of Siravyadha. Indications and contra indications, the type of the instrument to be used, site to be punctured in various diseases, signs of proper and improper Siravyadha, quantity of blood to be withdrawn, post procedure care are explained in series. Pathophysiological studies re-veal the immunological, inflammatory and physiological responses in the body following a considerable blood loss of more than 100ml eventually has its effects on various systems of human body. Even though the reach of the procedure is quite vast, for some reasons it is sel-dom practiced by most of the Ayurvedic Surgeons. This article is aimed at throwing light on the importance of Siravyadha, its practical implications and also to bring back the lost glory to this treatment procedure so that the principles of Ayurveda find new heights in the future days.