The twenty sixth chapter of Uttara Sthanam of Ashtanga Hridayam is called as Sadyo Vrana Pratishedha. This chapter offers with the reason of ‘Treatment of traumatic wounds’.
The subjects lined on this chapter embrace –
- Definition of Sadyo Vrana and its sorts
- Definition of Sadyo Vrana and its sorts
- Cikitsa – therapy
- Therapy of Ghrista ulcers / wounds
- Therapy for accidents of the attention
- Therapy of eye gone deep contained in the socket
- Therapy for displacement of ear
- Therapy for damaged cricoid
- Therapy of accidents of extremities
- Therapy of damage to scrotum and testes
- Kalanusaryadi Taila
- Bandaging the minimize off limbs
- Therapy of Viddha wounds
- Elimination of international physique from the top
- Therapy of elimination of mind matter
- Therapy of wound attributable to international our bodies
- Koshtabheda Lakshana – indicators of damage of inner viscera
- Indicators of bleeding in abdomen
- Indicators of bleeding in massive gut
- Filling of blood within the organs even in absence of wounds
- Situations for rejecting the circumstances of inner bleeding
- Kostha Bheda Cikitsa – therapy of visceral wounds
Pledge by the creator(s)
अथात: सद्योव्रणप्रतिषेध व्याख्यास्याम: ।
इति ह स्माहुरात्रेयादयो महर्षय: ।
After having provided prayers to the God, henceforth we’re going to clarify the chapter pertaining to the reason of ‘Treatment of traumatic wounds’.Thus, say (pledge) Atreya and different sages.
Definition of Sadyo Vrana and its sorts
सद्योव्रणा ये सहसा सम्भवन्त्यभिघाततः ।
अनन्तैरपि तैरङ्गमुच्यते जुष्टमष्टधा ॥ १ ॥
घृष्टावकृत्तविच्छिन्नप्रविलम्बितपातितम् ।
विद्धं भिन्नं विदलितं
Sadyovrana are these which happen abruptly on account of trauma/damage; although innumerable localized in several components of the physique, these are labeled as of eight varieties. viz Ghrista, Avakritta, Vicchinna, Pravilambita, Patita, Viddha, Bhinna and Vidalita
Sadyo Vrana and its sorts
तत्र घृष्टं लसीकया ॥ २ ॥
रक्तलेशेन वा युक्तं सप्लोषं छेदनात्स्रवेत् ।
अवगाढं ततः कृत्तं विच्छिन्नं स्यात्ततोऽपि च ॥३॥
प्रविलम्बि सशेषेऽस्थ्नि पतितं पातितं तनोः ।
सूक्ष्मास्यशल्यविद्धं तु विद्धं कोष्ठविवर्जितम् ॥४॥
भिन्नमन्यद्विदलितं मज्जरक्तपरिप्लुतम् ।
प्रहारपीडनोत्पेषात्सहास्थ्ना पृथुतां गतम् ॥५॥
Ghrista is that which exudes lasika (lymph) alone or combined with little of blood when minimize, related to burning sensation; Avagadha is extreme than Ghirsta and Vicchinna continues to be extra extreme than Avagadha. Pravilambi is that by which solely the bone stays within the place: Patita is that by which the injured half has fallen off (separated) from the physique; Viddha is a wound with small orifice attributable to a international physique wherever on the physique besides the kostha (organs contained in the trunk) such a wound occurring within the hitting (assault), squeezing and crushing of bones, affecting a big and deep tissue space, wound containing marrow and blood inside being break up or torn.
Chikitsa: Therapy
सद्यः सद्योव्रणं सिञ्चेदथ यष्ट्याह्वसर्पिषा ।
तीव्रव्यथं कवोष्णेन बलातैलेन वा पुनः ॥ ६ ॥
Sadyovrana which has extreme ache needs to be instantly bathed (washed) in heat Yasti ghrita – Natural ghee ready with Glycyrrhiza glabra or Bala taila typically.
क्षतोष्मणो निग्रहार्थं तत्कालं विसृतस्य च ।
कषायशीतमधुरस्निग्धा लेपादयो हिताः ॥ ७ ॥
To be able to mitigate the warmth of the wound which has unfold out shortly, herbs which possess astringent style, chilly efficiency, candy style and unctuous properties useful (needs to be made use of) for lepa (exterior software of paste) and so forth.
सद्योव्रणेष्वायतेषु सन्धानार्थं विशेषतः ।
मधुसर्पिश्च युञ्जीत पित्तघ्नीश्च हिमाः क्रियाः ॥८॥
In traumatic wounds that are broad, with the intention to promote therapeutic, honey and ghee needs to be specifically made use of so additionally, therapy which mitigate Pitta and are chilly.
ससंरम्भेषु कर्तव्यमूर्ध्वं चाधश्च शोधनम् ।
उपवासो हितं भुक्तं प्रततं रक्तमोक्षणम् ॥ ९ ॥
When accompanied with extreme swelling, purification of the physique within the higher (emesis) and decrease components (purgation) and fasting are useful, frequent blood-letting additionally completed after consumption of meals.
घृष्टे विदलिते चैष सुतरामिष्यते विधिः ।
तयोर्ह्यल्पं स्रवत्यस्रं पाकस्तेनाशु जायते ॥ १० ॥
These (above) are the strategies specifically suited to Ghrista and Vidalita varieties;in these the bleeding is much less, therefore Paka (suppuration) develops shortly.
Therapy for Avakruta and Vicchinna
अत्यर्थमस्रं स्रवति प्रायशोऽन्यत्र विक्षते ।
ततो रक्तक्षयाद्वायौ कुपितेऽतिरुजाकरे ॥ ११ ॥
स्नेहपानपरीषेकस्वेदलेपोपनाहनम् ।
स्नेहवस्तिं च कुर्वीत वातघ्नौषधसाधितम् ॥ १२ ॥
In others (Avakrtta and Vicchinna), there may be copious discharge of blood typically, by lack of blood Vata undergoes aggravation and causes extreme ache. For this situation ingesting of fat, washing the wound, fomentation, exterior software of paste, heat poultice and fats enema remedy ready from the herbs which mitigate Vata needs to be administered.
इति साप्ताहिकः प्रोक्तः सद्योव्रणहितो विधिः ।
सप्ताहाद्गतवेगे तु पूर्वोक्तं विधिमाचरेत् ॥ १३ ॥
Thus, have been described the strategies of therapy for the primary seven days useful to traumatic wounds; after seven days when the severity has subsided, the remedies described beforehand (in earlier chapter) needs to be adopted.
प्रायः सामान्यकर्मेदं वक्ष्यते तु पृथक् पृथक् ।
That is the overall line of therapy; additional on can be described therapy, particular to every, individually.
Therapy of Ghrista ulcers / wounds
घृष्टे रुजं निगृह्याशु व्रणे चूर्णानि योजयेत् ॥ १४ ॥
कल्कादीन्यवकृत्ते तु विच्छिन्नप्रविलम्बिनोः ।
सीवनं विधिनोक्तेन बन्धनं चानु पीडनम् ॥ १५ ॥
In Ghrista form of ulcer, the ache needs to be managed first after which the wound dusted with the powder (of herbs); in Avakrtta, paste (of herbs) and so forth. needs to be utilized. In Vicchina and Pravilambi suturing, bandaging and squeezing needs to be completed one after the opposite, as per process described beforehand.
Therapy for accidents of the attention
असाध्यं स्फुटितं नेत्रमदीर्णं लम्बते तु यत् ।
सन्निवेश्य यथास्थानमव्याविद्धसिरं भिषक् ॥१६॥
पीडयेत्पाणिना पद्मपलाशान्तरितेन तत् ।
ततोऽस्य सेचने नस्ये तर्पणे च हितं हविः ॥१७॥
विपक्वमाजं यष्ट्याह्वजीवकर्षभकोत्पलैः ।
सपयस्कैः परं तद्धि सर्वनेत्राभिघातजित् ॥१८॥
The attention (ball) which is break up (damaged) is incurable; that which has come out and hanging free and its vein not minimize, then the doctor ought to push it inside by urgent it again into its place, with the assistance of his palm holding a leaf of a lotus; palāśa – Butea monosperma individually goat ghee boiled with yaṣṭi -¬ Glycyrrhiza glabra, jīvaka – Malaxis¬ acuminata, ṛṣabhaka – Manilkara hexandra, utpalaiḥ – Nymphaea alba and with milk is useful for bathing the attention, nasal drops, and filling contained in the eyes. This treatment all of the accidents of the eyes.
Therapy of eye gone deep contained in the socket
गलपीडाऽवसन्नेऽक्ष्णि वमनोत्कासनक्षवाः ।
प्राणायामोऽथवा कार्यः क्रिया च क्षतनेत्रवत् ॥ १९ ॥
If the attention (ball) has gone deep inside, exhausting urgent of the throat, inducing of vomiting, cough and sneeze or management of respiration needs to be completed and likewise the remedies prescribed for ulceration of the attention.
Therapy for displacement of ear
कर्णे स्थानाच्च्युते स्यूते श्रोतस्तैलेन पूरयेत् ।
If the ear pinna is displaced, it needs to be sutured on the correct place and the ear crammed with medicated oil.
Therapy for damaged cricoid
कृकाटिकायां छिन्नायां निर्गच्छत्यपि मारुते ॥ २० ॥
समं निवेश्य बध्नीयात्स्यूत्वा शीघ्रं निरन्तरम् ।
आजेन सर्पिषा चात्र परिषेकः प्रशस्यते ॥ २१ ॥
उत्तानोऽन्नानि भुञ्जीत शयीत च सुयन्त्रितः ।
Within the Krikatika (cricoids cartilages within the neck) is discovered torn and air is popping out by it, needs to be positioned within the correct degree, sutured shortly, with out leaving any house within the center after which bandaged. It’s preferrred to tub the location with goat ghee, the affected person ought to eat mendacity along with his face up and sleep nicely restrained (with out making motion).
Therapy of accidents of extremities
घातं शाखासु तिर्यक्स्थं गात्रे सम्यङ्निवेशिते ॥ २२ ॥
स्यूत्वा वेल्लितबन्धेन बध्नीयाद्घनवाससा ।
चर्मणा गोष्फणाबन्धः कार्यश्चासङ्गते व्रणे ॥ २३ ॥
If the extremities are injured and located distorted, they need to be introduced again to their regular place, sutured and bandaged with vellita bandha, utilizing thick material. In case of wounds that are irregular (uneven), gophana bandha needs to be tied utilizing leather-based strap.
Therapy of damage to scrotum and testes
पादौ विलम्बिमुष्कस्य प्रोक्ष्य नेत्रे च वारिणा ।
प्रवेश्य वृषणौ सीव्येत्सेवन्या तुन्नसञ्ज्ञया ॥ २४ ॥
कार्यश्च गोष्फणाबन्धः कट्यामावेश्य पट्टकम् ।
स्नेहसेकं न कुर्वीत तत्र क्लिद्यति हि व्रणः ॥ २५ ॥
If in an individual the scrotum is discovered hanging free and the testes have come out (on account of damage), the ft and eyes of such an individual needs to be sprinkled with water, the testes pushed into the scrotum and sutured utilizing a needle known as tunnasevani (vesicorectal raphae); then masking the waist, needs to be tied a bandage with gophana bandha. Use of fat and fomentation shouldn’t be completed to the location for the reason that ulcer grow to be moist (exude pus).
Kalanusaryadi Taila
कालानुसार्यगुर्वेलाजातीचन्दनपर्पटैः ।
शिलादार्व्यमृतातुत्थैः सिद्धं तैलं च रोपणम् ॥ २६ ॥
Medicated oil ready with kālānusāri – Valeriana wallichi, aguru – Aquilaria agallocha¬, elā – Elettaria cardamomum, jātī – Jasminum grandiflorum, candana – Santalum album, parpaṭaiḥ – Fumaria parviflora, śilā -¬ Arsenic bi sulphide, dārvī -¬ Colocasia esculenta, amṛtā – Tinospora cordifolia and Purified Copper Sulphate is nice for therapeutic.
Bandaging the minimize off limbs
छिन्नां निःशेषतः शाखां दग्ध्वा तैलेन युक्तितः ।
बध्नीयात्कोशबन्धेन ततो व्रणवदाचरेत् ॥ २७ ॥
The limb which has been utterly minimize off needs to be skilfully burnt with oil, bandaged utilizing koshabandha after which handled like several ulcer.
Therapy of Viddha wounds
कार्या शल्याहृते विद्धे भङ्गाद्विदलिते क्रिया ।
In Viddha form of wound, from which the international physique has been eliminated, the remedies prescribed for vidalita wound, needs to be completed.
Elimination of international physique from the top
शिरसोऽपहृते शल्ये वालवर्तिं प्रवेशयेत् ॥ २८ ॥
मस्तुलुङ्गस्रुतेः क्रुद्धो हन्यादेनं चलोऽन्यथा ।
व्रणे रोहति चैकैकं शनैरपनयेत्कचम् ॥ २९ ॥
After eradicating the international physique from the top (scalp), a wick of hair needs to be inserted into that holes, in any other case by discharge of mind matter Vata getting aggravated could kill particular person; after the injuries heal, the wick of hair needs to be eliminated one after the opposite steadily.
Therapy of elimination of mind matter
मस्तुलुङ्गस्रुतौ खादेन्मस्तिष्कानन्यजीवजान् ।
In case of elimination of mind matter, the affected person ought to partake the mind of different animals.
Therapy of wound attributable to international our bodies
शल्ये हृतेऽङ्गादन्यस्मात्स्नेहवर्तिं निधापयेत् ॥ ३० ॥
Wound attributable to elimination of international our bodies from the physique, in another components, besides those talked about above, needs to be plugged with (cotton) wick soaked in fats (oil or ghee).
Chakra taila to deal with the deep seated wounds
दूरावगाढाः सूक्ष्मास्या ये व्रणाः स्रुतशोणिताः ।
सेचयेच्चक्रतैलेन सूक्ष्मनेत्रार्पितेन तान् ॥ ३१ ॥
The injuries that are deep seated, with minute mouth (orifice) and exuding blood, needs to be bathed with Chakra Taila (oil dribbling from the pestle of the oil mill) pushed inside by the minute tubes.
Koshtabheda Lakshana: Indicators of damage of inner viscera
भिन्ने कोष्ठेऽसृजा पूर्णे मूर्छाहृत्पार्श्ववेदनाः ।
ज्वरो दाहस्तृडाध्मानं भक्तस्यानभिनन्दनम् ॥ ३२ ॥
सङ्गो विण्मूत्रमरुतां श्वासः स्वेदोऽक्षिरक्तता ।
लोहगन्धित्वमास्यस्य स्याद्गात्रे च विगन्धता ॥ ३३ ॥
If the organs of the trunk are wounded / injured, there may be accumulation of blood inside, fainting, ache within the area of the center and flanks, fever, burning sensation, thirst, flatulence, lack of want for meals, obstruction of feces, urine and flatus, dyspnoea, sweating, redness of the eyes, odor of iron from the mouth and irregular odor within the physique.
Indicators of bleeding in abdomen
आमाशयस्थे रुधिरे रुधिरं छर्दयत्यपि ।
आध्मानेनातिमात्रेण शूलेन च विशस्यते ॥ ३४ ॥
If the blood has collected within the abdomen, there may be vomiting of blood and the particular person dies by profound flatulence and extreme ache.
Indicators of bleeding in massive gut
पक्वाशयस्थे रुधिरे सशूलं गौरवं भवेत् ।
नाभेरधस्ताच्छीतत्वं खेभ्यो रक्तस्य चागमः ॥ ३५ ॥
If the blood has collected within the massive intestines, there may be ache, heaviness beneath the umbilicus, coldness and blood comes out by the orifices (of faces and so forth.).
Filling of blood within the organs even in absence of wounds
अभिन्नोऽप्याशयः सूक्ष्मैः स्रोतोभिरभिपूर्यते ।
असृजा स्यन्दमानेन पार्श्वे मूत्रेण वस्तिवत् ॥ ३६ ॥
The organs despite the fact that not wounded (visibly), get crammed with blood from minute channels from all the perimeters similar to the urinary bladder from the urine.
Situations for rejecting the circumstances of inner bleeding
तत्रान्तर्लोहितं शीतपादोच्छ्वासकराननम् ।
रक्ताक्षं पाण्डुवदनमानद्धं च विवर्जयेत् ॥ ३७ ॥
The one who has accumulation of blood inside, whose ft, expired air, palms and face are chilly, eyes are purple, face is pale and stomach bloated needs to be rejected.
Kostha Bheda Chikitsa: Therapy of visceral wounds
आमाशयस्थे वमनं हितं पक्वाशयाश्रिते ।
विरेचनं निरूहं च निःस्नेहोष्णैर्विशोधनैः ॥ ३८ ॥
If accumulation of blood is within the abdomen, emesis is useful and whether it is within the massive gut, purgation and decoction enema with out addition of fat; with herbs of scorching efficiency and of purgative properties.
Kostha Bheda Chikitsa: Therapy of visceral wounds
यवकोलकुलत्थानां रसैः स्नेहविवर्जितैः ।
भुञ्जीतान्नं यवागूं वा पिबेत्सैन्धवसंयुताम् ॥ ३९ ॥
He ought to partake his meals with the soup of yava – Hordeum vulgare, kola – Ziziphus mauritiana, kulatthānāṃ – or Macrotyloma uniflorum, with out including fat or drink gruel added with rock salt.
अतिनिःस्रुतरक्तस्तु भिन्नकोष्ठः पिबेदसृक् ।
The affected person wounded within the viscera, who has misplaced a lot blood ought to drink blood (of animals).
क्लिष्टच्छिन्नान्त्रभेदेन कोष्ठभेदो द्विधा स्मृतः॥४०॥
मूर्छादयोऽल्पाः प्रथमे द्वितीये त्वतिबाधकाः ।
क्लिष्टान्त्रः संशयी देही छिन्नान्त्रो नैव जीवति ॥४१॥
Kosthabheda is of two varieties viz Klistantra and Chidrantra; within the first fainting and so forth. are delicate and within the second they’re very troublesome; in Klistantra, lifetime of the particular person is uncertain (could survive or could not survive) however in Chinnantra, the particular person doesn’t survive in any respect.
यथास्वं मार्गमापन्ना यस्य विण्मूत्रमारुताः ।
व्युपद्रवः स भिन्नेऽपि कोष्ठे जीवत्यसंशयम् ॥ ४२ ॥
The particular person although wounded within the inner organs absolutely survives when the feces, urine and flatus begun to come back out of their regular passages and when different problems get relieved.
अभिन्नमन्त्रं निष्क्रान्तं प्रवेश्यं न त्वतोऽन्यथा ।
उत्पङ्गिलशिरोग्रस्तं तदप्येके वदन्ति तु ॥ ४३ ॥
The gut which isn’t wounded and which has come out, needs to be pushed inside; however not in any other case (whether it is wounded); that needs to be pushed inside solely after it’s held tight by the top of the large ants thus, say some others.
प्रक्षाल्य पयसा दिग्धं तृणशोणितपांसुभिः ।
प्रवेशयेत्क्लृप्तनखो घृतेनाक्तं शनैः शनैः ॥ ४४ ॥
The gut contaminated with grass, blood, sand and so forth. needs to be washed nicely with water and the doctor along with his palms smeared with ghee and nails pared, ought to push the gut slowly.
क्षीरेणार्द्रीकृतं शुष्कं भूरिसर्पिःपरिप्लुतम् ।
अङ्गुल्या प्रमृशेत्कण्ठं जलेनोद्वेजयेदपि ॥ ४५ ॥
तथाऽन्त्राणि विशन्त्यन्तस्तत्कालं पीडयन्ति च ।
व्रणसौक्ष्म्याद्बहुत्वाद्वा कोष्ठमन्त्रमनाविशत् ॥ ४६ ॥
तत्प्रमाणेन जठरं पाटयित्वा प्रवेशयेत् ।
The dried gut needs to be made moist with milk and the throat pressed (delicately) with fingers anointed with loads of ghee and the affected person needs to be agitated (shocked) by (sprinkling) water, then the intestines will get positioned inside and instantly pressed; wound being small and the gut (protruding out) being massive can’t be pushed (simply) into the belly cavity, subsequently the stomach needs to be incised (minimize) to its (gut) dimension and pushed in.
यथास्थानं स्थिते सम्यगन्त्रे सीव्येदनु व्रणम् ॥ ४७ ॥
स्थानादपेतमादत्ते जीवितं कुपितं च तत् ।
वेष्टयित्वाऽनु पट्टेन घृतेन परिषेचयेत् ॥ ४८ ॥
पाययेत ततः कोष्णं चित्रातैलयुतं पयः ।
मृदुक्रियार्थं शकृतो वायोश्चाधःप्रवृत्तये ॥ ४९ ॥
अनुवर्तेत वर्षं च यथोक्तं व्रणयन्त्रणाम् ।
When the gut occupies its correct place the wound needs to be sutured; if displaced once more it could take away the life, by aggravation. A band of material needs to be tied across the stomach and soaked each day with ghee. He ought to drink heat milk added with chitra taila (castor oil) with the intention to make the feces mushy and flatus to maneuver down. This process needs to be continued for one yr together with different therapies prescribed within the therapy of ulcers.
उदरान्मेदसो वर्तिं निर्गतां भस्मना मृदा ॥ ५० ॥
अवकीर्य कषायैर्वा श्लक्ष्णैर्मूलैस्ततः समम् ।
दृढं बद्ध्वा च सूत्रेण वर्धयेत्कुशलो भिषक् ॥ ५१ ॥
तीक्ष्णेनाग्निप्रतप्तेन शस्त्रेण सकृदेव तु ।
स्यादन्यथा रुगाटोपो मृत्युर्वा छिद्यमानया ॥ ५२ ॥
सक्षौद्रे च व्रणे बद्धे सुजीर्णेऽन्ने घृतं पिबेत् ।
क्षीरं वा शर्कराचित्रालाक्षागोक्षुरकैः शृतम् ॥ ५३ ॥
रुग्दाहजित्सयष्ट्याह्वैः परं पूर्वोदितो विधिः ।
मेदोग्रन्थ्युदितं तत्र तैलमभ्यञ्जने हितम् ॥ ५४ ॥
If the medasvarti (wick of fats/ pancreas) has come out of the stomach, it needs to be cleaned with mushy ash or decoction of astringent herbs or high quality powder of roots of timber, then made straight, tied agency with threads and minimize by sensible doctor, then after touched with purple scorching iron; if not completed so, it could result in ache, gurgling or dying due to being torn. Subsequent the wound, with honey needs to be bandaged (bathed), and after the digestion of meals ought to drink ghee and eat milk boiled with (or milk and ghee boiled with) sugar, citrā – Ricinus communis, lākṣā – Laccifer lacca, gokṣurakaiḥ – Tribulus terrestris and yaṣṭi -Glycyrrhiza glabra, that is finest to alleviate ache and burning sensation. Medicated oil prescribed for medojagranthi beforehand (vide chapter 31 of uttara sthana) also needs to adopted for anointing on this situation additionally.
तालीशं पद्मकं मांसी हरेण्वगुरुचन्दनम् ।
हरिद्रे पद्मबीजानि सोशीरं मधुकं च तैः ॥ ५५ ॥
पक्वं सद्योव्रणेषूक्तं तैलं रोपणमुत्तमम् ।
Medicated oil ready with tālīśaṃ – Abies webbiana¬, padmakaṃ – Prunus cerasoides, māṃsī – Nardostachys jatamansi, hareṇu – Pisum sativum, aguru – Aquilaria agallocha, candanam – Santalum album, haridre – the 2 haridra- Haridra – Curcuma longa, Daruharidra – Berberis aristata, padmabījāni – seed of¬ Nelumbo nucifera, Usira – Vetiveria zizanioides and Madhuka – Glycyrrhiza glabra, is nice for therapeutic of ulcers.
गूढप्रहाराभिहते पतिते विषमोच्चकैः ॥ ५६ ॥
कार्यं वातास्रजित्तृप्तिमर्दनाभ्यञ्जनादिकम् ।
In wounds that are attributable to hid blow, by which components of the physique have gotten displaced, that are irregular and tremendously elevated, therapy reminiscent of nourishment, therapeutic massage, oil anointing and so forth. that are prescribed for Vatasra (gout) needs to be completed.
विश्लिष्टदेहं मथितं क्षीणं मर्माहतं हतम् ॥ ५७ ॥
वासयेत्तैलपूर्णायां द्रोण्यां मांसरसाशिनम् ॥ ५७½ ॥
The particular person whose physique is badly wounded, churned, emaciated, injured within the important organs and badly broken needs to be saved in a bath-tub crammed with medicated oil and the affected person consuming juice of meat as meals.
इति श्री वैद्यपति सिंहगुप्तसूनु श्रीमद्वाग्भटविरचितायामष्टाङ्गहृदयसंहितायां षष्ठे उत्तरस्थाने सद्योव्रणप्रतिषेधो नाम षड्विंशोऽध्याय: ॥ २६ ॥
Thus, ends the chapter Sadyovrana Pratishedha the twenty sixth in Uttarasthana of Astanga Hridaya Samhita composed by Srimad Vagbhata, son of Vaidyapati Simhagupta.
