Ashtang Hridaya Sutra sthana chapter 29 is about Shastra Karma Vidhi

1. Ashtang Hridaya
Dr. Abdeli Bhadarva Page 1
A.H.Su.29
Shastrakarma vidhi Adhyaya
 Treatment of swelling to prevent suppuration:
1. Sheeta Lepa
2. Sheeta Parisheka
3. Rakta mokshana
4. Shodhana (Vamana, Virechana) etc.
 Three stages of Shotha:
1. Ama
2. Pachyamana
3. Pakva
1. Features of Ama Shotha:
a. Mild swelling
b. Mild pain
c. Mild temperature
d. Without any discoloration of skin (Savarna)
e. Hardness
f. Stable
2. Features of Pachyamana Shotha:
a. Discoloration of skin
b. Redness
c. Inflated like a bladder
d. Very severe and continuous pain as if breaking
e. Bodyache
f. Uneasiness
g. Yawning
h. Aruchi
i. Fever
j. Thirst
k. Anidra
l. Burning sensation
m. Usha (scorching pain)
n. Melting of solid ghee when placed on swelling
o. Tenderness like wound
3. Features of Pakva Shotha:
a. Paleness
b. Mild Shotha (Alpa vega)
c. Wrinkles
d. Depressed at periphery and elevated in the central part
e. Decrease in Kandu and Shotha

2. Ashtang Hridaya
Dr. Abdeli Bhadarva Page 2
f. Feeling of movement of pus, just as the movement of water in bladder
 Qualities of Shalya Chikitsaka (surgeon):
 Shaurya (Courage)
 Ashukriya (Quickness of action)
 Tikshna Shastra (Having Sharp instruments)
 Asweda (not getting sweating)
 Avepathu (not getting trembling)
 Asammoha (not getting confused)
 15 types of Bandhana:
1. Kosha 2. Swastika 3. Muttoli
4. China 5. Dama 6. Anuvellita
7. Khatva 8. Vibandha 9. Sthagika
10. Vitana 11. Utsanga 12. Gophana
13. Yamaka 14. Mandala 15. Panchangi
No. Bandhana Area
1. Kosha Joints of fingers
2. Swastika Ear, axilla etc., breast, joints
3. Muttoli Penis, neck etc.
4. China Apanga (outer angle of eye)
5. Dama Joints of the body
6. Anuvellita Extremities
7. Khatva Cheeks, Hanu, Shankha
8. Vibandha Back, abdomen
9. Sthagika Thumb, fingers, tip of penis and Antra Vruddhi
10. Vitana Head and thick parts of the body
11. Utsanga Hanging parts
12. Gophana Nose, lips, chin etc. and joints
13. Yamaka Two wounds nearby
14. Mandala Round parts
15. Panchangi Urdhva Jatru