AIAPGET POINTS
– Acharya Sushruta has described Swarabheda and its therapy in Chapter 53 of Uttara Tantra.
– Ati Uchcha Bhashana, Visha, Adhyayana, Gita, Shitadi – are the Nidanas of Swarabheda.
– Within the Samprapti of Swarabheda, SWARAVAHA SROTAS are broken by aggravated Vatadi doshas.
– There are six sorts of Swarabheda – Vataja, Pittaja, Kaphaja, Sannipataja, Kshayaja and Medoja Swarabheda.
– Gadgadavat Swara – is a function of Vataja Swarabheda.
– Digdha Gala Oshta Talu are the particular options of Medoja Swarabheda.
– Shvasa-Kasa-Vidhi has been talked about amongst therapy ideas of Swarabheda.
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The 53rd chapter of Uttaratantra of Sushruta Samhita is known as as Svarabheda Pratiședha. This chapter offers with Remedy of Hoarseness.
अथातः स्वरभेदप्रतिषेधमध्यायं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||
We’ll now expound Svarabhedapratisedha – therapy of hoarseness of voice; as revealed by the venerable Dhanvantari.
Nidāna- samprāpti – causes and pathogenesis
अत्युच्चभाषणविषाध्ययनातिगीतशीतादिभिः [१] प्रकुपिताः पवनादयस्तु |
स्रोतःसु ते स्वरवहेषु गताः प्रतिष्ठां हन्युः स्वरं भवति चापि हि षड्विधः सः ||३||
Causes –
– Speaking in excessive pitch, for extended intervals of time,
– Affliction by poisons,
– Finding out in loud voice
– Singing in loud voice
– Extreme use of chilly issues
Pathogenesis –
Because of the above stated causes, Vata and different doshas get aggravated. These aggravated doshas get lodged and localized within the svaravaha srotas i.e. channels of voice and destroy the voice of the particular person. That is referred to as Svarabheda.
Sorts – Swarabheda is of six sorts.
Lakşana – medical options
वातेन कृष्णनयनाननमूत्रवर्चा भिन्नं शनैर्वदति गद्गदवत् स्वरं च |
पित्तेन पीतवदनाक्षिपुरीषमूत्रो ब्रूयाद्गलेन परिदाहसमन्वितेन ||४||
कृच्छ्रात् कफेन सततं कफरुद्धकण्ठो मन्दं शनैर्वदति चापि दिवा विशेषः |
सर्वात्मके भवति सर्वविकारसम्पदव्यक्तता च वचसस्तमसाध्यमाहुः ||५||
धूप्येत वाक् क्षयकृते क्षयमाप्नुयाच्च वागेष चा(वा)पि हतवाक् परिवर्जनीयः |
अन्तर्गलं स्वरमलक्ष्यपदं चिरेण मेदश्चयाद्वदति दिग्धगलौष्ठतालुः ||६||
| Kind of Svarabheda | Signs |
| Vataja Svarabheda – hoarseness of voice produced by vata | Blackish discolouration of the attention, face, urine and faeces of the affected person
Speaks with damaged voice, slowly Speech related to stammering |
| Pittaja Svarabheda – hoarseness of voice produced by pitta | Yellowish discolouration of the face, eyes, faeces and urine of the affected person
Speech comes from deep contained in the throat i.e. the particular person speaks from the throat Speech related to burning sensation |
| Kaphaja Svarabheda – hoarseness of voice produced by kapha | Individual speaks with problem, constantly, slowly and throughout the day
Obstruction of throat by kapha at evening |
| Sannipataja Svarabheda – hoarseness of voice produced by simultaneous aggravation of all of the three doshas | Signs of all of the doshas might be current
Voice of the particular person won’t be manifested, not audible It’s incurable |
| Kshayaja Svarabheda – hoarseness of voice brought on by Kshaya – consumption or pthisis | Voice is lower or
Voice is totally misplaced It’s incurable |
| Medoja Svarabheda – hoarseness of voice brought on by accumulation of medas – fats | Sound of the voice lurks within the throat of the affected person,
Phrases don’t come clearly, Voice of the affected person comes out slowly The particular person’s throat, lips and palate are coated with fats |
क्षीणस्य वृद्धस्य कृशस्य चापि चिरोत्थितो यश्च सहोपजातः |
मेदस्विनः सर्वसमुद्भवश्च स्वरामयो यो न स सिद्धिमेति ||७||
Remedy executed for hoarseness of voice don’t succeed within the under talked about situations (i.e. it will turn into incurable) –
– In individuals who’re weak
– Aged individuals
– Emaciated individuals
– That which has turn into persistent
– That which is congenital
– That occurring in overweight people
– That produced by all of the doshas collectively
Samāñya cikitsā – common therapy
स्निग्धान् स्वरातुरनरानपकृष्टदोषान् न्यायेन तान् वमनरेचनबस्तिभिश्च |
नस्यावपीडमुखधावनधूमलेहैः सम्पादयेच्च विविधैः कवलग्रहैश्च ||८||
यः श्वासकासविधिरादित एव चोक्तस्तं चाप्यशेषमवतारयितुं यतेत |९|
वैशेषिकं च विधिमूर्ध्वमतो वदामि तं वै स्वरातुरहितं निखिलं निबोध ||९||
Under talked about are the therapy ideas for Svarabheda –
Snehana – firstly, the affected person affected by voice issues or hoarseness of voice must be administered with oleation remedy.
Swedana – After oleation, sudation remedy must be administered.
Shodhana – After oleation and sudation, purificatory therapies must be administered within the type of vamana – emesis, virechana – purgation and vasti – enema.
Nasya and many others – Different therapies must be executed in keeping with the standard process must be executed, together with
– nasya – errhines and avapida – kind of nasal drops,
– mukha dhavana – mouthwashes,
– dhuma – inhalation of medicated smoke,
– leha – electuaries and
– kavala – numerous sorts of gargles
Shvasa Kasa Vidhi – Therapies talked about within the therapy of dyspnoea and cough can be administered to deal with svarabheda.
After this, particular therapies useful for sufferers affected by several types of issues of voice / hoarseness of voice might be described.
Vātaja svarabheda cikitsa
स्वरोपघातेऽनिलजे भुक्तोपरि घृतं पिबेत् |
कासमर्दकवार्ताकमार्कवस्वरसे शृतम् ||१०||
पीतं घृतं हन्त्यनिलं सिद्धमार्तगले रसे |
यवक्षाराजमोदाभ्यां चित्रकामलकेषु वा ||११||
देवदार्वग्निकाभ्यां वा सिद्धमाजं समाक्षिकम् |
सुखोदकानुपानो वा ससर्पिष्को गुडौदनः ||१२||
In vataja svarabheda
Ghee ready with the under talked about components must be given to the affected person to drink –
– kasamarda
– vartaka and
– juice of markava
Alternatively, ghee ready with juice of artagala must be given. This cures vataja svarabheda.
Additionally, goat’s ghee boiled with under talked about herbs added with honey must be given –
– yavakshara
– ajamoda
Goat’s ghee boiled and ready with the under talked about herbs must be given blended with honey –
– amalaka
– devadaru
– agnika
Gudodana is boiled rice added with jaggery. This must be served with ghee for consumption. Comfortably heat water must be given as an after-drink.
Pittaja svarabheda cikitsa
क्षीरानुपानं पित्ते तु पिबेत् सर्पिरतन्द्रितः |
अश्नीयाच्च ससर्पिष्कं यष्टीमधुकपायसम् ||१३||
लिह्यान्मधुरकाणां वा चूर्णं मधुघृताप्लुतम् |
शतावरीचूर्णयोगं बलाचूर्णमथापि वा ||१४||
In pittaja svarabheda
Ghee must be given for consumption adopted by milk for ingesting.
Yashtimadhu Payasa – milk pudding ready with licorice must be given to drink added with ghee.
Powder of herbs of candy style i.e. Kakolyadi Gana group of herbs must be given to lick blended with honey and ghee.
Alternatively, powder of Satavari or Bala shall be given blended with honey and ghee to lick.
Kaphaja svarabheda cikitsā
पिबेत् कटूनि मूत्रेण कफजे स्वरसङ्क्षये |
लिह्याद्वा मधुतैलाभ्यां भुक्त्वा खादेत् कटूनि वा ||१५||
In kaphaja svarabheda
Powder of herbs tasting pungent like Trikatu and many others must be given, blended with cow urine.
The identical powder of pungent herbs shall be given to lick after mixing it with honey and oil.
It can be consumed after taking meals.
Medaja svarabheda cikitsa
स्वरोपघाते मेदोजे कफवद्विधिरिष्यते |
सर्वजे क्षयजे चापि प्रत्याख्यायाचरेत् क्रियाम् ||१६||
In medoja svarabheda
Remedy must be executed on the identical traces of kaphaja svarabheda therapy defined above.
In trioshaja and ksayaja svarabheda
Remedy must be executed after intimating the affected person and his household in regards to the incurability of those situations.
शर्करामधुमिश्राणि शृतानि मधुरैः सह |
पिबेत् पयांसि यस्योच्चैर्वदतोऽभिहतः स्वरः ||१७||
Milk boiled with candy tasting herbs added with sugar and honey must be given for consumption to the sufferers affected by hoarseness brought on by talking or finding out loudly.
इति सुश्रुतसंहितायामुत्तरतन्त्रान्तर्गते कायचिकित्सातन्त्रे छर्दिप्रतिषेधो नाम (पञ्चदशोऽध्यायः, आदितः) त्रिपञ्चाशत्तमोऽध्यायः ||५३||
Thus ends the fifty-third chapter by title Svarabheda pratişedha in Uttara sthana of Suśruta Samhita.
