India

Sushruta Samhita

Susruta Samhita

Surgery is a legitimate and teachable branch of medicine, and the text lays out procedures, instruments, and training methods, including practicing incisions on vegetables and dead animals, precise enough to be followed rather than merely described.

The classical Sanskrit treatise on surgery (shalya-tantra), attributed to the physician Sushruta, teaching in the tradition at Varanasi. It describes several hundred procedures and well over a hundred surgical instruments, including cataract couching and a form of rhinoplasty using a forehead skin flap, a technique later cited by 18th-century British surgeons who encountered it in India. It also systematizes wound classification and anatomical study through the dissection of prepared, not fresh, cadavers. The text divides its instruments into blunt yantras, used for manipulation, and sharp shastras, used for cutting, and organizes the whole work into six sections (sthanas) covering general principles, pathology, anatomy, therapeutics, complications, and supplementary topics, a structure later Ayurvedic compilers largely retained. The Varanasi setting is a legendary frame story tied to Divodasa Dhanvantari, not independent confirmation of where the text was compiled.

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