Sushruta


Suśruta was an ancient Indian physician and surgeon, who made significant contributions to the field of plastic and cataract surgery. He was the author of the Suśruta Saṃhitā, considered to be one of the most important surviving ancient treatises on medicine. It is also considered a foundational text of Ayurveda. The treatise addresses all aspects of general medicine, including diet, surgery, nosology, anatomy, developmental biology, therapeutics, toxicology, pediatrics and other subjects. The inclusion of particularly impressive and historically important chapters on surgery has wrongly led some to believe that this is the work's primary focus. The treatise consists of 186 chapters.
The Compendium of Suśruta locates its author in Varanasi, India.

Authorship

The printed editions of the work normally contain the phrase "as Lord Dhanvantari declared" at the start of each chapter, framing the work as Dhanvantari's discourse. However, the earliest manuscripts of the work omit this attribution, framing the work instead as the work of Divodāsa, king of Varanasi.
Rao in 1985 suggested that the author of the original "layer" was "elder Sushruta", although this name appears nowhere in the early Sanskrit literature. The text, stated Rao, was redacted centuries later "by another Sushruta, then by Nāgārjuna, and thereafter a later collection of chapters called the Uttara-tantra was added as a supplement". It is now generally accepted by scholars that there were several ancient authors who contributed to this text.
The translator G. D. Singhal called Suśruta "the father of plastic surgery" on account of the detailed accounts of surgery in the work as well as the now passée style of attributing metaphorical fatherhood to male innovators.

Date

The early scholar Rudolf Hoernle proposed that some concepts from the Suśruta-Saṃhitā could be found in the Śatapatha-Brāhmaṇa, which he dated to the 600 BCE. However, during the last century, scholarship on the history of Indian medical literature has advanced substantially, and firm evidence has accumulated that the Suśruta-saṃhitā is a work of several historical layers. Its composition may have begun in the last centuries BCE, completed in its present form by another author who redacted its first five chapters and added the long, final chapter, the "Uttaratantra". It is likely that the Suśruta-saṃhitā was known to the scholar Dṛḍhabala, a contributor to the Charaka Samhita that wrote between the fourth and fifth centuries CE. Additionally, several ancient Indian authors used the name "Suśruta", resulting in potential misattribution.

Followers

Sushruta attracted a number of disciples and required to study for six years before beginning hands-on surgical training. After the students had been accepted by Sushruta, he would instruct them in surgical procedures by having them practice cutting on vegetables or dead animals to perfect the length and depth of an incision. Once students had proven themselves capable with vegetables, animal corpses, or with soft or rotting wood – and had carefully observed actual procedures on patients – they were then allowed to perform their own surgeries. These students were trained by their master in every aspect of the medical arts, including anatomy.

The ''Suśrutasaṃhitā'' on medicine and physicians

The Compendium of Suśruta is an instruction manual for physicians. Suśruta described the nurse, in this way:
That person alone is fit to nurse, or to attend the bedside of a patient, who is cool-headed and pleasant in his demeanor, does not speak ill of anyone, is strong and attentive to the requirements of the sick, and strictly and indefatigably follows the instructions of the physician.

Legacy

Sushruta's medical prowess is exhibited through his writings on rhinoplasty, involving nasal reconstructions using skin from the patient's forehead or cheek, often for criminals punished with amputations. Based on reports in the October 1794 edition of The Gentleman's Magazine, published in London, Indians maintained Sushruta's surgical practices until the late 18th century. Sushruta is also credited as the first to attribute malaria to mosquitoes, link the spread of plague to rats, and making an early diagnosis of diabetes by tasting the urine of affected individuals - describing it as having a sweet taste similar to honey.