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5. śarīrasaṁkhyāvyākaraṇaśārīram

Adhikarana 1 (1-2) · Śloka 2

athātaḥ śarīrasaṅkhyāvyākaraṇaṁ śārīraṁ vyākhyāsyāmaḥ ||1|| yathōvāca bhagavān dhanvantariḥ ||2||

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अथातः शरीरसङ्ख्याव्याकरणं शारीरं व्याख्यास्यामः ||१|| यथोवाच भगवान् धन्वन्तरिः ||२||

Meaning of the śloka

Now the Sharirasthana chapter explaining the enumeration of the body will be presented, as taught by the revered Dhanvantari.

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garbhavyākaraṇānantaramutpannasya garbhasya sañjātāṅgapratyaṅgatayā labdhaśarīrasañjñasya śarīrāvayavānāṁ saṅkhyā kartuṁ yujyata ityāha- athāta ityādi| pañcamahābhūtaśarīrisamavāyaḥ śarīramuktaṁ, tasyāvayavaśaḥ saṅkhyā, tasyā vyākaraṇaṁ vivaraṇaṁ yatra śārīrē tadvyākhyāsyāmaḥ; athavā śarīraśabdō'yaṁ samudāyavr̥ttiravayavēṣvapi vartatē, tēṣāṁ saṅkhyā; śēṣaṁ pūrvavat||1-2||

Meaning of the commentary

After explaining the embryo, the commentary says it is appropriate to count the bodily parts once the developed embryo has acquired limbs and subsidiary parts and is called a body. The body was previously defined as the conjunction of the five great elements with the embodied being. This chapter explains the number of its component parts. Alternatively, because the collective word 'body' can also apply to its parts, the title may mean the enumeration of those bodily parts.

Key terms

sharIra (sharira)
The body as a whole or, by extension, its component parts.
sa~gkhyA (sankhya)
Enumeration or numerical accounting.
vyAkaraNa (vyakarana)
Detailed explanation.

Adhikarana 2 (3) · Śloka 3

śukraśōṇitaṁ garbhāśayasthamātmaprakr̥tivikārasammūrcchitaṁ ‘garbha’ ityucyatē | taṁ cētanāvasthitaṁ vāyurvibhajati, tēja ēnaṁ pacati, āpaḥ klēdayanti, pr̥thivī saṁhanti, ākāśaṁ vivardhayati; ēvaṁ vivardhitaḥ sa yadā hastapādajihvāghrāṇakarṇanitambādibhiraṅgairupētastadā ‘śarīraṁ’ iti sañjñāṁ labhatē | tacca ṣaḍaṅgaṁ- śākhāścatasrō, madhyaṁ pañcamaṁ, ṣaṣṭhaṁ śira iti ||3||

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शुक्रशोणितं गर्भाशयस्थमात्मप्रकृतिविकारसम्मूर्च्छितं ‘गर्भ’ इत्युच्यते | तं चेतनावस्थितं वायुर्विभजति, तेज एनं पचति, आपः क्लेदयन्ति, पृथिवी संहन्ति, आकाशं विवर्धयति; एवं विवर्धितः स यदा हस्तपादजिह्वाघ्राणकर्णनितम्बादिभिरङ्गैरुपेतस्तदा ‘शरीरं’ इति सञ्ज्ञां लभते | तच्च षडङ्गं- शाखाश्चतस्रो, मध्यं पञ्चमं, षष्ठं शिर इति ||३||

Meaning of the śloka

Shukra and shoNita situated in the uterus and combined with Atman, prakRti, and its transformations are called garbha. While consciousness remains present, vAyu divides it, tejas transforms it, water moistens it, earth consolidates it, and space enables its expansion. When thus developed and furnished with hands, feet, tongue, nose, ears, buttocks, and other parts, it receives the name sharIra. The body has six major parts: four limbs, the central trunk as the fifth, and the head as the sixth.

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tatra śarīrāvayavasaṅkhyāvivaraṇaṁ pratipādayitukāmaḥ śarīraśabdavyapadēśyamēva tāvat kramēṇāha- śukraśōṇitamityādi| ātmaprakr̥tivikārasammūrcchitamiti ātmā kṣētrajñaḥ, prakr̥tayaḥ pradhānādayō'ṣṭau, vikārāḥ pañcabhūtānyēkādaśēndriyāṇi cēti ṣōḍaśa, taiḥ sammūrcchitaṁ miśrībhūtaṁ ‘garbha’ iti sañjñāṁ labhatē; ētēna yōgināmupayōgī pañcaviṁśatikō rāśiruktaḥ| tamidānīṁ bhiṣajāmupayōginaṁ ṣaḍdhātukaṁ kr̥tvā nirdiśannāha- tamityādi| cētanayā hētubhūtayā yāvadgarbhaprasavakālamavasthitaṁ cētanāvasthitam, anyathā kuthitaviśīrṇaṁ syāt| taṁ vāyurvibhajati dōṣadhātumalāṅgapratyaṅgavibhāgēna; tēja ēnaṁ pacati rūpādrūpāntarēṇāvasthānaṁ prāpayati; āpaḥ klēdayanti vibhāgapariṇāmakāriṇōranilānalayōḥ śōṣaṇē'pyārdratāṁ janayanti; pr̥thivī saṁhanti adbhiḥ klinnamapi kaṭhinaṁ mūrtimat karōti; ‘saṁharati’ ityanyē paṭhanti; tanna, sampūrvasya hr̥ñō vināśārthatvāt; ākāśaṁ vivardhayati anilānalavidāritasrōtasāmādhmāpanēnōrdhvamadhastiryagvivardhitamavakāśadānēna vivardhayati| madhyamidaṁ kaṇṭhādigudaparyantam||3||

Meaning of the commentary

The commentary first explains how the developing garbha comes to be called a body. Atman is the kShetrajna; the eight prakRtis begin with pradhAna; and the sixteen transformations are the five elements and eleven faculties, together forming the twenty-five-principle scheme useful to yogins. For physicians the embryo is then described through six constituents. Consciousness remains as a sustaining cause until birth; without it, the material would putrefy and disintegrate. VAyu differentiates doShas, dhAtus, wastes, limbs, and minor parts. Tejas changes one form into another. Water preserves moisture despite the drying action of air and fire. Earth makes the moistened material firm and embodied. Space allows growth upward, downward, and across by providing room in channels opened by air and fire. A variant reads 'draws together,' but the commentator rejects it because that verbal root would signify destruction. The central part extends from the throat to the anus.

Key terms

garbha
Reproductive material joined with conscious and material principles, before being termed the developed body.
cetanAvasthita (chetanavasthita)
Sustained by the presence of consciousness in the classical account.
ShaDa~gga (shadanga)
The six major divisions: four limbs, trunk, and head.
madhya
The central trunk, defined from throat to anus.

Adhikarana 3 (4) · Śloka 4

ataḥ paraṁ pratyaṅgāni vakṣyantē- mastakōdarapr̥ṣṭhanābhilalāṭanāsācibukabastigrīvā ityētā ēkaikāḥ, karṇanētrabhrūśaṅkhāṁsagaṇḍakakṣastanavaṅkṣaṇavr̥ṣaṇapārśvasphigjānukūrparabāhūruprabhr̥tayō dvē dvē, viṁśatiraṅgulayaḥ, srōtāṁsi vakṣyamāṇāni , ēṣa pratyaṅgavibhāga uktaḥ ||4||

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अतः परं प्रत्यङ्गानि वक्ष्यन्ते- मस्तकोदरपृष्ठनाभिललाटनासाचिबुकबस्तिग्रीवा इत्येता एकैकाः, कर्णनेत्रभ्रूशङ्खांसगण्डकक्षस्तनवङ्क्षणवृषणपार्श्वस्फिग्जानुकूर्परबाहूरुप्रभृतयो द्वे द्वे, विंशतिरङ्गुलयः, स्रोतांसि वक्ष्यमाणानि , एष प्रत्यङ्गविभाग उक्तः ||४||

Meaning of the śloka

The subsidiary parts are then listed. Single structures include the head, abdomen, back, navel, forehead, nose, chin, bladder, and neck. Paired structures include the ears, eyes, eyebrows, temples, shoulders, cheeks, armpits, breasts, groins, testes, flanks, buttocks, knees, elbows, arms, thighs, and related parts. There are twenty digits. The srotases are to be described later. This is the division of the subsidiary parts.

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aparamapyavayavavibhāgaṁ saṅkhyāśrayaṁ śarīrē nirdiśannāha- ataḥ paramityādi| aṁsō bāhuśiraḥ, gaṇḍō gallaḥ, sphik pādaḥ, ūrū ‘jāṅgha’ iti lōkē| bāhūruprabhr̥tayō dvē dvē ityatra prabhr̥tigrahaṇāccauṣṭhasr̥kkaṇīkukundarāṇāmavarōdhaḥ | nanu srōtāṁsi pratyaṅgēṣu kimiti na nirdiṣṭānītyāha- srōtāṁsītyādi| vakṣyamāṇānīti āśritēṣu tvagādyavayavēṣvityarthaḥ||4||

Meaning of the commentary

The commentary explains that this is another numerical division of bodily parts. AMsa is the head of the arm or shoulder, gaNDa the cheek, and several other terms receive vernacular anatomical glosses. The phrase 'arms, thighs, and so forth' also includes paired lips, corners of the mouth, and kukundaras. The channels are not numbered here because they will be discussed under the skin and other structures in which they are situated.

Key terms

pratya~gga (pratyanga)
A subsidiary or minor part of the body.
aMsa (amsa)
The shoulder or upper end of the arm.
sRkkaNI (srikkani)
The two corners of the mouth, included through 'and so forth.'
kukundara
A paired anatomical region included by the commentary; exact modern correspondence is uncertain.
srotas
A bodily channel to be enumerated later.

Adhikarana 4 (5) · Śloka 5

tasya punaḥ saṅkhyānaṁ - tvacaḥ kalā dhātavō malā dōṣā yakr̥tplīhānau phupphusa uṇḍukō hr̥dayamāśayā antrāṇi vr̥kkau srōtāṁsi kaṇḍarā jālāni kūrcā rajjavaḥ sēvanyaḥ saṅghātāḥ sīmantā asthīni sandhayaḥ snāyavaḥ pēśyō marmāṇi sirā dhamanyō yōgavahāni srōtāṁsi ca ||5||

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तस्य पुनः सङ्ख्यानं - त्वचः कला धातवो मला दोषा यकृत्प्लीहानौ फुप्फुस उण्डुको हृदयमाशया अन्त्राणि वृक्कौ स्रोतांसि कण्डरा जालानि कूर्चा रज्जवः सेवन्यः सङ्घाताः सीमन्ता अस्थीनि सन्धयः स्नायवः पेश्यो मर्माणि सिरा धमन्यो योगवहानि स्रोतांसि च ||५||

Meaning of the śloka

The body's detailed reckoning includes skin layers, kalAs, dhAtus, wastes, doShas, liver and spleen, lungs, uNDuka, heart, Ashayas, intestines, kidneys, srotases, kaNDarAs, networks, kUrcas, cords, sutures, unions, cranial seams, bones, joints, snAyus, muscles, vital points, sirAs, dhamanIs, and the srotases that accompany dhamanIs.

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ētānyaṅgapratyaṅgānyāśrayabhūtāni pratipādyaitēṣvavayavēṣu yē samāśritāstvagādyavayavāstēṣāṁ vyākaraṇamāha- tasya punarityādi| tasyēti aṅgapratyaṅgātmakasya śarīrasya| saṅkhyānamiti saṅkhyāyatē yēna śarīraṁ tat saṅkhyānam| kiṁ tadityāha- tvacaḥ kalā ityādi| tvagādikaṁ yōgavahasrōtō'ntamēkōnatriṁśat| yōgavahānīti dhamanyā saha yōgaṁ vahanti yāni srōtāṁsi tāni yōgavahāni dhamanīvyākaraṇōditāni prāṇōdakānnādivāhīnītyarthaḥ ||5||

Meaning of the commentary

Having identified the major and subsidiary parts that serve as supports, the commentary introduces the structures situated within them. From skin through the dhamanI-associated channels, the list contains twenty-nine categories. Yogavaha srotases are channels that travel in association with dhamanIs, identified in the later explanation as conveying prANa, water, food, and other substances.

Key terms

sa~gkhyAna (sankhyana)
The reckoning by which the body's component categories are counted.
kaNDarA (kandara)
A large binding structure, later glossed as a major snAyu.
sevani
A seam or suture line.
sImanta (simanta)
A boundary seam, especially of the head in this enumeration.
yogavaha srotas
A channel described as accompanying a dhamanI.

Adhikarana 5 (6) · Śloka 6

tvacaḥ sapta, kalāḥ sapta, āśayāḥ sapta, dhātavaḥ sapta, sapta sirāśatāni, pañca pēśīśatāni, nava snāyuśatāni, trīṇyasthiśatāni, dvē daśōttarē sandhiśatē, saptōttaraṁ marmaśataṁ, caturviṁśatirdhamanyaḥ, trayō dōṣāḥ, trayō malāḥ, nava srōtāṁsi, (ṣōḍaśa kaṇḍarāḥ, ṣōḍaśa jālāni, ṣaṭ kūrcāḥ, catasrō rajjavaḥ, sapta sēvanyaḥ, caturdaśa saṅghātāḥ, caturdaśa sīmantāḥ, dvāviṁśatiryōgavahāni srōtāṁsi, dvikānyantrāṇi ) cēti samāsaḥ ||6||

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त्वचः सप्त, कलाः सप्त, आशयाः सप्त, धातवः सप्त, सप्त सिराशतानि, पञ्च पेशीशतानि, नव स्नायुशतानि, त्रीण्यस्थिशतानि, द्वे दशोत्तरे सन्धिशते, सप्तोत्तरं मर्मशतं, चतुर्विंशतिर्धमन्यः, त्रयो दोषाः, त्रयो मलाः, नव स्रोतांसि, (षोडश कण्डराः, षोडश जालानि, षट् कूर्चाः, चतस्रो रज्जवः, सप्त सेवन्यः, चतुर्दश सङ्घाताः, चतुर्दश सीमन्ताः, द्वाविंशतिर्योगवहानि स्रोतांसि, द्विकान्यन्त्राणि ) चेति समासः ||६||

Meaning of the śloka

A concise enumeration gives seven skin layers, seven kalAs, seven Ashayas, seven dhAtus, seven hundred sirAs, five hundred muscles, nine hundred snAyus, three hundred bones, two hundred and ten joints, one hundred and seven marmas, twenty-four dhamanIs, three doShas, three wastes, and nine srotases. It additionally lists sixteen kaNDarAs, sixteen networks, six kUrcas, four cords, seven sutures, fourteen unions, fourteen cranial seams, twenty-two dhamanI-associated channels, and two sets of intestines.

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kēcit suśrutādhyāyinaḥ saṅkṣēpēṇa tvagādīn katicitsaṅkhyayōpētān paṭhanti| tanmatamāha- tvacaḥ saptētyādi| samāsaḥ saṅkṣēpaḥ||6||

Meaning of the commentary

The commentary explicitly attributes this compact count to some students of Sushruta and says samAsa means a concise summary.

Key terms

samAsa (samasa)
A concise or summary enumeration.
sirAshata (sirashata)
Hundreds of sirAs, totaling seven hundred in this account.
marmashata
The count of vital points, given as one hundred and seven.
yogavaha srotas
Twenty-two channels associated with dhamanIs in the parenthetical list.

Adhikarana 6 (7) · Śloka 7

vistārō'ta ūrdhvaṁ- tvacō'bhihitāḥ kalā dhātavō malā dōṣā yakr̥tplīhānau phupphusa uṇḍukō hr̥dayaṁ vr̥kkau ca ||7||

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विस्तारोऽत ऊर्ध्वं- त्वचोऽभिहिताः कला धातवो मला दोषा यकृत्प्लीहानौ फुप्फुस उण्डुको हृदयं वृक्कौ च ||७||

Meaning of the śloka

The detailed account now follows: the skin layers, kalAs, dhAtus, wastes, doShas, liver and spleen, lungs, uNDuka, heart, and kidneys have already been described.

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saṅkṣēpēṇābhihitānāṁ tvagādīnāṁ vistāramāha- vistārō'ta ityādi| tvacō'bhihitā iti saṅkhyayā nāmabhiśca garbhavyākaraṇē, kalādayaścābhihitāḥ||7||

Meaning of the commentary

The commentary says this begins the expansion of the categories previously summarized. Skin has already been explained by both number and name in the chapter on the embryo, and the kalAs and the other listed structures have likewise been addressed.

Key terms

vistAra (vistara)
The expanded or detailed account following the summary.
uNDuka (unduka)
A classically named visceral structure whose exact modern identification is uncertain.
vRkka (vrikka)
The paired kidneys in common contextual rendering.

Adhikarana 7 (8) · Śloka 8

āśayāstu- vātāśayaḥ, pittāśayaḥ, ślēṣmāśayō, raktāśaya, āmāśayaḥ, pakvāśayō, mūtrāśayaḥ , strīṇāṁ garbhāśayō'ṣṭama iti ||8||

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आशयास्तु- वाताशयः, पित्ताशयः, श्लेष्माशयो, रक्ताशय, आमाशयः, पक्वाशयो, मूत्राशयः , स्त्रीणां गर्भाशयोऽष्टम इति ||८||

Meaning of the śloka

The seven Ashayas are those of vAta, pitta, shleShma, rakta, undigested food, digested waste, and urine. In women, the garbhAshaya is an eighth.

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āśayānāha- āśayāstvityādi| āśayō'dhiṣṭhānam| pittāśayādadhaḥ pakvāśayaḥ, tasyaikadēśē ca vibhaktamalādhāra uṇḍu(ndu)kō vidyatē, ata uṇḍu(ndu)kāt pakvāśayō bhinna ityarthaḥ| āśayakramastu vāgbhaṭēnōktā yathā- “raktasyādyaḥ kramāt parē| kaphāmapittapakvānāṁ vāyōrmūtrasya ca kramāt| garbhāśayō'ṣṭamaḥ strīṇāṁ pittapakvāśayāntarā”- (vā.śā.3) iti||8||

Meaning of the commentary

Ashaya means a seat or receptacle. The commentary distinguishes pakvAshaya from uNDuka: pakvAshaya lies below pittAshaya, while uNDuka is a particular part of it that holds separated waste. It cites Vagbhata's order as rakta, kapha, Ama, pitta, pakva, vAyu, and urine, with the uterine receptacle as an eighth in women, located between pittAshaya and pakvAshaya.

Key terms

Ashaya (ashaya)
A seat, receptacle, or region holding a bodily constituent.
AmAshaya (amashaya)
The receptacle associated with undigested food.
pakvAshaya (pakvashaya)
The receptacle associated with digested material or formed waste.
garbhAshaya (garbhashaya)
The uterine or embryonic receptacle, counted additionally in female reproductive anatomy.

Adhikarana 8 (9) · Śloka 9

sārdhatrivyāmānyantrāṇi puṁsāṁ, strīṇāmardhavyāmahīnāni ||9||

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सार्धत्रिव्यामान्यन्त्राणि पुंसां, स्त्रीणामर्धव्यामहीनानि ||९||

Meaning of the śloka

The intestines are said to measure three and a half vyAmas in men and half a vyAma less in women.

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antrāṇyāha- sārdhētyādi| vyāmō bāhvōḥ sakarayōstatayōstiryagantaram||9||

Meaning of the commentary

The commentary defines one vyAma as the transverse distance between the hands when both arms, including the hands, are extended sideways.

Key terms

antra
The intestines or intestinal tract.
vyAma (vyama)
A body-based measure equal to the span between outstretched hands.
ardhavyAmahIna (ardhavyamahina)
Shorter by half a vyAma.

Adhikarana 9 (10) · Śloka 10

śravaṇanayanavadanaghrāṇagudamēḍhrāṇi nava srōtāṁsi narāṇāṁ bahirmukhāni, ētānyēva strīṇāmaparāṇi ca trīṇi dvē stanayōradhastādraktavahaṁ ca ||10||

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श्रवणनयनवदनघ्राणगुदमेढ्राणि नव स्रोतांसि नराणां बहिर्मुखानि, एतान्येव स्त्रीणामपराणि च त्रीणि द्वे स्तनयोरधस्ताद्रक्तवहं च ||१०||

Meaning of the śloka

Men are said to have nine outward-opening channels: two ears, two eyes, the mouth, two nostrils, the anus, and the urethral or genital opening. Women have these and three additional channels: two beneath the breasts and one carrying menstrual blood below.

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śravaṇētyādi| nanvanyānyapi dhamanīvyākaraṇōditāni srōtāṁsi vaktavyānītyāha- bahirmukhānīti| dhamanīvyākaraṇōditāni tvantarmukhāni| adhastādraktavahaṁ smarātapatrasyādha ārtavavahaṁ, smarātapatraṁ bhagasyōparitanē bhāgē| uktaṁ ca- “vipulapippalapatrasamākr̥tēravayavasya śirastalamāśritam| sakalakāmasirāmukhacumbitaṁ nigaditaṁ madanātapavāraṇam-” iti||10||

Meaning of the commentary

The commentary explains that this list concerns outward-opening channels; other channels described with the dhamanIs open internally. The menstrual channel is located below a structure poetically called Smara's parasol at the upper part of the bhaga. A cited verse describes that structure as broad and shaped like a pippala leaf, located at the upper surface and touched by the openings of the channels of sexual desire.

Key terms

bahirmukha srotas
A bodily channel with an external opening.
raktavaha
The externally opening channel described as carrying menstrual blood.
bhaga
The external female genital region in this context.
smarAtapatra (smaratapatra)
A poetic anatomical term, 'the parasol of Smara,' for an upper genital structure; exact mapping needs review.

Adhikarana 10 (11) · Śloka 11

ṣōḍaśa kaṇḍarāḥ- tāsāṁ catasraḥ pādayōḥ, tāvatyō hastagrīvāpr̥ṣṭhēṣu; tatra hastapādagatānāṁ kaṇḍarāṇāṁ nakhā agraprarōhāḥ, grīvāhr̥dayanibandhinīnāmadhōbhāgagatānāṁ mēḍhraṁ, śrōṇipr̥ṣṭanibandhinīnāmadhōbhāgagatānāṁ bimbaṁ , mūrdhōruvakṣōṁ'sapiṇḍādīnāṁ ca ||11||

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षोडश कण्डराः- तासां चतस्रः पादयोः, तावत्यो हस्तग्रीवापृष्ठेषु; तत्र हस्तपादगतानां कण्डराणां नखा अग्रप्ररोहाः, ग्रीवाहृदयनिबन्धिनीनामधोभागगतानां मेढ्रं, श्रोणिपृष्टनिबन्धिनीनामधोभागगतानां बिम्बं , मूर्धोरुवक्षोंऽसपिण्डादीनां च ||११||

Meaning of the śloka

There are sixteen kaNDarAs: four associated with the feet, four with the hands, four with the neck, and four with the back. The nails are the terminal outgrowths of those belonging to the hands and feet. The lower ends of those binding the neck and heart reach the genital region; those binding the pelvis and back reach the bimba or rounded buttock region. Their other terminal regions include the rounded areas of the head, thighs, chest, shoulder masses, and related parts.

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ṣōḍaśētyādi| kaṇḍarā mahāsnāyuḥ| tāvatyō hastagrīvāpr̥ṣṭhēṣviti hastayōścatasraḥ, grīvāyāṁ catasraḥ, pr̥ṣṭhē catasraḥ| hastādigatānāṁ kaṇḍarāṇāmagrimabhāgamāha- tatrētyādi| jējjhaṭastu “hastapādagatānāṁ kaṇḍarāṇāmasthnāṁ ca nakhā agraprarōhā” iti paṭhati| grīvayā saha hr̥dayanibandhinīnāṁ catasr̥ṇāṁ mēḍhraṁ ‘agraprarōha’ iti śēṣaḥ| śrōṇyā saha pr̥ṣṭhanibandhinīnāṁ pr̥ṣṭhaniścalabandhaṁ kurvatīnāṁ pr̥ṣṭhajānāṁ catasr̥ṇāmadhōbhāgagatānāṁ bimbaṁ maṇḍalamarthānnitambasya| mūrdhōruvakṣōṁ'sapiṇḍādīnāṁ cēti pūrvavākyāt bimbamanuvartatē, tēna mastakasya yad bimbaṁ maṇḍalaṁ tadgrīvāśritānāṁ prāguktānāmēva catasr̥ṇāmuparigatānāṁ kaṇḍarāṇāmagraprarōhaḥ, tathā pādagatānāṁ catasr̥ṇāmuparigatānāmūrumaṇḍalamagraprarōhaḥ, tathā pr̥ṣṭhagatānāṁ catasr̥ṇāṁ kaṇḍarāṇāmuparigatānāṁ vakṣōmaṇḍalam, ādiśabdagr̥hītasya stanasya ca maṇḍalamagraprarōhaḥ| hastagatānāṁ catasr̥ṇāmuparigatānāmaṁsapiṇḍō bāhuśirō'graprarōha iti| mastakasya tathaivōrvōstathā vakṣasastathāṁ'sapiṇḍayōśca yadbimbaṁ maṇḍalam, ādiśabdāt stanapiṇḍayōrapi maṇḍalaṁ, tāsāṁ ṣōḍaśānāṁ yathāsamīpaṁ prarōhaḥ||11||

Meaning of the commentary

The commentary defines kaNDarA as a large snAyu. Jejjata has a variant reading in which the nails are terminal outgrowths of both the kaNDarAs and bones of the hands and feet. For the four binding neck and heart, the genital region is supplied as their lower terminal outgrowth. For the four binding pelvis and stabilizing the back, bimba means the rounded buttock region. Their upper ends are assigned by proximity: the neck group to the rounded head, the foot group to the thighs, the back group to the chest and breast regions, and the hand group to the shoulder masses.

Key terms

kaNDarA (kandara)
A major binding structure, glossed as a large snAyu.
agrapraroha
A terminal extension or outgrowth.
bimba
A rounded region, interpreted here principally as the buttock contour.
aMsapiNDa (amsapinda)
The rounded mass at the shoulder or head of the arm.

Adhikarana 11 (12) · Śloka 12

māṁsasirāsnāyvasthijālāni pratyēkaṁ catvāri; tāni maṇibandhagulphasaṁśritāni parasparanibaddhāni parasparagavākṣitāni cēti, yairgavākṣitamidaṁ śarīram ||12||

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मांससिरास्नाय्वस्थिजालानि प्रत्येकं चत्वारि; तानि मणिबन्धगुल्फसंश्रितानि परस्परनिबद्धानि परस्परगवाक्षितानि चेति, यैर्गवाक्षितमिदं शरीरम् ||१२||

Meaning of the śloka

There are four networks each of flesh, sirAs, snAyus, and bones. They are situated at the wrists and ankles, bound to one another and mutually windowed or interlaced; through these networks the body is described as latticed throughout.

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jālānyāha- māṁsētyādi| māṁsādīnāṁ caturṇāṁ pratyēkaṁ catvāri jālāni| tēṣāṁ māṁsādijālānāṁ catvāryēkaikasmin maṇibandhē gulphē ca| tadyathā- māṁsasyaikamēkasmin maṇibandhē gulphē ca, ēvaṁ sirāṇāṁ snāyūnāmasthnāṁ caikaikaṁ jālakamiti catvāri jālakāni| parasparagavākṣitāni sañjātaparasparacchidrāṇītyarthaḥ| yairgavākṣitamiti viracitanirantarajālakākārarandhranikaraparikalitamityarthaḥ||12||

Meaning of the commentary

The commentary takes the four tissue categories separately, each with four networks. At each wrist and ankle there is one network of flesh, one of sirAs, one of snAyus, and one of bone. ParasparagavAkShita means that openings form among structures bound to one another, producing a continuous lattice-like arrangement of spaces through the body.

Key terms

jAla (jala)
A netlike anatomical arrangement.
maNibandha (manibandha)
The wrist region.
gulpha
The ankle region.
parasparagavAkShita (parasparagavakshita)
Mutually perforated, windowed, or interlaced like a lattice.

Adhikarana 12 (13) · Śloka 13

ṣaṭ kūrcāḥ, tē hastapādagrīvāmēḍhrēṣu; hastayōrdvau, pādayōrdvau, grīvāmēḍhrayōrēkaikaḥ ||13||

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षट् कूर्चाः, ते हस्तपादग्रीवामेढ्रेषु; हस्तयोर्द्वौ, पादयोर्द्वौ, ग्रीवामेढ्रयोरेकैकः ||१३||

Meaning of the śloka

There are six kUrcas: two in the hands, two in the feet, one in the neck, and one in the genital region.

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ṣaṭ kūrcā ityādi| kūrcā iva kūrcāḥ, nāmnaivākr̥tirunnēyā; tē punarmāṁsāsthisirāsnāyūnāṁ jālakaprabhavāṇāṁ santativiracitāḥ||13||

Meaning of the commentary

The commentary says their brush-like form can be inferred from the name kUrca. They are continuous formations arising from networks of flesh, bone, sirAs, and snAyus.

Key terms

kUrca (kurcha)
A brush-shaped anatomical formation made from converging tissue networks.
meDhra (medhra)
The genital or penile region in this source context.
jAlaka (jalaka)
A small network from which a kUrca is said to arise.

Adhikarana 13 (14-15) · Śloka 15

mahatyō māṁsarajjavaścatasraḥ- pr̥ṣṭhavaṁśamubhayataḥ pēśīnibandhanārthaṁ dvē bāhyē, ābhyantarē ca dvē ||14|| sapta sēvanyaḥ ; sirasi vibhaktāḥ pañca, jihvāśēphasōrēkaikā; tāḥ parihartavyāḥ śastrēṇa ||15||

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महत्यो मांसरज्जवश्चतस्रः- पृष्ठवंशमुभयतः पेशीनिबन्धनार्थं द्वे बाह्ये, आभ्यन्तरे च द्वे ||१४|| सप्त सेवन्यः ; सिरसि विभक्ताः पञ्च, जिह्वाशेफसोरेकैका; ताः परिहर्तव्याः शस्त्रेण ||१५||

Meaning of the śloka

There are four great cords of flesh: two external and two internal, lying on both sides of the spinal column and binding the muscles. There are seven sevanIs: five divided across the head, one on the tongue, and one on the genital organ. These must be avoided by surgical instruments.

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mahatya ityādi| pēśīnibandhanārthamiti prayōjanakathanam| gayī tu, mahatyō māṁsarajjavaścatasraḥ catasraḥ pr̥ṣṭhavaṁśamubhayata ityaṣṭau pratipādayati||14-15||

Meaning of the commentary

The commentary says the cords serve to bind the muscles. Gayi reads the count differently: four great flesh cords on each side of the spinal column, making eight rather than four. The supplied commentary gives no further explanation of the seven sevanIs beyond their locations and the warning to avoid them.

Key terms

mAMsarajju (mamsarajju)
A major cord-like flesh structure that binds muscles.
pRuShThavaMsha (prishthavamsha)
The spinal column or axial line of the back.
sevanI (sevani)
A seam or suture line regarded as vulnerable to instruments.
shastra
A cutting or surgical instrument.

Adhikarana 14 (16) · Śloka 16

caturdaśāsthnāṁ saṅghātāḥ; tēṣāṁ trayō gulphajānuvaṅkṣaṇēṣu, ētēnētarasakthi bāhū ca vyākhyātau, trikaśirasōrēkaikaḥ ||16||

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चतुर्दशास्थ्नां सङ्घाताः; तेषां त्रयो गुल्फजानुवङ्क्षणेषु, एतेनेतरसक्थि बाहू च व्याख्यातौ, त्रिकशिरसोरेकैकः ||१६||

Meaning of the śloka

Fourteen assemblages of bones are counted. Three are situated at the ankle, knee, and groin of each lower limb; the same pattern applies to the other lower limb and to both upper limbs. One further assemblage is at the trika and one at the head.

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saṅghātānāha- caturdaśāsthnāmityādi| trayō gulphajānuvaṅkṣaṇēṣu, tāvantō'nyasmin sakthni, bāhvōrēvamēva, ēvaṁ caturbhistrikairdvādaśa; trikaśirasōrēkaikaḥ- trikē ēkaḥ, ēkaḥ śirasītyēvaṁ caturdaśa| yadyapi śrōṇikāṇḍabhāgē trikaṁ prasiddhaṁ, tathā'pyatra bāhugrīvāsthitrayasaṅghātastrika ucyatē||16||

Meaning of the commentary

The ankle, knee, and groin supply three assemblages in each leg, and the corresponding threefold pattern in each arm brings the limb total to twelve. One at the trika and one in the head complete fourteen. Although trika commonly denotes the sacral or pelvic region, the commentary says that here it means the three-bone junction involving the arm and neck region.

Key terms

asthisa~gghAta (asthi-sanghata)
An assemblage or junction of bones.
gulpha
Ankle region.
jAnu (janu)
Knee region.
va~gkShaNa (vankshana)
Groin region.
trika
A three-bone junction; interpreted unusually here rather than as the familiar sacral region.

Adhikarana 15 (17) · Śloka 17

caturdaśaiva sīmantāḥ; tē cāsthisaṅghātavadgaṇanīyāḥ, yatastairyuktā asthisaṅghātāḥ; yē hyuktāḥ saṅghātāstē khalvaṣṭādaśaikēṣām ||17||

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चतुर्दशैव सीमन्ताः; ते चास्थिसङ्घातवद्गणनीयाः, यतस्तैर्युक्ता अस्थिसङ्घाताः; ये ह्युक्ताः सङ्घातास्ते खल्वष्टादशैकेषाम् ||१७||

Meaning of the śloka

Fourteen simantas are likewise counted, following the enumeration of bone assemblages because the assemblages are joined by them. Some authorities, however, count eighteen bone assemblages.

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sīmantānāha- caturdaśaivētyādi| tairyuktā asthisaṅghātā iti| tathāca bhōjaḥ- “saṅghātāḥ sīvitā yaistu sīmantāṁstān pracakṣmahē”- iti| paramatamāha- yē hyuktā ityādi| ēkēṣāmācāryāṇāṁ matē saṅghātā aṣṭādaśa; tadyathā- pūrvōktāścaturdaśa, śrōṇikāṇḍamuparyēkaḥ, vakṣauparyēkaḥ, udarōraḥsandhānē ēkaḥ, aṁsakūṭamuparyēkaḥ, ēvamaṣṭādaśa||17||

Meaning of the commentary

A verse from Bhoja defines simantas as the seams by which assemblages are sutured together. The alternative total of eighteen consists of the preceding fourteen plus one above the pelvic mass, one above the chest, one at the junction of abdomen and chest, and one above the shoulder prominence.

Key terms

sImanta (simanta)
A seam or suturing boundary joining bone assemblages.
asthisa~gghAta (asthi-sanghata)
A bone assemblage joined by simantas.
aShTAdasha (ashtadasha)
The alternative total of eighteen assemblages.
aMsakUTa (amsakuta)
The shoulder prominence named in the alternative count.

Adhikarana 16 (18) · Śloka 18

trīṇi saṣaṣṭānyasthiśatāni vēdavādinō bhāṣantē; śalyatantrēṣu tu trīṇyēva śatāni | tēṣāṁ saviṁśamasthiśataṁ śākhāsu, saptadaśōttaraṁ śataṁ śrōṇipārśvapr̥ṣṭhōraḥsu, grīvāṁ pratyūrdhvaṁ triṣaṣṭiḥ, ēvamasthnāṁ trīṇi śatāni pūryantē ||18||

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त्रीणि सषष्टान्यस्थिशतानि वेदवादिनो भाषन्ते; शल्यतन्त्रेषु तु त्रीण्येव शतानि | तेषां सविंशमस्थिशतं शाखासु, सप्तदशोत्तरं शतं श्रोणिपार्श्वपृष्ठोरःसु, ग्रीवां प्रत्यूर्ध्वं त्रिषष्टिः, एवमस्थ्नां त्रीणि शतानि पूर्यन्ते ||१८||

Meaning of the śloka

Authorities of the Vedic tradition are said to count 360 bones, while the surgical tradition counts 300: 120 in the limbs, 117 in the pelvis, sides, back, and chest, and 63 from the neck upward, completing three hundred.

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asthisaṅkhyāṁ kurvannāha- trīṇītyādi| vēdavādinō bhāṣanta ityatrāyurvēdavādina iti draṣṭavyaṁ, na punarvēda ēva; tadā tu trīṇyēvāsthiśatānītyatratyaṁ vacō vēdaviruddhatvādapramāṇaṁ syāt| svamatamāha- śalyatantrēṣvityādi||18||

Meaning of the commentary

The commentary says that 'Vedic authorities' should be understood here as authorities of Ayurveda, rather than the Veda in general; otherwise the surgical total of three hundred would appear to contradict the Veda and lose authority. The text then identifies three hundred as its own surgical-system count.

Key terms

asthi
Bone or a structure counted as bone in this classical enumeration.
vedavAdin (veda-vadin)
Interpreted here as an Ayurvedic authority who counts 360 bones.
shalyatantra (shalya-tantra)
The surgical tradition, which counts 300 bones.
shAkhA (shakha)
The four limbs.
koShTha (koshtha)
The central trunk region represented here by pelvis, sides, back, and chest.

Adhikarana 17 (19) · Śloka 19

ēkaikasyāṁ tu pādāṅgulyāṁ trīṇi trīṇi tāni pañcadaśa, talakūrcagulphasaṁśritāni daśa, pārṣṇyāmēkaṁ, jaṅghāyāṁ dvē, jānunyēkam, ēkamūrāviti, triṁśadēvamēkasmin sakthni bhavanti, ētēnētarasakthi bāhū ca vyākhyātau; śrōṇyāṁ pañca, tēṣāṁ gudabhaganitambēṣu catvāri, trikasaṁśritamēkaṁ, pārśvē ṣaṭtriṁśadēkasmin , dvitīyē'pyēvaṁ, pr̥ṣṭhē triṁśat, aṣṭāvurasi , dvē aṁsaphalakē ; grīvāyāṁ nava, kaṇṭhanāḍyāṁ catvāri, dvē hanvōḥ , dantā dvātriṁśat, nāsāyāṁ trīṇi, ēkaṁ tāluni, gaṇḍakarṇaśaṅkhēṣvēkaikaṁ, ṣaṭ śirasīti ||19||

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एकैकस्यां तु पादाङ्गुल्यां त्रीणि त्रीणि तानि पञ्चदश, तलकूर्चगुल्फसंश्रितानि दश, पार्ष्ण्यामेकं, जङ्घायां द्वे, जानुन्येकम्, एकमूराविति, त्रिंशदेवमेकस्मिन् सक्थ्नि भवन्ति, एतेनेतरसक्थि बाहू च व्याख्यातौ; श्रोण्यां पञ्च, तेषां गुदभगनितम्बेषु चत्वारि, त्रिकसंश्रितमेकं, पार्श्वे षट्त्रिंशदेकस्मिन् , द्वितीयेऽप्येवं, पृष्ठे त्रिंशत्, अष्टावुरसि , द्वे अंसफलके ; ग्रीवायां नव, कण्ठनाड्यां चत्वारि, द्वे हन्वोः , दन्ता द्वात्रिंशत्, नासायां त्रीणि, एकं तालुनि, गण्डकर्णशङ्खेष्वेकैकं, षट् शिरसीति ||१९||

Meaning of the śloka

The text details its total of 300 bones. Each toe has three, giving fifteen; ten more belong to the sole, kurcha, and ankle, one to the heel, two to the lower leg, one to the knee, and one to the thigh—thirty in each limb, with the other leg and both arms counted correspondingly. Five are in the pelvis: four at the anus, pubic region, and buttocks, and one at the trika. Each side has 36, the back 30, the chest eight, and the two shoulder blades two. Above are nine in the neck, four in the throat tube, two jaws, 32 teeth, three in the nose, one in the palate, paired cheek, ear, and temple structures, and six in the head.

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kathaṁ śākhāsu viṁśatyadhikaṁ śataṁ pūryatē tadāha- ēkaikasyāṁ tvityādi| talakūrcagulphētyādi tatra pādatalē pañca śalākāḥ, tatprabandhanamēkamasthi , dvē dvē kūrcagulphayōriti daśa| viṁśaccatuṣkēṇa saviṁśamēkaśatam| yathā śrōṇipārśvapr̥ṣṭhōraḥsu saptadaśōttaraṁ śataṁ pūryatē tathā''ha- śrōṇyāṁ pañcētyādi| śrōṇyāṁ pañcēti yaduktaṁ tasyaiva vivaraṇamāha- tēṣāmityādi| gudabhaganitambadvayē catvāri, ēvaṁ śrōṇigatapañcakamārabhya akṣakāśritāṁ dvayaṁ yāvat sarvaikyē saptadaśōttaraṁ śataṁ pūryatē| grīvāṁ pratyūrdhvaṁ yathā triṣaṣṭistathā''ha- grīvāyāmityādi| gaṇḍakarṇaśaṅkhēṣvityatra gaṇḍau ca karṇau ca śaṅkhau cēti vigrahē ṣaḍasthīni bhavanti||19||

Meaning of the commentary

The commentary explains five rod-like bones in the sole, one binding bone, and two each at kurcha and ankle as the ten foot structures. Four sets of twenty plus the associated counts produce 120 limb bones. The five pelvic structures and the remainder through the clavicular region produce 117 for the trunk. The structures from the neck upward total 63. In the phrase concerning cheeks, ears, and temples, each paired structure is counted separately, producing six bones.

Key terms

talakUrcagulpha (tala-kurcha-gulpha)
The sole, kurcha region, and ankle used in the foot count.
pArShNi (parshni)
Heel.
shroNI (shroni)
Pelvic region.
aMsaphalaka (amsaphalaka)
Shoulder blade.
kaNThanADI (kantha-nadi)
The throat tube or tubular structures of the neck in this count.

Adhikarana 18 (20) · Śloka 20

ētāni pañcavidhāni bhavanti; tadyathā- kapālarucakataruṇavalayanalakasañjñāni | tēṣāṁ jānunitambāṁsagaṇḍatāluśaṅkhaśiraḥsu kapālāni, daśanāstu rucakāni , ghrāṇakarṇagrīvākṣikōṣēṣu taruṇāni, pārśvapr̥ṣṭhōraḥsu valayāni , śēṣāṇi nalakasañjñāni ||20||

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एतानि पञ्चविधानि भवन्ति; तद्यथा- कपालरुचकतरुणवलयनलकसञ्ज्ञानि | तेषां जानुनितम्बांसगण्डतालुशङ्खशिरःसु कपालानि, दशनास्तु रुचकानि , घ्राणकर्णग्रीवाक्षिकोषेषु तरुणानि, पार्श्वपृष्ठोरःसु वलयानि , शेषाणि नलकसञ्ज्ञानि ||२०||

Meaning of the śloka

Bones are classified into five forms: kapala, ruchaka, taruna, valaya, and nalaka. Kapala bones occur at the knee, hip, shoulder, cheek, palate, temple, and head; teeth are ruchaka; structures in the nose, ear, neck, and eye socket are taruna; those of the sides, back, and chest are valaya; and the remaining bones are called nalaka.

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ētānītyādi| kapālāni karparasañjñāni| daśanā dantā ityarthaḥ| taruṇāni taruṇasañjñāni| valayāni valayasañjñāni| asthnāṁ sthānaviśēṣēṇa dharmaviśēṣānnāmaviśēṣaḥ pañcavidhaḥ| śēṣāṇi nalakasañjñānīti hastapādāṅgulitalakūrcanalakādiṣu | taduktaṁ bhōjē- “hastapādāṅgulitalē kūrcēṣu maṇibandhayōḥ| bāhujaṅghādvayē cāpi jānīyānnalakāni tu-” iti| nāmaviśēṣakathanaṁ racanāviśēṣajñāpanārtham ||20||

Meaning of the commentary

Kapala is also called karpara. The five names distinguish bones according to location and structural character. Nalaka includes the bones of the hands and feet, digits, sole, kurcha, wrists, arms, and lower legs, supported by a quotation from Bhoja. Stating the names is intended to communicate differences in construction or shape.

Key terms

kapAla (kapala)
A plate- or shell-like class of bone.
rucaka (ruchaka)
The class assigned to teeth.
taruNa (taruna)
A softer or developing structural class at sites such as nose, ear, neck, and orbit.
valaya
A curved or encircling class in the sides, back, and chest.
nalaka
A tubular or stalk-like class assigned to most remaining limb bones.

Adhikarana 19 (21-23) · Śloka 23

bhavanti cātra- abhyantaragataiḥ sārairyathā tiṣṭhanti bhūruhāḥ | asthisāraistathā dēhā dhriyantē dēhināṁ dhruvam ||21|| tasmācciravinaṣṭēṣu tvaṅmāṁsēṣu śarīriṇām | asthīni na vinaśyanti sārāṇyētāni dēhinām | māṁsānyatra nibaddhāni sirābhiḥ snāyubhistathā | asthīnyālambanaṁ kr̥tvā na śīryantē patanti vā ||23||

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भवन्ति चात्र- अभ्यन्तरगतैः सारैर्यथा तिष्ठन्ति भूरुहाः | अस्थिसारैस्तथा देहा ध्रियन्ते देहिनां ध्रुवम् ||२१|| तस्माच्चिरविनष्टेषु त्वङ्मांसेषु शरीरिणाम् | अस्थीनि न विनश्यन्ति साराण्येतानि देहिनाम् | मांसान्यत्र निबद्धानि सिराभिः स्नायुभिस्तथा | अस्थीन्यालम्बनं कृत्वा न शीर्यन्ते पतन्ति वा ||२३||

Meaning of the śloka

As trees are supported by their inner heartwood, living bodies are firmly supported by the essential framework of bones. Even when skin and flesh have long decayed, bones do not disappear as quickly because they are the body's enduring essence. Flesh is fastened here by vessels and ligaments and, taking bones as its support, does not collapse or fall away.

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śarīradhāraṇaviṣayē'sthnāṁ prādhānyaṁ darśayannāha- bhavanti cātrētyādi| atrāsthni||21-23||

Meaning of the commentary

The commentary introduces the verses to show the primary importance of bones in supporting the body. Its brief final gloss indicates that 'here' refers to the bones as the place of attachment.

Key terms

asthisAra (asthi-sara)
The essential supporting framework of bone.
bhUruha (bhuruha)
A tree, used in the heartwood analogy.
sirA (sira)
Vessels that help bind flesh in the classical account.
snAyu (snayu)
Binding structures or ligaments attaching flesh to its support.
Alambana (alambana)
Support or point of attachment.

Adhikarana 20 (24-25) · Śloka 25

sandhayastu dvividhāścēṣṭāvantaḥ , sthirāśca ||24|| śākhāsu hanvōḥ kaṭyāṁ ca cēṣṭāvantastu sandhayaḥ | śēṣāstu sandhayaḥ sarvē vijñēyā hi sthirā budhaiḥ ||25||

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सन्धयस्तु द्विविधाश्चेष्टावन्तः , स्थिराश्च ||२४|| शाखासु हन्वोः कट्यां च चेष्टावन्तस्तु सन्धयः | शेषास्तु सन्धयः सर्वे विज्ञेया हि स्थिरा बुधैः ||२५||

Meaning of the śloka

Joints are of two kinds: movable and stable. Movable joints occur in the limbs, jaws, and waist; knowledgeable authorities regard the remaining joints as stable.

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asthyāśritān sandhīnāha- sandhayastvityādi| cēṣṭāvantaścalāḥ, sthirā acalāḥ| kaṭyāṁ cēti cakārādgrīvāyāmapi calāḥ||24-25||

Meaning of the commentary

Cheshtavant means movable and sthira means immovable or stable. The word 'and' after the waist is taken to include the neck among movable joints.

Key terms

sandhi
A joint or junction.
ceShTAvat (cheshtavat)
Movable.
sthira
Stable or immovable.
kaTI (kati)
Waist or lower trunk region.
grIvA (griva)
Neck, included by implication among movable joints.

Adhikarana 21 (26) · Śloka 26

saṅkhyātastu daśōttarē dvē śatē | tēṣāṁ śākhāsvaṣṭaṣaṣṭiḥ, ēkōnaṣaṣṭiḥ kōṣṭhē, grīvāṁ pratyūrdhvaṁ tryaśītiḥ | ēkaikasyāṁ pādāṅgulyāṁ trayastrayaḥ, dvāvaṅguṣṭhē, tē caturdaśa; jānugulphavaṅkṣaṇēṣvēkaikaḥ, ēvaṁ saptadaśaikasmin sakthni bhavanti; ētēnētarasakthi bāhū ca vyākhyātau; trayaḥ kaṭīkapālēṣu, caturviṁśatiḥ pr̥ṣṭhavaṁśē, tāvanta ēva pārśvayōḥ, urasyaṣṭau; tāvanta ēva grīvāyāṁ, trayaḥ kaṇṭhē, nāḍīṣu hr̥dayaklōmanibaddhāsvaṣṭādaśa, dantaparimāṇā dantamūlēṣu, ēkaḥ kākalakē nāsāyāṁ ca, dvau vartmamaṇḍalayōrnētrāśrayau, gaṇḍakarṇaśaṅkhēṣvēkaikaḥ, dvau hanusandhī, dvāvupariṣṭādbhruvōḥ śaṅkhayōśca, pañca śiraḥkapālēṣu, ēkō mūrdhni ||26||

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सङ्ख्यातस्तु दशोत्तरे द्वे शते | तेषां शाखास्वष्टषष्टिः, एकोनषष्टिः कोष्ठे, ग्रीवां प्रत्यूर्ध्वं त्र्यशीतिः | एकैकस्यां पादाङ्गुल्यां त्रयस्त्रयः, द्वावङ्गुष्ठे, ते चतुर्दश; जानुगुल्फवङ्क्षणेष्वेकैकः, एवं सप्तदशैकस्मिन् सक्थ्नि भवन्ति; एतेनेतरसक्थि बाहू च व्याख्यातौ; त्रयः कटीकपालेषु, चतुर्विंशतिः पृष्ठवंशे, तावन्त एव पार्श्वयोः, उरस्यष्टौ; तावन्त एव ग्रीवायां, त्रयः कण्ठे, नाडीषु हृदयक्लोमनिबद्धास्वष्टादश, दन्तपरिमाणा दन्तमूलेषु, एकः काकलके नासायां च, द्वौ वर्त्ममण्डलयोर्नेत्राश्रयौ, गण्डकर्णशङ्खेष्वेकैकः, द्वौ हनुसन्धी, द्वावुपरिष्टाद्भ्रुवोः शङ्खयोश्च, पञ्च शिरःकपालेषु, एको मूर्ध्नि ||२६||

Meaning of the śloka

The text counts 210 joints: 68 in the limbs, 59 in the trunk, and 83 from the neck upward. Each ordinary toe has three and each great toe two, making fourteen in a foot; one each at knee, ankle, and groin makes seventeen per lower limb, and the other limbs follow correspondingly. It then enumerates joints in the pelvis, spine, sides, chest, neck, throat, channels attached to the heart and kloma, tooth roots, kakalaka, nose, eyelids and eyes, cheeks, ears, temples, jaws, brows, skull, and crown to complete the total.

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śākhāsvaṣṭaṣaṣṭērvivaraṇamāha- ēkaikasyāmityādi| pādāṅguṣṭhē'sthitritayānvitē'pi sandhidvayamēva syāt| hastāṅguṣṭhē'sthitritayasaṁyuktē'pi sandhidvayamēva gaṇanīyaṁ, tr̥tīyasya hastāṅguṣṭhasandhērmaṇibandhasandhāvēvāntarbhāvāt| idānīṁ śākhāsandhīnabhidhāya kōṣṭhasandhīnūrdhvabhāgasandhīṁśca darśayannāha- traya ityādi| tāvanta ēva grīvāyāmaṣṭāvityarthaḥ| trayaḥ kaṇṭhē galanalakāsthani| nāḍīṣu kaṇṭhapārśvanāḍīṣu, hr̥dayaklōmanibaddhāsu annapānavahāsu maṇḍalāsthisañjñāsvaṣṭādaśa | kākalakaṁ galamaṇiḥ, ghaṇṭikēti lōkē, tatraikaḥ; nāsāyāṁ caikaḥ| dvau vartmamaṇḍalayōstaruṇāsthisandhī| gaṇḍau ca karṇau ca śaṅkhau cēti vigrahē ṣaṭ sandhayaḥ| śaṅkhayōścētyatrāpyupariṣṭād dvāviti sambandhanīyam| taduktaṁ- “grīvāsvaṣṭau trayaḥ kaṇṭhē kaṇṭhanāḍyāṁ navadvayam| vartmamaṇḍalagaṇḍāhvakarṇaśaṅkhahanudvayē|| bhrūśaṅkhadvitayasyōrdhvaṁ saptasvēṣu dvayaṁ dvayam| kapālē pañca mūrdhnyēkō nāsākākalayōrdvayam|| dvātriṁśatā tryaśītiḥ syādēvaṁ dantāśritaiḥ saha”- iti||26||

Meaning of the commentary

Although each great toe or thumb is associated with three bones, only two joints are counted. In the hand, the third apparent thumb junction is included within the wrist joint. After the limb joints, the commentary explains the trunk and upper-body totals. It places three in the pelvic plates, 24 in the vertebral column, 24 in the sides, and eight in the chest. Kakalaka is glossed as the throat prominence commonly called ghantika. Eighteen circular joints belong to food-and-drink-carrying tubular structures tied to the heart and kloma. Paired cheeks, ears, and temples produce six joints, and the cited mnemonic confirms that the 32 tooth-root joints are included in the total of 83 above the neck.

Key terms

sandhi
A joint or anatomical junction in the classical count.
pRuShThavaMsha (prishtha-vamsha)
The vertebral column or spinal series.
kAkalaka (kakalaka)
A throat prominence, glossed as galamani or ghantika.
vartmamaNDala (vartma-mandala)
The eyelid-circle region assigned paired junctions.
kloma
A classical internal structure whose modern identity remains uncertain.

Adhikarana 22 (27) · Śloka 27

ta ētē sandhayō'ṣṭavidhāḥ- kōrōlūkhalasāmudgaprataratunnasēvanīvāyasatuṇḍamaṇḍalaśaṅkhāvartāḥ | tēṣāmaṅgulimaṇibandhagulphajānukūrparēṣu kōrāḥ sandhayaḥ, kakṣāvaṅkṣaṇadaśanēṣūlūkhalāḥ, aṁsapīṭhagudabhaganitambēṣu sāmudgāḥ, grīvāpr̥ṣṭhavaṁśayōḥ pratarāḥ, śiraḥkaṭīkapālēṣu tunnasēvanyaḥ, hanvōrubhayatastu vāyasatuṇḍāḥ, kaṇṭhahr̥dayanētraklōmanāḍīṣu maṇḍalāḥ, śrōtraśr̥ṅgāṭakēṣu śaṅkhāvartāḥ | tēṣāṁ nāmabhirēvākr̥tayaḥ prāyēṇa vyākhyātāḥ ||27||

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त एते सन्धयोऽष्टविधाः- कोरोलूखलसामुद्गप्रतरतुन्नसेवनीवायसतुण्डमण्डलशङ्खावर्ताः | तेषामङ्गुलिमणिबन्धगुल्फजानुकूर्परेषु कोराः सन्धयः, कक्षावङ्क्षणदशनेषूलूखलाः, अंसपीठगुदभगनितम्बेषु सामुद्गाः, ग्रीवापृष्ठवंशयोः प्रतराः, शिरःकटीकपालेषु तुन्नसेवन्यः, हन्वोरुभयतस्तु वायसतुण्डाः, कण्ठहृदयनेत्रक्लोमनाडीषु मण्डलाः, श्रोत्रशृङ्गाटकेषु शङ्खावर्ताः | तेषां नामभिरेवाकृतयः प्रायेण व्याख्याताः ||२७||

Meaning of the śloka

These joints are classified into eight shapes: kora, ulukhala, samudga, pratara, tunnasevani, vayasatunda, mandala, and shankhavarta. Kora joints are assigned to digits, wrists, ankles, knees, and elbows; ulukhala to armpits, groins, and teeth; samudga to shoulder seats, anus, pubic region, and hips; pratara to neck and spine; tunnasevani to skull and pelvic plates; vayasatunda to both sides of the jaw; mandala to throat, heart, eye, kloma, and tubular channels; and shankhavarta to the ear and shrungataka regions. Their names largely indicate their shapes.

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ta ētē sandhaya ityādi| yadyapyēṣāṁ nāmabhirēvākr̥tayō vyākhyātāstathā'pi kēṣāñcit sandhīnāṁ sukhāvabōdhanārthamākr̥tirlikhyatē| kōrō nāma gartastadākr̥tayaḥ kōrāḥ, kōraḥ kalikā tadākr̥taya ityanyē| ulūkhalastaṇḍulakaṇḍanōpayōgī, tadākr̥tayaḥ sandhayō'pyulūkhalāḥ| samudgaḥ sampuṭaḥ, tadākr̥tau bhavāḥ sāmudgāḥ| prataratyanēnēti pratarō bhēlakaḥ, tadākr̥tayaḥ pratarāḥ| maṇḍalō maṇḍalākr̥tiḥ| śēṣāṇāṁ ca nāmabhirēvākr̥tayō jñēyāḥ||27||

Meaning of the commentary

The commentary adds shape explanations for clarity. Kora may mean a pit, producing a pit-shaped joint; others take it as a flower bud. Ulukhala resembles a mortar used for pounding grain, samudga a lidded casket, and pratara a raft. Mandala is circular, while the shapes of the remaining types are to be inferred from their names.

Key terms

kora
A pit-shaped or, alternatively, bud-shaped joint.
ulUkhala (ulukhala)
A mortar-shaped joint.
sAmudga (samudga)
A joint shaped like a fitted or lidded casket.
pratara
A raft-shaped joint.
tunnasevanI (tunna-sevani)
A seam-like joint category.
sha~gkhAvarta (shankhavarta)
A spiral or conch-whorl-shaped junction.

Adhikarana 23 (28) · Śloka 28

asthnāṁ tu sandhayō hyētē kēvalāḥ parikīrtitāḥ | pēśīsnāyusirāṇāṁ tu sandhisaṅkhyā na vidyatē ||28||

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अस्थ्नां तु सन्धयो ह्येते केवलाः परिकीर्तिताः | पेशीस्नायुसिराणां तु सन्धिसङ्ख्या न विद्यते ||२८||

Meaning of the śloka

The joints just enumerated are only those of bones. No fixed numerical count is given for the junctions of muscles, ligaments, and vessels.

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asthimātrāśritāḥ sandhayō'bhihitāḥ, nānyāśritāḥ sandhaya iti darśayannāha- asthnāṁ tvityādi||28||

Meaning of the commentary

The commentary clarifies that the preceding enumeration concerns joints supported by bones and excludes junctions belonging to other structures.

Key terms

asthisandhi (asthi-sandhi)
A joint associated with bones.
peshI (peshi)
A muscle unit.
snAyu (snayu)
A ligamentous or binding structure.
sirA (sira)
A vessel in the classical anatomical system.
asa~gkhyeya (asankhyeya)
Without a stated or fixed numerical count in this context.

Adhikarana 24 (29) · Śloka 29

nava snāyuśatāni | tāsāṁ śākhāsu ṣaṭśatāni, dvē śatē triṁśacca kōṣṭhē, grīvāṁ pratyūrdhvaṁ saptatiḥ | ēkaikasyāṁ tu pādāṅgulyāṁ ṣaṇnicitāstāstriṁśat , tāvatya ēva talakūrcagulphēṣu, tāvatya ēva jaṅghāyāṁ, daśa jānuni, catvāriṁśadūrau, daśa vaṅkṣaṇē, śatamadhyardhamēvamēkasmin sakthni bhavanti; ētēnētarasakthi bahū ca vyākhyātau; ṣaṣṭiḥ kaṭyāṁ, pr̥ṣṭhē'śītiḥ, pārśvayōḥ ṣaṣṭiḥ, urasi triṁśat; ṣaṭtriṁśadgrīvāyāṁ, mūrdhni catustriṁśat; ēvaṁ nava snāyuśatāni vyākhyātāni bhavanti ||29||

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नव स्नायुशतानि | तासां शाखासु षट्शतानि, द्वे शते त्रिंशच्च कोष्ठे, ग्रीवां प्रत्यूर्ध्वं सप्ततिः | एकैकस्यां तु पादाङ्गुल्यां षण्निचितास्तास्त्रिंशत् , तावत्य एव तलकूर्चगुल्फेषु, तावत्य एव जङ्घायां, दश जानुनि, चत्वारिंशदूरौ, दश वङ्क्षणे, शतमध्यर्धमेवमेकस्मिन् सक्थ्नि भवन्ति; एतेनेतरसक्थि बहू च व्याख्यातौ; षष्टिः कट्यां, पृष्ठेऽशीतिः, पार्श्वयोः षष्टिः, उरसि त्रिंशत्; षट्त्रिंशद्ग्रीवायां, मूर्ध्नि चतुस्त्रिंशत्; एवं नव स्नायुशतानि व्याख्यातानि भवन्ति ||२९||

Meaning of the śloka

Nine hundred snayus are counted: 600 in the limbs, 230 in the trunk, and 70 from the neck upward. In each foot, six are bound to each toe, making thirty; thirty occur in the sole, kurcha, and ankle, thirty in the lower leg, ten at the knee, forty in the thigh, and ten in the groin—150 in each limb, with the remaining limbs counted correspondingly. The trunk has sixty at the waist, eighty in the back, sixty in the sides, and thirty in the chest. From the neck upward there are thirty-six in the neck and thirty-four in the head.

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yathā śākhāsu snāyūnāṁ ṣaṭśatāni pūryantē tathā''ha- ēkaikasyāṁ tvityādi| ṣaṇnicitā iti ṣaṭsnāyavō nibaddhā ityarthaḥ| kōṣṭhasthāḥ kathyantē- ṣaṣṭiḥ kaṭyāmityādi| grīvāṁ pratyūrdhvasthāḥ kathyantē- ṣaṭtriṁśadityādi| mahāsnāyōstu ‘kaṇḍarā’ iti sañjñā||29||

Meaning of the commentary

The commentary explains nicita as six snayus bound together at each toe. It separates the limb, trunk, and upper-body calculations to show how the total of nine hundred is reached. Large snayus are specifically called kandaras.

Key terms

snAyu (snayu)
A binding bodily structure counted in the classical system.
nicita (nichita)
Bound or grouped together.
kaNDarA (kandara)
The name given to a large snayu.
koShTha (koshtha)
The trunk region.
shAkhA (shakha)
A limb.

Adhikarana 25 (30-36) · Śloka 36

bhavanti cātra- snāyūścaturvidhā vidyāttāstu sarvā nibōdha mē | pratānavatyō vr̥ttāśca pr̥thvyaśca śuṣirāstathā ||30|| pratānavatyaḥ śākhāsu sarvasandhiṣu cāpyatha | vr̥ttāstu kaṇḍarāḥ sarvā vijñēyāḥ kuśalairiha ||31|| āmapakvāśayāntēṣu bastau ca śuṣirāḥ khalu | pārśvōrasi tathā pr̥ṣṭhē pr̥thulāśca śirasyatha ||32|| nauryathā phalakāstīrṇā bandhanairbahubhiryutā | bhārakṣamā bhavēdapsu nr̥yuktā susamāhitā ||33|| ēvamēva śarīrē'smin yāvantaḥ sandhayaḥ smr̥tāḥ | snāyubhirbahubhirbaddhāstēna bhārasahā narāḥ ||34|| na hyasthīni na vā pēśyō na sirā na ca sandhayaḥ | vyāpāditāstathā hanyuryathā snāyuḥ śarīriṇam ||35|| yaḥ snāyūḥ pravijānāti bāhyāścābhyantarāstathā | sa gūḍhaṁ śalyamāhartuṁ dēhācchaknōti dēhinām ||36||

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भवन्ति चात्र- स्नायूश्चतुर्विधा विद्यात्तास्तु सर्वा निबोध मे | प्रतानवत्यो वृत्ताश्च पृथ्व्यश्च शुषिरास्तथा ||३०|| प्रतानवत्यः शाखासु सर्वसन्धिषु चाप्यथ | वृत्तास्तु कण्डराः सर्वा विज्ञेयाः कुशलैरिह ||३१|| आमपक्वाशयान्तेषु बस्तौ च शुषिराः खलु | पार्श्वोरसि तथा पृष्ठे पृथुलाश्च शिरस्यथ ||३२|| नौर्यथा फलकास्तीर्णा बन्धनैर्बहुभिर्युता | भारक्षमा भवेदप्सु नृयुक्ता सुसमाहिता ||३३|| एवमेव शरीरेऽस्मिन् यावन्तः सन्धयः स्मृताः | स्नायुभिर्बहुभिर्बद्धास्तेन भारसहा नराः ||३४|| न ह्यस्थीनि न वा पेश्यो न सिरा न च सन्धयः | व्यापादितास्तथा हन्युर्यथा स्नायुः शरीरिणम् ||३५|| यः स्नायूः प्रविजानाति बाह्याश्चाभ्यन्तरास्तथा | स गूढं शल्यमाहर्तुं देहाच्छक्नोति देहिनाम् ||३६||

Meaning of the śloka

Snayus are described in four forms: spreading, round, broad, and hollow. Spreading ones occur in the limbs and throughout the joints; all kandaras are round; hollow ones are at the ends of the stomach and large bowel and in the bladder; broad ones are in the sides, chest, back, and head. Just as a well-built boat, its planks fastened by many bindings, carries weight on water, the body's joints are bound by many snayus and thereby bear weight. Injury to a snayu is said to endanger a person more severely than injury to bone, muscle, vessel, or joint. Knowledge of external and internal snayus enables a surgeon to remove a deeply concealed foreign body.

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bhavanti cātrētyādi| vr̥ttā vartulāḥ| tāsāṁ ca sarvaśarīrāvayavanibandhanaṁ darśayannāha- naurityādi| nr̥yuktā prāṇisahitā, susamāhitā sughaṭitā| yathā snāyurvyāpāditā satī śarīriṇaṁ puruṣaṁ hanti na tathā'sthyādīni hanyuḥ||30-36||

Meaning of the commentary

The commentary glosses the round type as circular and emphasizes that snayus bind all bodily parts. In the boat analogy, the craft is well assembled and carries a person. The comparison about injury states the text's view that damaged snayus can be especially lethal.

Key terms

pratAnavatI (pratanavati)
A spreading or branching type of snayu.
vRutta (vritta)
A round type, including kandaras.
pRuthvI (prithvi)
A broad or flat type of snayu in this context.
shuShira (shushira)
A hollow type of snayu.
gUDha shalya (gudha shalya)
A deeply concealed foreign body.

Adhikarana 26 (37-38) · Śloka 38

pañca pēśīśatāni bhavanti | tāsāṁ catvāri śatāni śākhāsu, kōṣṭhē ṣaṭṣaṣṭiḥ, grīvāṁ pratyūrdhvaṁ catustriṁśat | ēkaikasyāṁ tu pādāṅgulyāṁ tisrastisrastāḥ pañcadaśa, daśa prapadē, pādōpari kūrcasanniviṣṭāstāvatya ēva, daśa gulphatalayōḥ, gulphajānvantarē viṁśatiḥ, pañca jānuni, viṁśatirūrau , daśa vaṅkṣaṇē, śatamēvamēkasmin sakthni bhavati; ētēnētarasakthi bāhū ca vyākhyātau; tisraḥ pāyau, ēkā mēḍhrē, sēvanyāṁ cāparā, dvē vr̥ṣaṇayōḥ , sphicōḥ pañca pañca, dvē bastiśirasi, pañcōdarē , nābhyāmēkā, pr̥ṣṭhōrdhvasanniviṣṭāḥ pañca pañca dīrghāḥ, ṣaṭ pārśvayōḥ, daśa vakṣasi, akṣakāṁsau prati samantāt sapta, dvē hr̥dayāmāśayayōḥ, ṣaṭ yakr̥tplīhōṇḍu(ndu)kēṣu; grīvāyāṁ catasraḥ, aṣṭau hanvōḥ , ēkaikā kākalakagalayōḥ, dvē tāluni, ēkā jihvāyāṁ , dvē ōṣṭhayōḥ, dvē nāsāyāṁ , dvē nētrayōḥ, gaṇḍayōścatasraḥ, karṇayōrdvē, catasrō lalāṭē, ēkā śirasīti ; ēvamētāni pañca pēśīśatāni ||37|| bhavati cātra- sirāsnāyvasthiparvāṇi sandhayaśca śarīriṇām | pēśībhiḥ saṁvr̥tānyatra balavanti bhavantyataḥ ||38||

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पञ्च पेशीशतानि भवन्ति | तासां चत्वारि शतानि शाखासु, कोष्ठे षट्षष्टिः, ग्रीवां प्रत्यूर्ध्वं चतुस्त्रिंशत् | एकैकस्यां तु पादाङ्गुल्यां तिस्रस्तिस्रस्ताः पञ्चदश, दश प्रपदे, पादोपरि कूर्चसन्निविष्टास्तावत्य एव, दश गुल्फतलयोः, गुल्फजान्वन्तरे विंशतिः, पञ्च जानुनि, विंशतिरूरौ , दश वङ्क्षणे, शतमेवमेकस्मिन् सक्थ्नि भवति; एतेनेतरसक्थि बाहू च व्याख्यातौ; तिस्रः पायौ, एका मेढ्रे, सेवन्यां चापरा, द्वे वृषणयोः , स्फिचोः पञ्च पञ्च, द्वे बस्तिशिरसि, पञ्चोदरे , नाभ्यामेका, पृष्ठोर्ध्वसन्निविष्टाः पञ्च पञ्च दीर्घाः, षट् पार्श्वयोः, दश वक्षसि, अक्षकांसौ प्रति समन्तात् सप्त, द्वे हृदयामाशययोः, षट् यकृत्प्लीहोण्डु(न्दु)केषु; ग्रीवायां चतस्रः, अष्टौ हन्वोः , एकैका काकलकगलयोः, द्वे तालुनि, एका जिह्वायां , द्वे ओष्ठयोः, द्वे नासायां , द्वे नेत्रयोः, गण्डयोश्चतस्रः, कर्णयोर्द्वे, चतस्रो ललाटे, एका शिरसीति ; एवमेतानि पञ्च पेशीशतानि ||३७|| भवति चात्र- सिरास्नाय्वस्थिपर्वाणि सन्धयश्च शरीरिणाम् | पेशीभिः संवृतान्यत्र बलवन्ति भवन्त्यतः ||३८||

Meaning of the śloka

Five hundred peshis are counted: 400 in the limbs, 66 in the trunk, and 34 from the neck upward. Each lower limb has one hundred, distributed among the toes, forefoot, upper foot and kurcha, ankle and sole, lower leg, knee, thigh, and groin; the other leg and both arms follow correspondingly. The text then enumerates peshis at the anus, penis, perineal seam, testes, buttocks, bladder, abdomen, navel, back, sides, chest, clavicle and shoulder, heart, stomach, liver, spleen, other internal structures, neck, jaws, throat, palate, tongue, lips, nose, eyes, cheeks, ears, forehead, and head. These total five hundred. Vessels, snayus, bones, bony prominences, and joints are enclosed by the peshis and thereby gain strength.

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pañca pēśīśatānītyādi| māṁsāvayavasaṅghātaḥ parasparaṁ vibhaktaḥ ‘pēśī’ ityucyatē| gayī tu “kōṣṭhē ṣaṣṭiḥ, grīvāṁ pratyūrdhvaṁ catvāriṁśat” iti paṭhati| ēkaikasyāṁ tvityādi| prapadaṁ pādāgram| kōṣṭhagatā āha- tisraḥ pāyāvityādi| gayī tu “ēkā mēḍhrē sēvanyāṁ ca, dvē aparē vr̥ṣaṇayōḥ, sphicōrdvayōrdaśa, tisrō valisañjñakā gudē, dvē bastiśirasi, saptōdaraphalakē yakr̥dādibhiḥ saha, nābhyāmēkā, pr̥ṣṭhasandhiniviṣṭāḥ pañca, pārśvayōḥ pañca dīrghāḥ, daśa vakṣasi, akṣakāṁśau prati sarvataḥ sapta, dvē hr̥di, ēkā āmāśayē, dvē abhyantarataḥ kōṣṭhē” iti kōṣṭhē ṣaṣṭiṁ paṭhati| vr̥ddhavāgbhaṭō'pi kōṣṭhē ṣaṣṭimēvāha| grīvāṁ pratyūrdhvagā āha- grīvāyāmityādi| gayī tu “grīvāyāṁ catasraḥ, ēkā kaṇṭhē, tathā kākalakē'pyēkā, tāluni dvē, rasanāyāṁ ṣaṭ, adharayōrdvē, ghōṇāyāṁ ca dvē, dvē karṇayōḥ, pratyēkaṁ hanvōścatasraḥ, akṣṇōrdvē, alikē catasraḥ, mūrdhani ṣaṭ-” ityūrdhvakāyē catvāriṁśat paṭhati||37-38||

Meaning of the commentary

A peshi is defined as a distinct aggregate or portion of flesh. The primary text counts 66 in the trunk and 34 above the neck. Gayi instead reads sixty in the trunk and forty above the neck, as does Vriddha Vagbhata for the trunk total, and supplies a different distribution: among other changes, separate counts occur at the anal folds, abdominal structures, heart and stomach, tongue, forehead, and head. The commentary retains both enumerations rather than resolving them. The closing verse explains muscle as covering and strengthening vessels, snayus, bones, prominences, and joints.

Key terms

peshI (peshi)
A distinct aggregate or portion of flesh, broadly a muscle unit.
prapada
The forepart of the foot.
sevanI (sevani)
A midline seam, here in the perineal region.
akShaka (akshaka)
A clavicular or shoulder-region structure in this enumeration.
parva
A bony prominence or segment covered by muscle.

Adhikarana 27 (39) · Śloka 39

strīṇāṁ tu viṁśatiradhikā | daśa tāsāṁ stanayōrēkaikasmin pañca pañcēti, yauvanē tāsāṁ parivr̥ddhiḥ; apatyapathē catasraḥ- tāsāṁ prasr̥tē abhyantaratō dvē, mukhāśritē bāhyē ca vr̥ttē dvē, garbhacchidrasaṁśritāstisraḥ, śukrārtavapravēśinyastisra ēva | pittapakvāśayayōrmadhyē garbhaśayyā, yatra garbhastiṣṭhati ||39||

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स्त्रीणां तु विंशतिरधिका | दश तासां स्तनयोरेकैकस्मिन् पञ्च पञ्चेति, यौवने तासां परिवृद्धिः; अपत्यपथे चतस्रः- तासां प्रसृते अभ्यन्तरतो द्वे, मुखाश्रिते बाह्ये च वृत्ते द्वे, गर्भच्छिद्रसंश्रितास्तिस्रः, शुक्रार्तवप्रवेशिन्यस्तिस्र एव | पित्तपक्वाशययोर्मध्ये गर्भशय्या, यत्र गर्भस्तिष्ठति ||३९||

Meaning of the śloka

The text counts twenty additional peshis in the female body: ten in the two breasts, five in each, which enlarge in youth; four in the reproductive passage; three associated with the passage of the fetus; and three through which shukra and artava enter. The garbhashayya, where the fetus remains, is located between the sites of pitta and the pakvashaya.

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strīṇāmityādi| adhikāyā viṁśatērvivaraṇamāha- daśa tāsāmityādi| apatyapathē yōnau catasraḥ| catasr̥ṇāmēva vivaraṇamāha- tāsāmityādi| mukhāśritē yōnimukhāśritē| abhyantarataḥ prasr̥tē iti yōnērabhyantarataḥ prasāraṁ prāptē mūtrasrōtaḥsvarūpē ityarthaḥ| bāhyē nirgatē, vr̥ttē vartulē, yōnikarṇikāsrōtaḥpārśvadvayagatatvēna dvē māṁsapēśyau| garbhacchidrasaṁśritā iti garbhamārgamāśritāstisra āvartatrayarūpēṇa, tr̥tīyē cāvartē matsyamukhākārā garbhaśayyā (yatra garbhastiṣṭhati ), tāsāṁ śukrārtavapravēśinyaśca tisraḥ pēśyaḥ| kā garbhaśayyētyāha- pittapakvāśayayōrityādi||39||

Meaning of the commentary

The commentary explains the twenty as follows. There are ten breast peshis. Four are in the yoni: two internally extended structures, understood in relation to the urinary passage, and two external rounded peshis situated on either side of the yoni's karnika-like passage. Three peshis of the fetal passage form three turns; in the third turn lies the fish-mouth-shaped garbhashayya. Three further peshis admit shukra and artava. The final sentence locates the garbhashayya between pittashaya and pakvashaya.

Key terms

peshI (peshi)
A fleshy or muscular structure counted in the classical anatomy.
apatyapatha
The reproductive or birth passage.
yoni
The female reproductive passage in this context.
garbhacchidra (garbhachidra)
The passage associated with fetal delivery.
garbhashayyA (garbhashayya)
The fetal bed or uterine receptacle in this classical account.
shukrArtava (shukra-artava)
The reproductive substances named by the text.

Adhikarana 28 (40) · Śloka 40

tāsāṁ bahalapēlavasthūlāṇupr̥thuvr̥ttahrasvadīrghasthiramr̥duślakṣṇakarkaśabhāvāḥ sandhyasthisirāsnāyupracchādakā yathāpradēśaṁ svabhāvata ēva bhavanti ||40||

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तासां बहलपेलवस्थूलाणुपृथुवृत्तह्रस्वदीर्घस्थिरमृदुश्लक्ष्णकर्कशभावाः सन्ध्यस्थिसिरास्नायुप्रच्छादका यथाप्रदेशं स्वभावत एव भवन्ति ||४०||

Meaning of the śloka

According to their location, peshis naturally vary in being thick or thin, large or minute, broad or round, short or long, firm or soft, smooth or rough. They cover joints, bones, siras, and snayus.

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idānīṁ tāsāṁ pēśīnāṁ sthānavaśānnānāsvarūpatvamāha- tāsāmityādi| tāsāṁ pēśīnām| bahalā bahutarāḥ, pēlavā alpāḥ, aṇavaḥ sūkṣmāḥ, tadviparītāḥ sthūlāḥ, pr̥thavō vistīrṇāḥ, vr̥ttā vartulāḥ, hrasvā adīrghāḥ, dīrghā āyatāḥ, sthirāḥ kaṭhināḥ, mr̥davaḥ kōmalāḥ, ślakṣṇāḥ sparśasukhāḥ, tadviparītāḥ karkaśāḥ||40||

Meaning of the commentary

The commentary says the peshis take different forms according to location. It explains the paired descriptions: abundant versus slight, gross versus subtle, broad versus round, short versus elongated, hard versus soft, and pleasant to touch versus rough.

Key terms

peshI (peshi)
A fleshy or muscular structure in the classical anatomy.
sandhi
A joint.
sirA (sira)
A vessel-like structure whose exact modern correspondence varies by context.
snAyu (snayu)
A binding or fibrous structure whose modern correspondence is context-dependent.
svabhAva (svabhava)
Inherent nature, said to account for variation by location.

Adhikarana 29 (41) · Śloka 41

bhavati cātra- puṁsāṁ pēśyaḥ purastādyāḥ prōktā lakṣaṇamuṣkajāḥ | strīṇāmāvr̥tya tiṣṭhanti phalamantargataṁ hi tāḥ ||41||

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भवति चात्र- पुंसां पेश्यः पुरस्ताद्याः प्रोक्ता लक्षणमुष्कजाः | स्त्रीणामावृत्य तिष्ठन्ति फलमन्तर्गतं हि ताः ||४१||

Meaning of the śloka

Some authorities say that peshis corresponding to those situated anteriorly at the penis and testes in males instead surround and contain the garbhashaya in females.

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kēcittantrakārāḥ strīṇāṁ mēḍhramuṣkābhāvāttadāśritānāṁ pēśīnāmanyatrāvasthānaṁ paṭhanti; tanmatamāha- bhavati cātrētyādi| lakṣaṇamuṣkajā iti lakṣyatē jñāyatē pumānanēnēti lakṣaṇaṁ liṅgaṁ śiśnamiti yāvat| phalaṁ garbhāśayaḥ| tā iti pēśyaḥ| gayī tu, amuṁ tantrāntarīyaślōkaṁ na paṭhati; kintu ‘ēvamētāni pañca pēśīśatāni’ ityatra puṁsāmiti padaṁ paṭhitvā puṁsāmēva pañcapēśīśatāni, strīṇāṁ tu tisr̥bhirūnāni pañcaśatānīti vyākhyāti| atrārthē ca bhōjavākyaṁ dr̥ṣṭāntīkarōti| tathāca bhōjavākyaṁ- “pañcapēśīśatānyēva strīvarjaṁ viddhi bhūmipa| ataśca tisrō hīyantē strīṇāṁ śēphasi muṣkayōḥ”- iti||41||

Meaning of the commentary

The commentary introduces this as the view of certain authors who relocate peshis associated with the penis and testes because those organs are absent in female anatomy. It explains lakshana as the male identifying organ, the penis, and phala as the garbhashaya. Gayi does not accept this verse from another treatise. Instead, he reads an earlier count as five hundred peshis specifically in males and, citing Bhoja, says females have three fewer because the three structures at the penis and testes are absent.

Key terms

meDhra (medhra)
The penis in this anatomical context.
muShka (mushka)
A testis or the testicular region.
garbhAshaya (garbhashaya)
The fetal receptacle in the classical anatomy.
lakShaNa (lakshana)
The male identifying organ, glossed here as the penis.
peshi
A fleshy or muscular structure being enumerated.

Adhikarana 30 (42) · Śloka 42

marmasirādhamanīsrōtasāmanyatra pravibhāgaḥ ||42||

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मर्मसिराधमनीस्रोतसामन्यत्र प्रविभागः ||४२||

Meaning of the śloka

The detailed classifications of marmas, siras, dhamanis, and srotases are given elsewhere.

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pariśiṣṭamarmasirādivyākaraṇaṁ cāstīti manyamāna āha- marmētyādi| anyatrēti pratyēkamarmanirdēśē sirāvarṇavibhaktau dhamanīvyākaraṇē ca||42||

Meaning of the commentary

The commentary understands 'elsewhere' as referring to the separate sections on individual marmas, the classification of siras by color, and the explanation of dhamanis. It assumes that the remaining classifications of these structures are treated in those places.

Key terms

marma
A vital anatomical site described separately in the text.
sirA (sira)
A vessel-like structure classified elsewhere by color.
dhamanI (dhamani)
A pulsating or conducting structure explained in another section.
srotas
A bodily channel or pathway.
pravibhAga (pravibhaga)
Detailed division or classification.

Adhikarana 31 (43-44) · Śloka 44

śaṅkhanābhyākr̥tiryōnistryāvartā sā prakīrtitā | tasyāstr̥tīyē tvāvartē garbhaśayyā pratiṣṭhitā ||43|| yathā rōhitamatsyasya mukhaṁ bhavati rūpataḥ | tatsaṁsthānāṁ tathārūpāṁ garbhaśayyāṁ vidurbudhāḥ ||44||

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शङ्खनाभ्याकृतिर्योनिस्त्र्यावर्ता सा प्रकीर्तिता | तस्यास्तृतीये त्वावर्ते गर्भशय्या प्रतिष्ठिता ||४३|| यथा रोहितमत्स्यस्य मुखं भवति रूपतः | तत्संस्थानां तथारूपां गर्भशय्यां विदुर्बुधाः ||४४||

Meaning of the śloka

The yoni is described as shaped like the inner spiral of a conch and having three turns. In its third turn lies the garbhashayya. The wise describe this fetal bed as shaped like the mouth of a rohita fish.

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garbhaśayyāmanantaramāvartaṁ pratipādayitumāha- śaṅkhanābhyākr̥tirityādi| tatsaṁsthānāmiti alpamukhāmantarmahāsuṣirāmityarthaḥ||43-44||

Meaning of the commentary

The commentary explains the fish-mouth comparison as a structure with a small opening and a large hollow space within.

Key terms

yoni
The female reproductive passage in this classical anatomical description.
sha~gkhanAbhi (shankhanabhi)
The central spiral or inner form of a conch, used as a shape comparison.
Avarta (avarta)
A turn, fold, or whorl; three are counted.
garbhashayyA (garbhashayya)
The fetal bed or receptacle situated in the third turn.
rohitamatsyamukha (rohita-matsya-mukha)
The mouth of a rohita fish, indicating a narrow opening and broad interior.

Adhikarana 32 (45) · Śloka 45

ābhugnō'bhimukhaḥ śētē garbhō garbhāśayē striyāḥ | sa yōniṁ śirasā yāti svabhāvāt prasavaṁ prati ||45||

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आभुग्नोऽभिमुखः शेते गर्भो गर्भाशये स्त्रियाः | स योनिं शिरसा याति स्वभावात् प्रसवं प्रति ||४५||

Meaning of the śloka

The fetus is described as lying flexed and facing the birth passage in the garbhashaya. At delivery it moves toward the yoni head first, through svabhava.

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mūḍhagarbhōddharaṇārthaṁ tatra garbhasthitisvarūpamāha- ābhugna ityādi| ābhugnaḥ saṅkucitāṅgaḥ| svabhāvāt pūrvakarmāpēkṣāt ||45||

Meaning of the commentary

The commentary introduces fetal position for the later discussion of extracting an obstructed fetus. It defines abhugna as having the limbs contracted or flexed and interprets svabhava here in relation to previous karma.

Key terms

Abhugna (abhugna)
Bent or flexed, with the limbs contracted.
garbhAshaya (garbhashaya)
The fetal receptacle or womb in the classical account.
yoni
The birth passage.
prasava
Childbirth or delivery.
mUDhagarbha (mudhagarbha)
An obstructed or abnormally positioned fetus, mentioned by the commentary as the procedural context.

Adhikarana 33 (46) · Śloka 46

tvakparyantasya dēhasya yō'yamaṅgaviniścayaḥ | śalyajñānādr̥tē naiṣa varṇyatē'ṅgēṣu kēṣucit ||46||

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त्वक्पर्यन्तस्य देहस्य योऽयमङ्गविनिश्चयः | शल्यज्ञानादृते नैष वर्ण्यतेऽङ्गेषु केषुचित् ||४६||

Meaning of the śloka

The definite identification of some structures throughout the body up to the skin cannot be described without knowledge of shalya.

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idānīṁ śalyatantrasyōtkarṣaṁ darśayannāha- tvakparyantasyētyādi||46||

Meaning of the commentary

The commentary presents the verse as demonstrating the importance or excellence of shalyatantra and adds no detailed anatomical interpretation.

Key terms

tvakparyanta
Extending through the body as far as the skin.
a~ggavinishcaya (angavinishchaya)
Definite determination or identification of bodily structures.
shalyaj~jAna (shalyajnana)
Knowledge of shalya and its surgical discipline.
shalyatantra
The surgical branch whose importance the commentary emphasizes.

Adhikarana 34 (47-48) · Śloka 48

tasmānniḥsaṁśayaṁ jñānaṁ hartrā śalyasya vāñchatā | śōdhayitvā mr̥taṁ samyagdraṣṭavyō'ṅgaviniścayaḥ ||47|| pratyakṣatō hi yaddr̥ṣṭaṁ śāstradr̥ṣṭaṁ ca yadbhavēt | samāsatastadubhayaṁ bhūyō jñānavivardhanam ||48||

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तस्मान्निःसंशयं ज्ञानं हर्त्रा शल्यस्य वाञ्छता | शोधयित्वा मृतं सम्यग्द्रष्टव्योऽङ्गविनिश्चयः ||४७|| प्रत्यक्षतो हि यद्दृष्टं शास्त्रदृष्टं च यद्भवेत् | समासतस्तदुभयं भूयो ज्ञानविवर्धनम् ||४८||

Meaning of the śloka

One who seeks doubt-free knowledge for removing shalya should properly prepare and directly observe a deceased body to determine its structures. Knowledge gained by direct observation and knowledge taught by the shastra reinforce one another and increase understanding.

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sarvāvayavaparimāṇaṁ pratyakṣalakṣyaṁ saṁśayacchēdanāya bhavati, tasmāttadupāyaṁ darśayannāha- tasmānniḥsaṁśayamityādi||47-48||

Meaning of the commentary

The commentary says that directly observing the dimensions and arrangement of all body parts removes uncertainty. It therefore introduces the method of anatomical examination described in the following passage.

Key terms

shalya
A foreign body or surgical problem to be removed; also connected with the surgical discipline.
mRuta (mrita)
A deceased body used for anatomical study.
a~ggavinishcaya (angavinishchaya)
Definite identification of bodily parts.
pratyakSha (pratyaksha)
Knowledge obtained by direct observation.
shAstradRuShTa (shastradrishta)
Knowledge known through the authoritative text.

Adhikarana 35 (49) · Śloka 49

tasmāt samastagātramaviṣōpahatamadīrghavyādhipīḍitamavarṣaśatikaṁ niḥsr̥ṣṭāntrapurīṣaṁ puruṣamāvahantyāmāpagāyāṁ nibaddhaṁ pañjarasthaṁ muñjavalkalakuśaśaṇādīnāmanyatamēnāvēṣṭitāṅgamaprakāśē dēśē kōthayēt, samyakprakuthitaṁ cōddhr̥tya, tatō dēhaṁ saptarātrāduśīrabālavēṇubalvajakūrcānāmanyatamēna śanaiḥ śanairavagharṣayaṁstvagādīn sarvānēva bāhyābhyantarānaṅgapratyaṅgaviśēṣān yathōktān lakṣayēccakṣuṣā ||49||

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तस्मात् समस्तगात्रमविषोपहतमदीर्घव्याधिपीडितमवर्षशतिकं निःसृष्टान्त्रपुरीषं पुरुषमावहन्त्यामापगायां निबद्धं पञ्जरस्थं मुञ्जवल्कलकुशशणादीनामन्यतमेनावेष्टिताङ्गमप्रकाशे देशे कोथयेत्, सम्यक्प्रकुथितं चोद्धृत्य, ततो देहं सप्तरात्रादुशीरबालवेणुबल्वजकूर्चानामन्यतमेन शनैः शनैरवघर्षयंस्त्वगादीन् सर्वानेव बाह्याभ्यन्तरानङ्गप्रत्यङ्गविशेषान् यथोक्तान् लक्षयेच्चक्षुषा ||४९||

Meaning of the śloka

The historical method selects an intact deceased person, not affected by poison or prolonged disease and under one hundred years of age, whose intestines and feces have been removed. The body is tied in a cage, wrapped in munja, bark, kusha, hemp, or similar material, and placed in a flowing river at a concealed location to decompose. After seven nights it is removed and gently rubbed with a brush made from usira, hair, bamboo, balvaja, or similar material so that all external and internal structures, beginning with the skin, can be observed directly.

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kathaṁ punaḥ śāstradr̥ṣṭaṁ pratyakṣatō dr̥śyatē? ityāha- tasmādityādi| samastagātramiti aṅgahīnē āgamōktāvayavasaṅkhyādyapratyayāt| viṣōpahatē viṣajvālāviśīrṇatvagādiḥ syāt| dīrghavyādhipīḍitē hi tvagādimānāsambhavaḥ| muñjādyavēṣṭanē matsyādibhakṣitatvādasampūrṇāvayavatā| apañjarasthē jalarayēṇa bhraśyati| prakāśē gr̥dhrādibhakṣaṇabhayam||49||

Meaning of the commentary

The commentary explains the selection and handling criteria. An incomplete body would not confirm the textual counts; poison could destroy the skin and other tissues; prolonged disease could alter their measurements; inadequate wrapping could allow fish and other creatures to consume parts; absence of a cage could let the current carry the body away; and an exposed location could allow vultures and other animals to consume it.

Key terms

mRutasharIra (mrita sharira)
A deceased body used for historical anatomical observation.
pa~jjara (panjara)
A cage used to contain the body.
kothayet
Cause or allow the body to decompose or soften.
avagharShaNa (avagharshana)
Gentle rubbing or scraping to reveal successive structures.
ushIra (ushira)
A fibrous plant material named for making the rubbing brush.

Adhikarana 36 (50) · Śloka 50

na śakyaścakṣuṣā draṣṭuṁ dēhē sūkṣmatamō vibhuḥ | dr̥śyatē jñānacakṣurbhistapaścakṣurbhirēva ca ||50||

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न शक्यश्चक्षुषा द्रष्टुं देहे सूक्ष्मतमो विभुः | दृश्यते ज्ञानचक्षुर्भिस्तपश्चक्षुर्भिरेव च ||५०||

Meaning of the śloka

The extremely subtle and all-pervading principle within the body cannot be seen with the physical eye. It is said to be perceived through the eye of knowledge and the eye of disciplined spiritual practice.

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tvakparyantō dēhaścakṣurindriyagrāhyō na kṣētrajña ityāha- na śakya ityādi| vibhurātmā, sa cakṣuṣā draṣṭuṁ na śakyaḥ, yataḥ sūkṣmatamaḥ| dr̥śyatē jñānacakṣurbhiriti sadgurūpadēśajajñānānyēva cakṣūṁṣi tairdr̥śyatē; tapāṁsi cāndrāyaṇādīni tāni cakṣūṁṣi dr̥ṣṭayastairapi ca||50||

Meaning of the commentary

The commentary distinguishes the body, up to the skin, as accessible to sight from the kshetrajna, identified as the all-pervading self, which cannot be seen because it is exceedingly subtle. The 'eyes of knowledge' are understandings arising from a true teacher's instruction. The 'eyes of tapas' are disciplines such as the Chandrayana observance through which the self is also said to be perceived.

Key terms

vibhu Atman (vibhu atman)
The all-pervading self in the commentary's philosophical account.
kShetraj~ja (kshetrajna)
The knower of the bodily field, distinguished from the visible body.
j~jAnacakShus (jnana-chakshus)
The eye of knowledge arising through a true teacher's instruction.
tapashcakShus (tapas-chakshus)
The eye of spiritual discipline.
cAndrAyaNa (Chandrayana)
A traditional observance cited as an example of tapas.

Adhikarana 37 (51) · Śloka 51

śarīrē caiva śāstrē ca dr̥ṣṭārthaḥ syādviśāradaḥ | dr̥ṣṭaśrutābhyāṁ sandēhamavāpōhyācarēt kriyāḥ ||51||

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शरीरे चैव शास्त्रे च दृष्टार्थः स्याद्विशारदः | दृष्टश्रुताभ्यां सन्देहमवापोह्याचरेत् क्रियाः ||५१||

Meaning of the śloka

A skilled practitioner should understand what is observable both in the body and in the shastra. After resolving doubt through what has been seen and heard, the practitioner should carry out procedures.

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śāstrataḥ pratyakṣataśca darśanaṁ sandēhāpōhakāraṇaṁ, tadāha- śarīrē caivētyādi| avāpōhya nirākr̥tyētyarthaḥ||51||

Meaning of the commentary

The commentary says that knowledge from the authoritative text together with direct observation removes uncertainty. It glosses avapohya as removing or rejecting doubt.

Key terms

dRuShTArtha (drishtartha)
One who understands what is directly observed.
shAstra (shastra)
Authoritative textual teaching.
dRuShTa-shruta (drishta-shruta)
What has been observed and what has been learned from teaching.
sandeha
Doubt or uncertainty to be resolved.
kriyA (kriya)
A procedure or course of action.

Adhikarana puṣpikā · Śloka 5

iti suśrutasaṁhitāyāṁ śārīrasthānē śarīrasaṅkhyāvyākaraṇaśārīraṁ nāma pañcamō'dhyāyaḥ ||5||

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इति सुश्रुतसंहितायां शारीरस्थाने शरीरसङ्ख्याव्याकरणशारीरं नाम पञ्चमोऽध्यायः ||५||

Meaning of the śloka

Thus ends the fifth chapter of the Sharirasthana in the Sushruta Samhita, entitled 'The Sharira Chapter Explaining the Enumeration of the Body.'

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iti śrīḍalha(hla)ṇaviracitāyāṁ nibandhasaṅgrahākhyāyāṁ suśrutavyākhyāyāṁ śārīrasthānē pañcamō'dhyāyaḥ||5||

Meaning of the commentary

This marks the end of the fifth chapter of the Sharirasthana in Dalhana's commentary on Sushruta entitled Nibandhasangraha. The transmitted spelling of Dalhana's name is shown with a textual variation.

Key terms

sharIrasa~gkhyA (sharira-sankhya)
Enumeration or counting of bodily structures.
vyAkaraNa (vyakarana)
Explanation or detailed account in the chapter title.
shArIrasthAna (Sharirasthana)
The division concerned with embodiment and anatomy.
nibandhasa~ggraha (Nibandhasangraha)
The title of Dalhana's commentary.