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Ayurveda    
Text and History of Ayurveda – 5
A Hindu Heritage of Healing 

Ashtanga Hridaya

Vaghbata in the 5th century compiled two sets of texts called Ashtanga Sangraha and Ashtanga Hridaya. The latter of the two combines both the Ātreya and Dhanvantari schools. It details the Kaya-chikitsa of Charaka Samhita and the various surgical procedures of Sushruta Samhita. Exhaustive descriptions of kapha, vayu and pitta are given. However, the emphasis seems to be more on the physiological rather than the spiritual aspects of the disease processes. Ashtanga Hridaya is written in prose whereas the Ashtanga Sangraha is in poetry form.

The Ancient Indian Physician

Originally only Brahmins were practicing physicians. Later people from other castes became well versed in the art of healing and a term Vaidya came to be applied to the practitioners. Merely by their art and knowledge, the physicians gained high social status regardless of their caste of birth. The court physician was of political importance and sat on the right side of the throne, an important symbolic place. Though the physician, patient, the nurse and the medicine were all important in curing a disease, the physician was thought to be the most important.

The codes of conduct for physicians and medical students were laid down by the texts of Laws of Manu. The poor and downtrodden were to be treated free of charge. Others were charged according to their ability to pay.

The physician was expected to behave in an exemplary manner, conforming to the highest ideals of professional and personal life. His dress, manner and speech were expected to be beyond reproach. Medical education was arduous, consisting of many years of sacrifice learning the art of healing. Visiting the sick, collecting herbs and preparation of drugs, memorizing the Vedic texts of Āyurveda, performing procedures on dead animals, melons, and leather bottles and bladders were part of the training. These exercises helped refine both theoretical and practical training of the student. When finally the student is deemed ready to practice on his own, he is certified by the ruler. The system closely resembles that of the Hippocratic Oath of Greece.

How much influence Greece had on Indian medicine is hard to say. We know that astrology and astronomy were both greatly influenced by the Greeks (solar calendar, for example). Most of the texts available to us were written after the Greeks made their appearance (Alexander in 3rd century B.C.) and stayed in the Northwest India for several decades. How much the Indian physician learned from the Greek counterpart and vice versa is a question not answered.

Neria Harish Hebbar, MD
April 11, 2004

Page : 1 | 2 | 3 | 4 | 5

References:
1. Albert S. Lyons MD and R. Joseph Petruccelli MD; Medicine: An Illustrated History
2. D.P. Agrawal; Sushruta: The Great Surgeon of Yore
3. Parveen Chopra; Āyurveda: A Healthy Revival
4. P.V. Sarma: History of Medicine in India
5. Sankaran P. S. and P.J. Deshpande; Sushruta
6. Internet Sources  

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