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Literature Review of Prognosis of Sushrutokta Asadhya NetraRogas
Authors: Varsha Devidas Ahire, A.B. Deshmukh and N. A. Khan
Number of views: 586
Acharya Sushruta has described netrarogas and their treatment in Uttartantra in first seventeen
chapters. Kriyakalpas are explained in eighteenth chapter. He has described seventysix
netrarogas among which fiftytwo are sadhya, seven are yapya, and seventeen are asadhya
netrarogas. For Sadhya vyadhi Acharya has described treatment and treatment procedure in ten
chapters according to dosha. Among these seventeen asadhya diseases, four vataja diseases are
Hathadhimantha, Gambhirika, Nimesha, Vatahatavartma. Two pittaja diseases are Hraswajadya,
Pittasrava. One kaphaja disease is Kaphastrava. Four raktaja diseases are Raktastrava,
Shonitarsha, Ajakajata, Savranashukla and four sannipataja diseases are Puyastrava,
Nakulandhya, Akshipakatyaya and Alaji, Two Bahya linganasha (Sanimitta and Animitta). But
in dealing with other diseases Sushruta has mentioned that Adhimantha, if not treated properly or
not in time may become asadhya. According to Sushruta commentator Dalhana, among all
Lingnasha only kaphaja linganasha is sadhya, while other types of linganashas are asadhya.
This study is based on compiling various asadhya netraroga described by Acharya Sushruta, and
comparing them with modern diseases. The aim of study is to find out possible causes of
asadhyatva of those diseases. The study concluded that asadhya netrarogas described by
Acharya Sushruta are incurable in ancient era due to lack of advanced surgical technologies or
poor visual prognosis. Improved surgical techniques made some of them surgically curable, but
most of them are yet incurable. We have to re-evaluate the prognosis mentioned by Sushruta in
modern era with outcome of treatment.