The term “Sira” is collectively used for blood vessel ( Arteries, Veins, Capillaries and Lymphatics ) which denote the circulatory system. Some siras are not suitable for venouspuncture. These siras are called Avedhya Sira. A surgeon should not perform venesection on these sira as it may be harmful for patient; on the contrary, some sira are suitable for Siravedhan, called Vedhya Sira. The anatomical locations are available in classic texts but exact structures and the anatomical description regarding vedhya sira are not described yet. Proposed article aims to correlate urdhvashakhagat vedhya siras mentioned by our Aacharya with modern anatomical structures and review in contemporary science. For this purpose, ancient ayurvedic classics were reviewed and references are compiled for the said subject was criticaly studied to comprehend the vedhya sira in upper extremities.
Primary knowledge of vedhya Sira is very important for physicians as well as surgeons. The vedhya sira mentioned in Ayurved compendia can be correlated with blood vessels, vein in modern anatomy.
2. Sharma P.V. Charak Samhita; Sutrasthanam. Chaukhambh. Reprint 2011. Adhyay 30. Shloka no. 12. Page. No. 237.
3. Murthy Shrikantha, K.R. Astang Samgraha of Vagbhata. Edi. 2007. Chaukhambha. Reprint: 2010. Adhyay 6. Shloka. No. 3, 4 & 6. Page. No.76 -77
4. Ibdem 1. Adhyay 8. Shloka. No.10, 29, page no. 218, 223
5. Acharya Jadvji Trikamji. Susrutha Samhitha with Nibandha sangraha commentary of Dalhanacharya, edited by. Varanasi: Chaukhambha, Reprint: 2010; Page no. 375-378 824.
6. D.G.Thatte, Sushruta Samhita text with English translation, IInd edition, Varanasi, Chaukhambha Orientalia Publisher, 2007, Volume-III: 140 p.
7. Mishra. J.N, Marma and Its Management, Varanasi, Chaukhambha publisher, 2005; Page. No. 38, 63, 81,106.
8. Ibdem 1. Sharirsthanam. Adhyay 6. Shloka no. 44. Page. No.202.
9. Kunte Anna Moreshwara & Shastri Navre Krishna Ramachandra. Ashtanga Hridayam with the commentaries Sarvangasundara of Arunadatta and ayurveda Rasayana of Hemadri annoted Varanasi: Chaukhambha Surbharati. Reprint: 2007. Shloka. No.20-22, 33-34. Page no- 391, 956.
10. Chaurasia B.D., Handbook of General Anatomy, 3rd edition, New Delhi, CBS Publishers, 2000, Page no 81.
11. Henery Gray. Gray’s anatomy, 40 edition, Elsevier churchil living stone, 2002; Page. No., 700,703, 942, 1451, 1518.
12. Singh Vishram, Clinical & surgical anatomy. 2nd Edi. London, Elsevier publications; Page no.83
13. Das. S, A manual on clinical surgery. Edit 3rd. Standring Susan. 2009; Page no.23.
14. Ibdem 1. Sharirsthanam. Adhyay 5. Shloka no. 11. Page. No.153.
15. Judy C. Arbique BHSC, ART (CSMLS), MLT (CSMLS), and CLS (NCA) Halifax, NS-venipuncture: part 3 vein assessments and selection version date January 2008.
16. Cunninham D.J. Cunningham’s Manual of Practical Anatomy Volume-1, edited by C.J.Romanes 15th edition. New York: Oxford University Press 1999. Churchill Livingstone, 40th edition, 2008; Page no 775-906.
17. Sharma Ashok Kumar et al, Review on Contra-Indicated Veins for Vein Puncture (Avedhya Sira) in Ayurveda, Jour. of Ayurveda & Holistic Medicine, Volume-I, 2014.
18. Kumar BMN, Awasthi HH et al , Anatomical considerations on Sira in Ayurveda with special reference to Sushruta Samhita, International Journal of Ayurvedic Medicine, 2013, 4(4), 320-327- 320.
19. Weinstein S et al, Plumer’s Principles and Practice of Intravenous Therapy. 8th edition., Philadelphia: JB Lippincott; 2007.
20. Johnson D, Colllins P, Healy JC et al. In: Standring S, 5th edition, Gray’s anatomic basis for clinical practice. Elsevier Moore KL. Upper limb. In: Moore KL, Dalley AF, eds. clinically oriented anatomy. Lippincott, Williams & Wilkins, 5th, edition, 2006; Page no 726-884.
21. Pansky B. Upper extremity. In: Pansky B, ed. Review of gross anatomy. McGraw Hill, 6th edition 1996; Page no 231-324.
22. Shenoy S, Middleton WD, Windus D, et al. Brachial artery flow measurement as an indicator of forearm native fistula maturation. In: Mitchell L Henry, ed. Vascular Access for Hem dialysis VII. W.L. Gore and Associates, Precept Press, 2001; pp 233-239.
23. Surendra Shenoy, Washington University School of Medicine, Barnes Jewish Hospital, St. Louis, MO – USA, Surgical anatomy of upper arm: what is needed for AVF planning, The Journal of Vascular Access 2009; 10: 223-232 © 2009 Wichtig Editore.
24. Loukas M, Myers C.S, et al; The clinical anatomy of the cephalic vein in the deltopectoral triangle, Folia Morphol, Vol. 67, No. 1, P. 72–77, ISSN 0015–5659.
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