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		<title>History of Surgery Part 9 &#8211; The Indian Rhinoplasty -From Sushruta to Tribhovandas</title>
		<link>https://asiindia.org/2026/06/03/history-of-surgery-part-9-the-indian-rhinoplasty-from-sushruta-to-tribhovandas/</link>
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				<category><![CDATA[The History of Surgery unfolds]]></category>
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		<description><![CDATA[Among the many contributions of Indian medicine to world surgery, none has attracted greater historical fascination than the technique of nasal reconstruction using a forehead flap. Known today to plastic surgeons as the paramedian forehead flap, this method of rhinoplasty is one of the oldest continuously practised reconstructive operations in human history. The story of&#8230;]]></description>
				<content:encoded><![CDATA[<p>
												Among the many contributions of Indian medicine to world surgery, none has attracted greater historical fascination than the technique of nasal reconstruction using a forehead flap. Known today to plastic surgeons as the paramedian forehead flap, this method of rhinoplasty is one of the oldest continuously practised reconstructive operations in human history. The story of its evolution spans more than two millennia, beginning with the surgical writings of Sushruta, passing through the craft traditions of early modern India, and eventually influencing European surgery through the famous report in the Gentleman&rsquo;s Magazine in 1794. Yet the history of this procedure is richer and more complex than the often repeated narrative of &ldquo;rediscovery.&rdquo; Long before that celebrated publication, travellers in Mughal India had already witnessed the operation in practice.</p>
<p>												The historical trajectory of Indian rhinoplasty is therefore not a tale of disappearance and rediscovery but rather one of continuity sometimes scholarly, sometimes artisanal, but rarely extinguished.</p>
<p>												<strong>The Classical Origins: Sushruta and the Nasal Reconstruction</strong></p>
<p>												The earliest detailed description of rhinoplasty appears in the <strong>Sushruta Samhita</strong>, a surgical compendium generally dated between the first millennium BCE and the early centuries of the Common Era. Sushruta described a remarkably sophisticated method of reconstructing the amputated nose using a flap of skin raised from the cheek or forehead. The surgical steps are described with striking clarity: measurement of the nasal defect using a leaf template, elevation of a flap of appropriate dimensions, rotation and attachment to the nasal stump, and maintenance of the airway with tubular splints.</p>
<p>												Sushruta&rsquo;s account also emphasizes the importance of surgical instruments, wound care, and postoperative management. The text demonstrates a profound practical understanding of tissue viability and healing, even though it predates the knowledge of modern vascular anatomy his description remains one of the earliest examples of a <strong>pedicled flap in reconstructive surgery</strong>.</p>
<p>												The cultural context of rhinoplasty in ancient India is equally important. Nasal amputation was a common judicial punishment for crimes such as adultery and theft. Consequently, the need for reconstructive surgery was not merely cosmetic but social and psychological. Restoring the nose restored honour and identity.</p>
<p>												For several centuries after the composition of the Sushruta Samhita, Indian surgery flourished within the broader tradition of Ayurveda. However, by the early medieval period, the intellectual emphasis of medical scholarship had shifted increasingly toward pharmacology and internal medicine. Surgical practice gradually became marginalized within elite medical discourse.</p>
<p>												<strong>The Migration of Surgical Knowledge</strong></p>
<p>												By the late medieval period, surgery in India appears to have moved largely out of the classical scholarly institutions and into hereditary craft communities. This phenomenon has been noted by several historians of medicine and was observed by European travellers as well. Certain surgical procedures&mdash;particularly those requiring manual dexterity rather than theoretical learning&mdash;were preserved through apprenticeship and family tradition.</p>
<p>												Rhinoplasty became one of these craft procedures. The operation survived not in academic medical schools but among traditional practitioners who transmitted their knowledge from father to son. Although this shift represented a decline in formal surgical scholarship, it ensured the survival of specific operative techniques.</p>
<p>												Thus, while classical Sanskrit texts faded from everyday medical practice, the <strong>practical surgical tradition itself persisted</strong>.</p>
<p>												<strong>Niccolao Manucci and the Seventeenth-Century Observation</strong></p>
<p>												One of the earliest European eyewitness descriptions of Indian rhinoplasty comes from <strong>Niccolao Manucci (1638&ndash;1717)</strong>, an Italian adventurer who spent much of his life in Mughal India. Manucci arrived in India as a young man in the service of Venetian traders and eventually became associated with the court of the Mughal emperor Aurangzeb. Over the course of several decades he travelled widely across northern India and compiled his experiences in a remarkable memoir known as Storia do Mogor.</p>
<p>												Manucci&rsquo;s narrative includes an account of nasal amputations carried out during military campaigns and the subsequent reconstruction performed by local surgeons. He described the method with surprising accuracy:</p>
<p>												<em>&ldquo;The surgeons cut the skin of the forehead above the eyebrows and made it fall down over the wound on the nose&hellip; in a short time the wounds heal up&hellip; I saw many persons with such noses&rdquo;.</em></p>
<p>												This brief observation is historically significant for several reasons. First, it clearly identifies the <strong>forehead flap method</strong>, closely resembling the technique described by Sushruta many centuries earlier. Second, Manucci notes that he had seen <strong>many individuals</strong> who had undergone the procedure, implying that the operation was relatively common in the region. Finally, his account predates the famous Gentleman&rsquo;s Magazine report by more than a century.</p>
<p>												Manucci&rsquo;s testimony demonstrates that rhinoplasty was not an isolated or rare procedure but part of a living surgical tradition in Mughal India. It also highlights the practical circumstances in which the operation was performed. Nasal amputation remained a form of punishment and humiliation in certain social contexts, creating a persistent demand for reconstruction.</p>
<p>												<strong>European Travellers and the Craft of Indian Surgery</strong></p>
<p>												Manucci was not the only European observer to remark upon Indian surgical practices. Other travellers of the seventeenth century, including Fran&ccedil;ois Bernier and John Fryer, recorded aspects of indigenous medical practice during their time in India. Although their writings focused more on general medicine than surgery, they frequently commented on the empirical skill of Indian practitioners.</p>
<p>												European observers were often puzzled by what they perceived as a contradiction: Indian surgeons demonstrated considerable technical ability despite lacking the anatomical training that had become central to European medicine after Vesalius. Operations such as rhinoplasty, lithotomy, and cataract couching were clearly being performed with competence, yet the practitioners belonged to artisan communities rather than scholarly institutions.</p>
<p>												This situation illustrates a broader pattern in the history of surgery worldwide. Before the rise of modern academic medicine, surgical knowledge frequently survived in craft traditions&mdash;among barbers, bonesetters, and itinerant surgeons. India was no exception.</p>
<p>												<strong>The Late Eighteenth Century: The Pune Rhinoplasty</strong></p>
<p>												The event that brought Indian rhinoplasty to the attention of European medicine occurred in western India toward the end of the eighteenth century. During the wars between the British and the Marathas, a Maratha cart driver named <strong>Cowasjee</strong> was captured and punished by nasal amputation. Several years later, a local practitioner reconstructed his nose using the traditional forehead flap technique.</p>
<p>												Two British surgeons stationed in Pune,<strong> Thomas Cruso and James Findlay</strong>, witnessed the procedure and reported it in detail. Their description was published <strong>in 1794 in the Gentleman&rsquo;s Magazine</strong> of London. The article included an illustration of the operation and described the technique step by step.</p>
<p>												The publication created considerable excitement among European surgeons. Although reconstructive procedures had been attempted in Europe before, they were often unreliable and rarely successful. The Indian method, by contrast, appeared remarkably effective.</p>
<p>												For European surgeons, this report represented a rediscovery of a lost art. For India, however, it was simply the continuation of a long-standing practice.</p>
<p>												<strong>The Adoption of the Technique in Europe</strong></p>
<p>												The <em>Gentleman&rsquo;s Magazine</em> report soon inspired several European surgeons to attempt the operation. Among them was Joseph Constantine Carpue, a London surgeon who undertook two rhinoplasty procedures using the Indian method in 1814.</p>
<p>												Carpue carefully studied the original report and reconstructed the technique as faithfully as possible. His successful operations were published in 1816 in his monograph An Account of Two Successful Operations for Restoring a Lost Nose. The book included detailed illustrations and became widely known among European surgeons.</p>
<p>												Carpue openly acknowledged the Indian origin of the procedure, referring to it as the &ldquo;<strong>Indian method of rhinoplasty</strong>.&rdquo; His work marked the beginning of modern plastic surgery in Europe and paved the way for further refinements by surgeons such as Dieffenbach in Germany.</p>
<p>												Ironically, a surgical technique preserved for centuries in India through craft tradition now became celebrated within the emerging academic discipline of European surgery.</p>
<p>												<strong>Rhinoplasty in Nineteenth-Century India</strong></p>
<p>												Despite the growing international recognition of the Indian method, the practice within India itself remained largely confined to traditional practitioners. Colonial medical institutions focused primarily on Western surgical techniques and often regarded indigenous practices with skepticism.</p>
<p>												Nevertheless, the forehead flap rhinoplasty continued to be performed by hereditary surgeons in several regions of the subcontinent. One of the most notable practitioners of this tradition was Tribhovandas Motichand Shah of Junagadh in Gujarat.</p>
<p>												<strong>Tribhovandas and the Living Tradition</strong></p>
<p>												Tribhovandas Motichand Shah (1849&ndash;1904) occupies an important place in the history of Indian rhinoplasty. Unlike many earlier practitioners whose work remained within local traditions, Tribhovandas documented his experience in writing. His observations were published in the Indian Medical Gazette in the late nineteenth century.</p>
<p>												Tribhovandas described the rhinoplasty technique practiced in his community with remarkable clarity. The procedure closely resembled the classical method described by Sushruta and observed by Manucci centuries earlier. A flap was raised from the forehead, rotated downward to reconstruct the nasal defect, and supported with tubular splints to maintain the airway.</p>
<p>												His report demonstrates that the technique had survived in essentially the same form for generations. It also illustrates the continuity between ancient surgical literature and the living traditions of Indian practitioners.</p>
<p>												By the late nineteenth century, however, the balance of medical authority had shifted decisively toward Western institutional medicine. As hospitals and medical colleges expanded under colonial administration, indigenous surgical traditions gradually declined.</p>
<p>												Yet the legacy of the Indian rhinoplasty remained embedded within global plastic surgery.</p>
<p>												<strong>A Continuous Surgical Heritage</strong></p>
<p>												Viewed across the centuries, the history of Indian rhinoplasty reveals an extraordinary continuity of surgical knowledge.<br />
												&nbsp;</p>
<ul>
<li><strong>Sushruta</strong> provided the earliest detailed description of nasal reconstruction.</li>
<li><strong>Artisan surgeons</strong> preserved the technique during the medieval period.</li>
<li><strong>Niccolao Manucci</strong> recorded its practice in seventeenth-century Mughal India.</li>
<li><strong>The Pune rhinoplasty of 1794</strong> introduced the method to Europe.</li>
<li><strong>Joseph Carpue</strong> established the operation within modern Western surgery.</li>
<li><strong>Tribhovandas</strong> demonstrated that the indigenous tradition continued well into the nineteenth century.</li>
</ul>
<p>												The story therefore challenges the simplistic notion that Indian surgery vanished after antiquity. Instead, it survived in unexpected places within craft communities, regional practices, and family lineages of surgeons who maintained their skills through generations.</p>
<p>												For modern plastic surgeons, the forehead flap remains one of the most reliable techniques for nasal reconstruction. Its continued use in contemporary surgery stands as a testament to the ingenuity of the early Indian surgeons who first conceived it. More than two thousand years after Sushruta described the operation, the principles of the Indian rhinoplasty still guide reconstructive surgery around the world.</p>
<p>												<strong>Summary: </strong></p>
<p>												By the seventeenth century, although classical surgical scholarship had declined, the practical art of rhinoplasty continued to survive in hereditary surgical communities. The Italian traveller Niccolao Manucci, who spent many years in Mughal India, recorded having seen numerous individuals whose noses had been reconstructed using a flap of skin taken from the forehead. More than a century later, British surgeons in Pune witnessed a similar operation performed on a Maratha cart driver named Cowasjee. Their report in the Gentleman&rsquo;s Magazine in 1794 introduced the technique to European surgery, eventually inspiring Joseph Carpue&rsquo;s celebrated operations in London. Yet the procedure never vanished from India itself. In the late nineteenth century, the surgeon Tribhovandas Motichand Shah documented the same method in the Indian Medical Gazette, demonstrating that the ancient surgical tradition described by Sushruta had survived in practice for nearly two thousand years.</p>
<p>												<strong>References</strong></p>
<p>												Bhattacharya J. Indian medicine through travellers&rsquo; accounts with emphasis on anatomical knowledge: 17th&ndash;19th century. Indian Journal of History of Science. 2013.</p>
<p>												Carpue JC. An Account of Two Successful Operations for Restoring a Lost Nose. London; 1816.</p>
<p>												Findlay J, Cruso T. Account of a method of forming a new nose. Gentleman&rsquo;s Magazine. 1794.</p>
<p>												Manucci N. Storia do Mogor: Or Mogul India. Translated by William Irvine.</p>
<p>												Mukhopadhyaya G. The Surgical Instruments of the Hindus. Calcutta; 1913.</p>
<p>												Shah TM. Rhinoplasty in India. Indian Medical Gazette. 1889.</p>
<p>												Sushruta. Sushruta Samhita. Various translations.<br />
												&nbsp;</p><p><strong>Quiz time</strong></p>
<p>												<strong>The punishment of nose amputation in ancient India contributed to the development of rhinoplasty. This punishment was commonly practiced for:</strong></p>
<p>												A. Theft<br />
												B. Adultery and crimes<br />
												C. Treason<br />
												D. Religious offenses</p>
<p>												Answer: <strong>B. Adultery and crimes</strong></p>
<p>												<img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-9-1.jpg" /></p>
<p>												<strong>The widely Known report in the gentleman&rsquo;s Magazine of the Indian Rhinoplasty 1n 1794 .Two British surgeons stationed in Pune, Thomas Cruso and James Findlay, witnessed the procedure and reported it </strong> <img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-9-2.jpg" /></p>
<p>												<strong>Dr Tribhovandas Motichand Shah The Chief Medical officer of Junagadh Princely State Trained in Modern medicine In Grant Medical college Mumbai was an expert in performing the Indian Rhinoplasty in the 19th Century and he published his cases in the Bombay gazette this is his report of having performed 100 cases . the story goes that a dacoid kadu Makrani was famous in cutting noses of his victims and Tribhuvandas reconstructed them (kadu Kate naak &hellip;&hellip;&hellip;..)</strong></p>
<p>												<img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-9-3.jpg" /></p>
<p>												<img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-9-4.jpg" /></p>
<p>												<strong>Painting of Sivaji Maharaj in the book Storia Do Mogar by Niccolo Manucci about Mughal India</strong></p>
<p>												<img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-9-5.jpg" /></p>
<p>												<img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-9-6.jpg" /></p>
<p>												<img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-9-7.jpg" /></p>
<p>												<span style="color:#ff1d1d; font-weight:600;">History of Surgery ASI team</span></p>
<p>												<strong>Dr Kaushik Bhattacharya (Head of the team)</strong><br />
												<strong>Dr Pratap Varute</strong><br />
												<strong>Dr Patta Radhakrishna</strong><br />
												<strong>Dr Surajit Bhattacharya</strong><br />
												<strong>Dr Clement Rajan</strong><br />
												<strong>Dr K Lakshman</strong><br />
												<strong>Dr Mahesh Prabhu</strong></p>
<p></p>
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		<title>AGUSICON 2026</title>
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		<description><![CDATA[National Conference of AGUSI &#160; Programme Details Date Venue 25th &#038; 26th July 2026 Bhadohi, UP &#160; Org. Secretary Dr. A K Gupta]]></description>
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		<title>History of Surgery Part 8 &#8211; Vagbhata and the surgical tradition</title>
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		<description><![CDATA[Acharya Vagbhata When surgeons read the classical texts of Indian medicine, Sushruta naturally commands most of the attention. His operations are vivid, his instruments numerous, and his confidence unmistakable. Yet between the age of Sushruta and the later medieval period, surgical knowledge might easily have thinned out or fragmented. It is largely through Vagbhata that&#8230;]]></description>
				<content:encoded><![CDATA[<p>
												<br />
												<img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-8-1.jpg" /></p>
<p>												<strong>Acharya Vagbhata</strong></p>
<p>												When surgeons read the classical texts of Indian medicine, Sushruta naturally commands most of the attention. His operations are vivid, his instruments numerous, and his confidence unmistakable. Yet between the age of Sushruta and the later medieval period, surgical knowledge might easily have thinned out or fragmented. It is largely through Vagbhata that the surgical tradition was gathered, condensed, and transmitted forward.</p>
<p>												Vagbhata probably lived around the 6th&ndash;7th century CE, was not primarily an operative innovator. His importance lies in preserving surgical principles and presenting them in a structured and teachable form. His two great works, the Aṣṭāṅgasaṅgraha (अष्टाङ्गसंग्रह) and the Aṣṭāṅgahṛdayasaṃhitā (अष्टाङ्गहृदयसंहिता) include substantial material on surgery (Śhalyatantra), wound care, fractures, cautery, and surgical instruments. Though briefer than Suśhruta&rsquo;s descriptions, they show that a coherent surgical tradition was still alive in early medieval India. Modern philological research, however, argues that these two texts are unlikely to be the work of a single author. The relationship between the two treatises, as well as their authorship, remains a subject of ongoing scholarly debate and has not been conclusively resolved.</p>
<p>												The title Aṣṭāṅga refers to the eight branches of medicine: internal medicine, surgery, diseases of the head and neck, pediatrics and obstetrics, toxicology, psychiatry, rejuvenation therapy, and reproductive health. This classification reflects an attempt to organize medical knowledge into a coherent system. For the modern reader, it suggests a curriculum rather than a manual, a structured approach to medical education.</p>
<p>												<strong>The Concept of Shalya</strong></p>
<p>												The Sanskrit word śhalya refers to a sharp instrument (spear, javelin, arrow or a thorn) foreign body or anything that must be removed from the body. From this comes Śhalyatantra, the branch of medicine dealing with surgery. Vagbhata adopts this classical concept and describes a range of conditions requiring surgical intervention foreign bodies, abscesses, calculi, dead tissue, and traumatic wounds.</p>
<p>												The surgeon&rsquo;s role was therefore defined not only by cutting but by removal: removing pus, removing foreign material, removing devitalized tissue. The idea is strikingly close to what we would now call debridement.</p>
<p>												<strong>Wound Care and Healing</strong></p>
<p>												One of Vagbhata&rsquo;s most practical contributions lies in his descriptions of wounds (vrana). He classifies wounds by cause traumatic, surgical, and inflammatory and also by their condition. Clean wounds, contaminated wounds, and infected wounds are described in different terms, each with its own management.</p>
<p>												The principles of treatment are logical and sequential. A wound must first be cleaned. Any foreign or dead material must be removed. Only then can healing proceed properly. Vagbhata repeatedly emphasizes that retained debris or devitalized tissue interferes with healing, a principle that remains fundamental in modern surgery.</p>
<p>												Suppuration is described as a stage in the evolution of certain wounds. The surgeon is advised to recognize the signs of abscess formation swelling, pain, warmth, and fluctuation and to intervene when pus has formed. Premature incision is discouraged, but so is delay once suppuration is evident.</p>
<p>												Drainage of abscesses is described in straightforward mechanical terms. The incision must be adequate, and the cavity must be allowed to empty fully. After drainage, dressings are applied to promote healing from within. The emphasis on adequate drainage reflects long practical experience with soft tissue infections.</p>
<p>												Chronic wounds receive special attention. Vagbhat describes methods to stimulate healing in wounds that fail to close, including cleaning, scraping, and the application of medicinal substances. The idea that a wound might need to be &ldquo;refreshed&rdquo; before it can heal is familiar to any modern surgeon dealing with chronic ulcers.</p>
<p>												<strong>Debridement</strong></p>
<p>												Although the modern term does not exist in the text, the concept of debridement is clearly present. Dead or unhealthy tissue is described as an obstacle to healing and must be removed. This may be done with cutting instruments or by other means. The wound is then treated so that healthy tissue can form.</p>
<p>												This principle appears repeatedly in classical Indian surgery and remains one of its most enduring contributions.</p>
<p>												<strong>Bandaging</strong></p>
<p>												Bandaging is discussed in considerable detail. Vagbhat describes a variety of bandage types, each suited to a different region of the body. The bandage must be firm enough to support the tissues but not so tight as to impair circulation.</p>
<p>												Special bandaging techniques are described for the limbs, joints, and trunk. The importance of maintaining the correct position during healing is emphasized. The surgeon is advised to check bandages regularly and adjust them as needed.</p>
<p>												The descriptions suggest a practical familiarity with postoperative care and the management of injuries.<br />
												<img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-8-2.jpg" /><br />
												<strong>Original lithographic print of the book <em>Aṣṭāṅgahṛdayasaṃhitā written by Vagbhata printed in 1860s</em></strong></p>
<p>												<strong>Fractures and Dislocations</strong></p>
<p>												Fractures are described in terms of displacement and instability. The basic principles of treatment are recognizable: reduction, alignment, and immobilization.</p>
<p>												The injured limb is first brought back into proper position. It is then supported with splints and bandages. Movement is restricted until healing has occurred. Vagbhata emphasizes that improper alignment leads to deformity and impaired function.</p>
<p>												Dislocations are treated by manipulation followed by immobilization. Careful handling is advised, and excessive force is discouraged. The emphasis on gentle but effective reduction suggests a developed understanding of musculoskeletal injuries.</p>
<p>												<strong>Surgical Instruments</strong></p>
<p>												Like Sushruta, Vagbhata describes a range of surgical instruments, though in less detail. These include cutting instruments, probes, forceps, and needles. Instruments are to be kept clean and in good condition.</p>
<p>												The surgeon is expected to be familiar with the proper use of each instrument. Precision and control are emphasized over force.</p>
<p>												Though the descriptions are brief, they reflect an established operative practice in which specialized tools were used for specific purposes.</p>
<p>												<strong>Cautery</strong></p>
<p>												Cautery occupies an important place in Vagbhat&rsquo;s surgical practice. Two forms are described: thermal cautery (agnikarma) and chemical cautery (kṣhārakarma) (akin to ksharasutra).</p>
<p>												Thermal cautery is used to control bleeding, destroy diseased tissue, and treat certain growths. Chemical cautery uses caustic substances to achieve similar ends. Each method has specific indications, and improper use is warned against.</p>
<p>												Cautery is presented not as a last resort but as a standard surgical tool. Its careful and controlled application suggests considerable experience.</p>
<p>												<strong>Bloodletting</strong></p>
<p>												Bloodletting is described as a therapeutic procedure in selected conditions. Methods include venesection and the use of leeches. Though based on the humoral theories of the time, the techniques themselves required practical skill.</p>
<p>												The descriptions include guidance on patient selection and technique, indicating that these procedures were performed with some regularity.</p>
<p>												<strong>The Surgeon</strong></p>
<p>												Vagbhata&rsquo;s description of the surgeon is worth noting. The surgeon must be steady-handed, observant, and disciplined. Cleanliness is emphasized, both in the person and in the instruments. The surgeon must understand the disease before attempting treatment.</p>
<p>												<strong>Vagbhata&rsquo;s Place in Surgical History</strong></p>
<p>												Vagbhata does not describe rhinoplasty with the detail found in Sushruta, nor does he present dramatic new operations. His importance lies elsewhere. He preserved the principles of surgery at a time when they might otherwise have faded.</p>
<p>												Through his writings, the essential elements of surgical practice wound care, drainage, debridement, fracture management, and operative technique were organized into a coherent system and transmitted to later generations.</p>
<p>												For modern surgeons, Vagbhata offers a glimpse of a tradition in transition. The bold experimental phase of early surgery had passed, but the craft itself remained alive. The operating surgeon was still present, treating wounds, draining abscesses, setting fractures, and managing injuries much as surgeons would for centuries afterward.</p>
<p>												If Sushruta represents the birth of Indian surgery, Vagbhata represents its continuity.</p>
<p>												From a historical perspective, Vagbhata represents a bridge between worlds. Behind him lie the great surgical traditions of ancient India. Ahead lies the long medieval period, during which medical knowledge was preserved in monasteries, courts, and teaching lineages. Without authors like Vagbhata, much of the earlier tradition might have been lost or scattered.</p>
<p>												If Sushruta can be imagined as the master surgeon, then Vagbhata might be seen as the professor who ensured that the knowledge endured. His contribution was not dramatic, but it was essential. He gathered what was known, organized it, and presented it in a form that could be taught and remembered.</p>
<p>												<strong>References</strong></p>
<p>												<em>1. Vagbhata. Ashtanga Hridayam. Translated by K.R. Srikantha Murthy. Varanasi: Chaukhambha Krishnadas Academy.<br />
												2. Vagbhata. Ashtanga Sangraha. Translated by K.R. Srikantha Murthy. Varanasi: Chaukhambha Orientalia.<br />
												3. Meulenbeld GJ. A History of Indian Medical Literature. Groningen: Egbert Forsten; 1999.<br />
												4. Filliozat J. The Classical Doctrine of Indian Medicine. Delhi: Munshiram Manoharlal; 1964.<br />
												5. Wujastyk D. The Roots of Ayurveda. London: Penguin Classics; 2003.<br />
												6. Sharma PV. History of Medicine in India. New Delhi: Indian National Science Academy; 1992.<br />
												7. Menon, I (2010). <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3117315/">&quot;The Ashtavaidya physicians of Kerala: A tradition in transition&quot;</a>. Journal of Ayurveda and Integrative Medicine.</em></p>
<p>												<strong>Footnote</strong></p>
<p>												In addition to textual and scholarly study, Vagbhat is associated with a number of regional traditions in India, particularly in Kerala, where classical Ayurveda developed distinctive institutional lineages. These traditions form part of the cultural history of Ayurveda but are generally treated by historians as legendary or devotional accounts rather than established historical biography.</p>
<p>												In Kerala, hereditary families of Ayurvedic physicians known as Ashtavaidyas (literally, &ldquo;masters of the eight branches of Ayurveda&rdquo;) preserved classical texts and clinical practices connected to the Aṣṭāṅga system described in Vagbhat&rsquo;s works. Ethnographic and historical surveys of Kerala Ayurveda note that these families often traced their intellectual lineage to classical authors such as Vagbhat, Charaka, and Sushruta, though such links are understood as traditional affiliations rather than direct teacher&ndash;disciple relationships.</p>
<p>												One such Ashtavaidya lineage is the Pulamanthole Mooss family of present-day Malappuram district, Kerala. Local family histories and community narratives maintained by the Pulamanthole Mooss tradition state that Vagbhat spent his final years in the Pulamanthole region and that a memorial site (samādhi) associated with him exists there. This association is referenced in institutional histories and regional cultural accounts but is not supported by epigraphic, archaeological, or contemporaneous textual evidence accepted by mainstream historians</p>
<p>												<img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-8-3.jpg" /><br />
												&nbsp;</p>
<p><strong>The legacy of Vagbhata written by Dr. MS Valiathan</strong></p>
<p>												<img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-8-4.jpg" /><br />
												&nbsp;</p>
<p><strong>Digital Rare Book:<br />
												Astanga Hrdaya of Vagbhata (500-600 CE)</strong></p>
<p><strong>Quiz time</strong></p>
<p>												<strong>Which of Vagbhata&rsquo;s texts is written mainly in concise poetic verses and became widely popular among physicians?</strong></p>
<p>												<strong>Answer &#8211; Ashtanga Hridaya</strong></p>
<p>												<span style="color:#ff1d1d; font-weight:600;">History of Surgery ASI team</span></p>
<p>												<strong>Dr Kaushik Bhattacharya (Head of the team)</strong><br />
												<strong>Dr Pratap Varute</strong><br />
												<strong>Dr Patta Radhakrishna</strong><br />
												<strong>Dr Surajit Bhattacharya</strong><br />
												<strong>Dr Clement Rajan</strong><br />
												<strong>Dr K Lakshman</strong><br />
												<strong>Dr Mahesh Prabhu</strong></p>
<p></p>
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		<title>NECASICON</title>
		<link>https://asiindia.org/2026/05/01/necasicon/</link>
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		<pubDate>Fri, 01 May 2026 07:17:40 +0000</pubDate>
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		<description><![CDATA[8th Annual Conference North East State Chapter &#160; Programme Details Date Venue 12th November to 13th November 2026 Aijal Club, Aizawl &#160; Org. Chairman Org. Secretary Dr ST Lalruatfela Dr Lalrinsiama]]></description>
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<td><strong>8th Annual Conference North East State Chapter</strong></td>
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<td colspan="2"><strong>Programme Details</strong></td>
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<td>12th November to 13th November 2026</td>
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<td>Dr ST Lalruatfela </td>
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		<title>ASIRAJ2026</title>
		<link>https://asiindia.org/2026/05/01/asiraj2026/</link>
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		<pubDate>Fri, 01 May 2026 07:12:34 +0000</pubDate>
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		<description><![CDATA[Annual Conference of the Rajasthan State Chapter &#160; Programme Details Date Venue 2nd to 4th October 2026 Bikaner, Rajasthan &#160; Org. Chairman Org. Secretary Dr. Mohd. Saleem Dr. Manohar L Dhawan &#160; Website Register Online https://kscasicon.kscasi.com Click Here to Register Online]]></description>
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<td><strong>Annual Conference of the Rajasthan State Chapter</strong></td>
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<td colspan="2"><strong>Programme Details</strong></td>
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<td>2nd to 4th October 2026</td>
<td>Bikaner, Rajasthan</td>
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<td><strong>Org. Chairman</strong></td>
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<td>Dr. Mohd. Saleem</td>
<td>Dr. Manohar L Dhawan</td>
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		<title>History of Surgery Part 7 &#8211; King Bhoja and ancient Neurosurgery in India</title>
		<link>https://asiindia.org/2026/05/01/history-of-surgery-part-7-king-bhoja-and-ancient-neurosurgery-in-india/</link>
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		<pubDate>Fri, 01 May 2026 06:27:14 +0000</pubDate>
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		<description><![CDATA[The chronicle of King Bhoja is interesting because of his association with ancient neurosurgical practice in India. This episode is documented in a literary work called Bhoja Prabhanda. It must be mentioned that the distinguishing line between the legends mentioned in these works and the actual occurrences is thin. However, significant documentation and evidence from&#8230;]]></description>
				<content:encoded><![CDATA[<p>
												The chronicle of King Bhoja is interesting because of his association with ancient neurosurgical practice in India. This episode is documented in a literary work called Bhoja Prabhanda. It must be mentioned that the distinguishing line between the legends mentioned in these works and the actual occurrences is thin. However, significant documentation and evidence from excavations, even from ancient times, support some of the claims made for that period.</p>
<p>												<strong>King Bhoja</strong></p>
<p>												King Bhoja was a 11 century Parmar king who ruled in the area of present-day Madhya Pradesh. His &lsquo;country&rsquo; extended from just east of Bhopal in the east to Sabarmati River in the west, and from Chittor in present day Rajasthan in the north to Konkan in the South.</p>
<p>												<img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-7-1.jpg" /></p>
<p><strong>Statue of King Bhoja in Bhopal</strong></p>
<p>												His life is chronicled in Bhoja Prabhanda authored by Ballaladeva in the 16th century. King Bhoja was a prolific writer with around 84 literary works attributed to him. The legends surrounding him match those surrounding King Vikramaditya. King Bhoja also fought many wars and was considered a hero by his citizens.</p>
<p>												He was troubled by chronic headaches. Medications by his regular court doctors seemed to have no effect. Two Brahmins from Ujjain are credited with curing his headache through neurosurgery. They used anaesthesia, put him into a stupor, made trephinations in his skull and took out a tumour &ndash; and this cured him.</p>
<p>												<strong>Trephination</strong></p>
<p>												Trephination or Trepanation involves making a &lsquo;hole&rsquo; in the skull. These words are used interchangeably now. But the names are probably derived from the original names of the instruments used in the process.</p>
<p>												The process involves scraping, cutting or drilling a hole in the skull. The process was practices as far back as the neolithic period. Trepanation has been documented in excavations of skulls from across the globe. The first &lsquo;proper&rsquo; documentation was in mid 1800s from a skull excavated from Peru. Regularly shaped circular or rectangular holes suggest that it is man made. Scarring and &lsquo;healing&rsquo; seen in the edges of these holes suggest that the holes were made in a live human and that he/she survived the procedure for a good length of time.</p>
<p>												<img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-7-2.jpg" /><br />
												&nbsp;</p>
<p><em><strong>Different methods of trephining: (1) scraping; (2) grooving; (3) boring and cutting; (4) rectangular intersecting cuts. Reference: Gross CG. A Hole in the Head: More Tales in the History of Neuroscience. Cambridge (Massachusetts): MIT Press; 2009</strong></em></p>
<p>In India, similar skulls with trepanations have been excavated from the Harappan sites (4500 years ago), Kashmir and Karnataka.</p>
<p>												Trepanations were carried out for many indications including head trauma (to let the &lsquo;bad blood&rsquo; out), headaches, epilepsy and psychiatric disturbances. That the patients survived the procedure has been mentioned. But there is no clear evidence about the patients getting better from the malady. But the fact that the procedure itself survived for such a long time suggests that it had some salutary effect.</p>
<p>												<img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-7-3.jpg" /><br />
												&nbsp;</p>
<p><strong><em>A surgeon removing &lsquo;the Stone of Madness&rsquo; by Trepanation; A 15th century Painting</em></strong></p>
<p>												Sushruta (600 BCE), the Father of Indian Surgery is credited with neurosurgical procedures in addition to the famous Rhinoplasty and several other surgical procedures. Sushruta designed and used more than 120 surgical instruments. He described methods of trepanation, extraction of foreign bodies, closure of wounds and application of dressings. Sushruta used some alcoholic potions as a form of anaesthesia.</p>
<p>Jivaka (5th Century BCE) is another well known physician of ancient India. His claim to fame was that he was the personal Physician of Gautama Buddha. Several neurosurgical procedures have been attributed to Jivaka as well.</p>
<p>												<img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-7-4.jpg" /><br />
												&nbsp;</p>
<p><strong><em>Jivaka, Gautama Buddha&rsquo;s physician</em></strong><br />
												&nbsp;</p>
<p>By the time of King Bhoja (11th Century), with 1500 years of experience, the science of neurosurgery had progressed. The improvement came in the form of anaesthesia. The Brahmin surgeons who operated on King Bhoja used a herbal mixture called Sammohini (probably a combination of cannabis and opium) to induce anaesthesia to the king. After the procedure, they used another herb called Sanjivini to wake him. Botanical equivalents of the herbs matching the descriptions have now been identified.</p>
<p>												Thus, it can be seen that ancient Indian Surgeons were in the know of basic neurosurgical procedures. They had sophisticated anaesthetic protocols, designed and used proper instruments and clearly, the patients survived these procedures.</p>
<p>												<img alt="SUSHRUTA" src="https://asiindia.org/wp-content/uploads/his-7-5.jpg" /></p>
<p>												<strong><em>Bronze Age Harappan Trepanation skull (4300 years old)</em></strong></p>
<p>												<strong>Further reading:</strong></p>
<p>												<a href="https://journals.lww.com/armh/fulltext/2022/10010/history_of_trepanation_and_the_indian_connection.26.aspx">https://journals.lww.com/armh/fulltext/2022/10010/history_of_trepanation_and_the_indian_connection.26.aspx</a></p>
<p>												<a href="https://en.wikipedia.org/wiki/Bhoja">https://en.wikipedia.org/wiki/Bhoja</a></p>
<p>												<a href="https://tamilandvedas.com/2015/06/17/brain-surgery-in-ancient-india-bhoja-and-indus-valley/">https://tamilandvedas.com/2015/06/17/brain-surgery-in-ancient-india-bhoja-and-indus-valley/</a><br />
												&nbsp;</p>
<p><strong>Quiz time</strong></p>
<p>												<strong>Who was the Father of Modern Neurosurgery in India?</strong></p>
<p>												Answer &#8211; <strong>Dr. B. Ramamurthi (who established the first neurosurgical department in Madras in 1950).</strong></p>
<p>												<span style="color:#ff1d1d; font-weight:600;">History of Surgery ASI team</span></p>
<p>												<strong>Dr Kaushik Bhattacharya (Head of the team)</strong><br />
												<strong>Dr Pratap Varute</strong><br />
												<strong>Dr Patta Radhakrishna</strong><br />
												<strong>Dr Surajit Bhattacharya</strong><br />
												<strong>Dr Clement Rajan</strong><br />
												<strong>Dr K Lakshman</strong><br />
												<strong>Dr Mahesh Prabhu</strong></p>
<p></p>
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		<title>Announcement of ASICON 2026 &#038; Awards for ASICON 2027</title>
		<link>https://asiindia.org/2026/04/23/announcement-of-asicon-2026-awards-for-asicon-2027/</link>
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		<pubDate>Thu, 23 Apr 2026 07:44:31 +0000</pubDate>
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		<description><![CDATA[Greetings from the ASI Headquarters! ASICON—the Annual Conference of The Association of Surgeons of India—remains one of the most anticipated events in the surgical community, offering a dynamic platform for surgeons across the country to engage, collaborate, and exchange scientific knowledge. Under the esteemed leadership of Dr. D.Maruthu Pandian, President of ASI, and the Executive&#8230;]]></description>
				<content:encoded><![CDATA[<p>Greetings from the ASI Headquarters!</p>
<p>ASICON—the Annual Conference of The Association of Surgeons of India—remains one of the most anticipated events in the surgical community, offering a dynamic platform for surgeons across the country to engage, collaborate, and exchange scientific knowledge.</p>
<p>Under the esteemed leadership of Dr. D.Maruthu Pandian, President of ASI, and the Executive Committee of The Association of Surgeons of India, we are pleased to officially announce ASICON 2026, scheduled to be held in Ahmedabad and Call for various academic engagements for ASICON 2026.</p>
<p><strong>In addition, we are now inviting applications for the following:</strong></p>
<p>I. Orations 2027<br />
II. Endowment Lectures 2027<br />
III. Travelling Fellowships 2027<br />
IV. Symposia for ASICON 2027. </p>
<p><a style="text-decoration: none; font-weight: 600;" href="https://asiindia.org/wp-content/uploads/Call-for-various-academic-engagements-for-ASICON-2026-and-Call-for-various-awards-for-ASICON-2027.pdf" target="_blank" rel="noopener">Click Here for Detailed Information About Announcement of ASICON 2026 &#038; Awards for ASICON 2027</a></p>
<p>We kindly request you to submit your nominations in accordance with the guidelines outlined in the notice, ensuring they are submitted within the stipulated deadlines.</p>
<p>We look forward to your active participation and valuable contributions to the upcoming conferences.</p>
<p>With warm regards and best wishes,</p>
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<strong>Dr. D. Maruthu Pandian</strong><br />
President ASI</td>
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<strong>Dr. Gaddi Diwakar</strong><br />
Hon. Secretary ASI </td>
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		<title>Annual Conference of Kolhapur City Branch</title>
		<link>https://asiindia.org/2026/04/22/sasicon-2026/</link>
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		<pubDate>Wed, 22 Apr 2026 07:52:25 +0000</pubDate>
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		<description><![CDATA[President ASI Dr. D. Maruthu Pandian invited &#038; inaugurated the Annual Conference of Kolhapur City Branch ASI held on 28th March 2026 and delivered Dr. K. P. Prabhu Oratio [Best_Wordpress_Gallery id="335" gal_title="Kolhapur City Branch 2026"]]]></description>
				<content:encoded><![CDATA[<p>President ASI Dr. D. Maruthu Pandian invited &#038; inaugurated the Annual Conference of Kolhapur City Branch ASI held on 28th March 2026 and delivered Dr. K. P. Prabhu Oratio</p>
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		</item>
		<item>
		<title>KSCASICON 2026</title>
		<link>https://asiindia.org/2026/04/22/kscasicon-2026-2/</link>
		<comments>https://asiindia.org/2026/04/22/kscasicon-2026-2/#respond</comments>
		<pubDate>Wed, 22 Apr 2026 07:49:33 +0000</pubDate>
		<dc:creator><![CDATA[admin]]></dc:creator>
				<category><![CDATA[ASI Activites]]></category>
		<category><![CDATA[Updates]]></category>

		<guid isPermaLink="false">https://asiindia.org/?p=16497</guid>
		<description><![CDATA[44th Annual Conference of Karnataka State Chapter of ASI held from 13th to 15th, February 2026 at the Raichur Institute of Medical Sciences (RIMS), Raichur, Karnataka [Best_Wordpress_Gallery id="333" gal_title="KSCASICON 2026"]]]></description>
				<content:encoded><![CDATA[<p>44th Annual Conference of Karnataka State Chapter of ASI held from 13th to 15th, February 2026 at the Raichur Institute of Medical Sciences (RIMS), Raichur, Karnataka</p>
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data-gallery-type="thumbnails"              data-gallery-id="164"              data-tag="0"              data-album-id="0"              data-theme-id="1"              data-ajax-url="https://asiindia.org/wp-admin/admin-ajax.php?action=bwg_frontend_data">          <div id="bwg_container3_1" class="bwg-background bwg-background-1">                <div data-max-count="5"         data-thumbnail-width="250"         data-bwg="1"         data-gallery-id="164"         data-lightbox-url="https://asiindia.org/wp-admin/admin-ajax.php?action=GalleryBox&current_view=1&gallery_id=164&tag=0&theme_id=1&shortcode_id=333&sort_by=order&order_by=asc&current_url=https%3A%2F%2Fasiindia.org%2Ffeed%2F"         id="bwg_thumbnails_1"         class="bwg-container-1 bwg-thumbnails bwg-standard-thumbnails bwg-container bwg-border-box">            <div class="bwg-item">        <a class="bwg-a bwg_lightbox"  data-image-id="1596" href="https://asiindia.org/wp-content/uploads/photo-gallery/ksc-26-3.jpg?bwg=1776840975">                <div class="bwg-item0 ">          <div class="bwg-item1 ">            <div class="bwg-item2">              <img class="skip-lazy bwg_standart_thumb_img_1 "                   data-id="1596"                   data-width="500"                   data-height="487"                   data-original="https://asiindia.org/wp-content/uploads/photo-gallery/thumb/ksc-26-3.jpg?bwg=1776840975"                   src="https://asiindia.org/wp-content/uploads/photo-gallery/thumb/ksc-26-3.jpg?bwg=1776840975"                   alt="" />            </div>            <div class="">              <div class="bwg-title1"><div class="bwg-title2">&nbsp;</div></div>                                        </div>          </div>        </div>                                </a>      </div>            <div class="bwg-item">        <a class="bwg-a bwg_lightbox"  data-image-id="1595" href="https://asiindia.org/wp-content/uploads/photo-gallery/ksc-26-1.jpg?bwg=1776840975">                <div 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		</item>
		<item>
		<title>MASICON 2026</title>
		<link>https://asiindia.org/2026/04/22/masicon-2026/</link>
		<comments>https://asiindia.org/2026/04/22/masicon-2026/#respond</comments>
		<pubDate>Wed, 22 Apr 2026 07:45:55 +0000</pubDate>
		<dc:creator><![CDATA[admin]]></dc:creator>
				<category><![CDATA[ASI Activites]]></category>
		<category><![CDATA[Updates]]></category>

		<guid isPermaLink="false">https://asiindia.org/?p=16493</guid>
		<description><![CDATA[48th Annual Conference of the Association of Surgeons of India - Maharashtra State Chapter (MASICON 2026) [Best_Wordpress_Gallery id="332" gal_title="Maharashtra State Chapter (MASICON 2026)"]]]></description>
				<content:encoded><![CDATA[<p>48th Annual Conference of the Association of Surgeons of India &#8211; Maharashtra State Chapter (MASICON 2026)</p>
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