1,2Reader, Department of Rachana Sharir, Shri NPA Government Ayurveda College, Raipur, Chhattisgarh, India
3,4,5,6,7Post Graduate Scholar, Department of Rachana Sharir, Shri NPAGovt. Ayurveda College, Raipur, Chhattisgarh, India
Siravyadha (therapeutic venesection) is an important parasurgical procedure described in the Sushruta Samhita for the elimination of vitiated Rakta and Doṣhas. Classical Ayurvedic literature recommends performing Siravyadha at Dakṣiṇa Kurpara Sandhi (right elbow region) in Yakruddalyudara, Kāsa, and Śhvāsa, whereas Vāma Kurpara Sandhi (left elbow region) is advised in Plīhavṛiddhi. These side-specific instructions indicate a deliberate clinical rationale possibly related to organ location and circulatory dynamics.
The present review analyzes classical Ayurvedic references and correlates them with modern anatomical concepts such as organ lateralization and venous drainage of the upper limb. The analysis suggests that the selection of venesection sites may reflect the relationship between regional organ dominance and systemic circulation. This demonstrates the advanced surgical understanding present in classical Ayurveda.
However, in conditions such as Kāsa and Śhvāsa, although the lungs are bilaterally located, classical texts recommend Siravyadha only at the right Kurpara Sandhi, indicating that factors beyond simple anatomical location may influence the choice of venesection site.
Keywords: Siravyadha, Kurpara Sandhi, Yakrit, Plīha, Raktamokshana, Pranavaha Srotas, Vedhya Sira, Median Cubital Vein.
How to cite this article: Dwivedi S, Tiwari N, Deshmukh S, Lanjewar RP, Sinha S, Tambe P and Maity A, Anatomical Justification of Dakshia Kurpara Sandhi Siravyadha in Sushruta Samhita: A Conceptual Study in Kasa, Shwasa, Yakruddalyudara and Plihavriddhi.. Int J Drug Deliv Technol. 2026;16(5s): 809-812. DOI: 10.25258/ijddt.16.5s.95
Source of support: Nil.
Conflict of interest: None