Literature review of Bhela Samhita related to Shalakya tantra

Shalakya Tantra is one among the ashtanga of Ayurveda . it is also called Urdhvanga. Understanding of Shalakya Tantra will help the physician in the planning of treatments for the diseases related to urdhvanga . Sushruta Samhita is considered as the main text for the shalakya references. There are many other treatises which are having hidden chikitsa principles related to shalakya diseases .one such text is bhela Samhita written by acharya bhela. Acharya bhela explained nidana, Lakshana , and chikitsa of various shalakya tantra-related diseases. Unfortunately, 50% part of shiroga roga chikitsa adhyaya is not available. So, it is an attempt to analyze and explore the remaining part for finding out new hidden treatment principles.


Introduction
Acharya bhela was one among six disciples of atreya punarvasu.He wrote a treatise named bhela Samhita.It comprises 120 chapters divided into 8 sthana.As per the point of view of shalakya tantra chapter no 21-Shiro roga chikitsa is of much importance.This chapter contains nidana, Lakshana, and chikitsa of shiro rogas karna roga, mukha roga & arochaka like suryavarta, anantavata, Shira Kampa, krimija karna roga.50% part of this chapter is missing.So, this study is done by keeping in mind to enlighten the knowledge of the importance of the remaining part related to the shalakya tantra in bhela Samhita.This study will review the hidden knowledge of various chikitsa principles &help in better understanding of diseases related to shalakya tantra in bhela Samhita.

Chapter No.21-Shiro Roga Chikitsa
Starting part and last part of this chapter are missing.Available contents regarding chikitsa are reviewed in this study

shankhak chikitsa (1)
Application and pouring of cold kashaya of dravyas should be done repeatedly.

suryavarta (2)
 intake of kalyanaka ghrita should be done  both Vamana and shirovirechana should be performed.

ardhavbhedaka (4)
 Chikitsa-shirovirechana, nasya  Maximum dose of taila or ghrita or vasa should be given to patient for the purpose of Snehana and pacification of disease. Nadi swedana should be done. Upnaha sweda should be done to head by using ushna ksheer siddha drugs.

Nasyadi karma in shiroroga (5)
 In all type of shiro roga shiroverchana with done by using drugs like -karanja, shigru, twak, patra, sharkara. Dahana karma should be done in shiras and lalata Pradesh last part & manya Pradesh by using pippali kanda. If there is severe pain in vatajanya shiro roga & kaphaja shiroroga then wise physician should done dahana karma by using aarandya pippali kanda.

Kantha roga chikitsa (8)
 use of Bala taila is ideal for both nasya and oral intake. If Kantha roga is due to both Vata & Kapha dosha, then Kavala should be done by using Kalka or Kashaya in Mukha and Kantha.

arochaka chikitsa (9)
 Powder of drugs like pippali, pippalimoola, maricha, haritaki, shunthi, yavakshara, lodhra, and tejovati should be mixed with honey. Face should be washed by using the above-said drugs. Withholding of powders of drugs like adraka, kapittha, trikatu along with madhu & sharkara in the mouth is said as the best in all types of arochaka.

Raktaja Karna roga (12)
 Lakshana-swelling, pain & redness  Chikitsa-siravyadana of lalata sira, virechana karma, shiro virechana & cotton dipped with amla dravya processed oil should be placed over the head. In case of the suppurative stage-poultice should be applied over wound & apply Vrana taila overwound  If pus is coming-take a Probe and apply cotton over the head of it and clean the discharge slowly  After cleaning karnapoorana should be done for 1 muhurta by using oil prepared by drugs like sunthi, maricha, pippali, saindhava lavana, majishtha, rasna, haridra, tilvaka, tila, asana, eranda, moorva, arka, etc along with mamsa of mangoos &donkey and skin of snake, etc .thiswill help in reducing the karnasrava, karnashoola, karnapaka, badhirya and also Shiro rogas.

Krimija karna roga (13)
 lakshana-severe pain forehead along with burning sensation in the head, pricking type of pain, giddiness etc. all symptoms are similar to symptoms of krimija Shiro roga. If more than one symptom is present then the prognosis is considered to be very bad. chikitsa-Madhu shukta or milk or sura should be made lukewarm and karnapoorana should be done and the head should be made straight.if the discharge occurs after the removal of the insect, then the line of treatment of karna srava should be followed.

Conclusion
There are many other Samhitas in that knowledge related to shalakya tantra is extinct because of various factors or still not reviewed.Scholars mainly refer bruhat trayais for shalakya diseases treatment.So, this study will help scholars for getting added information on shalakya tantra written in bhela Samhita and also it will helpful for further research over chikitsa principles explained in bhela Samhita.

Disclosure of conflict of interest
No conflict of interest.