A comprehensive study of Peshi Shareera w.s.r. to Adhoshakhagata Peshi

Arundhati S Walwadkar; Krishnamurthy N; Nithin Kumar

Arundhati S Walwadkar Post Graduate Scholar, Department of PG Studies in Shareera Rachana, SDM College of Ayurveda, Udupi, Karnataka, India.
Krishnamurthy N Guide, Professor and HOD, Department of PG Studies in Shareera Rachana, SDM College of Ayurveda, Udupi, Karnataka, India.
Nithin Kumar Co-Guide, Associate Professor, Department of PG Studies in Shareera Rachana, SDM College of Ayurveda, Udupi, Karnataka, India.

Keywords: Adhoshakha, Lower limb, Muscles, Peshi, Swaroopa.

Abstract

Peshis are consolidated forms of the Mamsa Dhatu, demarcated from each other. They cover Sira, Asthi, Snayu and Sandhis and provide strength. Sushrutacharya has explained Peshi in detail including the types, location, distribution and importance. The total number of Peshis enumerated are 500. Amongst these, 400 are located in Shakha, 66 in Koshtha and 34 in Greevapratyurdhwa. 100 Peshis of each lower limb divided under 8 regions and categorised under 12 Swaroopas. However, there is no specific identification of different Peshis based on Swaroopa, provided in the Samhita. Objective of this study is to study the literature on Peshi Shareera w.s.r. to Adhoshakhagata Peshi in the light of modern science by cadaveric study and to categorise the Peshis of lower limbs into 12 Swaroopas. As per literary and cadaveric study, a total of 56 Peshis are found in the lower limbs. 9 of 12 Swaroopa are found to be relevant for categorising the Adhoshakha Peshis. The reason for the difference in the number of Peshis could be inclusion of tendons or aponeurosis, or single muscle observed in two or more regions or 2 heads of origin of a single muscle as two. Hence, the number of Peshis in Adhoshakha, by cadaver dissection can be interpreted as 91 according to Sushruta and 96 as per Vagbhata’s enumeration.

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