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Meaning of this verse

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The image contains a Sanskrit verse with a Hindi explanation. Let me read the text carefully from the image analysis and provide the meaning.
The image shows text from what appears to be a Sanskrit text (likely Sushruta Samhita, based on the reference "सु.सू. 7/8" visible in the image). Here is the verse and its meaning:

Sanskrit Verse

स्वबुद्ध्या च विकल्प्य विविधविधानि यन्त्रशस्त्राणि तत्कर्माणि च उपकल्पयेत्। अतः कर्मवशात्तेषामियत्ता इह धारणम् अशक्यम्।

Meaning

Word-by-word breakdown:
SanskritMeaning
स्वबुद्ध्याusing one's own intellect/judgment
विकल्प्यby devising / by creative thinking
विविध-विधानिvarious kinds of
यन्त्र-शस्त्राणिinstruments (yantra) and surgical tools (shastra)
तत्-कर्माणिand the procedures/operations related to them
उपकल्पयेत्should be prepared / should devise
अतःtherefore
कर्मवशात्depending on the nature of the work/procedure
तेषाम्of those (instruments)
इयत्ताa fixed/definite number
इहhere / in this text
धारणम्to enumerate / to fix / to lay down
अशक्यम्is impossible / not feasible

Full Meaning in English

"Using one's own intellect and creative thinking, one should devise various kinds of instruments (yantras) and surgical tools (shastras) along with their procedures as needed. Therefore, it is not possible to fix or enumerate a definite number of instruments here, because their use depends entirely on the nature of the surgical work."

Context (Sushruta Samhita, Sutra Sthana 7/8)

This verse is from the Sushruta Samhita, the ancient Indian treatise on surgery (one of the foundational texts of Ayurveda). Acharya Sushruta is making an important point here:
  • He has described various standard surgical instruments (yantras and shastras).
  • But he acknowledges that surgery is a creative and adaptive discipline - a skilled surgeon must use his own intelligence to innovate and devise new instruments as the clinical situation demands.
  • It is therefore impossible to give an exhaustive, fixed list of all surgical instruments, because the requirements change with every procedure.
This reflects Sushruta's remarkably progressive and practical approach to surgery - he trusted the surgeon's judgment over rigid rules, acknowledging that no textbook can account for every situation encountered in practice.
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