Review Article International Ayurvedic Medical Journal ISSN:2320 5091

TO ELABORATE CONCEPT OF SEVANI WITH THE HELP OF MODERN ANATOMY Dr. Budruk Pramod Appasaheb M.D. Sharir Rachna, L.L.B.(spl), Principal- Hon.Shri. Annasaheb Dange Ayurved Medical College, Ashta. Tal- Walwa, Dist- Sangli, Maharashtra, India ABSTRACT Ayurveda gives new Idea about human being in case of Anatomy, Physiology & other subjects also. Ayurvedokth Rachana Sharir describes about various terminology. In fifth chapter of Sharirsthan Susrut described various parts of the body. Not only various parts of the body, but also number of these parts or organs, is nicely given in this Sharir sankhya vyakarana sharir Ad- hayaya. Anaga, Pratnyaga, Twacha, Kala, Sira, Snayu, Dhamani are described with its numbers & distribution of them. Sivani is the one of structure present in the body. There is Sapta-Sevani present in the body. Structure of Sevani & also importance of it is given by Ayurveda. Though Sevani is mentioned in one sloka, but it has very much important.Its importance is given by comparative study with modern Science. Division of the is done by these sevani, as given in modern science. Sevani word gives two references. First is a sapt Shivayna available for the sevani & second in case of sandhi sharir. There is confusion regarding various terms as sevani or simant. With the help of this article I am trying to clarify these concepts with the help of mod- ern science. Keywords: Sevani, Septasevani, Sivani, Tunnasevani,Sutures

INTRODUCTION We know that structural & functional science, these structures we can easily corre- unit of the body is cell. These cells came late with the structures of modern anatomy. together to form tissue. These tissue come But there are some structures which we together which have same work is called as can’t match with modern anatomy. Some- organ. The chain of organs having same time these terms are used as per necessity. functions forms a system. The various sys- As these terms came from Ayurveda, the aim tems come together to form body. Thus of using these terms also mentioned in it, body is constituted by various types of cells. that is meaning should know everyone. To In Ayurveda the body is made of various elaborate meaning of the Ayuvedic termi- physiological components like body, mind, nology is necessary for standardization of soul. Susrutachya has nicely described about the subject and to clear concepts of these body. He mentioned various body structures terms to the students, who are studying available in the body as given in modern Ayurveda.

How to cite this URL: Dr. Budruk Pramod Appasaheb: To Elaborate Concept Of Sevani With The Help Of Modern Anatomy. International Ayurvedic medical Journal {online} 2016 {cited 2016 July} Available from: http://www.iamj.in/posts/images/upload/1277_1283.pdf Dr. Budruk Pramod Appasaheb: To Elaborate Concept Of Sevani With The Help Of Modern Anatomy Sapta Sevanya Sirasi Vibhakata Pancha, life & the movement of these bones is help- Jivoya shefachasorekeka; ful at the time of delivery. Afterward these ta Parihartavya Shasatrena II1. bones attach with each other keeping mark According to Charak, Vaidhya is one who on it & these are called as sevani. Actually knows all the Sankha of the body or num- there are four bones in adult but in early age berlogy of the body. He can treat all patient there are six bones. Hence susrut has de- without fear & properly. Susrut has ex- cribed as six bones are present in the skull. plained this numerological anatomy broader There are frontal or purakapalasti,parietal or than charak. In Sankhya Sharir Adyaya he Pashvakapalasti, Paschakapalasti orocciptal given description from shadang sharir to & Sankhasti or . Aparisankheya ( numberous) of Parmanu Sevani word is also mentioned at the time of present in the body. description of the sandhi, Type of sandhi is Sevani is one of structure which present in given as Tunna Sevani, head region or shirbhag & also below the Ta Ato Sandhayosthavidha tounge & space between bases of penis to Korodukhalasamudaga Pratara anal canal. There are seven sevani, out of 5 Tunnasevaniyayasatunda are present in the skull called sutures. Re- Mandal Shankhavarta.ll5 maining one is present in the base of tongue Ayurveda divides all of the body in called frenulum of tongue, and other is pre- above eight types .These types of are sent on scrotal region called raphe of the given as kor, Udukhal, samudaga, Pratara, scrotum. Tunnasevani, vayastunda, mandal & In sanskruit-hindi kosha meaning of the Shankhavarta. Tunna Sevani is a suture type Sevani or sivani is structure or line of de- of joint. Tunnasevani is a sevani type joint marcation or it called as Sandhirekha. It is which is present in the skull. It divides skull the part which joints two parts of the body. into various parts. There are five joints pre- It looks like sutures taken by needle. Such sent in it. type of structure is present on the skull. It Shirakati Kapaleshu Tunnasevanya.ll6 divides the skull in various regions. Susrut Mainly the Tunnasevani type of joint is pre- told that these sevani are five in numbers. sent in case of skull bone. The bones which Also he told that these sevani or sutures are flat means scapula and hip bone has or in should be protected, at the time of surgery. case of skull or skull cap. In case of skull or Injury to these structures will be fetal, hence skull cap stitch like joints are available. Es- he told that, pecially the Joint when two flat bones meet Taa: Pariharatavya Shasataren ll together having serrate edges is called as According to V.S. Apate’s Sanskrut Tunnasevani Joint. Shadakosha meaning of the Pariharatavya Chinnanalpasevanam Tunnasevani is the part which should keep away or to Tunnasevanyo nam paraspar preserve the part from injury by trauma or at Pedicinedanturdharabhi Nirmita Kanata- the time of surgery.3 rala Sandhayall7 Shata Sirasiti ll 4 . The edges of the Joining edges are denticu- According to Susrut six bones are present in late appearance. These denticulate process the head.These bones separate in intrauterine meet each other to form uniform Joint such 1278 www.iamj.in IAMJ: Volume 4; Issue 07; July- 2016

Dr. Budruk Pramod Appasaheb: To Elaborate Concept Of Sevani With The Help Of Modern Anatomy type of joint is named as Tunnasevani. This Suture is process of joining two surfaces or is sthir joint or immovable joint. Tunna edges & afterword line or stitch so formed. means Tailor or stiche like mark of wound. Anatomically it is line of junction or an im- A structure which appears like stitches of movable joint between two bones especially tailor or mark on the clothes or mark re- of the skull. The , , mains after wound. This mark we can see on is seen in a superior view of the skull not on the skin. the skull. These bones make up the superior Simanta sevanicha bahitwacha part of the calvaria or the calva (skull cap) sirashi na drushate.ll8 10 Sevanya are not seen on the surface of the Following sutures are found in the skull. body or exterior of the head. It present be- 1-- the unpaired frontal bone low the skin. It is present only on the bone articulates with the parietal bones at the cor- or exterior of skull. onal suture.11 MATERIALS AND METHODS This suture divides skull into anterior and In the dissection hall of ADAMC Ashta posterior parts. The lateral portion of the skull and dead body used for observed and calvaria begins anteriorly with the frontal for dissection purpose. Instruments like bone. In upper regions the frontal bone ar- scalp and blade, tooth forceps and plain for- ticulates with parietal bones by coronal su- ceps is used for dissection of scalp and to ture. see sevani of the skull, as well as frenulum 2-Sagital suture- the two parietal bones ar- of tongue and rape of the scrotum is ob- ticulate with each other in the midline at the served. . This suture divides skull into Firstly various references regarding sevani right and left halves. This suture generally are collected; also references regarding skull present in the midline of the body. sutures and importance of sutures are col- 3-- the parietal bones artic- lected. After observation and discussion re- ulate with unpaired occipital bone at the garding sevani future conclusion is drawn. lambdoid suture. This suture present on pos- Sevanya are not seen on the surface of the terior view of the skull.12 body or extension of the head. Hence it is 4- Squamous suture-This suture starts from present only on the bone or skull. According point. It is present in between tem- to paribhasha koasha meaning sevani means poral and parietal bones and ends at the mark remains after wound. Hence Tun- point . Temporal bone is a major nasevani is mark on the skull, or mark like contributor to lower portion of lateral wall sutures or stitch marks like structure. This of the cranium. 13 mark we can see on the skull. Frontal bone articulates with greater wing of Skull has 22 bones, it is divided into calvaria and also with parietal bone at which surrounds cranial cavity containing the . At the end of tem- brain and lower anterior part is facial skele- poral bone articulate with sphenosquamous ton. The bones forming calvaria are paired suture. Temporal bone articulates with temporal bones & parietal bones unpaired sphnoid bone at sphenosquamous suture & frontal & occipital bones and small bones with parital bone superiorly at the squamous like sphenoid & ethmoid bones.9 suture & mastoid bone attached with occipi- 1279 www.iamj.in IAMJ: Volume 4; Issue 07; July- 2016

Dr. Budruk Pramod Appasaheb: To Elaborate Concept Of Sevani With The Help Of Modern Anatomy tal bone by ooccipitomastoid suture.Parietal various covering as well as skull. Skull is bone attaches with mastoid bone parieto- the bony part which protects the brain from mastoid suture. Thus sphenosquamous su- various impacts or shocks .When we ob- ture, squamaus suture, parietomastoid suture serve skull, there are various types of sutures and forms along su- are present on it. It has 5 surfaces and upper ture14This suture forms one of the sivani of part of the skull is called Norma Superioris. skull. This part has the sutures on it. These sutures Next part of sevani is present below tongue. or marks are denticulate, serrate or squa- The under surface of oral part of tongue mous type. lacks papillae, but has number of linear mu- When there are saw like edges of meeting cosal folds. A single median fold called surfaces then it is called as serrate joint. frenulum of tongue is continuous with mu- When there is one surface overlaps another cosa covering the floor of oral cavity over- surface at the time of joint then it is called as lies midline sagittal septum. On the each sutura squamosa. When plain edges meet side of frenulum there is lingual vein and together then it is called as plain sutures. lateral to vein fimbriated fold is present.15 Susruta told that Sevani is also called as si- The remnant of the line of fusion between vani. Sometime it is called as simant . We labioscrotal swelling in the embryo visible can observe the sivani’s on the skull. There on the skin of scrotum as longitudinal mid- are coronal suture, sagittal suture, lambdoid line raphe that extends from anus, around & squamous suture present on the skull. the scrotal sac & on the inferior aspect of the Comparative structures against is given in body of the penis called raphe of penis. The following table. base of the raphe is continuants with frenu- Second meaning of the sevani is said to be lum of the glans to more loosely attached folds of skin or mucus folds. This has been skin proximal to the glans.16 seen in case of tongue .The fold present in In case of female the labia minora each bi- the midline of tongue then it is called frenu- furcate forming a medial & lateral fold, the lum of the tongue. medial folds unites to form a frenulum of This is very important structure because in clitoris & that joins the glans clitoris. Also case of any injury to this structure can ham- labia minora unite forming a small trans- per work tongue and this also creates diffi- verse fold, to the frenulum of the labia mi- culty in the pronunciation or speaking. If nora, it is also called as fourchette.17 there is congenital shorting of frenulum then DISCUSSION there may be sometime protrusion of the Skull is most important part of the body. tongue. Hence Susruta has suggested pre- Brain has vital part of the body and it is serving this structure. placed in the skull. It is well protected by

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Dr. Budruk Pramod Appasaheb: To Elaborate Concept Of Sevani With The Help Of Modern Anatomy

Figure Table Sevani structures Structures present on sevani Important points Sevani-1 Sagittal suture In between two parietal bones. 1 From Bregma to Lambda point Sevani-2 Coronal suture In between frontal & parietal bone. 1 From right pterion to left pterion Sevani-3 Lambdoid su- In between parietal & occipital 1 From right Asterion ture bone. to left Asterion point Sevani-4 Squamous su- In between frontal long temp - par- 2 From Pterion and5, ture ital & oripful bone. &Asterion point Sevani-6 frenulum of floor of oral cavity. 1 sagittal septum and tongue fimbriated fold Sevani-7 raphe of scro- anus, around the scrotal sac. 1 frenulum of the tum in male glans penis and scro- tum frenulum of frenulum of the labia minora. 1 Frenulum of glans clitoris in fe- clitoris. male Also in case of the raphe of scrotum of male Second importance of the skull is that if or frenulum of the clitoris and frenulum of there are no sutures, at the time of birth it the labia minora are structure resembles to will create problem in the birth of child. The structure mentioned in the sevani. These boes of skull are flexible and overlaps each structures are also clinical importance as other for easy well as surgical important. 1281 www.iamj.in IAMJ: Volume 4; Issue 07; July- 2016

Dr. Budruk Pramod Appasaheb: To Elaborate Concept Of Sevani With The Help Of Modern Anatomy delivery. If certain bones of skull grow fast, 3. Sanskruita-hindi Koash.- By V.S.Apte- then also create deformity in the skull,due to ChaukhambaSanskruita Bhavan. Chitra this symmetry of skull will not maintained. Theatre samor, Near Bank of Baroda Also frenulum of the tongue connects Buliding, Post Box No. 1160 Varanashi. to lips. Sublingual papilla & lingual veins 221001 (India).ISBL- 978-81-89986-23- are present near this structure. Injury to this 0 Reprint 2012 Page592. structure create bleeding & Injury to salivary 4. Sushrut samhita –sharirsthanam.- Dr glands. Hence this structure also preserved B.G. Ghanekar- Meharchand Lagham- from injury at the time of surgery. chand Publication,4225- Ansari Road CONCLUSION Dariyagang ,New Delhi -110002.Reprint 1)Sivani is surgically important structure -2006 Sushrut samhita –sharirsthana which is preserved at the time of surgery or Chapter 5\21 Page-158. any injury to it. 5. Sushrut samhita –sharirsthanam.- Dr 2) There are seven number of sivani. Out of B.G. Ghanekar- Meharchand Lagham- five present in the skull. These structures are chand Publication,4225- Ansari Road resembles to coronal suture, sagital suture, Dariyagang ,New Delhi -110002.Reprint lambodadal suture and squamous sutures. -2006 Sushrut samhita –sharirsthana 3) Structure of sivani is like stichmark or Chapter 5\32 Page-165. like frenulum. Structure of sivani in tongue 6. Sushrut samhita –sharirsthanam.- Dr is mucus membrane of frenulum of tongue. B.G. Ghanekar- Meharchand Lagham- 4) Second meaning of sevani is structure chand Publication,4225- Ansari Road resembles to frenulum and it is like raphe of Dariyagang ,New Delhi -110002.Reprint scrotum in male & fold of frenulum of clito- -2006 Sushrut samhita –sharirsthana ris and frenulum of labia minora in female. Chapter 5\32 Page-165. 5) Thus the structures of the sevani are 7. Sushrut samhita –sharirsthanam.- Dr found on skull, skin or mucus membrane B.G. Ghanekar- Meharchand Lagham- .Whatever may be but Susrut told to pre- chand Publication,4225- Ansari Road serve these structures. Dariyagang ,New Delhi -110002.Reprint REFERENCES -2006 Sushrut samhita –sharirsthana- 1. Sushrut samhita –sharirsthanam.- Dr Haranchand- Chapter 5\32 Page-166. B.G. Ghanekar- Meharchand Lagham- 8. Sushrut samhita –sharirsthanam.- Dr chand Publication,4225- Ansari Road B.G. Ghanekar- Meharchand Lagham- Dariyagang ,New Delhi -110002.Reprint chand Publication,4225- Ansari Road -2006 Sushrut samhita –sharirsthana Dariyagang ,New Delhi -110002.Reprint Chapter 5\14 Page-154 . -2006 Sushrut samhita –sharirsthana- 2. Sanskruita-hindi Koash.- By V.S.Apte- Indutika- Chapter 5\14 Page-154. ChaukhambaSanskruita Bhavan. Chitra 9. Grey’s anatomy for students- byRichard Theatre samor, Near Bank of Baroda L Drake, Wayne Vogl, Adam W.M. Buliding, Post Box No. 1160 Varanashi. Mitchell –Elsevier Churchil Philadelphia 221001 (India).ISBL- 978-81-89986-23- Edinburgh London 2005 international 0 Reprint 2012 Page1125. edition ISBN-0808923064 –page no.- 763. 1282 www.iamj.in IAMJ: Volume 4; Issue 07; July- 2016

Dr. Budruk Pramod Appasaheb: To Elaborate Concept Of Sevani With The Help Of Modern Anatomy 10. Grey’s anatomy for students- byRichard 17. Grey’s anatomy for students- byRichard L Drake, Wayne Vogl, Adam W.M. L Drake, Wayne Vogl, Adam W.M. Mitchell –Elsevier Churchil Philadelphia Mitchell –Elsevier Churchil Philadelphia Edinburgh London 2005 international Edinburgh London 2005 international edition ISBN-0808923064 –page no.- edition ISBN-0808923064 –page no.- 769 443. 11. Grey’s anatomy for students- byRichard L Drake, Wayne Vogl, Adam W.M. CORRESPONDING AUTHOR Mitchell –Elsevier Churchil Philadelphia Dr. Budruk Pramod Appasaheb Edinburgh London 2005 international M.D. Sharir Rachna, L.L.B.(spl), edition ISBN-0808923064 –page no.- Principal- Hon.Shri. Annasaheb Dange 769. Ayurved Medical College, Ashta. 12. Grey’s anatomy for students- byRichard Tal- Walwa, Dist- Sangli, Maharashtra, In- L Drake, Wayne Vogl, Adam W.M. dia Mitchell –Elsevier Churchil Philadelphia Email: [email protected] Edinburgh London 2005 international edition ISBN-0808923064 –page no.- Source of Support: Nil 768. Conflict of Interest: None Declared 13. Grey’s anatomy for students- byRichard L Drake, Wayne Vogl, Adam W.M. Mitchell –Elsevier Churchil Philadelphia Edinburgh London 2005 international edition ISBN-0808923064 –page no.- 765. 14. Grey’s anatomy for students- byRichard L Drake, Wayne Vogl, Adam W.M. Mitchell –Elsevier Churchil Philadelphia Edinburgh London 2005 international edition ISBN-0808923064 –page no.- 767. 15. Grey’s anatomy for students- byRichard L Drake, Wayne Vogl, Adam W.M. Mitchell –Elsevier Churchil Philadelphia Edinburgh London 2005 international edition ISBN-0808923064 –page no.- 990. 16. Grey’s anatomy for students- byRichard L Drake, Wayne Vogl, Adam W.M. Mitchell –Elsevier Churchil Philadelphia Edinburgh London 2005 international edition ISBN-0808923064 –page no.- 444. 1283 www.iamj.in IAMJ: Volume 4; Issue 07; July- 2016